Partner Notification Among Peruvian Pregnant Women With Syphilis

Mabey, David M.; Holmes, King K.; Williams, Elizabeth; Chiappe Gutierrez, Marina Angelica; Garcia Funegra, Patricia Jannet; Cárcamo Cavagnaro, César Paul Eugenio; Peeling, Rosana W.

dc.contributor.author	Garcia Funegra, Patricia Jannet
dc.contributor.author	Williams, Elizabeth
dc.contributor.author	Cárcamo Cavagnaro, César Paul Eugenio
dc.contributor.author	Chiappe Gutierrez, Marina Angelica
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	https://hdl.handle.net/20.500.12866/5447
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.	en_US
dc.language.iso	eng
dc.publisher	Wolters Kluwer Health
dc.relation.ispartofseries	Sexually Transmitted Diseases
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	Adult	en_US
dc.subject	Female	en_US
dc.subject	Humans	en_US
dc.subject	Surveys and Questionnaires	en_US
dc.subject	Peru/epidemiology	en_US
dc.subject	Pregnancy	en_US
dc.subject	Feasibility Studies	en_US
dc.subject	Contact Tracing	en_US
dc.subject	Sexual Partners	en_US
dc.subject	Pregnant Women	en_US
dc.subject	Prenatal Care	en_US
dc.subject	Point-of-Care Systems	en_US
dc.subject	Pregnancy Complications, Infectious/epidemiology	en_US
dc.subject	Syphilis/prevention & control/transmission	en_US
dc.title	Partner Notification Among Peruvian Pregnant Women With Syphilis	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1097/OLQ.0000000000000314
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.02.15
dc.relation.issn	1537-4521