IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i6p1002-d215453.html
   My bibliography  Save this article

Prevent Mother-to-Child Transmission (PMTCT) Programs and Enhancement of Maternal Healthcare Infrastructure to Improve Early Detection of Maternal Syphilis in Shanghai, China

Author

Listed:
  • Li Du

    (Shanghai Center for Women and Children’s Health, Shanghai 200062, China)

  • Yang Li

    (Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China
    Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China)

  • Hui Jin

    (Shanghai Center for Women and Children’s Health, Shanghai 200062, China)

  • Cheng Huang

    (Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China
    Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China)

  • Yibin Gu

    (Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China
    Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China)

  • Liping Zhu

    (Shanghai Center for Women and Children’s Health, Shanghai 200062, China)

  • Biao Xu

    (Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China
    Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China
    Department of Public Health Sciences (Global Health/IHCAR), Karolinska Institutet, Stockholm 17177, Sweden)

Abstract

This study aimed to compare the screening and diagnosis of maternal syphilis in Shanghai between the national and municipal prevent mother-to-child transmission (PMTCT) of syphilis policies, and then to assess whether PMTCT programs and enhancing healthcare infrastructure could bring about an early detection of maternal syphilis. Detection of maternal syphilis was initiated in 2001 and then scaled-up in 2011 along with the enhancement of antenatal healthcare infrastructure. The initial five-year periods of municipal and national PMTCT policies were defined as the “exploring period” (2002–2006) and the “comprehensive period” (2011–2015). The demographic and gestational weeks (GW) of syphilis screening and diagnosis were analyzed to identify the factors affecting early detection. During the study period, maternal syphilis screening increased from 83,718 in 2002 to 243,432 in 2015. Of the 1,894,062 pregnant women screened, 1526 and 2714 participants were diagnosed with maternal syphilis in 2002–2006 and 2011–2015, respectively. The average age of diagnosis was 28.36 years and non-residents accounted for 71.1%. In the comprehensive period, more women received early syphilis screening (14.0% vs. 10.8%) and diagnosis (13.3% vs. 7.3%) within 12 GWs compared with the exploring period. Significantly, early detection grew during 2011–2015, which was not seen in the exploring period. Multivariate analysis revealed a greater possibility for infected women to be diagnosed within 16 GWs (OR = 2.76) in the comprehensive period, but those who were non-residents and unemployed were less likely to receive early detection. In conclusion, early detection of maternal syphilis has been remarkably improved. More emphasis is required on the development of pro-vulnerable policies and the implementation of tailored health education to improve the accessibility of routine antenatal care and awareness of syphilis prevention.

Suggested Citation

  • Li Du & Yang Li & Hui Jin & Cheng Huang & Yibin Gu & Liping Zhu & Biao Xu, 2019. "Prevent Mother-to-Child Transmission (PMTCT) Programs and Enhancement of Maternal Healthcare Infrastructure to Improve Early Detection of Maternal Syphilis in Shanghai, China," IJERPH, MDPI, vol. 16(6), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:6:p:1002-:d:215453
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/6/1002/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/6/1002/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Yin Zhang & Minxing Chen & Jun Lu & Mo Hao & Changli Zhang & Mei Sun & Xiaohong Li & Fengshui Chang, 2015. "Factors impacting the use of antenatal care and hospital child delivery services: a case study of rural residents in the Enshi Autonomous Prefecture, Hubei Province, China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 30(4), pages 330-345, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yu Hu & Yaping Chen & Ying Wang & Hui Liang, 2018. "Hepatitis B Vaccination among 1999–2017 Birth Cohorts in Zhejiang Province: The Determinants Associated with Infant Coverage," IJERPH, MDPI, vol. 15(12), pages 1-11, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:6:p:1002-:d:215453. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.