title: Demonstrating public health at work: a demonstration project of congenital syphilis prevention efforts in Bolivia.
abstract: OBJECTIVE
  We introduced syphilis immunochromatic strip (ICS) tests into antenatal care (ANC) settings in Bolivia and evaluated feasibility, patient and provider acceptability, and introduction costs. We conducted complementary studies on related topics, strengthened quality of care, and aided the response to sensitive aspects of maternal/congenital syphilis control (e.g., partner notification).
  
  
  OBJECTIVE
  The goal of this study was to discuss our experience working with Bolivian stakeholders to document potential public health benefits of syphilis ICS test introduction in ANC settings.
  
  
  METHODS
  We trained public health personnel and offered the Abbott Determine Rapid Syphilis TP test in 4 urban maternity hospitals and 37 rural clinics.
  
  
  RESULTS
  Using the ICS test, 11,618 women were tested for syphilis; 5% had positive results and 93.2% received treatment. Women and health personnel found the test acceptable and introduction costs were not prohibitive.
  
  
  CONCLUSIONS
  Based on these findings, by mid-2006, the Bolivian Ministry of Health will offer the ICS tests in rural ANC settings.
authors.affiliation: The Population Council, Mexico City, Mexico. sgarcia@popcouncil.org.mx
authors.forename: Sandra G
authors.initials: SG
authors.lastname: García
authors.forename: Freddy
authors.initials: F
authors.lastname: Tinajeros
authors.forename: Rita
authors.initials: R
authors.lastname: Revollo
authors.forename: Eileen A
authors.initials: EA
authors.lastname: Yam
authors.forename: Kara
authors.initials: K
authors.lastname: Richmond
authors.forename: Claudia
authors.initials: C
authors.lastname: Díaz-Olavarrieta
authors.forename: Daniel
authors.initials: D
authors.lastname: Grossman
mesh_terms: D000328:Adult; D001838:Bolivia / Q000453:epidemiology; D002845:Chromatography / Q000379:methods; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D007118:Immunoassay; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control; D017063:Outcome Assessment, Health Care; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D011296:Prenatal Diagnosis; D011933:Reagent Kits, Diagnostic / Q000191:economics / Q000706:statistics & numerical data; D012423:Rural Health; D013587:Syphilis / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control / Q000635:transmission; D013590:Syphilis, Congenital / Q000517:prevention & control
chemical_list: D011933:Reagent Kits, Diagnostic