179132 A Needs Assessment for Prenatal HIV, Hepatitis B, and Syphilis Screening Provider Interventions in Spokane County

Monday, October 27, 2008

Anna Lynn Haarsager, MHPA , Department of Health Policy & Administration, Washington State University, Spokane, WA
Title: A Needs Assessment for Prenatal Screening Policy in Spokane, Washington

Purpose: To identify policy and practices gaps in prenatal screening for syphilis, hepatitis B, and HIV in Spokane County.

Rationale/Background/Conceptual Basis: Public health leaders in Spokane wished to assess the need for provider training on prenatal screening practices for syphilis, hepatitis B, and HIV. Spokane is a low prevalence community for each disease, and this may influence provider screening practices.

Methods: All prenatal care providers in Spokane (n = 95) were asked to participate in a 20-minute face-to-face interview with the PI, and 28 (29% of the population) agreed to do so. Questions included self-reported screening rates, reasons why providers screened, office policies on prenatal screening, and opinions on the need for community outreach.

Results: All providers said that they always screened for syphilis and hepatitis B. However, two providers (7% of the sample) reported not offering HIV screening to all patients, citing risk factor analysis and confusion about who was doing testing in the office. Written office policies for screening had no impact on testing, and many practices had not formally implemented the state-required opt-out policy.

Significance of findings/Implications: Findings that provider outreach is needed to educate regarding Washington state policy of universal screening, and to ensure no positive diagnosis of HIV is missed.

Learning Objectives:
Participants will gain information and perspective on what is occurring in prenatal care settings regarding screening for sexually transmitted infections in a low prevalence community. Participants will be able to recognize and describe what is lacking in the community for provider screening responsibility, and could potentially identify needs for and evaluate/develop policy requirements to address the problem of non-compliant universal screening so that in the future, no missed positive is missed as no baby should be born with a preventable infection/disease passed by vertical transmission.

Keywords: STD, Prenatal Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.