Alabama Department of Public Health
Brief description of intervention: Every Baby is Precious: We visit prenatal care providers in high syphilis and congenital syphilis (CS) morbidity areas. The purpose is to create an awareness of the surge in CS cases, show data of missed opportunities to prevent CS by prenatal care providers, and provide items with CS prevention logos as a constant reminder to prevent CS.
State: Alabama
CDC region: South
Keywords: Awareness / Outreach, Case management / Case Reporting, Prenatal
- Category
- Congenital Syphilis intervention
County of San Diego
Brief description of intervention: Congenital Syphilis Provider Detailing
State: California
CDC region: West
Keywords: 3rd trimester screening, Awareness / Outreach, Education, Perinatal, Pregnancy, Prenatal, Providers, Screening / Testing
- Category
- Congenital Syphilis intervention
County of Santa Clara
Brief description of intervention: Outreach, screening, and linkage to treatment for unhoused women of childbearing age
State: California
CDC region: West
Keywords: Awareness / Outreach, Homeless, Screening / Testing
- Category
- Congenital Syphilis intervention
Denver Public Health & Colorado Department of Public Health and Environment
Brief description of intervention: Denver Metro STI Coalition (DMSC) created an infographic "Provider Management for the prevention of congenital syphilis in Colorado" adapted from the California Prevention Training Center and the California Department of Public Health, Prenatal Syphilis Screening, Staging, Treatment, and Monitoring for Congenital Syphilis. These resources align with the Centers for Disease Control and Prevention (CDC) guidelines, MMWR recommendations, and interventions to identify pregnant women with syphilis outside of prenatal care to increase screening, timely treatment and compliance, adequate follow up, and provider resources for reporting and clinical consultation.
State: Colorado
CDC region: West
Keywords: Awareness / Outreach, Homeless, Pregnancy, Prenatal, Screening / Testing
- Category
- Congenital Syphilis intervention
Florida Department of Health, Broward County
Brief description of intervention: T-3 Spread sheet- The spread sheet is used as a reminder to retest pregnant women in their 3rd trimester, 26 weeks. If the client is re-infected, this gives ample time for treatment before baby is born.
State: Florida
CDC region: South
Keywords: Case management / Case Reporting, Data / Surveillance, OBGYN, Treatment
- Category
- Congenital Syphilis intervention
Glynn County Health Department
Brief description of intervention: Prior to COVID-19 pandemic, the coastal health district designed an initiative to educate and promote 1st and 3rd trimester RPR testing for pregnant females among OBGYN sector across the Coastal Health District. To implement this task we decided to locate and identify organization primarily consisting of OBGYN providers who meet on a quaterly basis. A presentation was organized in addition to a packet that consisted of information, means of communicating and point of contacts for each county included in the coastal health district
State: Georgia
CDC region: South
Keywords: 3rd trimester screening, Education, OBGYN, Rapid testing, Screening / Testing
- Category
- Congenital Syphilis intervention
Houston Health Department
Brief description of intervention: My Prenatal Promise- The Houston Health Department, with funding from the Texas Department of State Health Services, has launched the state's first-ever congenital syphilis initiative, the My Prenatal Promise PSA Campaign targeting child-bearing age women, with special focus on African American and Hispanic expectant moms in the Houston/Harris County metropolitan area. The campaign aims to educate and inform all expectant moms about prenatal care, family planning, routine doctor visits and testing and implications associated with syphilis, HIV and other sexually transmitted infections.
State: Texas
CDC region: South
Keywords: Education, Perinatal, Pregnancy, Prenatal, Screening / Testing
- Category
- Congenital Syphilis intervention
Los Angeles County DPH/Division of HIV and STD Programs
Brief description of intervention: LAC Bicillin Delivery Program for LAC Medical Providers
State: California
CDC region: West
Keywords: Bicillin, Corrections / Jail, Providers
- Category
- Congenital Syphilis intervention
Louisiana STD/HIV/Hepatitis Program
Brief description of intervention: As a part of the Louisiana STD/HIV/Hepatitis Program, women of childbearing age with a syphilis diagnosis and/or any women with a syphilis diagnosis who are currently pregnant are referred to dedicated perinatal case managers. The highest priority is given to pregnant women who are currently in their third trimester and/or who are not currently adequately treated. The case manager’s work with patients to link them to care and assess any immediate resource needs (housing, food, etc.) or health needs (behavioral, substance abuse, etc.) through the use of an intake form and refer patients to outside programs as needed. Pregnant clients are followed after delivery has occurred to ensure that any and all resource needs are met before the patient is unenrolled from active case management.
