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Journal of Sexually Transmitted Diseases
Volume 2013 (2013), Article ID 674584, 7 pages
http://dx.doi.org/10.1155/2013/674584
Research Article

The Impact of Integration of Rapid Syphilis Testing during Routine Antenatal Services in Rural Kenya

1Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Office of the Director, Office of Health Equity, 1600 Clifton Road Mailstop E07, Atlanta, GA 30333, USA
2Division of Applied Sciences, Epidemic Intelligence Service, Centers for Disease Control and Prevention, Scientific Education and Professional Development Program Office, Atlanta, GA 30333, USA
3Safe Water and AIDS Project, Kisumu 40100, Kenya
4Division of Foodborne, Waterborne and Environmental Diseases, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases, Atlanta, GA 30333, USA
5Centers for Disease Control and Prevention, Center for Global Health, Office of the Director, Atlanta, GA 30333, USA
6Kenya Medical Research Institute (KEMRI), Kisian 40100, Kenya

Received 20 June 2013; Accepted 23 September 2013

Academic Editor: Consuelo Beck-Sagué

Copyright © 2013 Eleanor Fleming et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 ( ); 35 women (3%) tested positive during the intervention period compared with 1 (<1%) before ( ). 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.