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The Impact of Integration of Rapid Syphilis Testing during Routine Antenatal Services in Rural Kenya
Joint Authors
O'Connor, Katherine
Fleming, Eleanor
Odhiambo, Aloyce
Zeh, Clement
Quick, Robert
Ye, Tun
Kamb, Mary L.
Oswago, Simon
Oremo, Jared
Source
Journal of Sexually Transmitted Diseases
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-05
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
We evaluated the integration of rapid syphilis tests (RSTs) and penicillin treatment kits into routine antenatal clinic (ANC) services in two rural districts in Nyanza Province, Kenya.
In February 2011, nurses from 25 clinics were trained in using RSTs and documenting test results and treatment.
During March 2011–February 2012, free RSTs and treatment kits were provided to clinics for use during ANC visits.
We analyzed ANC registry data from eight clinics during the 12-month periods before and during RST program implementation and compared syphilis testing, diagnosis, and treatment during the two periods.
Syphilis testing at first ANC visit increased from 18% (279 of 1,586 attendees) before the intervention to 70% (1,123 of 1,614 attendees) during the intervention (P<0.001); 35 women (3%) tested positive during the intervention period compared with 1 (<1%) before (P<0.001).
Syphilis treatment was not recorded according to training recommendations; seven clinics identified 28 RST-positive women and recorded 34 treatment kits as used.
Individual-level data from three high-volume clinics supported that the intervention did not negatively affect HIV test uptake.
Integrating RSTs into rural ANC services increased syphilis testing and detection.
Record keeping on treatment of syphilis in RST-positive women remains challenging.
American Psychological Association (APA)
Fleming, Eleanor& Oremo, Jared& O'Connor, Katherine& Odhiambo, Aloyce& Ye, Tun& Oswago, Simon…[et al.]. 2013. The Impact of Integration of Rapid Syphilis Testing during Routine Antenatal Services in Rural Kenya. Journal of Sexually Transmitted Diseases،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-489514
Modern Language Association (MLA)
Fleming, Eleanor…[et al.]. The Impact of Integration of Rapid Syphilis Testing during Routine Antenatal Services in Rural Kenya. Journal of Sexually Transmitted Diseases No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-489514
American Medical Association (AMA)
Fleming, Eleanor& Oremo, Jared& O'Connor, Katherine& Odhiambo, Aloyce& Ye, Tun& Oswago, Simon…[et al.]. The Impact of Integration of Rapid Syphilis Testing during Routine Antenatal Services in Rural Kenya. Journal of Sexually Transmitted Diseases. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-489514
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-489514