Strategies for the Elimination of Syphilis in Peru. Program Impact and Cost-Effectiveness Projections Using the Syphilis Interventions Towards Elimination (SITE) Model
Abstract
Control of syphilis is a key component of Peru’s national strategy and activities to control human immunodeficiency virus (HIV) and sexually transmitted infections (STIs). Compared to other countries in the Region of the Americas, Peru has a relatively low prevalence of syphilis in pregnant women, and this fell from 2012 to 2016 – whereas the prevalence in the Region increased. Syphilis Interventions Towards Transmission (SITE) is a new tool developed by Avenir Health with support from the Pan American Health Organization. SITE simulates adult syphilis transmission in a country and can be used to look at the impact and cost-effectiveness of different STI control programs and interventions, guiding countries toward syphilis elimination targets. The model has been piloted in Peru to identify opportunities for optimizing the country’s STI and syphilis control strategy, plan, targets, and cost estimates. This report presents a compilation of syphilis epidemiological and programmatic data, the model calibration based on those, and projection results for several program scenarios suggested as relevant by the national HIV/STI program. It discusses results in terms of the health and transmission impact, service levels, and cost of alternative and combined packages of prevention, screening, and treatment interventions.
Citation
Strategies for the Elimination of Syphilis in Peru. Program Impact and Cost-Effectiveness Projections Using the Syphilis Interventions Towards Elimination (SITE) Model. Washington, D.C.: Pan American Health Organization; 2021. License: CC BY-NC-SA 3.0 IGO.
Collections
This notice should be preserved along with the article's original URL.Attribution-NonCommercial-ShareAlike 3.0 IGO
Related items
Showing items related by title, author, creator and subject.
-
Evolution towards the elimination of congenital syphilis in Latin America and the Caribbean: a multicountry analysis
Silveira, Mariangela F.; Gomez Ponce de Leon, Rodolfo; Becerra, Francisco; Serruya, Suzanne J. (2019-03)[ABSTRACT]. Objective. Effective and low-cost interventions for preventing the vertical transmission of syphilis can substantially reduce mortality and morbidity related to maternal and congenital syphilis. This study aims ... -
Report on the situation of Malaria in the Americas, 2014
Pan American Health Organization (Washington, D.C, PAHO, 2016-12)In 1954, the countries in the Americas made the trail- blazing decision to adopt malaria eradication as a program with the Pan American Sanitary Bureau as the coordinating unit. It was a year later when the Global Program ... -
Update 2014: Elimination of Mother-to-Child Transmission of HIV and Syphilis in the Americas
Pan American Health Organization (Washington, D.C., PAHO, 2014)[Introduction] Countries in the Americas committed to eliminating mother-to-child transmission (MTCT) of HIV and syphilis by 2015 in resolution CD 50.R12. The Pan American Health Organization (PAHO) monitors country ...