L R Tuinakelo1, K Tayler-Smith2, M Khogali2, G B Marks3. 1. Ministry of Health, Suva, Fiji. 2. Medical Department (Operational Research), Operational Centre, Médecins Sans Frontières, Brussels, Belgium. 3. Woolcock Institute of Medicine, Sydney, New South Wales, Australia ; Department of Respiratory Medicine, Liverpool Hospital, Sydney, New South Wales, Australia.
Abstract
SETTING: An antenatal clinic serving a population of 47 604 in Nausori, Fiji. OBJECTIVE: 1) To estimate the prevalence of anaemia, syphilis and hepatitis B in pregnant women attending their first antenatal visit; and 2) to estimate the uptake of treatment for syphilis and for the prevention of hepatitis B transmission in affected individuals. DESIGN: Retrospective review of the clinic register and patient records for the year 2011. RESULTS: The prevalence of anaemia, hepatitis B and syphilis were respectively 22%, 2% and 5%. Among women with syphilis, 78% of those for whom data were available received a complete course of three doses of penicillin during their pregnancy, and 83% of babies born to women with hepatitis B received hepatitis B immunoglobulin. CONCLUSION: The prevalence of anaemia in pregnant women has declined but remains high, and further research is required to identify the major causes of this condition in Fiji. The prevalence of syphilis has remained static, while hepatitis B has decreased over the past decade. There are some gaps in the implementation of effective interventions to manage these conditions in pregnant women.
SETTING: An antenatal clinic serving a population of 47 604 in Nausori, Fiji. OBJECTIVE: 1) To estimate the prevalence of anaemia, syphilis and hepatitis B in pregnant women attending their first antenatal visit; and 2) to estimate the uptake of treatment for syphilis and for the prevention of hepatitis B transmission in affected individuals. DESIGN: Retrospective review of the clinic register and patient records for the year 2011. RESULTS: The prevalence of anaemia, hepatitis B and syphilis were respectively 22%, 2% and 5%. Among women with syphilis, 78% of those for whom data were available received a complete course of three doses of penicillin during their pregnancy, and 83% of babies born to women with hepatitis B received hepatitis B immunoglobulin. CONCLUSION: The prevalence of anaemia in pregnant women has declined but remains high, and further research is required to identify the major causes of this condition in Fiji. The prevalence of syphilis has remained static, while hepatitis B has decreased over the past decade. There are some gaps in the implementation of effective interventions to manage these conditions in pregnant women.
Entities:
Keywords:
antenatal care; community health; maternal and child health; nutrition; sexually transmitted diseases
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