Strategic options for syphilis control in Papua New Guinea– impact and cost-effectiveness projections using the syphilis interventions towards elimination (SITE) model

Machekera, Shepherd; Boas, Peniel; Temu, Poruan; Mosende, Zimmbodilion; Lote, Namarola; Kelly‐Hanku, Angela; Mahiane, Séverin Guy; Glaubius, Robert; Rowley, J; Gurung, Anup; Korenromp, Eline L.

doi:10.1016/j.idm.2021.03.004

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…gonorrhoeae [ 13 , 14 ]. WHO also offers technical assistance and training in performing national STI surveillance assessments and estimates using published tools [ 6 , 15 – 19 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of country implementation of the WHO global health sector strategy on sexually transmitted infections (2016-2021)

Taylor

Gerbase

et al. 2022

PLoS ONE

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Background In 2016, WHO launched the Global Health Sector Strategy on STIs, 2016–2021 (GHSS) to provide guidance and benchmarks for country achievement by 2020 and four global targets for achievement by 2030. Methods A country survey jointly developed by experienced technical personnel at WHO Headquarters (HQ) and WHO regional offices was reviewed and distributed by WHO regional advisors to 194 WHO Member States in September-March 2020. The survey sought to assess implementation and prioritization of STI policy, surveillance, service delivery, commodity availability, and surveillance based on targets of the GHSS. Results A majority (58%, 112/194) of countries returned a completed survey reflecting current (2019) STI activities. The regions with the highest survey completion rates were South-East Asia Region (91%, 10/11), Region of the Americas (71%, 25/35) and Western Pacific Region (67%, 18/27). Having a national STI strategy was reported by 64% (72/112) and performing STI surveillance activities by 88% (97/110) of reporting countries. Availability of STI services within primary health clinics was reported by 88% of countries (99/112); within HIV clinics by 92% (103/112), and within reproductive health services by 85% (95/112). Existence of a national strategy to eliminate mother-to-child transmission of HIV and syphilis (EMTCT) was reported by 70% of countries (78/112). Antimicrobial resistance (AMR) monitoring for gonococcal infection (gonorrhoea) was reported by 64% (57/89) of reporting countries with this laboratory capacity. Inclusion of HPV vaccine for young women in the national immunization schedule was reported by 59% (65/110) and availability of cervical cancer screening was reported by 91% (95/104). Stockouts of STI medicines, primarily benzathine penicillin, within the prior four years were reported by 34% (37/110) of countries. Conclusions Mechanisms to support improvements to STI service delivery through national-level policy, commitment, programming and surveillance are needed to operationalize, accelerate and monitor progress towards achievement of the 2030 global STI strategy targets.

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“…gonorrhoeae [ 13 , 14 ]. WHO also offers technical assistance and training in performing national STI surveillance assessments and estimates using published tools [ 6 , 15 – 19 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of country implementation of the WHO global health sector strategy on sexually transmitted infections (2016-2021)

Taylor

Gerbase

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

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“…Despite this, we believe that the results presented using the HIV treatment data are indicative of the relationship between health facility readiness and treatment for syphilis. This is due to the similarities in both structure and funding for the national HIV and syphilis programs in PNG [ 26 , 75 ]. Lastly, the data was retrieved from routinely reported NHIS data is limited to availability.…”

Section: Discussionmentioning

confidence: 99%

Investigating health service availability and readiness for antenatal testing and treatment for HIV and syphilis in Papua New Guinea

