The role of women's health care providers in improving retention in HIV treatment and care for women after pregnancy in the Russian Federation

俄罗斯是艾滋病毒流行增长最快的国家之一，也是抗逆转录病毒情况最差的国家之一 全球治疗覆盖率最高。大力加强母婴传播预防工作 近年来该国的母婴传播(PMTCT)；然而，参加和遵守较长期的 艾滋病毒的治疗和护理仍然是一个问题。艾滋病毒咨询和检测是#年常规产前护理的一部分。 俄罗斯，怀孕是诊断艾滋病毒的重要机会。艾滋病中心是集中的健康中心 在俄罗斯各地提供艾滋病毒服务的护理中心以及艾滋病提供者之间的合作 妇女保健诊所(提供产前护理)的中心和提供者仍然是非常需要的 全国范围内的勘探区。这项定性研究的目标是更好地理解 产前护理提供者可能会影响长期参与艾滋病毒治疗和护理的妇女 在俄罗斯怀孕期间被诊断出感染了艾滋病毒。拟议的研究旨在1.描述什么，如果有的话， 怀孕期间被诊断感染艾滋病毒的妇女在获得进一步艾滋病毒治疗方面采取的行动 和产后护理服务；2.了解#年妇女保健诊所提供者的当前做法 对怀孕期间的妇女进行艾滋病毒诊断和咨询，以及这些提供者在多大程度上 与当地艾滋病中心合作，改善与长期艾滋病毒治疗和护理的联系 在怀孕期间被诊断为艾滋病毒携带者；以及，3.确定改善 在怀孕期间被诊断感染艾滋病毒的妇女在艾滋病毒护理和治疗方面的长期保留。 这项以社区为基础的探索性研究利用质的研究方法，以获得深入的、 解决这些目标所需的背景数据。我们将对56名女性进行深入采访 在怀孕期间接受艾滋病毒诊断，并对35名医疗保健提供者进行了深入采访，地址为 俄罗斯全国七个地点的妇女健康诊所和艾滋病中心。这项拟议的研究反映了 强大的大学-社区合作伙伴关系，致力于改善对艾滋病毒治疗和护理的遵守情况 感染艾滋病毒的妇女。最终，拟议研究的结果将作为初步数据进行开发。 加强妇女保健诊所提供者的能力和合作的干预措施 与艾滋病中心合作，以促进与长期艾滋病毒治疗和护理的联系和坚持 感染艾滋病毒的妇女。

Russia has one of the fastest growing HIV epidemics and also one of the worst situations with antiretroviral therapy coverage in the world. Major efforts have been made to improve the prevention of mother-to-child transmission (PMTCT) in the country in recent years; however, enrollment in and adherence to longer-term HIV treatment and care remains a problem. HIV counseling and testing is part of routine antenatal care in Russia, and pregnancy is an important opportunity for diagnosing HIV. AIDS Centers are the centralized health care centers for the provision of HIV services across Russia and the collaboration between providers at AIDS Centers and providers at women's health clinics (where antenatal care is provided) remains a much needed area for exploration throughout the country. The objective of this qualitative study is to better understand how antenatal care providers may influence longer-term engagement in HIV treatment and care among women who are diagnosed with HIV during pregnancy in Russia. The proposed study aims to 1. Describe what, if any, actions women who are diagnosed with HIV during pregnancy take in regard to getting further HIV treatment and care services postpartum; 2. Understand the current practice of providers in women's health clinics in diagnosing and counseling women about HIV during pregnancy and the extent to which these providers collaborate with local AIDS Centers to improve linkage to longer-term HIV treatment and care for women who are diagnosed with HIV during pregnancy; and, 3. Identify intervention opportunities for the improvement of longer-term retention in HIV care and treatment among women who are diagnosed with HIV during pregnancy. This community-based, exploratory study utilizes qualitative research methods in order to obtain the in-depth, contextual data necessary to address these aims. We will conduct in-depth interviews with 56 women who received their HIV diagnosis during pregnancy and in-depth interviews with 35 health care providers at women's health clinics and AIDS Centers in seven sites across Russia. The proposed study is reflective of a strong university-community partnership dedicated to improving adherence to HIV treatment and care for women living with HIV. Ultimately, the results of the proposed study will serve as preliminary data to develop an intervention that strengthens the capacity of and collaboration between providers at women's health clinics with AIDS Centers in order to advance linkage to and adherence to longer-term HIV treatment and care for women living with HIV.