Targeted Outreach for Pregnant Women Act (TOPWA) Provider
map, contacts and other information on Florida's TOPWA program.
Targeted Outreach for Pregnant Women Act (TOPWA) program was funded by
the Legislature in 1998 to reach high-risk or HIV-infected pregnant
women not receiving adequate prenatal care. The purpose of the program
is to lower the number of babies born with prenatal drug exposure and
HIV infection. TOPWA projects are currently in Miami-Dade, Broward,
Palm Beach, Orange, Hillsborough, Pinellas, Duval, St. Lucie, Glades,
Hendry and Lee counties. Projects provide HIV testing and pregnancy
testing for women who are not sure of their pregnancy status. Women
receive HIV prevention education and are assisted with substance abuse
evaluations and treatment when needed. Pregnant women who are HIV
infected are educated in the benefits of taking prescribed
antiretroviral to reduce the risk of transmitting HIV to their infants.
placed on the provision of peer-based, culturally sensitive,
non-judgmental outreach. TOPWA service providers are community-based
organizations experienced in conducting outreach in their local area.
Services are directed toward pregnant women not receiving prenatal care,
and who are at risk for delivering a substance-exposed or HIV-infected
baby. Outreach is conducted in specific venues where eligible clients
may be found such as Laundromats, beauty salons, parks, bars, etc.
Relationships are developed with leaders in the communities such as
business owners, religious leaders or other persons who are trusted by
local residents. Collaborative agreements and reciprocal referral
processes are established with providers such as Healthy Start,
Childrens Medical Services, drug treatment centers and the local county
health department, to name a few.
contacted through outreach is offered on-site HIV testing, education on
HIV transmission and risk, and prevention materials. Those who are
pregnant and in need of prenatal care or a drug abuse evaluation are
considered eligible for the TOPWA program. Eligible women receive an
assessment to determine their level of risk for HIV or substance abuse
exposure. The dangers of drug use during pregnancy is explained and
women who are actively using are assisted in getting a chemical
dependency evaluation and treatment, if warranted.
clients are linked to prenatal care and other services such as Medicaid,
Healthy Start other social service programs. Transportation to
appointments through providing bus passes or actually giving the client
a ride is one of the services offered through TOPWA. Referrals are
tracked to ensure completion and clients are followed through the birth
of the infant to ensure they continue to access services. TOPWA
providers effectively use incentives to enroll clients into the program
and ensure continued participation. Baby Showers are held for enrolled
pregnant women at which they receive gifts and hear information on
pregnancy, childbirth and caring for their infant. HIV-infected
pregnant women will receive the highest priority from the TOPWA program
to ensure that they have the support they need to have a healthy baby.
TOPWA Provider Map (ppt,
PowerPoint map showing location of TOPWA providers in Florida.