Factors associated with failure to screen for syphilis during antenatal care in Ghana: a case control study.
Identifieur interne : 000250 ( PubMed/Corpus ); précédent : 000249; suivant : 000251Factors associated with failure to screen for syphilis during antenatal care in Ghana: a case control study.
Auteurs : Edward Tieru Dassah ; Yaw Adu-Sarkodie ; Philippe MayaudSource :
- BMC infectious diseases [ 1471-2334 ] ; 2015.
English descriptors
- KwdEn :
- Adolescent, Adult, Case-Control Studies, Female, Ghana (epidemiology), Humans, Infant, Newborn, Logistic Models, Middle Aged, Odds Ratio, Outcome Assessment (Health Care), Pregnancy, Pregnancy Complications, Infectious (diagnosis), Pregnancy Complications, Infectious (prevention & control), Pregnancy Outcome, Prenatal Care (standards), Risk Factors, Syphilis (diagnosis), Syphilis (prevention & control), Syphilis (transmission), Women's Health Services, Young Adult.
- MESH :
- geographic , epidemiology : Ghana.
- diagnosis : Pregnancy Complications, Infectious, Syphilis.
- prevention & control : Pregnancy Complications, Infectious, Syphilis.
- standards : Prenatal Care.
- transmission : Syphilis.
- Adolescent, Adult, Case-Control Studies, Female, Humans, Infant, Newborn, Logistic Models, Middle Aged, Odds Ratio, Outcome Assessment (Health Care), Pregnancy, Pregnancy Outcome, Risk Factors, Women's Health Services, Young Adult.
Abstract
There is little data regarding the effect of ramping up new screening interventions on their uptake by target populations into routine care services in developing countries. This study aimed to determine patient-level factors associated with failure of pregnant women to get screened for syphilis during antenatal care, in the context of a national rollout of rapid syphilis point of care tests (POCTs) in Ghana.
DOI: 10.1186/s12879-015-0868-1
PubMed: 25888254
Links to Exploration step
pubmed:25888254Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Factors associated with failure to screen for syphilis during antenatal care in Ghana: a case control study.</title><author><name sortKey="Dassah, Edward Tieru" sort="Dassah, Edward Tieru" uniqKey="Dassah E" first="Edward Tieru" last="Dassah">Edward Tieru Dassah</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, P. O. Box KS 1934, Kumasi, Ghana. edidassah@yahoo.com.</nlm:affiliation></affiliation></author><author><name sortKey="Adu Sarkodie, Yaw" sort="Adu Sarkodie, Yaw" uniqKey="Adu Sarkodie Y" first="Yaw" last="Adu-Sarkodie">Yaw Adu-Sarkodie</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, P. O. Box KS 1934, Kumasi, Ghana. yasax@hotmail.co.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Mayaud, Philippe" sort="Mayaud, Philippe" uniqKey="Mayaud P" first="Philippe" last="Mayaud">Philippe Mayaud</name><affiliation><nlm:affiliation>London School of Hygiene and Tropical Medicine, London, UK. philippe.mayaud@lshtm.ac.uk.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25888254</idno><idno type="pmid">25888254</idno><idno type="doi">10.1186/s12879-015-0868-1</idno><idno type="wicri:Area/PubMed/Corpus">000250</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000250</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Factors associated with failure to screen for syphilis during antenatal care in Ghana: a case control study.</title><author><name sortKey="Dassah, Edward Tieru" sort="Dassah, Edward Tieru" uniqKey="Dassah E" first="Edward Tieru" last="Dassah">Edward Tieru Dassah</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, P. O. Box KS 1934, Kumasi, Ghana. edidassah@yahoo.com.</nlm:affiliation></affiliation></author><author><name sortKey="Adu Sarkodie, Yaw" sort="Adu Sarkodie, Yaw" uniqKey="Adu Sarkodie Y" first="Yaw" last="Adu-Sarkodie">Yaw Adu-Sarkodie</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, P. O. Box KS 1934, Kumasi, Ghana. yasax@hotmail.co.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Mayaud, Philippe" sort="Mayaud, Philippe" uniqKey="Mayaud P" first="Philippe" last="Mayaud">Philippe Mayaud</name><affiliation><nlm:affiliation>London School of Hygiene and Tropical Medicine, London, UK. philippe.mayaud@lshtm.ac.uk.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BMC infectious diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Case-Control Studies</term><term>Female</term><term>Ghana (epidemiology)</term><term>Humans</term><term>Infant, Newborn</term><term>Logistic Models</term><term>Middle Aged</term><term>Odds Ratio</term><term>Outcome Assessment (Health Care)</term><term>Pregnancy</term><term>Pregnancy Complications, Infectious (diagnosis)</term><term>Pregnancy Complications, Infectious (prevention & control)</term><term>Pregnancy Outcome</term><term>Prenatal Care (standards)</term><term>Risk Factors</term><term>Syphilis (diagnosis)</term><term>Syphilis (prevention & control)</term><term>Syphilis (transmission)</term><term>Women's Health Services</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Pregnancy Complications, Infectious</term><term>Syphilis</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Pregnancy Complications, Infectious</term><term>Syphilis</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Prenatal Care</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Syphilis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Infant, Newborn</term><term>Logistic Models</term><term>Middle Aged</term><term>Odds Ratio</term><term>Outcome Assessment (Health Care)</term><term>Pregnancy</term><term>Pregnancy Outcome</term><term>Risk Factors</term><term>Women's Health Services</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There is little data regarding the effect of ramping up new screening interventions on their uptake by target populations into routine care services in developing countries. This study aimed to determine patient-level factors associated with failure of pregnant women to get screened for syphilis during antenatal care, in the context of a national rollout of rapid syphilis point of care tests (POCTs) in Ghana.