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Pregnancy and HIV

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by

Cassie Seifert

on 18 November 2013

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Transcript of Pregnancy and HIV

Introduction
HIV/AIDS is the leading cause of death worldwide among women ages 15-49
1 in 7 cases of young women who contracted HIV could have been prevented if these women had not been the victims of partner violence
Women ages 15 to 24 represent twice as many cases of HIV than their male counterparts
Pregnancy and HIV

Leah Fertig & Cassie Seifert
Objectives
To identfy risk factors for HIV/AIDS among women
To examine policy issues related to HIV/AIDS regarding pregnancy
To describe the ethical issues related to HIV/AIDS in pregnancy
Population Risks
Risk of transmission to baby
Limited access to prenatal care
Social Stigma
Lack of eduation about disease process
Lack of support
About Transmission
Without the implementation of intervention the transmission rate is 15-45%
When effective interventions are in place the transmission rate can fall below 5%
The virus can be transmitted before birth, during birth, or through breastfeeding
Transmission of the virus in breastfeeding HIV/AIDS mothers is 14%
Education
Need increasesd education on transmission, prevention, testing, and treatments
Breastfeeding and risk of transmission
Condom education
Need to take antiretroviral medicaions
Quotes
"If the women tests positive and takes the necessary medicine upon diagnosis there is a high probability the child will be free of HIV"
"Many women drop out of the program due to stigma, due to problems with their husbands, due to problems in the family, due to financal problems of getting to the clinic so if we only focus on the medical intervention and forget the social and emotional support we won't succeed in making sure that every child is born negative"
Quotes
"If you follow the treatment you will live longer and the baby you are expecting is going to need you and depend on you"
"1 in 3 are HIV positive"
"Many HIV positive expectant mothers carry the burden of guilt often feeling responsible for threatening their child with the HIV virus. By increasing the odds that their child will be negative the mother to baby pack is a
vital public health intervention
."
Policy
Symphonological Model
References

Around 10 million people living with HIV now have access to antiretroviral treatment. (2013, June 30). Retrieved October 30, 2013, from http://www.unaids.org/en/resources/presscentre/pressreleaseandstatementarchive/2013/june/20130630prtreatment/

The Foundation for AIDS Research (2013, October). amfAR :: Statistics: Women and HIV/AIDS :: The Foundation for AIDS Research :: HIV / AIDS Research. Retrieved October 15, 2013, from http://www.amfar.org/about-hiv-and-aids/facts-and-stats/statistics--women-and-hiv-aids/

The Hospital for Sick Children - Motherisk - HIV Treatment in Pregnancy. (2013). http://motherisk.org/women/hiv.jsp

The inter-agency task team for prevention and treatment of HIV infection in pregnant women, mothers, and their children (2010, December). Preventing HIV and unintended pregnancies: strategic framework 2011-2015. Retrieved October 30, 2013, from http://www.unfpa.org/webdav/site/global/shared/documents/publications/2012/V2_web_P1P2_framework%2022.8.12.pdf

JAMA Network | JAMA | Confidential HIV Testing and Condom Promotion in Africa: Â Impact on HIV and Gonorrhea Rate. (1992). Retrieved from http://jamanetwork.com/article.aspx?articleid=401899

New guidelines to better prevent HIV in sex workers. (12 December 2012). retrieved October 29 20133, from UNAIDS Web Site: Bookmark + ShareNew guidelines to better prevent HIV in sex workers

Prevention and Treatment of HIV and other Sexually Transmitted Infections for Sex Workers in Low- and Middle-income Countries (2012). Retrieved from WHO website: http://apps.who.int/iris/bitstream/10665/77745/1/97892415041504744 eng.pdf

United Nations Population Fund (2011). Protecting the Health of Women and Girls: Preventing HIV/AIDS: UNFPA. Retrieved October 10, 2013, from http://www.unfpa.org/hiv/women.htm

WHO | Mother-to-child transmission of HIV. (2013, April 13). Retrieved October 30, 2013, from http://www.who.int/hiv/topics/mtct/en/

Williams, D., Costa, M., Odunlami, A., & Mohammed, S. (2008). Moving upstream: how interventions that address the social determinants of health can improve health and reduce disparities. Journal Of Public Health Management & Practice, S8-17.

World Health Organization (2000). WHO | Millennium Development Goals (MDGs). Retrieved October 20, 2013, from http://www.who.int/topics/millennium_development_goals/about/en/index.html
Millennium Goals
To promote gender equality and empower women
To reduce child mortality
To improve maternal health

Global: Achieving AIDS free generation
National: Child marriage laws in Tanzania
State: State laws are incompatible with 2006 CDC guidelines
Confidentiality
HIPPA, or lack thereof
Autonomy
Whether or not women seek or follow through with treatment
Beneficence
Provide care to expectant mother and baby
Full transcript