Maldonado Epi Group  

Rapid HIV Testing in Labor and Delivery

California Department of Public Health (CDPH)-Office of AIDS contracted with the Pacific AIDS Education and Training Center (PAETC) and Stanford University to provide training,technical assistance, and capacity building to hospitals in order to implement HIV rapid testing in L&D units ("RTLD"). PAETC clinician and program staff provided training and technical assistance, and Stanford provided program evaluation. The project ran from October 2006 through December 2011.

What was offered

Based in a systems change approach, technical assistance and training were tailored to each site, and frequently included:

For more information and a resource manual, please visit: http://www.sfaetc.ucsf.edu/resources/rtdl_resource_manual/

Results

Baseline Survey

205/260 facilities (79%) responded to the survey. 36% of hospitals reported having rapid HIV testing available at L&D, but only 19% reported offering testing in 2005. Teaching hospitals and facilities with written protocols specific to rapid HIV testing on L&D were significantly more likely to have testing available. Facilities with less prenatal care record availability and facilities with more patients covered by Medi-Cal were more likely to report offering rapid HIV testing.

Process

Between January 2007 and December 2011 we interacted with 226 (80.4%) of the 281 hospitals operating labor and delivery units in California for at least some time during the project. Of the 226 participating facilities, 81 (35.8%) were already offering RTLD when we contacted them. Of the remaining 145 facilities, 87 (60%) began offering RTLD by the end of the project. On average, six email or telephone contacts (range 1-40) were made prior to a first face-to-face or telephone meeting. Despite regular small steps toward change, the entire process of RTLD implementation was frequently lengthy.

Outcomes

Pending


More Information

The Stanford University team provides evaluation and data support to this project. For more information, please contact Clea Sarnquist [cleas].

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