This methodology identifies opportunities for improvement in the delivery of health systems for women with HIV and their infants through a system of case abstraction, maternal interviews, case reviews, and community action. The FXB Center has been performing the methodology in Newark since 2011 and has expanded the program to a statewide review of cases of HIV exposure and congenital syphilis.
Fetal and Infant Mortality Review (FIMR)-HIV & Congenital Syphilis Methodology
Case Review Team (CRT)
- The Case Review Team (CRT) consists of multidisciplinary team members representing a broad range of providers, institutions, community advocates, professional organizations, and private agencies that provide services for women, infants, and families. During regularly scheduled case reviews, the CRT identifies strengths in the care provided to the mother, opportunities for improvement in care, and general systems issues. After reviewing cases, the CRT creates recommendations to improve systems.
Community Action Team (CAT)
- The Community Action Team (CAT) initiates systems change based on findings from the community’s CRT. The CAT includes representatives who are familiar with maternal care and barriers, and who have influence over maternal and child health systems. In July 2023, the CAT developed an action plan. Activities outlined in the action plan are being executed by agencies statewide. The CAT meets biannually, both in person and virtually.
Tools on congenital syphilis prevention for providers and community members were developed and include available resources in NJ. They can be downloaded from the NJDOH website. To order free printed copies, please contact Liz Lazo at eir8@sn.rutgers.edu.
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- Universal Third Trimester Syphilis Screening During Pregnancy guide
- Syphilis Treatment for Pregnant Patients Heath Alert
- Syphilis Rates Increasing in NJ infographic
- Creating Safe Care: Supporting Pregnant & Parenting Patients Who Use Drugs on-demand webinar
- HIV, Hepatitis, & Syphilis: Evolving Perinatal Clinical Strategies on-demand webinar
- HIV Test and Treat: A Status Neutral Guide to Routinized HIV Testing for Healthcare Professionals guide
- Evidence-based Approaches to Lactation in Substance Use Disorders
- HIV and Infant Feeding: Navigating HIV and Infant Feeding Under the Updated HHS Guidelines
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- Congenital Syphilis (English) brochure
- Congenital Syphilis (Spanish) brochure
- Congenital Syphilis (Haitian Creole) brochure
- Pregnancy & HIV: A Guide for You and Your Baby brochure
Contact
Elizabeth Lazo, MPH, PMP
Program Manager
973-972-9225
eir8@sn.rutgers.edu