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Implement Comprehensive Women’s Health Care for HIV-Infected Women:
Utilize Staff Resources Effectively

Many female patients, including teenage patients, feel uncomfortable with gynecological (GYN) exams. The HIV team can use their understanding of these feelings as they select staff to address the needs of different female patients.  Providing women and girls with the opportunity to be examined by a female practitioner, someone culturally and linguistically familiar to them, or someone with whom they have frequent interaction makes them more likely to keep their appointments and believe in the importance of gynecological care. 

 

Many programs have incorporated the following suggestions into their delivery of care and have successfully increased the number of women and teenage girls having annual gynecological exams.


Tips
  • Encourage routine GYN care at a leadership level, and use staff meetings and medical conferences to reinforce staff awareness of the importance of regular pelvic exams for women living with HIV/AIDS.
  • Hire and/or cross-train nurse practitioners and other providers to ensure that various health care providers are available to offer GYN care at all times. (Ideally, the HIV primary care provider will provide GYN care as well.)
  • Make female providers available. Patients are often hesitant to explicitly request a female provider, so facilities should take the initiative of informing patients that this option is available to them.
  • Make bilingual providers available. Staff members who are bilingual and of diverse ethnic backgrounds can facilitate communication with various patient populations.
  • Create an "intermediary" role filled by case managers who can promote routine GYN care by reminding patients of upcoming GYN appointments, encouraging them to return for care and reinforcing the importance of routine GYN care; escorting patients to GYN care and/or follow-up services; and acting as patient advocates.