Table 1: Antenatal syphilis and HIV testing coverage and seropositivity rates at eight priority clinics, 12 months before and 12 months during implementation of a rapid syphilis testing intervention, Suba and Mbita Districts, Kenya, March 2010–February 2012.

Clinic typeBefore intervention
During intervention
# at 1st ANC# (%) Tested for syphilis# (%) Tested for positive syphilis# (%) Tested for HIV# (%) Tested positive for HIV# at 1st ANC# (%) Tested for syphilis# (%) Tested for positive syphilis# (%) Tested for HIV# (%) Tested positive for HIVChange in syphilis testing
( value)
Change in HIV testing ( value)

Dispensary
Facility 1 340 0 33 (97)15 (46)7066 (94)7 (11)58 (83)*24 (41)<0.0010.04
Facility 21620 0 153 (94)28 (18)171132 (77)6 (5)**162 (95)22 (14)<0.0010.45
Facility 31570 0 151 (96)22 (15)12290 (74)2 (2)92 (75)* 9 (7)<0.001<0.001
Subtotal35300337 (95)65 (19)363288 (79)15 (5)312 (86)55 (31)<0.001<0.001

Health center
Facility 4351104 (30)0 307 (88)40 (13)345161 (47)7 (4)300 (87)34 (11)<0.0010.84
Facility 51143 (7)0 97 (85)11 (11)144115 (80)3 (3)126 (88)10 (8)<0.0010.57
Facility 61781 (1)0 165 (93)26 (16)216166 (77)6 (4)174 (81)*12 (7)<0.001<0.001
Facility 729798 (33)1 (1)239 (81)35 (15)255206 (81)3 (2)159 (62)*38 (13)<0.001<0.001
Subtotal940206  (22)1 (<1)808  (86)112 (14)960648 (68)19 (3)759 (79)94 (12)<0.001<0.001

Subdistrict hospital
Facility 8 29373 (25)0 241 (82) 34 (14)291187 (64)1 (1)221 (76)*23 (10)<0.0010.03

Total 1586279 (18)1 (<1)1386 (87)211 (25)16141123 (70)35 (3)1292 (72)172 (15)<0.001<0.001

Dispensaries: lowest level of health system, typically have one nurse and provide simple ambulatory and preventive services.
2Health centres: lower-level facilities that are larger than dispensaries, under a clinical officer and with basic health staff (e.g., two or more nurses, a pharmacist), and provide ambulatory and preventive health services (e.g., vaccines).
3Subdistrict hospital: similar to health centre but has basic laboratory services (although not RPR testing).
*Facilities reporting HIV test stock outs from February 29–April 2012.
**Facility reporting syphilis test kit stock outs for the following dates: June 7–9, 2011, September 7, 2011, and October 11-12, 2011, due to problems with distribution.