We evaluated the integration of rapid syphilis tests (RSTs) and penicillin treatment kits into routine antenatal clinic (ANC)\r\nservices in two rural districts in Nyanza Province, Kenya. In February 2011, nurses from 25 clinics were trained in using RSTs\r\nand documenting test results and treatment. During March 2011ââ?¬â??February 2012, free RSTs and treatment kits were provided to\r\nclinics for use during ANC visits.We analyzed ANC registry data fromeight clinics during the 12-month periods before and during\r\nRST program implementation and compared syphilis testing, diagnosis, and treatment during the two periods. Syphilis testing at\r\nfirst ANC visit increased from 18% (279 of 1,586 attendees) before the intervention to 70% (1,123 of 1,614 attendees) during the\r\nintervention (?? < 0.001); 35 women (3%) tested positive during the intervention period compared with 1 (<1%) before (?? < 0.001).\r\nSyphilis treatment was not recorded according to training recommendations; seven clinics identified 28 RST-positive women and\r\nrecorded 34 treatment kits as used. Individual-level data from three high-volume clinics supported that the intervention did not\r\nnegatively affect HIV test uptake. Integrating RSTs into rural ANC services increased syphilis testing and detection. Record keeping\r\non treatment of syphilis in RST-positive women remains challenging.
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