Table 1:
Results of OB/Gyn provider survey to assess congenital syphilis prevention services, Maricopa County, Arizona, 2021–2022
| N (%) | Condition | |
|---|---|---|
| Total | 42/42(100) | |
| Q1: Healthcare Field | ||
| Obstetrician-Gynecologist | 17/42 (40.5) | |
| Clinical Nursing/Allied Health Professionalsa | 10/42 (23.8) | |
| Administrative and Support Staff | 15/42 (35.7) | |
| Q2: Test for Syphilis at Prenatal Care | ||
| Yes | 42/42 (100) | |
| No | 0/42 (0) | |
| Q3: Percent Tested for Syphilis at First Prenatal Visit | [Condition: Q2 = Yes] | |
| 100% | 33/42 (78.6) | |
| 80-99% | 6/42 (14.3) | |
| 60-79% | 1/42 (2.4) | |
| 40-59% | 0/42 (0) | |
| 20-39% | 0/42 (0) | |
| 0-19% | 0/42 (0) | |
| Other- All Patients Tested at Second Prenatal Visit | 2/42 (4.8) | |
| Q4: Percent Tested for Syphilis at Third Trimester | [Condition: Q2 = Yes] | |
| 100% | 31/42 (73.8) | |
| 80-99% | 8/42 (19.1) | |
| 60-79% | 0/42 (0) | |
| 40-59% | 0/42 (0) | |
| 20-39% | 0/42 (0) | |
| 0-19% | 2/42 (4.8) | |
| Other- Later in pregnancy to AZHCCCS pregnant patients during the glucose test | 1/42 (2.4) | |
| Q5: Percent Tested for Syphilis at Delivery Among Physicians and Allied Health Professionals Respondents | [Condition: Q2 = Yes] | |
| 100% | 20/27 (74.1) | |
| 80-99% | 2/27 (7.4) | |
| 60-79% | 0/27 (0) | |
| 40-59% | 0/27 (0) | |
| 20-39% | 0/27 (0) | |
| 0-19% | 2/27 (7.4) | |
| Other | 1/27 (3.7) | |
| Q6: Facilities With Established Syphilis Screening Policies for Pregnant Patients | [Condition: Q2 = Yes] | |
| No | 1/42 (2.4) | |
| Yes | 41/42 (97.6) | |
| Q7: Facilities With a Standing Order Set for Prenatal Lab Testing for Syphilis | [Condition: Q2 = Yes] | |
| No | 2/42 (4.8) | |
| Yes | 40/42 (95.2) | |
| Q8: Would Implement Rapid Syphilis Testing (fingerstick) at Facility for Pregnant Patients | ||
| No | 23/40 (57.5) | |
| Yes | 17/40 (42.5) | |
| Q9: How facilities treat pregnant patients with syphilisb | ||
| Facilities Treat Pregnant Patients with Syphilis at Their Clinic | 5/42 (11.9) | |
| Facilities Treat Pregnant Patients with Syphilis by Referring to an External Clinic | 30/42 (71.4) | |
| Facilities Treat Pregnant Patients with Syphilis by Prescribing Benzathine Penicillin for Patient Pickup at Pharmacy and Return for Injection at their Clinic | 7/42 (16.7) | |
| Other- Treat at Hospital | 1/42 (2.4) | |
| Q10: External Clinic Locations (Free Text) | 30/42 (71.4) | [Condition: Q9 = Refer For Treatment] |
| Maricopa County STI Clinic | 19/21 (90.5) | |
| Maricopa County STI Clinic and Own Facility | 1/21 (4.8) | |
| Outpatient Infusion Center | 1/21 (4.8) | |
| Q11: Reasons for Not Treating Pregnant Patients with Syphilis with Benzathine Penicillin Directly at Facilityb | [Condition: Q9 = No Direct Treatment at Facility] | |
| Cost | 6/33 (18.2) | |
| Procurement | 7/33 (21.2) | |
| Concern for Expiration | 4/33 (12.1) | |
| Injections Not Performed | 1/33 (3.0) | |
| Syphilis Is Rare | 21/33 (63.6) | |
| Other | 10/33 (30.3) | |
| None | 2/33 (6.1) | |
| Q12: Interest in Having a Maricopa County Mobile Health Unit Team Provide Treatment with Benzathine Penicillin | ||
| No | 16/40 (40.0) | |
| Yes | 24/40 (60.0) | |
| Q13: Received Syphilis Materials | ||
| No | 18/41 (43.9) | |
| Yes | 9/41 (22.0) | |
| Unknown | 14/41 (34.2) | |
| Q14: Actions Taken Since Receiving Think Syphilis Materialsb | [Condition: Q14 = Yes] | |
| Shared With Office Staff | 7/9 (77.8) | |
| Shared With Medical Providers | 5/9 (55.6) | |
| Posted In Facility | 6/9 (66.7) | |
| Provided A Teaching Event | 1/9 (11.1) | |
| Reviewed Lab Protocols | 4/9 (44.4) | |
| Reviewed Standing Orders | 3/9 (33.3) | |
| Developed Changed Protocols | 2/9 (22.2) | |
| No Actions Taken | 1/9 (11.1) | |
| Other | 2/9 (22.2) | |
| Q15: Provide Care to Uninsured Patients | ||
| No | 1/42 (2.4) | |
| Yes | 41/42 (97.6) | |
| Q16: To the best of your knowledge, what is the estimated percentage of your pregnant patients that are covered by Medicaid? | ||
| 100% | 0/38 (0) | |
| 80-99% | 5/38 (13.2) | |
| 60-79% | 11/38 (29.0) | |
| 40-59% | 9/38 (23.7) | |
| 20-39% | 5/38 (13.2) | |
| 0-19% | 7/38 (18.4) | |
| Other | 1/38 (2.6) |
a
Allied Health Professionals include Physician Assistants, Nurses, Nurse Practitioners, and Nurse Managers
b
Question is Multiselect