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AJPH First Look, published online ahead of print Jan 2, 2008
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AJPH.2007.125187v1
98/2/196    most recent
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February 2008, Vol 98, No. 2 | American Journal of Public Health 196-197
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.125187

LETTER

QUESTIONING MANDATORY HIV TESTING DURING PREGNANCY

Allison K. Groves, MHS, Matthew W. Pierce, JD, MPH and Suzanne Maman, PhD, MHS

Allison K. Groves and Suzanne Maman are with the University of North Carolina School of Public Health, Chapel Hill. Matthew Pierce is with the Maryland Office of the Public Defender, Baltimore.

Correspondence: Requests for reprints should be sent to Allison Groves, MHS, 302B Rosenau Hall, CB 7440, Department of Health Behavior and Health Education, University of North Carolina School of Public Health, Chapel Hill, NC 27599 (e-mail: grovesa@unc.edu).

Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

Schuklenk and Kleinsmidt’s recent proposal1 to pilot mandatory HIV testing of pregnant women during antenatal care in areas with high HIV prevalence rates provides a plausible ethical justification for compulsory testing and treatment—if such a program were likely to succeed. The authors fail, however, to provide evidence that their program would be successful. In addition, they overlook several basic implementation problems likely to accompany a compulsory program.

Three omissions are particularly striking. First, the authors fail to consider the possibility that a compulsory program could deter women from seeking any antenatal care. Presumably, the goal of implementing a mandatory program . . . [Full Text]






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