Organizational predictors of prenatal HIV counseling and testing.

OBJECTIVES Efforts to prevent perinatal transmission of HIV include implementation of prenatal counseling and testing programs. The objective of this study was to assess organizational predictors of HIV counseling and testing. METHODS Surveillance records were collected on 5900 prenatal patients from 9 hospital and community clinics in Connecticut. RESULTS Some organizational factors (e.g., type of clinic, dedicated staff) that enhanced counseling rates had the opposite effect on test acceptance. For instance, patients were more likely to be counseled when counseling was conducted by providers; however, test acceptance was more likely when dedicated counselors were available. CONCLUSIONS These results provide important information concerning clinic resources needed as HIV counseling and testing services continue to be incorporated into prenatal care.