Le SIDA au Ghana (serveur d'exploration)

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Estimating the uptake of maternal syphilis screening and other antenatal interventions before and after national rollout of syphilis point-of-care testing in Ghana.

Identifieur interne : 000825 ( Ncbi/Merge ); précédent : 000824; suivant : 000826

Estimating the uptake of maternal syphilis screening and other antenatal interventions before and after national rollout of syphilis point-of-care testing in Ghana.

Auteurs : Edward T. Dassah [Ghana] ; Yaw Adu-Sarkodie [Ghana] ; Philippe Mayaud [Royaume-Uni]

Source :

RBID : pubmed:25980367

Descripteurs français

English descriptors

Abstract

To compare the uptake of maternal syphilis and HIV screening, intermittent preventive treatment for malaria, and tetanus toxoid administration in three regions of Ghana, before and after the rollout of syphilis point-of-care tests (POCTs).

DOI: 10.1016/j.ijgo.2015.04.013
PubMed: 25980367

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pubmed:25980367

Le document en format XML

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<term>Humans</term>
<term>Malaria (diagnosis)</term>
<term>Mass Screening (methods)</term>
<term>Mass Screening (statistics & numerical data)</term>
<term>Middle Aged</term>
<term>Point-of-Care Testing (statistics & numerical data)</term>
<term>Pregnancy</term>
<term>Pregnancy Complications, Infectious (diagnosis)</term>
<term>Prenatal Care (methods)</term>
<term>Prenatal Care (standards)</term>
<term>Prenatal Care (statistics & numerical data)</term>
<term>Prenatal Diagnosis (methods)</term>
<term>Prenatal Diagnosis (statistics & numerical data)</term>
<term>Program Evaluation (statistics & numerical data)</term>
<term>Registries</term>
<term>Syphilis (diagnosis)</term>
<term>Syphilis Serodiagnosis (methods)</term>
<term>Syphilis Serodiagnosis (statistics & numerical data)</term>
<term>Tetanus Toxoid (therapeutic use)</term>
<term>Young Adult</term>
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<term>Adolescent</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse sur le lieu d'intervention ()</term>
<term>Anatoxine tétanique (usage thérapeutique)</term>
<term>Complications de la grossesse et maladies infectieuses (diagnostic)</term>
<term>Diagnostic prénatal ()</term>
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<term>Tetanus Toxoid</term>
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<term>Ghana</term>
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<term>Malaria</term>
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<term>Mass Screening</term>
<term>Prenatal Care</term>
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<term>Syphilis Serodiagnosis</term>
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<div type="abstract" xml:lang="en">To compare the uptake of maternal syphilis and HIV screening, intermittent preventive treatment for malaria, and tetanus toxoid administration in three regions of Ghana, before and after the rollout of syphilis point-of-care tests (POCTs).</div>
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<Year>2015</Year>
<Month>06</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>03</Month>
<Day>10</Day>
</DateCompleted>
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<Year>2016</Year>
<Month>12</Month>
<Day>29</Day>
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<ISSN IssnType="Electronic">1879-3479</ISSN>
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<Volume>130 Suppl 1</Volume>
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<Year>2015</Year>
<Month>Jun</Month>
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<Title>International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics</Title>
<ISOAbbreviation>Int J Gynaecol Obstet</ISOAbbreviation>
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<ArticleTitle>Estimating the uptake of maternal syphilis screening and other antenatal interventions before and after national rollout of syphilis point-of-care testing in Ghana.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the uptake of maternal syphilis and HIV screening, intermittent preventive treatment for malaria, and tetanus toxoid administration in three regions of Ghana, before and after the rollout of syphilis point-of-care tests (POCTs).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Antenatal register records were reviewed in 15 selected health facilities over an eight-month period, 16 months apart. Register records had been evaluated using the maternal record booklets as a gold standard in a separate prior survey.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In the evaluation study, the sensitivity of register data was low, ranging from 33.3% for tetanus toxoid administration to 53.8% for syphilis serology. In total, 8282 antenatal client records (4141 in each period) were reviewed. Less than a third of pregnant women received any single intervention at either period (ranging from 17.8% for tetanus toxoid to 29.8% for HIV testing). Overall, HIV screening had a marginal absolute increase of about 2% while the remaining interventions experienced non-significant absolute decreases of 4.1 to 11.1%. When adjusting for under-recording, syphilis screening uptake was 50% before and 33.6% after the introduction of POCTs.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Use of POCTs for syphilis did not result in increased uptake. Routine monitoring of antenatal interventions using the antenatal register may result in underestimation of their uptake.</AbstractText>
<CopyrightInformation>Copyright © 2015. Published by Elsevier Ireland Ltd.</CopyrightInformation>
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<Affiliation>Department of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana; School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. Electronic address: edidassah@yahoo.com.</Affiliation>
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<Affiliation>Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.</Affiliation>
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<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<Keyword MajorTopicYN="N">Ghana</Keyword>
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