ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026
Acceptability and barriers to rapid HIV/syphilis testing among pregnant Wayuu women in Colombia: A cross-sectional pragmatic study.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveAscertain whether rapid HIV/syphilis testing is acceptable to pregnant Wayuu women in Riohacha, La Guajira, Colombia, and identify obstacles/enablers to an effective diagnosis.
methodsBetween March 2023 and August 2024, a cross-sectional study was carried out, involving 698 women at less than 27 weeks who had not previously been diagnosed with syphilis or HIV infection. Standard laboratory testing and rapid HIV/syphilis testing conducted. Participant opinions about sexually transmitted infections (STI's), the severity of illness, advantages of testing, and obstacles to diagnosis, obtained using a structured questionnaire with Likert-scale. Descriptive statistical analyses.
resultsIn the Wayuu community there is no translation for STI's in the Wayuunaiki language. Disease is understood within social, spiritual, and environmental contexts. More than 60% of participants expressed positive views regarding benefits of rapid testing. Most of the participants recognized the severity of these infections and the possibilities for prevention and treatment. Important barriers: 30.6% reported feeling embarrassed when requesting testing, 19.4% lacked knowledge on how to request it, 14.5% feared a positive result, and 12.3% concerned about disclosing results to their partners.
conclusionRapid HIV/syphilis testing was acceptable. Cultural, informational, and psychosocial barriers limit timely diagnosis. Intercultural strategies, health education, psychosocial support in prenatal care are essential.
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