Syphilis control in pregnancy: Effectiveness and sustainability of a decentralized program.
Obstetrics and Gynaecology (East Africa)
OBJECTIVES: This study sought to assess the performance, effectiveness, and costs of a decentralized antenatal syphilis screening program in Nairobi, Kenya.
METHODS: Health clinic data, quality control data, and costs were analyzed.
RESULTS: The rapid plasma reagin (RPR) seroprevalence was 3.4%. In terms of screening, treatment, and partner notification, the program's performance was adequate. The program's effectiveness was problematic because of false-negative and false-positive RPR results. The cost per averted case was calculated to be US$95 to US$112.
CONCLUSIONS: The sustainability of this labor-intensive program is threatened by costs and logistic constraints. Alternative strategies, such as the mass epidemiologic treatment of pregnant women in high-prevalence areas, should be considered.
Publication ( Name of Journal)
American journal of public health
(2001). Syphilis control in pregnancy: Effectiveness and sustainability of a decentralized program.. American journal of public health, 91(5), 705-707.
Available at: https://ecommons.aku.edu/eastafrica_fhs_mc_obstet_gynaecol/441