Syphilis control in pregnancy: Effectiveness and sustainability of a decentralized program.

K Fonck; P Claeys; F Bashir; J Bwayo; L Fransen; Marleen Temmerman

Syphilis control in pregnancy: Effectiveness and sustainability of a decentralized program.

K Fonck, P Claeys, F Bashir, J Bwayo, L Fransen, Marleen Temmerman

Centre of Excellence in Women and Child Health, East Africa

Research output: Contribution to journal › Article

Abstract

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.

Original language	Undefined/Unknown
Journal	Obstetrics and Gynaecology, East Africa
Publication status	Published - 1 May 2001

Access to Document

http://ecommons.aku.edu/eastafrica_fhs_mc_obstet_gynaecol/441

Cite this

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title = "Syphilis control in pregnancy: Effectiveness and sustainability of a decentralized program.",

abstract = "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.",

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year = "2001",

month = may,

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T1 - Syphilis control in pregnancy: Effectiveness and sustainability of a decentralized program.

AU - Fonck, K

AU - Claeys, P

AU - Bashir, F

AU - Bwayo, J

AU - Fransen, L

AU - Temmerman, Marleen

PY - 2001/5/1

Y1 - 2001/5/1

N2 - 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.

AB - 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.

M3 - Article

JO - Obstetrics and Gynaecology, East Africa

JF - Obstetrics and Gynaecology, East Africa

ER -