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25888254</PMID><DateCreated><Year>2015</Year><Month>04</Month><Day>18</Day></DateCreated><DateCompleted><Year>2015</Year><Month>11</Month><Day>17</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2334</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><PubDate><Year>2015</Year><Month>Mar</Month><Day>13</Day></PubDate></JournalIssue><Title>BMC infectious diseases</Title><ISOAbbreviation>BMC Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Factors associated with failure to screen for syphilis during antenatal care in Ghana: a case control study.</ArticleTitle><Pagination><MedlinePgn>125</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12879-015-0868-1</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There is little data regarding the effect of ramping up new screening interventions on their uptake by target populations into routine care services in developing countries. This study aimed to determine patient-level factors associated with failure of pregnant women to get screened for syphilis during antenatal care, in the context of a national rollout of rapid syphilis point of care tests (POCTs) in Ghana.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">An unmatched 1:2 case control study conducted among women admitted for delivery in two district hospitals in the Ashanti Region of Ghana from August to October 2010, 7 to 9 months after the introduction of POCTs in the region. Cases were women who had not been screened for syphilis during antenatal care and controls were women who had been screened. Patient-reported factors for being unscreened were examined using logistic regression to obtain odds ratios (ORs) and 95% confidence intervals (CIs).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">160 consecutive unscreened and 327 screened women were recruited. Most women had good knowledge of syphilis (58.7% among unscreened women vs. 64.2% among screened; P=0.24). Factors associated with failure to get screened were: attending antenatal care in a private health facility (adjusted OR, 11.09; 95% CI 5.48-22.48), previous adverse pregnancy outcome (adjusted OR, 1.98; 95% CI 1.22-3.23) and not being screened for HIV during the current pregnancy (adjusted OR, 2.78; 95% CI 1.50-5.13). The odds of being unscreened also increased with decreasing doses of intermittent preventive treatment for malaria in pregnancy received (P trend<0.001) and decreasing education level (P trend=0.02).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Significant risk factors for not being screened, following the national rollout of syphilis POCTs, related to the type of health facility where antenatal care was received and some of the women's personal characteristics. Targeting of private medical facilities to include syphilis POCTs and support other neglected public health interventions should be a priority.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dassah</LastName><ForeName>Edward Tieru</ForeName><Initials>ET</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, P. O. Box KS 1934, Kumasi, Ghana. edidassah@yahoo.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. edidassah@yahoo.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Adu-Sarkodie</LastName><ForeName>Yaw</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, P. O. Box KS 1934, Kumasi, Ghana. yasax@hotmail.co.uk.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. yasax@hotmail.co.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mayaud</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>London School of Hygiene and Tropical Medicine, London, UK. philippe.mayaud@lshtm.ac.uk.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>03</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Infect Dis</MedlineTA><NlmUniqueID>100968551</NlmUniqueID><ISSNLinking>1471-2334</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Sex Transm Dis. 2007 Jul;34(7 Suppl):S31-6</RefSource><PMID Version="1">17592388</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2005 Sep;10(9):934-43</RefSource><PMID Version="1">16135202</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J STD AIDS. 2000 Apr;11(4):257-61</RefSource><PMID Version="1">10772091</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS Med. 2013 Nov;10(11):e1001545</RefSource><PMID Version="1">24223524</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Health Res Policy Syst. 2011 Jun 16;9 Suppl 1:S10</RefSource><PMID Version="1">21679377</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS 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