Syphilis Infection in Asikuma Odoben Brakwa District, Ghana

By identifying the risk factors of the common STDs, we will be able to raise awareness for their existence and over time, work to eliminate them. With that, we can act to decline the STD rates on a global level, with a focus on where those rates are the highest. That is exactly what a group of researchers has done back in 2019, trying to identify the risk factors for existing syphilis infection among pregnant women.

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What are the syphilis risk factors among pregnant women in Aiskuma Odoben Brakwa District in Ghana?

Syphilis is one of the common sexually transmitted infections (STIs). It is caused by a bacteria called Treponema pallidum. Like any other STD, syphilis as well is transmitted through unprotected sexual intercourse, including oral, vaginal, and anal sex.

The first and most characteristic symptoms of existing syphilis infection is a painless sore that can appear anywhere on the sexual organs, rectum, lips, or inside the mouth. People usually fail to notice this first symptom and continue to live with the existing infection, eventually helping it spread if they engage in unprotected sexual intercourse in the near future.

Although we have penicillin since the 1990s, there is a continuous spread of syphilis on an international level, with more than 10 million individuals being diagnosed with an existing syphilis infection each year. Of course, the prevalence of syphilis is higher in high burden countries and rural areas such as Africa, especially in the Aiskuma Odoben Brakwa district in Ghana, Africa.

The overall prevalence of syphilis in Aiskuma Odoben Brakwa district in Ghana has been estimated to be around 3.2% with a higher prevalence among women, about 5.7%, as compared to men, among which the prevalence is around 1.7%. The prevalence seems to be dangerously high among pregnant women with a prevalence of 1.6% in 2016, which poses its own threats knowing how syphilis can be easily transmitted to the baby in the womb during pregnancy.

But it is not only the congenital syphilis infection that we need to fear. Other complications such as stillbirth, low birth weight, spontaneous abortion, and neonatal death are possible as well. In fact, syphilis during pregnancy is considered to be the second leading cause of stillbirth on a global level.

Because of the high prevalence rates, researchers have conducted a study that was later published in 2019, with the hopes of identifying the exact risk factors for developing a syphilis infection during pregnancy among pregnant women in the Aiskuma Odoben Brakwa district in Ghana, Africa. Identification of the risk factors can help to later focus on their elimination and improvement so that the rates of syphilis can significantly decline.

One of the risk factors was found to be married since syphilis infection was more common among couples that have been married as compared to those individuals who have been single, although the difference was not significant. The prevalence of syphilis was high in those who have reported a history of coerced sexual intercourse and those who have engaged in unprotected sexual intercourse of any kind with multiple partners. Living in rural areas such as the Aiskuma Odoben Brakwa district in Ghana, Africa played one of the biggest roles as a significant risk factor.

Biggest risk factors

As it turns out, being in a marriage, living in a rural area, and having a history of coerced sexual intercourse play the role of the biggest risk factors for syphilis in the Aiskuma Odoben Brakwa district in Ghana, Africa where there has been a high syphilis prevalence, especially in women and in pregnant women.

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973824/
https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-019-3967-6#ref-CR5
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6527824/
https://academic.oup.com/cid/article/35/Supplement_2/S200/316361
https://www.who.int/gho/sti/en/
https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-019-3967-6

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