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One body, one test, two lives.. patient centered strategy to increase HIV testing in pregnant women and their partners


NHSC, an urban community-based health center in New Jersey, USA, provides prenatal services, labor/ delivery to 750 uninsured/impoverished/minority women annually. Given that NJ has the third highest number of HIV women in USA and the highest number of HIV children, early HIV detection/ intervention in pregnant women become paramount. NHSC historically struggled with sub-optimal OB HIV testing rates (60%) and needed to make radical program changes to comply with CDC recommendations to ensure HIV testing is offered to 100% pregnant patients.


PDSA (Plan-Do-Study-Act) was conducted to test a new HIV testing approach: HIV Counselors are located in OB department; HIV counseling/ Rapid testing is done at OB registration; daily registration schedules are available to HIV Counselors; HIV results become part of OB records upon result availability; educational DVDs are utilized in patient areas to increase awareness/ interest.


Per PDSA-improved strategy, NHSC sustained 100% compliance with CDC recommendations over the last three years. Rapid HIV testing and Rapid-on-Rapid positive result confirmation allow for smooth/timely transition from HIV testing to care/treatment for newly diagnosed HIV pregnant patients/partners.


The collected/analyzed data suggests that coordinated, patient-centered approach helps to: identify HIV positive pregnant patients in the first/second trimesters; immediately connect them to prenatal/HIV care to minimize vertical HIV transmission; provide prevention/treatment for partners including prevention for positives.

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Correspondence to Larisa Kudryashova-Hernandez.

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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Kudryashova-Hernandez, L. One body, one test, two lives.. patient centered strategy to increase HIV testing in pregnant women and their partners. Retrovirology 9 (Suppl 1), P70 (2012).

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