Table 4 Pillars for National Action Plans to Prevent Congenital Syphilis
From: Global report on preterm birth and stillbirth (4 of 7): delivery of interventions
| Â | Number of Countries Complying with Recommendation | |
|---|---|---|
Pillar/Step | High-income (n=5) | LMIC (n=9) |
Ensure Sustained Political Commitment and Advocacy | Â | Â |
Elimination goals set | 1 | 2 |
Universal screening recommended | 5 | 9 |
Commited government funding with little or no outside support | 5 | 4 |
International/national partnerships | 2 | 7 |
Linkages to appropriate case-management services (HIV/PMTCT or STI prevention programs) | 4 | 7 |
Increase Quality and Access to Maternal and Newborn Health Services | Â | Â |
Where services are available: | Â | Â |
   • Measures to ensure all pregnant women are screened and tested | 4 | 4 |
   • Increase access to care and decrease barriers | 4 | 4 |
Where no services are available: | Â | Â |
   • Partnerships with NGOs/community organizations to ensure maximum coverage | 0 | 5 |
   • Health promotion programs for congenital syphilis, STIs, reproductive health issues | 3 | 0 |
Screen and Treat Pregnant Women and their Partners | Â | Â |
Diagnosis and treatment of pregnant women and partners | 5 | 4 |
Point-of-care diagnostic testing | 1 | 2 |
Single dose treatment for pregnant women | 5 | 3 |
Measures to ensure women remain uninfected during pregnancy | 4 | 5 |
Establish Surveillance, Monitoring and Evaluation Systems | Â | Â |
Establish national level baseline data and effective reporting for cases in pregnancy and congenital syphilis | 5 | 5 |
Develop/strengthen systems for monitoring | 5 | 5 |
Develop/strengthen systems for evaluation | 4 | 1 |
Develop indicators/proxy measurements of congenital syphilis and effectiveness of intervention programs | 1 | 1 |