205926 Home-based HIV education increases HIV knowledge in maternal care clients

Monday, November 9, 2009

Shannon M. Criniti, MPH , Division of ID/HIV Medicine, Drexel University College of Medicine, Philadelphia, PA
Marjie Mogul, PhD , Department of Research, Maternity Care Coalition, Philadelphia, PA
Erika Aaron, CRNP , Division of ID/HIV Medicine, Drexel University College of Medicine, Philadelphia, PA
Ehasuyi Obasuhan , Epidemiology, Drexel University School of Public Health, Philadelphia, PA

Educating and testing pregnant women for HIV is critical because infected women are more likely to accept medical treatment during pregnancy, and interventions can prevent transmission to infants and partners. A maternal health organization and university-based HIV practice partnered to provide a home-based HIV education program for maternal clients in one of the maternal organization's client services area and measured changes in HIV knowledge.


The enhanced intervention in the pilot region consisted of 2-4 home visits by maternal care advocates accompanied by certified HIV counselor/testers who offered enhanced HIV education, prevention counseling, and rapid HIV testing to clients. Other regions provided basic HIV education within the maternal health home visitation program. Changes in HIV knowledge were measured by administration of an 18-question validated knowledge survey to participants before and after the education. Results of enhanced intervention region were compared to other regions.


Of 515 pre-tests completed, the average knowledge score across all participants was 13.9, or 77% correct. Of participants who completed both pre-tests and post-tests, both groups showed improvement in scores, with an average difference of 2.57 in the non-enhanced sites combined (n=14; p=.001), and 3.1 in the enhanced intervention region sites (n=20; p=.002). Though there was a slightly greater increase in the enhanced intervention site, the average difference in score increase between the groups was not significant.


Both HIV education interventions demonstrated significant increases in HIV knowledge. Additional participants are needed to complete post-tests to determine significant differences with enhanced HIV intervention.

Learning Objectives:
To list two potential benefits of delivering HIV education to maternal care clients To explain the importance of education and testing for HIV during pregnancy

Keywords: HIV Interventions, Prenatal Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a co-PI on this work and I have a Ph.D. degree
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.