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Scaling up syphilis testing in China: implementation beyond the clinic

Tucker, JD; Hawkes, SJ; Yin, YP; Peeling, RW; Cohen, MS; Chen, XS; (2010) Scaling up syphilis testing in China: implementation beyond the clinic. B WORLD HEALTH ORGAN , 88 (6) 452 - 457. 10.2471/BLT.09.070326. Gold open access

Abstract

China is experiencing a syphilis epidemic of enormous proportions. The regions most heavily affected by syphilis correspond to regions where sexually transmitted HIV infection is also a major public health threat. Many high-risk patients in China fail to receive routine syphilis screening. This missed public health opportunity stems from both a failure of many high-risk individuals to seek clinical care and a disconnect between policy and practice. New point-of-care syphilis testing enables screening in non-traditional settings such as community organizations or sex venues. This paper describes the current Chinese syphilis policies, suggests a spatiotemporal framework (based on targeting high-risk times and places) to improve screening and care practices, and emphasizes a syphilis control policy extending beyond the clinical setting.

Type: Article
Title: Scaling up syphilis testing in China: implementation beyond the clinic
Open access status: An open access publication
DOI: 10.2471/BLT.09.070326
Keywords: SEXUALLY-TRANSMITTED-DISEASES, FEMALE SEX WORKERS, CONGENITAL-SYPHILIS, COST-EFFECTIVENESS, EASTERN CHINA, HIV, HEALTH, INTERVENTION, INFECTIONS, MANAGEMENT
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
URI: http://discovery.ucl.ac.uk/id/eprint/150033
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