Online Program

More Than Just the Facts: HIV Providers in 7 U.S. Cities Identify Training Needs for Preconception Care

Tuesday, November 3, 2015

Sarah Finocchario-Kessler, PhD, MPH, Department of Family Medicine, The University of Kansas Medical Center, Kansas City, KS
Sofie Champassak, MA, Psychology, University of Missouri-Kansas City, Kansas City, MO
Joanne Phillips, RN, MS, Fran├žois-Xavier Bagnoud Center, Rutgers School of Nursing, Newark, NJ
Roxanne Beltran, MA, MPH, Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Batimore, MD
Richlyn Yond, MPH, Center for Health Promotion and Prevention Research, The University of Texas-Health Science Center at Houston, Houston, TX
Efua Leke, MD, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TN
Rachel Martinelli, Pediatric Infectious Diseases, Family & Youth Clinic, Emory University, Atlanta, GA
Emma Rouda, BA, School of Public Health, University of California, Berkeley, Berkeley, CA
Heather Fahey, BS, School of Medicine, University of Texas Southwestern Medical Center, Dallas, TX
Kathy Goggin, PhD, Health Services and Outcomes Research, Children Mercy Hospital, Kansas City, MO
Jacinda Dariotis, PhD, MAS, MA, MS, School of Education/ Evaluation Services Center, University of Cincinnati, College of Education, Criminal Justice, and Human Services, Cincinnati, OH
Mary Jo Hoyt, MSN, School of Nursing, Fran├žois-Xavier Bagnoud Center, Rutgers, The State University of New Jersey, Newark, NJ
HIV PCC Study Group, CDC National Working Group on HIV Preconception Care
Preconception care (PCC) is not currently a routine aspect of HIV care. With approximately 50% of HIV+ individuals in serodiscordant partnerships, and childbearing desires similar to those of uninfected peers, HIV PCC services are needed.

Trained interviewers conducted 91 semi-structured phone interviews with HIV providers in seven cities (Atlanta[10], Baltimore[14], Houston[12], Kansas City[14], Newark[8], Philadelphia[20], San Francisco/Bay Area[13]). Audio files were transcribed and coded. We employed content analysis methods to identify themes related to HIV PCC training experience and needs.

Among HIV providers (71.6% female, 11.5 mean years treating HIV+ patients, 56.1% MD, 35.1% NP or PA, 8.8% RN or SW) over half (57.6%) described some exposure to HIV PCC training from webinars, in-services with internal or external experts, conference sessions or self-directed research. 61% reported familiarity or use of National HIV Perinatal Guidelines. A significant majority (86.7%) wanted additional training in HIV PCC and identified the following priorities:  1) consensus on safer conception methods and their associated risk of HIV transmission, including PrEP for conception, 2) best practices in HIV PCC to determine and standardize own procedures, 3) practical information for patients to determine feasibility and access services , 4) provider tools to facilitate routine counseling and specialty referrals,  5) direct mentorship and observation by experts, and 6) online education. 7.0% felt sufficiently confident in HIV PCC; 16.3% found it less relevant for their patients.

A majority of HIV providers expressed a strong desire for training in HIV PCC with particular emphasis on practical considerations for their patients.

Learning Areas:

Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Assess current exposure to HIV preconception care training Identify training priorities for preconception counseling among HIV providers

Keyword(s): HIV/AIDS, Perinatal Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have authored several papers on the topic of HIV and childbearing, provider communication, HIV preconception care and communication about safer conception in the United States, Brazil and Uganda. I'm a PI on a large R01, RCT trial to evaluate an e-health intervention in Kenya.
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.