U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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  Quality of IHS Health Care

Performance Measures

Health Topic: HIV
The HIV/AIDS epidemic represents a growing threat to American women of childbearing age. From 1999 through 2003, the estimated number of AIDS cases increased more among women (15%) than in men (1%). HIV infections in newborn children are one possible result of higher HIV infection rates among women of childbearing age.

Who should be screened?
All pregnant women should be screened for HIV. Studies show that HIV infected mothers who get treatment during pregnancy have a lower chance of spreading HIV to their newborns. HIV infected mothers who did not begin treatment until labor or after birth had a higher chance of spreading HIV to their newborns. But mothers who received no treatment had the highest chance of spreading HIV to their newborns.

Routine prenatal HIV testing of all pregnant women is the best way to avoid spreading HIV from mother to infant.

What is the GPRA measure?
The GPRA measure is the percentage of IHS AI/AN pregnant women who are tested for HIV during their pregnancy.

How is IHS doing?
The United States long-term goal is for 74.1% of women 15 to 44 years of age who completed a pregnancy in the past 12 months reported that they had an HIV test as part of prenatal care by the year 2020 (Healthy People 2020). The IHS 2012 goal was to achieve the rate of 81.8% for the proportion of pregnant patients who are screened for HIV. IHS exceeded the goal by reaching 85.8%. The bars on the graph below show that IHS has increased the rate of prenatal HIV screening in pregnant patients from 54% in 2005 to 85.8% in 2012. However, beginning in 2010 refusals was removed from the rates. So, the 2007-2009 rates cannot be compared with the 2010-2012 rates.

Percentage of IHS AI/AN Prenatal Patients  Screened for HIV  (IHS 2013 goal is 82.3%)  NOTE: A higher score is better

View a table of this chart's data.

Year Percent
2005 54
2006 65
2007 74
2008 75
2009 76
2010 78
2011 80.0
2012 85.8
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To see how IHS is doing on this measure at the Area (regional) levels, click here.