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Reducing the Odds Preventing Perinatal Transmission of HIV in the United States (1999) / Chapter Skim
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1 Introduction
Pages 15-20

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From page 15...
... Because 6,000 to 7,000 HIV-infected women give birth every year, and others have to carefully consider whether they should get pregnant, the potential impact of these findings was monumental. The "ACTG 076 results," referring to the AIDS Clinical Trials Group protocol number 76, quickly led the Public Health Service (PHS)
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From page 16...
... 104-146~. This legislation set forth a series of conditions regarding routine practices leading to a determination by the Secretary of Health and Human Services that could make Ryan White CARE Act formula funds to the states contingent upon mandatory HIV testing of newborns.
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From page 17...
... ORGANIZATION OF THE REPORT This report is intended primarily to address the particular questions posed in the Institute of Medicine's (IOM's) congressional mandate: "the extent to which State efforts have been effective in reducing the perinatal transmission of the human immunodeficiency virus, and an analysis of the existing barriers to the further reduction in such transmission." The committee also intends this report to be useful to national, state, and local policy makers, as well as health care providers and public health practitioners who want to give the most effective and appropriate care to all women and children, and to do everything possible to prevent perinatal transmission of HIV.
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From page 18...
... The infrastructure must include, for instance, education of prenatal care providers; the development and implementation of practice guidelines, clinical policy performance measures, and Medicaid managed care contract language for prenatal HIV testing; efforts to improve coordination of care and access to high-quality HIV treatment; interven
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From page 19...
... Finally, the committee organized a series of workshops and field visits to discuss the issues with the people affected by and concerned with the current and proposed policies: women who are HIV-infected or at risk of HIV infection, health care providers, and state and local policy makers. In particular, the committee convened workshops in Washington, D.C., on February 11 and April 1, 1998.
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From page 20...
... The committee organized a discussion of these issues with practitioners at the Florida HIV Conference in Orlando in April 1998 and at the Summer 1998 Correctional HIV Consortium Educational Update in Atlanta in June 1998. Committee members and staff also attended other national and local meetings at which perinatal transmission issues were discussed, and had numerous discussions with knowledgeable individuals.
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Key Terms

  • pregnant women
  • perinatal transmission
  • prenatal care
  • ryan white
  • white care

  • act amendments
  • prenatal hiv
  • care act
  • hiv infection
  • perinatal hiv

  • hiv test
  • routine practice
  • practice guidelines
  • complete analysis
  • transmission issues

  • local policy
  • undergone prenatal
  • newborn screening
  • treatment opportunities
  • prevention efforts

  • routine practices
  • state law
  • appropriate care
  • voluntary testing
  • committee organized

  • phs voluntary
  • hiv infections
  • newborn hiv
  • affecting perinatal
  • clinical trials


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