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Lessons learned & emerging best practices from the National Syphilis Elimination Program Assessment
  • Published Date:
    September 2004
  • Series:
    Together we can SEE ; Syphilis Elimination Effort
  • Language:
Filetype[PDF-3.65 MB]

  • Alternative Title:
    SE Program assessment monograph
  • Description:
    Executive summary -- I. Introduction -- II. The Findings -- III. Synopsis of reviewer observations for the five syphilis elimination strategies -- IV. Analysis of the data for lessons learned -- V. Best practices literature review -- VI. Emerging best practices -- VII. Information flow model -- Appendix A: Program assessment instrument (PA instrument Rev. June 2001) -- Appendix B: Methodology -- Appendix C: Atlas.ti 4.0 code list and application of code families.

    The National Plan to Eliminate Syphilis from the United States, launched in October, 1999 by the Centers for Disease Control and Prevention, Division of Sexually Transmitted Disease Prevention (CDC), proposed a set of integrated strategies designed to eliminate syphilis within the United States by 2005. Initially, efforts were to be concentrated in High Morbidity Areas (HMAs) and Potential Re-emerging Areas (PRAs). Programs in the HMAs serve the nation’s most disadvantaged communities where barriers to access to care are associated with historical factors that include: racism; poverty; sexism and homophobia. Additional important risk factors associated with sexually transmitted diseases include: illegal drug use; prostitution; stigma associated with STDs; distrust of government and the legacy of Tuskegee. Privacy, confidentiality, and reporting bias issues are also addressed in the National Plan.

    The Syphilis Elimination Program Assessment was conducted by CDC to comprehensively examine local syphilis elimination efforts for 36 HMA program sites nationwide. A Syphilis Elimination Program Assessment Report (SEPAR) was produced by CDC for each site assessment. This monograph presents findings from the assessment process, produced through analysis of the 36 SEPARs.

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