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Syphilis among pregnant women in Juba, Southern Sudan
S K Emmanuel1, M Lado, S Amwayi
1Public Health Laboratory, Ministry of Health of the Government of Southern Sudan.
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 expectant mothers can reduce the prevalence of syphilis.
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