ICRH Kenya

STI in Pregant Women: The Partner Method

Team members:
Marleen Temmerman
  • University of Eduardo Mondlane in Maputo, Mozambique

Main objective:

  • To develop a model to improve the control of sexually transmitted infections in pregnant women in Mozambique

Specific objectives:

  • To evaluate the acceptability and operational feasibility of a model involving men in the reproductive health of pregnant women
  • To evaluate the effect of the partner method on (1) the prevalence of STI in pregnant women, (2) pregnancy outcome, and (3) neonatal health
  • To compare the cost-effectiveness of the partner method with the current standard syndromic approach


  • Demonstration intervention project involving pregnant women attending prenatal consultations at two health centres of Tete City, Mozambique
  • Particpation rate of spouses attending antenatal clinics was measured pre- and post-intervention
  • Women were tested for Neisseria gonorrhoeae, Chlamydia trachomatis and syphilis at the prenatal consultation, as well as at birth or during post-natal consultation
  • Focus group discussions with pregnant women and their partners
  • Baseline survey of the prevalence of STI in pregant women and the participation of men at antanatal clinics
  • Community-based intervention to educate men on reproductive health, based on the outcome of the focus group discussions
  • Health facility-based intervention to increase awareness of nurses on male participation
  • Post-intervention survey of the prevalence of STI in pregnant women and the participation of men at antenatal clinics
  • Surevy among men to measure the response to the intervention at community-level
  • STI prevalence among pregant women at baseline was relatively low (2.9% NG and 4.5% CT) and did not allow the measurement of an effect by the intervention
  • Participation rate of men attending antenatal clinics was 0% pre-intervention and increased to 20% after the health facility-based intervention
  • Participation rate of men after the community-based intervention was 12%
  • The male participation rate remained too low to justify the partner method as an alternative for the detection and treatment of STI in pregnant women