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SYPHILIS AMONG PREGNANT WOMEN IN JUBA, SOUTHERN SUDAN

By S. K. EMMANUEL, M. LADO, S. AMWAYI, A.M. ABADE, J.O. OUNDO and J.R. ONGUS

Abstract

Objective: Determine factors associated with syphilis among pregnant women.Design: Cross-sectional study.Setting: Antenatal clinics of Juba Teaching Hospital, Malakia National Health Insurance Centre and Munuki Primary Health Care Centre in Juba, Southern Sudan.Subjects: Consenting pregnant women not on syphilis treatment.Main outcome measures: Socio-demographic and clinical data, knowledge and behavioural characteristics.Results: Of the 231 pregnant women participants, 51 (22.1%) were positive for syphilis with the rapid plasma reagin test and 79 (34.2%) were positive with the treponema pallidum Haemagglutination assay. Risk factors for syphilis were: housewife (OR 2.808; P= 0.0116), abortion (OR 2.654; P= 0.0116) and partner travel (OR 2.149; P= 0.028).Attending antenatal clinic for previous pregnancy was protective (OR 0.281; P= 0.0004) for syphilis.Conclusions: This is the first study to determine the prevalence and associated factors in the three clinics in Juba, South Sudan. There is a high prevalence of syphilis in pregnant women attending the selected health facilities. Treponema Pallindum Haemagglulination Assay can be used as a field test for syphilis due to its high sensitivity and specificity. Health education, screening and treating positive expectantmothers can reduce the prevalence of syphilis

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Publisher: East African Medical Journal
Year: 2011
OAI identifier: oai:ojs.journals.uonbi.ac.ke:article/691
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