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.
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.
['Anderson|Emily A|EA|', 'Momplaisir|Florence M|FM|', 'Corson|Catherine|C|', 'Brady|Kathleen A|KA|']
D000293:Adolescent D000328:Adult D019380:Anti-HIV Agents D019090:Case Management D003266:Continuity of Patient Care D005260:Female D015658:HIV Infections D006801:Humans D018445:Infectious Disease Transmission, Vertical D009035:Mothers D015999:Multivariate Analysis D015143:Philadelphia D011159:Population Surveillance D049590:Postpartum Period D011247:Pregnancy D011251:Pregnancy Complications, Infectious D011256:Pregnancy Outcome D037841:Pregnant Women D016896:Treatment Outcome D019562:Viral Load
HIV care continuum Prevention perinatal HIV transmission HIV perinatal medical case management intervention PMTCT