| Analysis of the operational costs of using rapid syphilis tests for the detection of maternal syphilis in Bolivia and Mozambique. | |
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MedLine Citation:
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PMID: 17220812 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of this study was to compare the costs of antenatal syphilis screening with the rapid plasma reagin (RPR) test and the immunochromatographic strip (ICS) test in low-resource settings. GOAL: The goal of this study was to assess the costs of introducing rapid syphilis tests to reduce maternal and congenital syphilis. STUDY DESIGN: Cost data were collected from participating study hospitals and antenatal clinics during 4 field visits to the 2 countries in 2003 and 2004. Health utilization outcome data on the number of women screened and treated routinely during the demonstration projects were used with unit cost data to estimate the incremental costs and average cost per woman screened and treated for maternal syphilis. RESULTS: In Mozambique, the average cost per woman screened was U.S. $0.91 and U.S. $1.05 for the RPR and ICS tests, respectively. In Bolivia, the average cost of screening was U.S. $1.48 and U.S. $1.91 using the RPR and ICS test, respectively. In health centers without laboratories, the cost per woman screened using the ICS test ranged from U.S. $1.02 in Mozambique to U.S. $2.84 in Bolivia. CONCLUSIONS: It is feasible to introduce rapid syphilis testing in settings without laboratory services at a small incremental cost per woman screened. In settings with laboratories, the cost of ICS is similar to that of RPR. |
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Authors:
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Carol E Levin; Matthew Steele; Deborah Atherly; Sandra G García; Freddy Tinajeros; Rita Revollo; Kara Richmond; Claudia Díaz-Olavarrieta; Tom Martin; Florencia Floriano; Isabel Massango; Stephen Gloyd |
Publication Detail:
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Type: Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Sexually transmitted diseases Volume: 34 ISSN: 0148-5717 ISO Abbreviation: Sex Transm Dis Publication Date: 2007 Jul |
Date Detail:
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Created Date: 2007-06-26 Completed Date: 2007-07-26 Revised Date: 2012-05-25 |
Medline Journal Info:
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Nlm Unique ID: 7705941 Medline TA: Sex Transm Dis Country: United States |
Other Details:
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Languages: eng Pagination: S47-54 Citation Subset: IM |
Affiliation:
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PATH, 1455 NW Leary Way, Seattle, WA 98107, USA. clevin@path.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care Facilities Bolivia / epidemiology Chromatography / economics, methods Costs and Cost Analysis Female Health Care Costs / statistics & numerical data Hospitals Humans Immunoassay / economics, methods Infant, Newborn Infectious Disease Transmission, Vertical / prevention & control Mass Screening / economics, methods Mozambique / epidemiology Pregnancy Pregnancy Complications, Infectious / diagnosis*, epidemiology, prevention & control Prenatal Diagnosis / economics*, utilization* Reagent Kits, Diagnostic / economics, utilization Reagins / blood Syphilis / diagnosis*, epidemiology, prevention & control, transmission Syphilis, Congenital / prevention & control |
| Grant Support | |
ID/Acronym/Agency:
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P30 AI027757/AI/NIAID NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Reagent Kits, Diagnostic; 0/Reagins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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