Saweri

Batura

Pulford

et al. 2022

BMC Pregnancy Childbirth

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Background Papua New Guinea (PNG) has one of the highest burdens of HIV and syphilis in pregnancy in the Asia-Pacific region. Timely and effective diagnosis can alleviate the burden of HIV and syphilis and improve maternal and newborn health. Supply-side factors related to implementation and scale up remain problematic, yet few studies have considered their impact on antenatal testing and treatment for HIV and syphilis. This study explores health service availability and readiness for antenatal HIV and/or syphilis testing and treatment in PNG. Methods Using data from two sources, we demonstrate health service availability and readiness. Service availability is measured at a province level as the average of three indicators: infrastructure, workforce, and antenatal clinic utilization. The readiness score comprises 28 equally weighted indicators across four domains; and is estimated for 73 health facilities. Bivariate and multivariate robust linear regressions explore associations between health facility readiness and the proportion of antenatal clinic attendees tested and treated for HIV and/or syphilis. Results Most provinces had fewer than one health facility per 10 000 population. On average, health worker density was 11 health workers per 10 000 population per province, and approximately 22% of pregnant women attended four or more antenatal clinics. Most health facilities had a composite readiness score between 51% and 75%, with urban health facilities faring better than rural ones. The multivariate regression analysis, when controlling for managing authority, catchment population, the number of clinicians employed, health facility type and residence (urban/rural) indicated a weak positive relationship between health facility readiness and the proportion of antenatal clinic attendees tested and treated for HIV and/or syphilis. Conclusion This study adds to the limited evidence base for the Asia-Pacific region. There is a need to improve antenatal testing and treatment coverage for HIV and syphilis and reduce healthcare inequalities faced by rural and urban communities. Shortages of skilled health workers, tests, and medicines impede the provision of quality antenatal care. Improving service availability and health facility readiness are key to ensuring the effective provision of antenatal care interventions.

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Section: Discussionmentioning

confidence: 99%

Investigating Health Service Availability and Readiness for Antenatal Testing and Treatment for HIV and Syphilis in Papua New Guinea

Saweri

Batura

Pulford

et al. 2022

Preprint

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Background: Papua New Guinea (PNG) has one of the highest burdens of HIV and syphilis in pregnancy in the Asia-Pacific region. Timely and effective diagnosis can alleviate the burden of HIV and syphilis and improve maternal and newborn health. Supply-side factors related to implementation and scale up remain problematic, yet few studies have considered their impact on antenatal testing and treatment for HIV and syphilis. This study explores health service availability and readiness for antenatal HIV and/or syphilis testing and treatment in PNG.Methods: Using data from two sources, we demonstrate health service availability and readiness. Service availability is measured at a province level as the average of three indicators: infrastructure, workforce, and antenatal clinic utilization. The readiness score comprises 28 equally weighted indicators across four domains; and is estimated for 73 health facilities. Bivariate and multivariate robust linear regressions explore associations between health facility readiness and the proportion of antenatal clinic attendees tested and treated for HIV and/or syphilis.Results: Most provinces had fewer than one health facility per 10 000 population. On average, health worker density was 11 health workers per 10 000 population per province, and approximately 22% of pregnant women attended four or more antenatal clinics. Most health facilities had a composite readiness score between 51% and 75%, with urban health facilities faring better than rural ones. The multivariate regression analysis, when controlling for managing authority, catchment population, the number of clinicians employed, health facility type and residence (urban/rural) indicated a weak positive relationship between health facility readiness and the proportion of antenatal clinic attendees tested and treated for HIV and/or syphilis.Conclusion: This study adds to the limited evidence base for the Pacific region. There is a need to improve antenatal testing and treatment coverage for HIV and syphilis and reduce healthcare inequalities faced by rural and urban communities. Shortages of skilled health workers, tests, and medicines impede the provision of quality antenatal care. Improving service availability and health facility readiness are key to ensuring the effective provision of antenatal care interventions.

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Strategic options for syphilis control in Papua New Guinea– impact and cost-effectiveness projections using the syphilis interventions towards elimination (SITE) model

Cited by 3 publications

References 21 publications

Assessment of country implementation of the WHO global health sector strategy on sexually transmitted infections (2016-2021)

Assessment of country implementation of the WHO global health sector strategy on sexually transmitted infections (2016-2021)

Investigating health service availability and readiness for antenatal testing and treatment for HIV and syphilis in Papua New Guinea

Investigating Health Service Availability and Readiness for Antenatal Testing and Treatment for HIV and Syphilis in Papua New Guinea

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