Bottlenecks in the implementation of essential screening tests in antenatal care: Syphilis, HIV, and anemia testing in rural Tanzania and Uganda

International Journal of Gynecology and Obstetrics

Volumn 130, Issue S1, 2015, Pages S43-S50

  Baker, Ulrika ^a   Okuga, Monica ^b   Waiswa, Peter ^a,b   Manzi, Fatuma ^c   Peterson, Stefan ^a,b,d   Hanson, Claudia ^a,e  

^a KAROLINSKA INSTITUTE   (Sweden)

^b MAKERERE UNIVERSITY   (Uganda)

^c IFAKARA HEALTH INSTITUTE   (Tanzania)

^d UPPSALA UNIVERSITY   (Sweden)

^e LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

Author keywords

Antenatal care; Bottlenecks; Implementation; Supply chain; Syphilis

Indexed keywords

ADOLESCENT; ADULT; ANEMIA; ARTICLE; CASE STUDY; CONTROLLED STUDY; FEMALE; HEALTH CARE PLANNING; HEALTH CARE SURVEY; HIV TEST; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INTERVIEW; LIVE BIRTH; MAJOR CLINICAL STUDY; PREGNANT WOMAN; PRENATAL CARE; PRENATAL DIAGNOSIS; PRIORITY JOURNAL; SCREENING TEST; SYPHILIS; TANZANIA; UGANDA; HEALTH CARE DELIVERY; HIV INFECTIONS; MASS SCREENING; PREGNANCY; PREGNANCY COMPLICATIONS; PROCEDURES; RURAL POPULATION; STANDARDS;

ADULT; ANEMIA; FEMALE; HEALTH CARE SURVEYS; HEALTH PLAN IMPLEMENTATION; HEALTH SERVICES ACCESSIBILITY; HIV INFECTIONS; HUMANS; MASS SCREENING; PREGNANCY; PREGNANCY COMPLICATIONS; PRENATAL CARE; PRENATAL DIAGNOSIS; RURAL POPULATION; SYPHILIS; TANZANIA; UGANDA;

EID: 84931573537     PISSN: 00207292     EISSN: 18793479     Source Type: Journal    
DOI: 10.1016/j.ijgo.2015.04.017     Document Type: Article

References (32)

