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Partner Notification Among Peruvian Pregnant Women With Syphilis

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dc.contributor.author Garcia, Patricia J.
dc.contributor.author Williams, Elizabeth
dc.contributor.author Carcamo, Cesar P.
dc.contributor.author Chiappe, Marina
dc.contributor.author Holmes, King K.
dc.contributor.author Peeling, Rosana W.
dc.contributor.author Mabey, David M.
dc.date.accessioned 2019-02-06T14:53:40Z
dc.date.available 2019-02-06T14:53:40Z
dc.date.issued 2015
dc.identifier.uri http://doi.org/10.1097/OLQ.0000000000000314
dc.identifier.uri http://repositorio.upch.edu.pe/handle/upch/5447
dc.description.abstract INTRODUCTION: As part of an implementation research study on the feasibility of implementing point-of-care tests for syphilis in Peru, we collected information on partner treatment of syphilis-seropositive pregnant women and explored womens' and health providers' knowledge and practices regarding partner notification and treatment (PNT) for maternal syphilis. METHODS: Mixed methods were used to collect information. Quantitative data were collected from consecutive pregnant women with a positive point-of-care test for syphilis. A subset participated in qualitative interviews. Health providers completed a survey on knowledge, attitudes, and behaviors about PNT. RESULTS: Of the 144 seropositive women, 46 (31.9%) had concurrent patient-partner treatment. From the 98 seropositive women whose partner was not at the clinic, 33 partners (33.7%) received at least 1 dose of penicillin. The multivariate model showed that screening at the antenatal care clinic (prevalence ratio [PR], 3.84), first sex after age 16 years (PR, 0.55), and lifetime number of partners (PR, 0.55 for 2-4 partners; PR, 0.77 for >4 partners) were independently associated with treatment for the partner. Women identified the provider as key for the PNT, but less than half of the providers reported having been trained for counseling and recognize the need for defining the procedures and standardization for PNT. Providers and women both reported that men may not come for treatment once notified because of fear, distrust of the system, or barriers associated with the services. CONCLUSION: There is a need for better training of health providers, for clear and standardized processes for partner counseling, registration and follow-up, and an opportunity to introduce new technologies.
dc.language.iso eng
dc.publisher Lippincott, Williams & Wilkins
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adult
dc.subject Female
dc.subject Humans
dc.subject Surveys and Questionnaires
dc.subject Peru/epidemiology
dc.subject Pregnancy
dc.subject Feasibility Studies
dc.subject Contact Tracing
dc.subject Sexual Partners
dc.subject Pregnant Women
dc.subject Prenatal Care
dc.subject Point-of-Care Systems
dc.subject Pregnancy Complications, Infectious/epidemiology
dc.subject Syphilis/prevention & control/transmission
dc.title Partner Notification Among Peruvian Pregnant Women With Syphilis
dc.type info:eu-repo/semantics/article
dc.identifier.journal Sexually Transmitted Diseases

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