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Screening for Syphilis, HIV, and Hemoglobin during Pregnancy in Moshi Municipality, Tanzania: How is the Health System Performing (Short Communication)

Received: 30 December 2014     Accepted: 16 January 2015     Published: 1 February 2015
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Abstract

The aim of the study was to determine the proportion of pregnant women that was tested for HIV, syphilis and hemoglobin during routine antenatal care in Moshi municipality, Tanzania. A cross sectional study was conducted in October 2013 – March 2014. Pregnant women in their 3rd trimester who were attending for routine antenatal care at Pasua and Majengo health centers were enrolled. Interviews were done to determine if women were tested for the 3 tests mentioned in earlier pregnancy, prior to the study followed by clinical examination and sample collection to test for HIV, syphilis and Hb. Data were entered and analyzed by using SPSS. A total of 536 women were enrolled. Despite being in the third trimester and had attended for routine antenatal care several times, the majority of pregnant women were not screened for syphilis (89.4%), (28.6%) were not screened for hemoglobin level and only 1% reported not to be screened for HIV. Three hundred and sixty three participants (87.9%) reported to have received iron supplement.

Published in Science Journal of Public Health (Volume 3, Issue 1)
DOI 10.11648/j.sjph.20150301.26
Page(s) 93-96
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Screening Program, HIV, Syphilis, Haemoglobin, ANC, Tanzania

References
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[2] WHO and UNICEF report 2013. Accountability for maternal, newborn and child survival. www.countdown2015.com Published 2013, accessed September 21, 2014.
[3] World health Organization (2013). Sexually transmitted infections. Available at www.who.org
[4] NBS National bureau of statistics.Tanzania Demographic and health survey 2010, . Dar es Salaam Tanzania
[5] Ministry of health and social welfare. The national road map to accelerate reduction of maternal, newborn and child death 2008 – 2015; 2008.
[6] Carroli, G., Rooney, C., & Villar, J. How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence. Paediatric and perinatal epidemiology 2001, 15 Suppl 1, 1-42.
[7] World health organization. Antenatal care in developing countries 2003. Available at www.who.org
[8] Ministry of health and social welfare. Focused antenatal care malaria and syphilis in pregnancy 2009.
[9] Villar J, Callori G, Khan-Neelofur D, Piaggio GGP, Gülmezoglu AM. Patterns of routine antenatal care for low-risk pregnancy. The Cochrane library www.thecochranelibrary.com . Published 200. Accessed October 1,2014
[10] Gloyd S, Chai S, Ann mercer M. Antenatal syphilis in sub Saharan Africa: missed opportunity for mortality reduction. Health policy and planning 2001; 16(1): 29 – 34.
[11] Swai RO., Somi GGR., Matee, MIN., Killewo J, Lyamuya, EF., Kwesigabo G. et al. Surveillance of HIV and syphilis infections among antenatal clinic attendees in Tanzania-2003/2004. BMC Public health 2006, 6 (91).
[12] Watson-Jones D, Gumodoka B, Weiss H, Changalucha J, Todd J, Mugeye K et al . Syphilis in pregnancy in Tanzania. II. The effectiveness of antenatal syphilis screening and single-dose benzathine penicillin treatment for the prevention of adverse pregnancy outcomes. J infect Dis 2002; 186: 948-957.
[13] Mullick S, Watson-Jones D, Beksinska M, Mabey D. Sexually transmitted infections in pregnancy: prevalence, impact on pregnancy outcomes and approach to treatment in developing countries. Sex Transm Infect 2005, 81: 294 – 302.
[14] Ministry of health and social welfare. PMTCT guideline 2013. Available at www.moh.go.tz
[15] Lone FW, Qureshi RN, Emanuel F . Maternal anaemia and its impact on perinatal outcome. Tropical medicine and international health 2004, 9(4): 486 – 490.
[16] Ministry of health and social welfare (2014). PMTCT Tanzania. Available at www.moh.go.tz
[17] National Aids Control Program, HIV/AIDS/STI surveillance report United Republic of Tanzania, Ministry of Health and Social Welfare, 2009.
[18] World health organization. Haemoglobin concentration for the diagnosis of anaemia and assessment of severity 2011. Available at www.who.org
[19] Nyantema AS, Bartsch-de jong A, Urassa DP, Hagen JP, van Roosmalen J. The quality of antenatal care in rural Tanzania: what is behind the number of visit? BMC pregnancy and child health 2012, 12:70.
[20] Peeling RW, Holmes KK, Mabey D, Ronald A.Rapid test for sexually transimitted infections (STIs): The way forward. Sexually Transmitted Infection Journal 2006; 82.
[21] Gloyd S, Montoya P, Floriano F, Mariaana C, Chadreque M C, Pfeiffer J et al. Scaling up syphilis antenatal screening in mozambique: Transforming policy to action. Sexually transmitted diseases 2007; 34(7): 31 – 36.
[22] World health organization. Baseline report on global sexually transmitted infection surveillance 2012. Available at www.who.org
[23] Blandford JM, Gift TL, Vasaikar S, Mwesigwa-Kayongo D, Dlali P, Bronzan RN. Cost effectiveness of on-site antenatal screening to prevent congenital syphilis in rural Eastern Cape town province, Republic of South Africa. Sexually transmitted diseases 2007; 34(7): 61 – 66.
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Cite This Article
  • APA Style

