The Impact of Integration of Rapid Syphilis Testing during Routine Antenatal Services in Rural Kenya
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 type
Before 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 HIV
Change in syphilis testing ( value)
Change in HIV testing ( value)
Dispensary
Facility 1
34
0
0
33 (97)
15 (46)
70
66 (94)
7 (11)
58 (83)*
24 (41)
<0.001
0.04
Facility 2
162
0
0
153 (94)
28 (18)
171
132 (77)
6 (5)**
162 (95)
22 (14)
<0.001
0.45
Facility 3
157
0
0
151 (96)
22 (15)
122
90 (74)
2 (2)
92 (75)*
9 (7)
<0.001
<0.001
Subtotal
353
0
0
337 (95)
65 (19)
363
288 (79)
15 (5)
312 (86)
55 (31)
<0.001
<0.001
Health center
Facility 4
351
104 (30)
0
307 (88)
40 (13)
345
161 (47)
7 (4)
300 (87)
34 (11)
<0.001
0.84
Facility 5
114
3 (7)
0
97 (85)
11 (11)
144
115 (80)
3 (3)
126 (88)
10 (8)
<0.001
0.57
Facility 6
178
1 (1)
0
165 (93)
26 (16)
216
166 (77)
6 (4)
174 (81)*
12 (7)
<0.001
<0.001
Facility 7
297
98 (33)
1 (1)
239 (81)
35 (15)
255
206 (81)
3 (2)
159 (62)*
38 (13)
<0.001
<0.001
Subtotal
940
206 (22)
1 (<1)
808 (86)
112 (14)
960
648 (68)
19 (3)
759 (79)
94 (12)
<0.001
<0.001
Subdistrict hospital
Facility 8
293
73 (25)
0
241 (82)
34 (14)
291
187 (64)
1 (1)
221 (76)*
23 (10)
<0.001
0.03
Total
1586
279 (18)
1 (<1)
1386 (87)
211 (25)
1614
1123 (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.
