Scaling Up Antenatal Syphilis Screening in Mozambique: Transforming Policy to Action

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...

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Bibliographic Details
Published in:Sexually transmitted diseases 2007-07, Vol.34 (7), p.S31-S36
Main Authors: GLOYD, STEPHEN, MONTOYA, PABLO, FLORIANO, FLORENCIA, CHADREQUE, MARIAANA CORREIA, PFEIFFER, JAMES, GIMBEL-SHERR, KENNETH
Format: Article
Language:English
Subjects:
Antenatal
Female
Goals
Health care policy
Health Policy
Humans
Infant, Newborn
Infectious Disease Transmission, Vertical - prevention & control
Leadership
Mass Screening - statistics & numerical data
Maternal-Child Health Centers - organization & administration
Medical screening
Mozambique
Pregnancy
Pregnancy Complications, Infectious - prevention & control
Screening
Syphilis
Syphilis - diagnosis
Syphilis - drug therapy
Syphilis - prevention & control
Syphilis - transmission
Syphilis, Congenital - prevention & control
Syphilis, Congenital - transmission
Treponema pallidum
Women
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Summary: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.
ISSN:0148-5717
1537-4521
DOI:10.1097/01.olq.0000264586.49616.72