Syphilis Control During Pregnancy: Effectiveness And Sustainability Of A Decentralized Program.
Date
2001Author
Fonck, K,
Claeys, P
Bashir, F
Bwayo, J,
Fransen, L
Temmerman, M
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
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.
URI
http://www.ncbi.nlm.nih.gov/pubmed/11344874http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/40646
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446681/
Citation
Am J Public Health. 2001 May;91(5):705-7.Publisher
University of Nairobi Community Health ,School of Health Sciences
Collections
- Faculty of Health Sciences (FHS) [10387]