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Integrated Prenatal Care for Women Living With HIV: Primary Care Outcomes in Saskatoon, Saskatchewan

Published:January 31, 2022DOI:https://doi.org/10.1016/j.jogc.2022.01.009

      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.

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