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dc.contributor.authorFonck, K,
dc.contributor.authorClaeys, P
dc.contributor.authorBashir, F
dc.contributor.authorBwayo, J,
dc.contributor.authorFransen, L
dc.contributor.authorTemmerman, M
dc.date.accessioned2013-06-26T14:31:42Z
dc.date.available2013-06-26T14:31:42Z
dc.date.issued2001
dc.identifier.citationAm J Public Health. 2001 May;91(5):705-7.en
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/pubmed/11344874
dc.identifier.urihttp://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/40646
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446681/
dc.description.abstractOBJECTIVES: 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.en
dc.language.isoenen
dc.publisherUniversity of Nairobien
dc.titleSyphilis Control During Pregnancy: Effectiveness And Sustainability Of A Decentralized Program.en
dc.typeArticleen
local.publisherCommunity Health ,School of Health Sciencesen


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