Evaluation of Barriers to Postpartum Care in HIV Infected Women

Study Overview
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Brief Summary
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The purpose of this study is to evaluate why the majority of HIV infected women in the Harris County Health District system who are pregnant do not come to clinic for their HIV disease after they have a baby through questionaires administered prepartum and questionaires and structured interviews postpartum. The study will ask subjects questions about HIV, drug use, depression and social problems.

Detailed Description
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This study is evaluating information pre and postpartum to assess what are barriers to patients coming into care for HIV after they have a baby. We will try to evaluate recurrent themes in questionaires and interviews to try and identify the barriers to care.

Official Title
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Evaluation of Barriers to Postpartum Care in HIV Infected Women

Conditions
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HIV Infection, Pregnancy

Intervention / Treatment
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* Other: questionaires and structured interviews


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: HIV infected pregnant women who HIV-infected women who are pregnant by confirmatory tests or an HIV positive woman who has had a baby within the last 6 months and is coming to care postpartum. Women who intend to get care at Harris County Hospital District. Subjects must be >18 years old. Exclusion Criteria: Women unable to complete questionnaires. Women who are unable to speak, read, or understand English or Spanish.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| questionaires and structured interview<br>HIV infected women who are pregnant and receiving care in Harris County Hospital District single arm study Single arm study | Other: questionaires and structured interviews<br>* We will do questionaires on pregnant women before they have their baby and after they have their baby. We will do structured interviews after they have their baby<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| evaluate results from qualitative interviews | we will ask and record responses and enter into an NIVIVO program to evaluate for emergent themes | women seen after they have their baby | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| evaluate results from questionaires | we will evaluate responses from questionaires There will be 8 areas that there are questionnaires about. These include basic information about yourself, about stress, about your support system, about your sense of control, about tobacco use, about for alcohol/drug use, about taking your HIV medications, and about depression. | before they have a baby and after they have a baby |