Document 0156
 DOCN  M9620156
 TI    Evaluation of a program to remove barriers to public health care for
       women with HIV infection.
 DT    9602
 AU    Kissinger P; Clark R; Rice J; Kutzen H; Morse A; Brandon W; Department
       of Medicine, Louisiana State University, Tulane; University School of
       Public Health and Tropical Medicine, New; Orleans 70112-2282, USA.
 SO    South Med J. 1995 Nov;88(11):1121-5. Unique Identifier : AIDSLINE
       MED/96049158
 AB    To facilitate access to care for HIV-infected women, a maternal-child
       program was started at an HIV outpatient clinic in New Orleans. The
       program consisted of free child care and transportation, separate
       waiting and examination rooms, female care providers, merged visits for
       mother and child, and on-site colposcopy services. This study evaluates
       the efficacy of the program on improving attendance at the clinic by
       follow-up of 143 women and 557 men (serving as controls). Multivariate
       models were adjusted for history of intravenous drug abuse, race, age,
       CD4 cell count, staging of disease, and time in the clinic. Half of the
       clients achieved high attendance rates. Women were as likely as men to
       achieve high attendance rates before the interventions, but more likely
       to do so at both 6 months and 1 year postintervention (after adjustment
       for the other variables). These results suggest that responding to
       special gender-related needs can improve women's attendance for clinic
       visits.
 DE    Adult  Age Factors  Ambulatory Care  Appointments and Schedules  Child
       Child Care  Child Health Services  Colposcopy  CD4 Lymphocyte Count
       Facility Design and Construction  Female  Follow-Up Studies  *Health
       Services Accessibility  Health Services Needs and Demand  Human  *HIV
       Infections  Louisiana  Male  *Maternal Health Services  Maternal-Child
       Health Centers  Multivariate Analysis  Patient Acceptance of Health Care
       Program Evaluation  Racial Stocks  Sex Factors  Substance Abuse,
       Intravenous  Transportation  *Women's Health  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).