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Sex Transm Dis. 2007 Jul;34(7 Suppl):S31-6.

Scaling up antenatal syphilis screening in Mozambique: transforming policy to action.

Author information

1
Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA. gloyd@u.washington.edu

Abstract

OBJECTIVES:

This paper examines the decade-long scale-up process of antenatal syphilis screening through Mozambique's National Health System.

GOAL:

The primary goal is to provide lessons learned in the provision of integrated antenatal care resource-poor settings and identify key challenges to successful scale-up.

STUDY DESIGN:

We documented health systems activities associated with improvements in the proportion of women tested, treated, and partners treated for syphilis.

RESULTS:

The proportion of women in antenatal visit screened for syphilis in the two target provinces has risen from 5% in 1992 to between 60% and 95% consistently since 1999. This success required multiple levels of health system strengthening.

CONCLUSIONS:

The Mozambique experience shows that key elements to effective antenatal syphilis screening include adequate workforce, facilities, coherent systems of care, community involvement, donor management, advocacy, and leadership.

[Indexed for MEDLINE]

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