Syphilis test availability and uptake at medical facilities in southern China

Yang, Li; Tucker, Joseph D.; Wang, Cheng; Shen, Shi‐Li; Chen, Xiang Sheng; Yang, Bin; Peeling, Rosanna W.

doi:10.2471/blt.11.089813

Cited by 15 publications

(23 citation statements)

References 27 publications

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“…Syphilis can cause spontaneous abortion, stillbirth, and congenital defects, but can be prevented by a comprehensive public health approach including screening, standardized treatment, counseling, and follow-up (33). During the past five years, the incidence of congenital syphilis in China has increased over 12 times (34,35).…”

Section: Discussionmentioning

confidence: 99%

A comparison between antenatal care quality in public and private sector in rural Hebei, China

Chen¹,

Dai²,

Zhang³

et al. 2013

Croat Med J

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AimTo evaluate the quality of antenatal care (ANC) in Hebei Province and compare it between the public and private sector and within the public sector.MethodsWe conducted a Maternal, Newborn and Child Health Household Survey in 2010 using a two-stage sampling procedure and included 1079 mothers. The quality of ANC was assessed on the basis of the number of ANC visits, the time of the first ANC visit, 16 different ANC procedures, owning a maternal health care booklet, and the type of service provider.ResultsAlmost all women (98%) received ANC services at least once, 80% at least four times, and 54% at least five times. About half of the women (46%) visited ANC facility within their first trimester. Neither public nor private sector provided all 16 standardized services, but significantly more women in public sector received ANC procedures. Most women received ANC in county or higher-level hospitals (75%) and very few in township hospitals (8%). Significantly fewer women were weighed and tested for HIV/AIDS in township than in county or higher-level hospitals.ConclusionThe quality of ANC in Hebei was poorer than required by China’s national and World Health Organization norms. Although the public sector performed better than the private sector, the utilization and quality of care of ANC services in this sector varied and women generally visited county or higher-level health facilities.

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Section: Discussionmentioning

confidence: 99%

A comparison between antenatal care quality in public and private sector in rural Hebei, China

Chen¹,

Dai²,

Zhang³

et al. 2013

Croat Med J

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“…One population-representative survey [14] and case report data suggest [7] that urban Chinese have more sexual risk behaviors and a greater burden of STIs [13]. However, syphilis diagnostic capacity in rural health facilities is limited [6], and there have been few studies of syphilis outside of urban areas [13], [15]. Thus, the burden of syphilis in rural areas is poorly understood.…”

Section: Discussionmentioning

confidence: 99%

“…The Pearl River Delta (PRD) is the population-dense, urbanized central region of Guangdong province that includes seven of the province's 21 municipalities. Similar to our previous research [6], we selected health facilities in the province's 14 less developed municipalities outside the PRD to participate in this research study. One or two counties were selected in each municipality.…”

Section: Methodsmentioning

confidence: 99%

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Syphilis Screening among 27,150 Pregnant Women in South Chinese Rural Areas Using Point-of-Care Tests

et al. 2013

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ObjectivesTo determine the prevalence and correlates of syphilis among pregnant women in rural areas of South China.MethodsPoint-of-care syphilis testing was provided at 71 health facilities in less developed, rural areas of Guangdong Province. Positive samples were confirmed at a local referral center by toluidine red unheated serum tests (TRUST) and Treponema pallidum particle agglutination (TPPA) tests.ResultsAltogether 27,150 pregnant women in rural Guangdong were screened for syphilis. 106 (0.39%) syphilis cases were diagnosed, of which 78 (73.6%) received treatment for syphilis. Multivariate analysis revealed that older pregnant women (31–35 years old, aOR 2.7, 95% CI 0.99–7.32; older than 35 years old, aOR 5.9, 95% CI 2.13–16.34) and those with a history of adverse pregnant outcomes (aOR 3.64, 95% CI 2.30–5.76) were more likely to be infected with syphilis.ConclusionsA high prevalence of syphilis exists among pregnant women living in rural areas of South China. Enhanced integration of syphilis screening with other routine women's health services (OB GYN, family planning) may be useful for controlling China's syphilis epidemic.

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“…Other individual country reports have also documented a low coverage of testing and treatment of syphilis in pregnant women. For example, a study in southern China found that 57% of pregnant women were tested for syphilis from 2004 to 2008 [7]. Another study in two provinces in South Africa found that although 71% of pregnant women were tested for syphilis at first ANC visit, only 74% of women who tested positive for syphilis had treatment documented, and only 36% of seropositive women with documented treatment received the recommended three doses of intramuscular penicillin [8].…”

Section: Introductionmentioning

confidence: 99%

Global Estimates of Syphilis in Pregnancy and Associated Adverse Outcomes: Analysis of Multinational Antenatal Surveillance Data

et al. 2013

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Syphilis test availability and uptake at medical facilities in southern China

Cited by 15 publications

References 27 publications

A comparison between antenatal care quality in public and private sector in rural Hebei, China

A comparison between antenatal care quality in public and private sector in rural Hebei, China

Syphilis Screening among 27,150 Pregnant Women in South Chinese Rural Areas Using Point-of-Care Tests

Global Estimates of Syphilis in Pregnancy and Associated Adverse Outcomes: Analysis of Multinational Antenatal Surveillance Data

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