    Johnson Katanga, Melina Mgongo, Tamara Hashim, Babill Stray-Pedersen, Sia E. Msuya. (2015). Screening for Syphilis, HIV, and Hemoglobin during Pregnancy in Moshi Municipality, Tanzania: How is the Health System Performing (Short Communication). Science Journal of Public Health, 3(1), 93-96. https://doi.org/10.11648/j.sjph.20150301.26

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    ACS Style

    Johnson Katanga; Melina Mgongo; Tamara Hashim; Babill Stray-Pedersen; Sia E. Msuya. Screening for Syphilis, HIV, and Hemoglobin during Pregnancy in Moshi Municipality, Tanzania: How is the Health System Performing (Short Communication). Sci. J. Public Health 2015, 3(1), 93-96. doi: 10.11648/j.sjph.20150301.26

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    AMA Style

    Johnson Katanga, Melina Mgongo, Tamara Hashim, Babill Stray-Pedersen, Sia E. Msuya. Screening for Syphilis, HIV, and Hemoglobin during Pregnancy in Moshi Municipality, Tanzania: How is the Health System Performing (Short Communication). Sci J Public Health. 2015;3(1):93-96. doi: 10.11648/j.sjph.20150301.26

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  • @article{10.11648/j.sjph.20150301.26,
      author = {Johnson Katanga and Melina Mgongo and Tamara Hashim and Babill Stray-Pedersen and Sia E. Msuya},
      title = {Screening for Syphilis, HIV, and Hemoglobin during Pregnancy in Moshi Municipality, Tanzania: How is the Health System Performing (Short Communication)},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {1},
      pages = {93-96},
      doi = {10.11648/j.sjph.20150301.26},
      url = {https://doi.org/10.11648/j.sjph.20150301.26},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150301.26},
      abstract = {The aim of the study was to determine the proportion of pregnant women that was tested for HIV, syphilis and hemoglobin during routine antenatal care in Moshi municipality, Tanzania. A cross sectional study was conducted in October 2013 – March 2014. Pregnant women in their 3rd trimester who were attending for routine antenatal care at Pasua and Majengo health centers were enrolled. Interviews were done to determine if women were tested for the 3 tests mentioned in earlier pregnancy, prior to the study followed by clinical examination and sample collection to test for HIV, syphilis and Hb. Data were entered and analyzed by using SPSS. A total of 536 women were enrolled. Despite being in the third trimester and had attended for routine antenatal care several times, the majority of pregnant women were not screened for syphilis (89.4%), (28.6%) were not screened for hemoglobin level and only 1% reported not to be screened for HIV. Three hundred and sixty three participants (87.9%) reported to have received iron supplement.},
     year = {2015}
    }
    

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    AU  - Johnson Katanga
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    AB  - The aim of the study was to determine the proportion of pregnant women that was tested for HIV, syphilis and hemoglobin during routine antenatal care in Moshi municipality, Tanzania. A cross sectional study was conducted in October 2013 – March 2014. Pregnant women in their 3rd trimester who were attending for routine antenatal care at Pasua and Majengo health centers were enrolled. Interviews were done to determine if women were tested for the 3 tests mentioned in earlier pregnancy, prior to the study followed by clinical examination and sample collection to test for HIV, syphilis and Hb. Data were entered and analyzed by using SPSS. A total of 536 women were enrolled. Despite being in the third trimester and had attended for routine antenatal care several times, the majority of pregnant women were not screened for syphilis (89.4%), (28.6%) were not screened for hemoglobin level and only 1% reported not to be screened for HIV. Three hundred and sixty three participants (87.9%) reported to have received iron supplement.
    VL  - 3
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Author Information
  • Mirembe National hospital, Dodoma, Tanzania

  • Better Health for African Mothers and Children (BHAMC) Tanzania, Moshi, Tanzania

  • Better Health for African Mothers and Children (BHAMC) Tanzania, Moshi, Tanzania

  • Div Women and Children, Rikshospitalet, Oslo University Hospital, Institute of Clinical Medicine, University in Oslo, Norway

  • Better Health for African Mothers and Children (BHAMC) Tanzania, Moshi, Tanzania

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