Conference Abstract | Volume 9 (ConfPro8): Abstract 29 | Published: 06 Oct 2026
Koudjo Abraham Sedegnan1,2,3,&, Ablaga Dzidzova Amenyido Nyamako4, Koffi Akolly1,2, Anne Thomas1,2, Didier Koumavi Ekouevi1,2
1West Africa Field Epidemiology and Laboratory Training Program, Lomé, Togo; 2Centre de Formation et de Recherche en Santé Publique, Lomé, Togo; 3Programme National de Lutte contre le Paludisme, Lomé, Togo; 4Centre Hospitalier Préfectoral d’Aného, Aného, Togo
&Corresponding author: Koudjo Abraham SEDEGNAN, Centre de Formation et de Recherche en Santé Publique, Lomé, Togo, Email: sedegnankoudjoabraham@gmail.com, ORCID: https://orcid.org/0009-0005-6775-9067
Received: 11 Mar 2026, Accepted: 29 Aug 2026, Published: 06 Oct 2026
Domain: Infectious Disease Epidemiology
Keywords: Pregnant women, syphilis, surveillance, Maritime Region, Togo
©Koudjo Abraham Sedegnan et al. Journal of Interventional Epidemiology and Public Health (ISSN: 2664-2824). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Koudjo Abraham Sedegnan et al., Evaluation of the syphilis surveillance system among pregnant women at their first antenatal care visit in the Maritime Region, Togo, 2025. Journal of Interventional Epidemiology and Public Health. 2026;9(ConfPro8):29. https://doi.org/10.37432/JIEPH-CONFPRO8-0029
Syphilis remains a public health concern in sub-Saharan Africa due to its impact on maternal and neonatal morbidity and mortality. The objective of this study was to evaluate the performance of the syphilis surveillance system among pregnant women attending their first antenatal care visit (ANC1) in 2025 in the Maritime Region of Togo.
A descriptive cross-sectional study was conducted from August 18 to 30, 2025, in the Maritime Region of Togo. It combined a documentary review, analysis of routine data from the DHIS2 platform, and interviews with surveillance stakeholders. System performance was assessed using the following attributes: simplicity, acceptability, representativeness, stability, responsiveness, and usefulness.
A total of 46 participants were included, of whom 43 were female. The median age was 37 years [IQR: 28–44]. The surveillance system was rated as highly simple at 91.6%, with strong understanding of case definitions, use of the HIV/syphilis rapid test, and systematic screening at ANC1. Acceptability was very high (100%), reflecting strong provider adherence to screening and reporting. The system was representative (79.1%). Stability was moderate (61.5%), mainly affected by challenges related to supply management and connectivity. Responsiveness was overall satisfactory (77.0%), with early screening of pregnant women, although partner screening and treatment coverage remained low. The system proved useful (93.2%), particularly in generating information for epidemiological monitoring and decision-making.
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