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Syphilis control during pregnancy: Effectiveness and sustainability of a decentralized program

Author

Listed:
  • Fonck, K.
  • Claeys, P.
  • Bashir, F.
  • Bwayo, J.
  • Fransen, L.
  • Temmerman, M.

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.

Suggested Citation

  • Fonck, K. & Claeys, P. & Bashir, F. & Bwayo, J. & Fransen, L. & Temmerman, M., 2001. "Syphilis control during pregnancy: Effectiveness and sustainability of a decentralized program," American Journal of Public Health, American Public Health Association, vol. 91(5), pages 705-707.
  • Handle: RePEc:aph:ajpbhl:2001:91:5:705-707_4
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