Abstract
Saskatchewan has the highest rate of new human immunodeficiency virus (HIV) infections
in Canada. Of those newly diagnosed, 56% identify as female, 76% identify as Indigenous,
and 71% report a history of intravenous drug use. These statistics are strikingly
different compared with Canadian data. This brief communication describes prenatal
care provided to women living with HIV at an interdisciplinary primary care clinic
in Saskatchewan, demonstrating that, despite facing great barriers such as housing
insecurity, substance use, and institutionalized racism, women living with HIV can
have positive outcomes, including engagement in care and the prevention of perinatal
HIV infection.
Résumé
La Saskatchewan est la province avec le plus haut taux d’infection au virus de l’immunodéficience
humaine (VIH) au Canada. Chez les personnes nouvellement diagnostiquées, 56 % s’identifient
comme des femmes, 76 % se disent autochtones et 71 % déclarent des antécédents de
consommation de drogues injectables. Ces statistiques brossent un portrait particulièrement
différent par comparaison aux données canadiennes. Cette brève communication décrit
la prestation de soins prénataux aux femmes atteintes du VIH dans une clinique interdisciplinaire
de soins primaires en Saskatchewan et révèle que, malgré d’importants obstacles (p.
ex. : situation de logement précaire, toxicomanie et racisme institutionnel), les
femmes atteintes du VIH peuvent avoir des résultats positifs, notamment l’adhésion
au plan de soins et la prévention de la transmission périnatale du VIH.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Obstetrics and Gynaecology CanadaAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- HIV in Canada-surveillance report, 2018.Can Commun Dis Rep. 2019; 45: 304-312
- HIV prevention and control report, 2018.Saskatchewan Government, Saskatchewan2018
- Honouring the truth, reconciling for the future: summary of the final report of the truth and reconciliation commission of Canada.Truth and Reconciliation Commission of Canada, Winnipeg, Manitoba2015
- In the eyes of indigenous people in Canada: exposing the underlying colonial etiology of hepatitis C and the imperative for trauma-informed care.Can Liver J. 2018; 1: 115-129
- Blending aboriginal and Western healing methods to treat intergenerational trauma with substance use disorder in aboriginal peoples who live in northeastern Ontario, Canada.Harm Reduct J. 2015; 12: 14
- Guidelines for the care of pregnant women living with HIV and interventions to reduce perinatal transmission: executive summary.J Obstet Gynaecol Can. 2014; 36: 721-734
- Age and sex highlight tables, 2016 census - population by broad age groups and sex, Canada and economic regions 2017.(Available at:) (Accessed on March 23, 2020)
- Pregnancies among the first generation of survivors of perinatal HIV infection.J Obstet Gynaecol Can. 2020; 42: 446-452
- The relationships of childhood trauma and adulthood prescription pain reliever misuse and injection drug use.Drug Alcohol Depend. 2016; 169: 190-198
- Tubal ligation in the Saskatoon health region: the lived experience of aboriginal women.Saskatoon Health Region, 2017 (Available at:) (Accessed February 17, 2022)
Article info
Publication history
Published online: January 31, 2022
Accepted:
January 4,
2022
Received:
August 18,
2021
Footnotes
Disclosures: The authors declare they have nothing to disclose.
All authors have indicated they meet the journal’s requirements for authorship.
Identification
Copyright
© 2022 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.