Concurrency prevalence (%)

Multiple partnersa (Men/Women)

Syphilis Prevalence (%)

Syphilis survey details

Antenatal attendees tested for syphilis at first visit (%)

Central African Republic

20

2/1

6.7

All 481 pregnant women attending one of three antenatal clinics in Bangui for first antenatal visit between January and March 1986. Tested with VDRL and confirmed with TPHA. [36]

56.0

Brazil

7

10/1

1.6

All 1515 pregnant women attending antenatal clinics at Hospital Regional Norte do Paraná between June 1996 and June 1998 were tested for syphilis using VDRL and confirmed with FTA. [37]

53.0

Côte d’Ivoire

36

9/1

3.8

A systematic review and meta-analysis of STI prevalence among pregnant women attending antenatal care facilities in sub-Saharan Africa was used to provide an estimate of syphilis prevalence for the years 1990-1990 in West Africa. 17 studies from 6 countries provided the estimate. [38]

92.1

Kenya

13

4/1

7.2

All 10267 pregnant women attending 10 selected antenatal clinics in Nairobi in 1994. Tested via RPR only. No confirmatory testing. [39]

58.8

Lesotho

55

7/0

11.3

A random sample of 277 15 - 49 year olds living in 29 villages in rural Lesotho in 1995. Tested with RPR and confirmed with TPHA. [40]

66.9

Philippines

3

7/1

0.2

Antenatal survey in 2009. [30]

-

Singapore

2

3/0

1.05

All 14,841 pregnant women attending the antenatal clinic, University Hospital, Kuala Lumpur in 1989. Tested with VDRL and conformed with TPHA. [41]

94.1

Sri Lanka

2

0/0

1.0

Antenatal survey in 1990. [42]

45.9

Thailand

3

11/0

0.1

1021 consecutive pregnant women registering for their first visit to two antenatal clinics in two hospitals (in Bangkok and Chiang Rai) in 1996. Tested with VDRL (Chiang Rai) or RPR (Bangkok) and confirmed with TPHA. [43]

-

Zambia

22

7/1

8.5

All 9145 pregnant women from 22 antenatal clinics in all provinces, including rural and urban areas were tested for syphilis in 1994. Testing was via RPR and confirmation by TPHA. [44]

43.3

Tanzania

18

5/3

7.3

All 17813 women from 57 clinics in ten geographical regions attending antenatal clinics for the first time for any pregnancy were tested for syphilis between October 2003 and January 2004. RPR testing only, no confirmatory TPHA. [45]

36.9