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Conference Abstract Compendium Examples from the ... - CityMatCH

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2009 <strong>CityMatCH</strong> Urban MCH Leadership <strong>Conference</strong>FIMR/HIV pilot project- initial findingsPRIMARY CONTACT:Rebecca Carlson, MSProject Manager, HIV GrantsAmerican College of Obstetricians andGynecologists409 12th St, SWWashington, DC, 20024-2188Phone: (202) 314-2356Fax: (202) 484-3993Email: rcarlson@acog.orgWebsite: www.acog.orgCO-PRESENTER(S)/AUTHOR(S):Kathleen Buckley, kbuckley@acog.org (Author)Brenda Thompson, brendathompson@unmc.edu(Author)Chad Abresch, cabresch@unmc.edu (Author)Margaret Lampe, mol0@CDC.GOV (Author)CATEGORYInfant mortality and morbidityInfectious disease and MCHFOCUSProgram Policy FocusISSUEPerinatal HIV transmission is a sentinel health event. Many HIV-exposed infants become infected due tomissed prevention opportunities. The FIMR/HIV Pilot Project (FHPP) is a methodology to adapt <strong>the</strong> Fetaland Infant Mortality Review (FIMR) process to identify and address missed perinatal HIV preventionopportunities and improve <strong>the</strong> health and well being of HIV-positive pregnant women in three pilotcommunities.SETTINGThe pilot projects were located in communities with high rates of HIV infection among women of childbearing age. Each project site consisted of a partnership among HIV/MCH programs (including a robustexisting FIMR program), health care providers, and community leadership.PROJECTOver a two-year period, each of <strong>the</strong> pilot sites identified and reviewed between 25-35 cases of perinatalHIV exposure that met <strong>the</strong> criteria established for <strong>the</strong> project. Project staff abstracted information <strong>from</strong> <strong>the</strong>mo<strong>the</strong>rs’ and infants’ medical records and conducted maternal interviews to identify gaps in care andmissed perinatal HIV prevention opportunities. Cases were reviewed and evaluated by an independentcase review team (CRT) that made recommendations for systems improvements. A community actionteam (CAT) was convened to implement those recommendations.This program was developed through a collaboration of <strong>the</strong> Centers for Disease Control and Prevention,<strong>CityMatCH</strong>, <strong>the</strong> American College of Obstetricians and Gynecologists, and <strong>the</strong> National Fetal and InfantMortality Review program along with <strong>the</strong> invaluable insight and contributions of <strong>the</strong> pilot sites.79

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