State: Louisiana
CDC region: South
Keywords: Case management / Case Reporting, Perinatal, Pregnancy, Treatment
- Category
- Congenital Syphilis intervention
Maricopa County Department of Public Health
Brief description of intervention: Implemented community outreach with a partner service through CAN Community Health that provides mobile clinic services to hard to reach populations providing point of care syphilis testing and treatment if indicated on site. We have also started a distribution campaign to enhance provider knowledge regarding our syphilis board order for testing and the state testing requirements for maternal and congenital syphilis
State: Arizona
CDC region: West
Keywords: Awareness / Outreach, Community-based organizations (CBO), Providers, Screening / Testing, Treatment
- Category
- Congenital Syphilis intervention
Maricopa County Department of Public Health
Brief description of intervention: The Catalyzing Congenital Syphilis Prevention Project is a partnership between Maricopa County Department of Public Health (MCDPH) and local health care community organizations designed to deliver syphilis and HIV screening and treatment services to pregnant females and females of reproductive age in an effort to promote STI awareness, increase syphilis testing, and prevent congenital syphilis. Through a referral-based process, MCDPH provides at-home comprehensive STI testing services via home visitation activities by MCDPH staff, free of charge to clients and their sexual partners, including Syphilis, Chlamydia, Gonorrhea, and HIV testing. Moreover, the project links clients to the MCDPH STD Clinic if treatment is required. To enhance knowledge and awareness surrounding STIs, safe pregnancies, and sex education, the project also delivers educational training to participating sites and their clients. In response to partner needs and with the aim of boosting STI testing rates among participating sites, the project has further expanded its scope to include STI outreach events.
State: Arizona
CDC region: West
Keywords: 3rd trimester screening, Awareness / Outreach, Community partners, Community-based organizations (CBO), Disease intervention specialists (DIS), Education, Health Equity, Perinatal, Pregnancy, Prenatal, Screening / Testing, Treatment
- Category
- Both
Michigan Department of Health Human Services
Brief description of intervention: Breast Milk Initiative MDHHS partnered with Bronson’s Milk Bank of Kalamazoo, MI in 2019. This partnership funds and supports a healthy alternative for infants and mothers who are infected or affected by HIV. Through this partnership, HIV-positive women who choose to provide their infants with donor breast milk, after consultation with their ID or Pediatric provider, and an International Board-Certified Lactation Consultant (IBCLC) will receive human pasteurized donor milk delivered directly to their home or birthing hospital free of charge. Bronson’s Milk Bank is accredited by the Human Milk Bank Association of North America (HMBANA) and provides donor milk to Neonatal Intensive Care Units (NICU) throughout the state of Michigan. The Breast Milk Program which supports HIV-positive women, and their children has serviced 24 Michigan families to date.
State: Michigan
CDC region: Midwest
Keywords: OBGYN, Perinatal, Pregnancy
- Category
- Perinatal HIV intervention
Michigan Department of Health Human Services
Brief description of intervention: The External Missed Opportunity Workgroup’s objectives are to eliminate perinatal transmission of HIV, syphilis, and hepatitis. This group consists of providers, case managers, from funded and non-funded agencies along with MDHHS staff. The group's focus is to provide information on reported new perinatal cases, trends, treatments, and guidance in implementing and innovative policies and standards to eliminate missed opportunities. Additionally, this workgroup aids in the communication and development of workflow charts used to simplify testing and treatment for pregnant women.
State: Michigan
CDC region: Midwest
Keywords: Education, Pregnancy, Prenatal
- Category
- Both
Multnomah County Health Department
Brief description of intervention: Syphilis treatment in the field
State: Oregon
CDC region: West
Keywords: Providers, Screening / Testing, Treatment
- Category
- Congenital Syphilis intervention
New York City Department of Health and Mental Hygiene
Brief description of intervention: Case investigations among people who are or may become pregnant are a rare event for individual Disease Investigation Specialists (DIS) in NYC, which makes sustaining proficiency in working with this population (for whom there are notably different protocols and referrals) challenging. The Congenital Syphilis Prevention Investigator (CPI) model was developed to address this challenge, by designating one specialized DIS per region (eight specialized DIS total) to be assigned all syphilis investigations among people who are or may become pregnant (women aged ≤44).Several activities took place to support implementation of the CPI model including: enhancements to the citywide STI surveillance registry (Maven) to improve documentation, training for CPIs on relevant topics (e.g., prenatal care, CS case definition, syphilis management during pregnancy), specialized referral protocols, interactive sessions to learn tools to engage and build rapport with pregnant people, and strengthening of the partnership between CPI staff and the Health Department’s Social Work-CS Prevention program (described in a separate survey).
