Mandatory HIV testing of pregnant women: public health policy considerations and alternatives.
نویسنده
چکیده
Laws requiring mandatory Human Immunodeficiency Virus (HIV) testing for pregnant women have been contemplated by state legislatures since a ground breaking 1994 study showed that treating these women with antiretroviral drugs during pregnancy could decrease the chance of passing the disease to their children. Approximately 477 HIV-positive pregnant women participated in the AIDS Clinical Trial Groups 076 (ACTG 076) study which showed a near sixty-seven percent decrease in transmission of HIV from mother to child when the mother was given zidovudine (AZT) during the last two trimesters of pregnancy and the child received AZT for the first six weeks after birth. Shortly after the results of the study were released, mandatory HIV testing of pregnant women gained the support of the American Medical Association and was defended by most of the physicians on the Committee for the Care of Children and Adolescents with HIV Infection. The Ryan White Care Act, passed in 1990, originally made federal monetary support for state AIDS programs partially contingent on the patient’s informed consent. In 1996, the Act was amended to make funding contingent on the state’s efforts to test ninety-five percent of pregnant women, or else show that their numbers of newborn HIV cases were falling. Despite this pressure to
منابع مشابه
The case against mandatory HIV testing of pregnant women: the legal and public policy implications.
Few images arouse as much emotion as that of a sick child. The desire to do anything to help that child can be powerful and can cause people to take extreme measures to make the child well, especially when the illness is a fatal one, like AIDS. Recent scientific studies have shown that treating HIV-positive mothers during pregnancy can decrease the likelihood of transmission to the infant. Thes...
متن کاملWhy Mandatory HIV Testing of Pregnant Women and Newborns Must Fail: A Legal, Historical, and Public Policy Analysis Special Issue: Mandatory HIV Testing of Newborns and Their Mothers
متن کامل
The necessity of HIV testing in Iranian pregnant women and its ethical considerations
A high number of HIV positive babies are born each year, whereas by highly effective preventive measures, the risk of mother-to-child transmission can be decreased significantly. There are different methods (for example mandatory versus voluntary) for HIV screening in pregnant women, but there are debates on conducting HIV testing by these methods. One of the most important issues in this field...
متن کاملMandatory testing of pregnant women and newborns: HIV, drug use, and welfare policy.
An emerging strand of thought portrays pregnant women with drug addiction and HIV infection as having a willful hostility towards their fetus. As a result, pregnant mothers with HIV or addictions are confronted with decreased funding for services and increased sanctions for positive toxicology tests. The rhetoric of blame towards “deviant” mothers has escalated to embrace poor mothers in genera...
متن کاملImplementation of co-trimoxazole preventive therapy policy for malaria in HIV-infected pregnant women in the public health facilities in Tanzania
BACKGROUND In 2011, Tanzania adopted a policy for provision of daily co-trimoxazole prophylaxis to HIV-infected pregnant women for prevention of malaria and other opportunistic infections. As per the policy, HIV-infected pregnant women should not be given sulfadoxine-pyrimethamine (SP) for intermittent preventive therapy. The challenges associated with this policy change and the extent to which...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Duke journal of gender law & policy
دوره 9 شماره
صفحات -
تاریخ انتشار 2002