WHO South-East Asia Journal of Public Health
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POLICY AND PRACTICE
Year : 2015  |  Volume : 4  |  Issue : 2  |  Page : 197-203

Towards elimination of parent-to-child transmission of syphilis in India: a rapid situation review to inform national strategy


1 Jhpiego Country Office; National AIDS Control Organisation, Ministry of Health and Family Welfare, Government of India, New Delhi, India
2 National AIDS Control Organisation, Ministry of Health and Family Welfare, Government of India, New Delhi, India
3 TBC India, Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India, New Delhi, India

Correspondence Address:
Vani Srinivas
Jhpiego Country Office; National AIDS Control Organisation, Ministry of Health and Family Welfare, Government of India, New Delhi
India
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DOI: 10.4103/2224-3151.206690

PMID: 28607319

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In February 2015, India’s National AIDS Control Organisation, Ministry of Health and Family Welfare, launched a national strategy towards elimination of parent-to-child transmission (E-PTCT) of syphilis, with a goal to reduce the incidence of congenital syphilis to 0.3 cases per 1000 live births by 2017. As part of the development of the national strategy, a rapid situation analysis was undertaken to ascertain the current practices, challenges and barriers for E-PTCT of syphilis in India. The analysis was conducted during February and March 2014 in five states selected from five different regions of India. Key informant interviews were conducted with key stakeholders at facility, state and district level. Content analysis was used to identify the themes. Key barriers identified for E-PTCT of syphilis were: low priority for antenatal syphilis testing among providers, limited access to testing, untrained human resources, shortage of test kits and benzathine penicillin, nonadherence to the national protocol for syphilis testing, and poor recording and reporting of antenatal syphilis data. The analysis also identified opportunities for functional integration of E-PTCT within existing maternal and child health programmes. Health-care providers and programme managers expressed a need for training in the programme for E-PTCT of syphilis. The situation analysis identified that, for successful implementation of E-PTCT of syphilis, it is essential that state and district programme managers adopt this initiative; coordinate the programme; plan for an adequate budget in their programme implementation plan; ensure an uninterrupted supply of standardized diagnostics kits and drugs at all levels of health care; and adhere to E-PTCT guidelines when implementing the programme.


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