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The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

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Targeted Outreach for Pregnant Women Act

FL Dept. of Health in St. Lucie County

The Targeted Outreach for Pregnant Women Act (T.O.P.W.A.) was enacted by the Florida Legislature in 1998. The T.O.P.W.A. program was designed to establish an outreach program targeting high-risk pregnant women who may not be receiving proper prenatal care, who suffer from substance abuse problems or who may be infected with the Human Immunodeficiency Virus (H.I.V.). The goal of this program is to provide these high-risk pregnant women with referrals for much needed information and services.


  • Encourage high-risk women of unknown status to be tested for HIV.
  • Educate pregnant women about the benefits of entering into prenatal care.
  • Provide HIV-infected pregnant women with information about the benefits of AZT Therapy during pregnancy so they can make an informed decision about reducing the risks of perinatal transmission.
  • Provide appropriate referrals to medical and other social services on a case-by-case basis.

For more information, please call (772) 462-3916.