Perinatal HIV Service Coordination: Closing Gaps in the HIV Care Continuum for Pregnant Women and Eliminating Perinatal HIV Transmission in the United States

Eliminating perinatal transmission of HIV and improving the care of childbearing women living with HIV in the United States require public health and clinical leadership. The Comprehensive Care Workgroup of the Elimination of Perinatal HIV Transmission Stakeholders Group, sponsored by the Centers fo...

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Bibliographic Details
Published in:Public health reports (1974) 2018-09, Vol.133 (5), p.532-542
Main Authors: Andrews, Mary-Margaret, Storm, Deborah S., Burr, Carolyn K., Aaron, Erika, Hoyt, Mary Jo, Statton, Anne, Weber, Shannon
Format: Article
Language:English
Subjects:
Adult
Antiretroviral drugs
Continuity of care
Continuity of Patient Care
Coordination
Disease control
Disease transmission
Female
Health care policy
Health Services Needs and Demand
HIV
HIV Infections - mortality
HIV Infections - prevention & control
HIV Infections - transmission
Human immunodeficiency virus
Humans
Infant
Infant Mortality
Infant, Newborn
Infectious Disease Transmission, Vertical - prevention & control
Interest groups
Interviews as Topic
Leadership
Literature reviews
Maternal Health Services - organization & administration
Occupational health
Perinatal Care - organization & administration
Planning
Population Surveillance
Pregnancy
Pregnancy Complications, Infectious - prevention & control
Prevention
Public health
Reports and Recommendations
United States
Women
Womens health
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Summary:Eliminating perinatal transmission of HIV and improving the care of childbearing women living with HIV in the United States require public health and clinical leadership. The Comprehensive Care Workgroup of the Elimination of Perinatal HIV Transmission Stakeholders Group, sponsored by the Centers for Disease Control and Prevention, developed a concept of perinatal HIV service coordination (PHSC) and identified 6 core functions through (1) semistructured exploratory interviews with contacts in 11 state or city health departments from April 2011 through February 2012, (2) literature review and summary of data on gaps in services and outcomes, and (3) group meetings from August 2010 through June 2017. We discuss leadership strategies for implementing the core functions of PHSC: strategic planning, access to services, real-time case finding, care coordination, comprehensive care, and data and case reviews. PHSC provides a systematic approach to optimize services and close gaps in perinatal HIV prevention and the HIV care continuum for childbearing women that can be individualized for jurisdictions with varying needs.
ISSN:0033-3549
1468-2877
DOI:10.1177/0033354918789912