The five most needed medical and support services identified by WIN participants include: (1) prescription services; (2) help with money, food, and clothing; (3) transportation; (4) housing; and (5) dental care. Of these, the services least likely to be received were housing, dental care, and help with money, food, and clothing.

Summary

Based on descriptive information from a range of HRSA-supported projects and on preliminary qualitative and quantitative data from WIN, HRSA representatives reported the following conclusions and recommendations: (1) with adequate counseling, women accept HIV testing, particularly during pregnancy; (2) there has been significant progress in reducing perinatal HIV transmission through voluntary, non-regulated responses; (3) an ongoing, comprehensive system of care is critical; (4) services must be provided in settings that are accessible, as well as culturally, age, and gender appropriate; (5) different strategies should be employed for different settings and target populations; (6) provider training opportunities related to reducing perinatal HIV transmission should continue to be offered to assist providers in ensuring the availability of quality, appropriate care; (7) providers must involve clients in personal health care decisions and program planning, implementation, and evaluation; and (8) the perceived barriers of providers and consumers need to be identified and addressed to further reduce perinatal HIV transmission.

Provider Practices

The provider panel included representatives from: the American Academy of Family Physicians (Marshall Kubota); the Association of Women's Health, Obstetric and Neonatal Nurses (Maureen Shannon); the American College of Nurse Midwives (Jan Kriebs); the Association of Maternal and Child Health Programs (Deborah Allen); and the American Association of Health Plans (Johanna Daily). Joseph Thompson from the National Committee for Quality Assurance and Timothy Flanigan from The Miriam Hospital also made presentations.

American Academy of Family Physicians

The American Academy of Family Physicians (AAFP) is the medical specialty organization representing more than 84,000 practicing family physicians, family practice residents, and medical students with an interest in family practice. AAFP representative Marshall Kubota highlighted the following points: (1) family physicians and general practitioners are responsible for more outpatient medical



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