Is antenatal syphilis screening still cost effective in sub-Saharan Africa
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چکیده
Study designs and other criteria for inclusion in the review A systematic review of the literature does not appear to have been undertaken. The authors reported the design of two of the primary studies that were used as the main sources of evidence. One was a retrospective cohort of 382 women recruited at 3 hospitals in the region of Mwanza. The other was a prospective cohort of ANC attendees who were followed to delivery. Life expectancy was derived from both the World Development Report (WDR) by the World Bank and Tanzanian statistics.
منابع مشابه
Antenatal syphilis in sub-Saharan Africa: missed opportunities for mortality reduction.
PURPOSE Between 4-15% of pregnant women are believed to be infected with syphilis in sub-Saharan Africa. Active infection with syphilis in pregnant women results in foetal or infant death or disability for 50-80% of affected pregnancies, and is a major cause of adult morbidity as well. Antenatal syphilis screening is cheap and effective; however, it is often poorly implemented in countries with...
متن کاملAntenatal Syphilis Screening Using Point-of-Care Testing in Sub-Saharan African Countries: A Cost-Effectiveness Analysis
BACKGROUND Untreated syphilis in pregnancy is associated with adverse clinical outcomes for the infant. Most syphilis infections occur in sub-Saharan Africa (SSA), where coverage of antenatal screening for syphilis is inadequate. Recently introduced point-of-care syphilis tests have high accuracy and demonstrate potential to increase coverage of antenatal screening. However, country-specific co...
متن کاملIs antenatal syphilis screening still cost effective in sub-Saharan Africa.
OBJECTIVES To estimate the cost effectiveness of on-site antenatal syphilis screening and treatment in Mwanza, Tanzania. To compare this intervention with other antenatal and child health interventions, specifically the prevention of mother to child transmission of HIV (PMTCT). METHODS The economic costs of adding the intervention to routine antenatal care were assessed. Cost effectiveness (C...
متن کاملAntenatal syphilis screening in sub-Saharan Africa: lessons learned from Tanzania.
UNLABELLED OBJECTIVES; To synthesise data from four recent studies in Tanzania examining maternal syphilis screening and its operational implementation in routine antenatal clinics (ANC), drawing lessons for strengthened antenatal services for the prevention of mother-to-child transmission (PMTCT) of HIV. METHODS The impact of untreated maternal syphilis was examined in a retrospective cohort...
متن کاملCost-effectiveness of rapid point-of-care prenatal syphilis screening in sub-Saharan Africa.
BACKGROUND Syphilis continues to be an important public health problem among pregnant women in sub-Saharan Africa with prevalence rates as high as 17%. Pregnant women are a critical population to screen to prevent the devastating consequences of infection to their unborn children. Although screening and appropriate treatment of infected pregnant women can prevent fetal and maternal complication...
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