Acceptability and Feasibility of Sexually Transmitted Infection Testing and Treatment Among Pregnant Women in Gaborone, Botswana, 2015

Overview

Journal Biomed Res Int

Publisher Wiley

Specialties Biomedical Engineering
Biotechnology
General Medicine

Date 2016 Apr 28

PMID 27119076

Citations 15

Authors

Adriane Wynn

Doreen Ramogola-Masire

Ponatshego Gaolebale

Neo Moshashane

Ogechukwu Agatha Offorjebe

Kaitlin Arena

Jeffrey D Klausner

Chelsea Morroni

Affiliations

Soon will be listed here.

Abstract

Introduction: Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) are curable sexually transmitted infections (STIs) that can cause adverse maternal and birth outcomes. Most countries do not conduct routine testing during antenatal care. We present data on the acceptability and feasibility of testing and treating pregnant women for STIs in an antenatal clinic in Gaborone, Botswana.

Materials And Methods: We offered CT, NG, and TV testing using self-collected vaginal swabs to eligible pregnant women. Participants received same-day test results. Those who tested positive were given treatment.

Results: Among the 225 women who were eligible and recruited, 200 (89%) agreed to participate. The median age of our study sample was 30 years; most were unmarried (77%), with a median gestational age of 27 weeks and a 23% HIV prevalence. All participants received their results with at least 72% (n = 143) on the same day. Thirty participants (15%) tested positive for an STI, all were treated, and 24 (80%) were treated on the same day.

Conclusion: The acceptability of STI testing was high, and the intervention was feasible. This study provides support for continued research into STI prevalence, cost-effectiveness, and the association of STIs with adverse maternal and infant outcomes.

Citing Articles

Does a waiting room increase same-day treatment for sexually transmitted infections among pregnant women? A quality improvement study at South African primary healthcare facilities.

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HIV Prevention Tools Across the Pregnancy Continuum: What Works, What Does Not, and What Can We Do Differently?.

Mugambi M, Pintye J, Heffron R, Barnabas R, John-Stewart G Curr HIV/AIDS Rep. 2022; 19(5):293-300.

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Facilitators and barriers to point-of-care testing for sexually transmitted infections in low- and middle-income countries: a scoping review.

Martin K, Wenlock R, Roper T, Butler C, Vera J BMC Infect Dis. 2022; 22(1):561.

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"It was difficult to offer same day results": evaluation of community-based point-of-care testing for sexually transmitted infections among youth using the GeneXpert platform in Zimbabwe.

Martin K, Dziva Chikwari C, Mackworth-Young C, Chisenga M, Bandason T, Dauya E BMC Health Serv Res. 2022; 22(1):171.

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Sexually transmitted infections in pregnant women from sub-Saharan Africa.

Ngobese B, Abbai N S Afr J Infect Dis. 2021; 36(1):312.

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