Slide 1: HIV Infection and Pregnancy: Managing Mother and Baby - A Training Exchange
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Slide 2: With support from the U.S. Centers for Disease Control & Prevention
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Slide 3: Background
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Slide 4: Background
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Slide 5: Problem Statement
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Slide 6: Project Goals
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Slide 7: Strategies
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Slide 8: Targeted Training to Reduce Perinatal HIV Transmission
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Slide 9: Involving Local Stakeholders
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Slide 10: Involving Local Stakeholders
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Slide 11: Faculty Training/Train-The-Trainer Model
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Slide 12: Educational Approaches
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Slide 13: Content of the Training
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Slide 14: HIV Infection and Pregnancy: Managing Mother and Baby
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Slide 15: In collaboration with regional AIDS Education & Training Centers
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Slide 16: Scope of the Epidemic Among Women and Children
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Slide 17: Perinatal Transmission of HIV
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Slide 18: USPHS Guidelines for the Use of Antiretroviral Drugs in Pregnant Women for Maternal Health & Prevention of HIV Transmission
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Slide 19: Impact of PHS Guidelines for Reducing Perinatal HIV Transmission
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Slide 20: National Recommendations for HIV Testing of Pregnant Women
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Slide 21: Routine Counseling and HIV Testing of All Pregnant Women
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Slide 22: When Informed Consent for HIV Testing is Required
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Slide 23: Routine Education/Counseling about the HIV Test for Pregnant Women
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Slide 24: Prenatal Messages for Counseling Pregnant Women About the HIV Test
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Slide 25: Prenatal Messages (continued)
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Slide 26: Counseling the Pregnant Woman with a Positive HIV Test Result
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Slide 27: Counseling the Pregnant Woman with a Negative HIV Test Result
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Slide 28: Acceptance of Voluntary HIV Testing Among Pregnant Women
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Slide 29: Barriers and Supports to Universal Prenatal HIV Testing
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Slide 30: Interpreting HIV Test Results
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Slide 31: Timing of Perinatal HIV Transmission
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Slide 32: Breastfeeding and HIV Infection
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Slide 33: Factors Influencing Perinatal Transmission
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Slide 34: Maternal Viral Load and Risk of Transmission: Women & Infants Transmission Study (WITS)
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Slide 35: Maternal Viral Load, ZDV Treatment and Risk of Perinatal HIV Transmission
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Slide 36: What Have We Learned?
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Slide 37: ACTG 076
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Slide 38: Results of ACTG 076
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Slide 39: Follow-up of Uninfected Infants in ACTG 076: ZDV versus Placebo
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Slide 40: Follow-Up of Women in ACTG 076
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Slide 41: Reducing Intrapartum HIV Transmission Studies of Short Course Therapy
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Slide 42: Reducing HIV Transmission with Suboptimal Regimens
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Slide 43: Treating Women with HIV Infection in Pregnancy
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Slide 44: Goals of Antiretroviral Therapy
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Slide 45: When Should an Adult be Treated?
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Slide 46: Guidelines for Care of All Pregnant Women with HIV Infection
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Slide 47: Guidelines for Antiretroviral Drugs in Pregnancy: Concepts
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Slide 48: Guidelines for Antiretroviral Drugs in Pregnancy: Clinical Scenario 1
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Slide 49: Clinical Scenario 2
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Slide 50: Clinical Scenario 3
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Slide 51: Clinical Scenario 4
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Slide 52: Assessment of the Pregnant Woman with HIV Infection
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Slide 53: Follow-Up Assessment of Pregnant Woman with HIV
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Slide 54: Changing HIV Therapy During Pregnancy
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Slide 55: Cesarean Section to Reduce Perinatal HIV Transmission
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Slide 56: Preterm Labor and the Use of Combination Antiretroviral Therapy
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Slide 57: Antiretroviral Pregnancy Registry
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Slide 58: Comprehensive Care of Women Postpartum
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Slide 59: Evaluation and Follow up of Infants
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Slide 60: Case Studies
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Slide 61: Case Study 1
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Slide 62: Case Study 2
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Slide 63: Case Study 3
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Slide 64: Case Study 4
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Slide 65: Case Study 5
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Slide 66: Case Study 6
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Slide 67: Support for Faculty Trainers: NPHRC
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Slide 68: Support for Faculty Trainers: DRAETC
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Slide 69: Support for Faculty Trainers: DRAETC
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Slide 70: Taking It on the Road - Clinicians As Trainers
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Slide 71: Unintended Consequences/Unexpected Benefits
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Slide 72: Unintended Consequences/Unexpected Benefits
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Slide 73: Evaluation of the Faculty Training Model
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Slide 74: Knowledge of Conent Pre and Post Faculty Workshop
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Slide 75: Trainee Knowledge of Content Pre and Post Presentation
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Slide 76: Professionals Attending Faculty Trainer-led Seminars by Profession
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Slide 77: Follow-up of Faculty: 6 months
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Slide 78: Follow-up of Faculty: 6 months
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Slide 79: What's Next?
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Slide 80: Key Elements for Success
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Slide 81: Summary
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