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

K. Fonck, P. Claeys, F. Bashir, J. Bwayo, L. Fransen and M. Temmerman

American Journal of Public Health, 2001, vol. 91, issue 5, 705-707

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.

Date: 2001
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:2001:91:5:705-707_4

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