State: New York
CDC region: Northeast
Keywords: Case management / Case Reporting, Community partners, Disease intervention specialists (DIS), Pregnancy, Prenatal
- Category
- Congenital Syphilis intervention
New York City Department of Health and Mental Hygiene
Brief description of intervention: Congenital syphilis (CS) can be prevented with timely prenatal care, and syphilis screening and treatment of the patient and their sex partners. Reviews of CS cases in New York City (NYC) have indicated healthcare access and other psychosocial factors have played a role. In 2017, NYC Bureau of Sexually Transmitted Infections started an intervention to provide social work (SW) services to pregnant people with syphilis, with the goal of improving outcomes and care among pregnant person with syphilis (Social Work CS Prevention program). For each pregnant person diagnosed with any stage of syphilis, SW staff identify and navigate potential barriers to prenatal care, assure third trimester syphilis screening, and provide psychosocial support to patients beyond standard STI case investigation and partner services. Specifically, SW staff review case investigation records of eligible patients, reach out to eligible persons and offer support throughout the duration of pregnancy via phone, and provide intensive case management, connecting patients to syphilis treatment, prenatal care, encouraging retesting for syphilis at 28 weeks, and linking to social resources (Cribs for Kids, Nurse Family Partnership, etc.) where appropriate.
State: New York
CDC region: Northeast
Keywords: Case management / Case Reporting, Prenatal, Treatment
- Category
- Congenital Syphilis intervention
Oregon Health Authority
Brief description of intervention: The HIV/Syphilis Care Incentive Program enables pregnant individuals to receive non-cash incentives (e.g., gift cards to local stores) to support engagement in HIV/syphilis medical care and adherence to antiretroviral therapy and/or syphilis treatment regimens and reduce the risk of perinatal infection. This incentive program may be utilized by all local public health authorities (LPHA) and is funded by the Oregon Health Authority HIV/STD/TB Section (OHA HST).
State: Oregon
CDC region: West
Keywords: Perinatal, Screening / Testing, Treatment
- Category
- Both
Oregon Health Authority
Brief description of intervention: We convened a congenital syphilis case review board consisting of state STD staff and local staff in the areas experiencing the highest burden of CS. The DIS/public health nurse in charge of the investigation presents all relevant demographic, clinical, and surveillance data for a recent case. The aim of these reviews is to focus on identifying missed opportunities for prevention and strategizing potential interventions.
State: Oregon
CDC region: West
Keywords: Case management / Case Reporting, Data / Surveillance, Disease intervention specialists (DIS), Public health nurses
- Category
- Congenital Syphilis intervention
Oregon Health Authority
Brief description of intervention: Dried blood spot testing for HIV, syphilis, and hepatitis C among houseless folks living in camps and shelters
State: Oregon
CDC region: West
Keywords: Awareness / Outreach, Education, Perinatal, Treatment
- Category
- Both
Pennsylvania Department of Health
Brief description of intervention: Provider Grand Rounds
State: Pennsylvania
CDC region: Northeast
Keywords: Awareness / Outreach, Data / Surveillance, OBGYN, Pregnancy, Screening / Testing, Treatment
- Category
- Congenital Syphilis intervention
Philadelphia Department of Health
Brief description of intervention: Enhanced Maternal Syphilis Follow-up
State: Pennsylvania
CDC region: Northeast
Keywords: Case management / Case Reporting, Perinatal, Pregnancy, Prenatal, Screening / Testing, Treatment
- Category
- Congenital Syphilis intervention
San Joaquin County
Brief description of intervention: The Pregnancy Connections Clinic (PConn) serves prenatal patients with epidemiologic risk factors for syphilis in order to prevent congenital syphilis infection through timely detection and treatment.
State: California
CDC region: West
Keywords: Community partners, Drug Use / Substance Use, Health Equity, Homeless, Perinatal, Pregnancy, Prenatal, Providers, Social Determinants of Health, Treatment
- Category
- Congenital Syphilis intervention
State of Alaska, DHSS, DPH, SOE
Brief description of intervention: Focused provider education and training regarding testing timelines and importance. Provider posters were provided for provider areas to promote "Think Syphilis" campaign for awareness.
State: Alaska
CDC region: West
Keywords: Awareness / Outreach, Education, Screening / Testing
- Category
- Congenital Syphilis intervention
Virginia Department of Health
Brief description of intervention: Hired full time position - Perinatal Surveillance Coordinator, to follow up on pregnant women who test positive for syphilis during pregnancy, and also to implement FIMR/HIV methodology for perinatal HIV and syphilis exposures.
State: Virginia
CDC region: South
Keywords: Case management / Case Reporting, Perinatal
- Category
- Congenital Syphilis intervention