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Assessing the Impact of Perinatal HIV Case Management on Outcomes Along the HIV Care Continuum for Pregnant and Postpartum Women Living With HIV, Philadelphia 2005–2013

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Abstract

To evaluate the impact of a Perinatal Medical Case Management (PCM) Program for women living with HIV (WLWH). Characteristics of pregnant and postpartum WLWH were compared between those who engaged in PCM and those who did not. Using secondary data collected from routine HIV surveillance, multivariable regression models were used to evaluate the association between PCM and four outcomes adapted from the HIV care continuum. In multivariable models, compared to WLWH not in PCM, participants (n = 448, 52.8%) were almost twice as likely to achieve HIV suppression before delivery (aOR 1.90 [1.33, 2.71], p = 0.0005); were more likely to be retained in HIV care 1 year postpartum (aOR 1.59 [1.17, 2.16], p = 0.0029); and were equally likely to engage in HIV care within 90-days of delivery (aOR 1.21 [0.88, 1.65], p = 0.236) and be virally suppressed 1 year postpartum (aOR 1.26 [0.90, 1.77], p = 0.178). PCM is an important intervention for preventing perinatal HIV transmission and closings gaps in the HIV care continuum for WLWH during pregnancy and postpartum.

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Fig. 1

Data Source Enhanced perinatal surveillance, CAREWare

Fig. 2

Data Source Enhanced perinatal surveillance, HIV/AIDS reporting system, CAREWare

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Acknowledgements

The authors would like to thank to Joëlla Adams, Mary Hovinga, Melissa Miller, Monica Moses, Tanner Nassau, and Deborah Storm for their contributions to the conduct of this study. This work was partially supported by CDC Grant IU62PS003959-01/13-20643-02.

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Correspondence to Emily A. Anderson.

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All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Full committee IRB approval was obtained from the Philadelphia Department of Public Health. Data were collected as part of routine HIV surveillance activities.

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Anderson, E.A., Momplaisir, F.M., Corson, C. et al. Assessing the Impact of Perinatal HIV Case Management on Outcomes Along the HIV Care Continuum for Pregnant and Postpartum Women Living With HIV, Philadelphia 2005–2013. AIDS Behav 21, 2670–2681 (2017). https://doi.org/10.1007/s10461-017-1714-9

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  • DOI: https://doi.org/10.1007/s10461-017-1714-9

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