1. Z.A. Bhutta, J.K. Das, R. Bahl, J.E. Lawn, R.A. Salam, and V.K. Paul Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet 384 9940 2014 347 370
2. World Health Organization, and The Aga Khan University The Partnership for Maternal, Newborn, and Child Health (PMNCH). Essential interventions, commodities and guidelines. A global review of key interventions related to reproductive, maternal, newborn and child health 2011 PMNCH Geneva
3. G. Gomez, M. Kamb, L. Newman, J. Mark, N. Broutet, and S. Hawkes Untreated maternal syphilis and adverse outcomes of pregnancy: a systematic review and meta-analysis Bull World Health Organ 91 3 2013 217 226
4. World Health Organization Antiretroviral drugs for treating pregnant women and preventing HIV infections in infants: recommendations for a public health approach 2010 WHO Geneva
5. L. Say, D. Chou, A. Gemmill, Ö. Tunçalp, A.-B. Moller, and J. Daniels Global causes of maternal death: a WHO systematic analysis Lancet Global Health 2 6 2014 e323 e333
6. G. Carroli, C. Rooney, and J. Villar How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence Paediatr Perinat Epidemiol 15 Suppl. 1 2001 1 42
7. Ministry of Health Tanzania, and Reproductive and Child Health Section Focused antenatal care, malaria and syphilis in pregnancy. Orientation package for service providers 2002 Tanzania MOH Dar-es-Salaam
8. D. Watson-Jones, M. Oliff, F. Terris-Prestholt, J. Changalucha, B. Gumodoka, and P. Mayaud Antenatal syphilis screening in sub-Saharan Africa: lessons learned from Tanzania Trop Med Int Health 10 9 2005 934 943
9. Medical Stores Department, Tanzania www.msd.or.tz Accessed February, 2015
10. Government of Uganda, and Ministry of Health Health Sector Strategic Plan III 2010/11-1014/15 2010 Ministry of Health Kampala
11. WHO Working Group on Service Delivery Integrated health services - what and why? Technical brief No. 1, May 2008 2008 WHO Geneva http://www.who.int/healthsystems/technical-brief-final.pdf. Accessed November, 2014
12. United Nations Population Fund (UNFPA) Rapid assessment tool for sexual and reproductive health and HIV linkages. A generic guide 2009 UNFPA New York, NY
13. S. Strasser, E. Bitarakwate, M. Gill, H. Hoffman, O. Musana, and A. Phiri Introduction of rapid syphilis testing within prevention of mother-to-child transmission of HIV programs in Uganda and Zambia: a field acceptability and feasibility study J Acquir Immune Defic Syndr 61 3 2012 e40 e46
14. D. Omoding, V. Katawera, M. Siedner, and Y. Boum Evaluation of the SD BIOLINE HIV/syphilis Duo assay at a rural health center in Southwestern Uganda BMC Res Notes 7 1 2014 746
15. T.-H. Dinh, M.L. Kamb, V. Msimang, M. Likibi, T. Molebatsi, and T. Goldman Integration of preventing mother-to-child transmission of HIV and syphilis testing and treatment in antenatal care services in the Northern Cape and Gauteng Provinces, South Africa Sex Transm Dis 40 11 2013 846 851
16. R. Yin Case study research: design and methods Fifth ed. 2014 SAGE Los Angeles, CA
17. C. Hanson, P. Waiswa, T. Marchant, M. Marx, F. Manzi, and G. Mbaruku Expanded Quality management Using Information Power (EQUIP): protocol for a quasi-experimental study to improve maternal and newborn health in Tanzania and Uganda Implement Sci 9 1 2014 41
18. T. Marchant, J. Schellenberg, S. Peterson, F. Manzi, P. Waiswa, and C. Hanson The use of continuous surveys to generate and continuously report high quality timely maternal and newborn health data at the district level in Tanzania and Uganda Implement Sci 9 1 2014 112
19. Tanzania Commission for AIDS (TACAIDS), Zanzibar AIDS Commission (ZAC), National Bureau of Statistics (NBS), Office of the Chief Government Statistician (OCGS), and ICF International Tanzania HIV/AIDS and malaria indicator survey 2011-12 2013 TACAIDS, ZAC, NBS, OCGS, and ICF International Dar-es-Salaam
20. Ministry of Health, ICF International, Centers for Disease Control and Prevention, US Agency for International Development, and WHO Uganda Uganda AIDS indicator survey 2011 2012 ICF International Calverton, MA
21. T. Tanahashi Health-Service coverage and its evaluation Bull World Health Organ 56 2 1978 295 303
22. U. Baker, S. Peterson, T. Marchant, G. Mbaruku, S. Temu, and F. Manzi Identifying implementation bottlenecks for maternal and newborn health interventions in rural districts of the United Republic of Tanzania Bull World Health Organ 2015 [online 22 April 2015, Article ID: BLT.14.141879]
23. N. Gale, G. Heath, E. Cameron, S. Rashid, and S. Redwood Using the framework method for the analysis of qualitative data in multi-disciplinary health research BMC Med Res Methodol 13 1 2013 117
24. Ifakara Health Institute Tanzania service availability and readiness assessment http://spd.ihi.or.tz/sara/ Accessed Nov 2014
25. World Health Organization Health statistics and information systems. Uganda service availability and readiness assessment 2013 Summary report: Key findings in figures 2013 WHO Geneva http://www.who.int/healthinfo/systems/sara-reports/en/
26. World Health Organization Sexually transmitted infections. Percentage of antenatal care attendees tested for syphilis at first visit http://gamapserver.who.int/gho/interactive-charts/sti/anc-syphilis-test/atlas.html Accessed February, 2015
27. World Health Organization, and Department of Reproductive Health and Research The global elimination of congenital syphilis: rationale and strategy for action 2007 WHO Geneva
28. J. Kahn, A. Jiwani, G. Gomez, S. Hawkes, H. Chesson, and N. Broutet The cost and cost-effectiveness of scaling up screening and treatment of syphilis in pregnancy: a model PLoS One 9 1 2014 e87510
29. Save the Children, and Maternal Health Task Force Integration of maternal and newborn health care: meeting report. 2014. Healthy Newborn Network http://www.healthynewbornnetwork.org/resource/integration-maternal-and-newborn-health-care-meeting-report Accessed December, 2014
30. The United Republic of Tanzania Ministry of Health and Social Welfare, mainland Tanzania National guidelines for the management of HIV and AIDS 2012 National AIDS Control Programme Dar-es-Salaam
31. S. Hawkes, G. Gomez, and N. Broutet Early antenatal care: does it make a difference to outcomes of pregnancy associated with syphilis? A systematic review and meta-analysis PLoS One 8 2 2013 e56713
32. C. Stanton, B. Rawlins, M. Drake, M. dos Anjos, D. Cantor, and L. Chongo Measuring coverage in MNCH: testing the validity of women's self-report of key maternal and newborn health interventions during the peripartum period in Mozambique PLoS One 8 5 2013 e60694