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PROVIDING HIV CARE & TREATMENT SERVICES FOR WOMEN & FAMILIES Stephen Lee Sr. Program Director, Prevention, Care & Treatment Services  Elizabeth Glaser Pediatric AIDS Foundation
Benefits of Providing ART to HIV- Positive Pregnant Women ,[object Object],[object Object],[object Object],[object Object]
Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object]
Efficacy of Pre-ART Care at PMTCT/VCT Sites vs. Referral of HIV+ Patients to ART Sites ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Usual Approach 99% 28%
Pilot: VCT/PMTCT Site
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Increasing ART Access for Pregnant Women through Integration of ART Services into MCH ,[object Object],[object Object],[object Object]
Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object]
ART FOR PREGNANT WOMEN IN KING SOBHUZA II PHU
ZAMBIA
ART in ANC to Increase Treatment Initiation in HIV-infected Pregnant Women ,[object Object],[object Object],[object Object],[object Object],AIDS, January 2010, 24:85-91
Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enrollment and ART Initiation Outcome of ART Eligible Patients
Discussion ,[object Object],[object Object],[object Object],DISCLAIMER: This program was made possible through support provided by the Office of HIV/AIDS, Global Bureau Center for Population, Health and Nutrition, of the United States Agency for International Development (USAID), through the President’s Emergency Plan for AIDS Relief, as part of the Elizabeth Glaser Pediatric AIDS Foundation's International Family AIDS Initiatives (“Call To Action Project”/ Cooperative Agreement No. GPH-A-00-02-00011-00). Private donors also supported costs of activities in many countries. The opinions expressed herein are those of the authors and do not necessarily reflect the views of USAID.

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Providing HIV Care & Treatment Services for Women & Families

Notas del editor

  1. Results In the 10 months after implementation, ART initiation of eligible pregnant women increased by 5 times, rising to 28% (106/386) (figure 2). Prior to integration of services, only 5% (20/392) initiated ART. 25 family units were enrolled in the ART clinic, illustrating this model’s potential to promote family centered care. Overall, 275 patients initiated ART in the post-integration period, of which 106 (39%) were pregnant women. The proportion of other clients continued to increase in the second half of the post integration period. Challenges Not all HIV positive women return for CD4 count results. Lack of readiness by non-symptomatic, eligible women to initiate HAART. Difficulty of disclosure to partners/spouses. Increasing numbers of non-pregnant patients accessing ART services (due to lack of additional ART services at KSII PHU) is straining the capacity of the MCH clinic .