Determinants of Syphilis Infection among Women Seeking Antenatal Care and Delivery Services in Olenchity Primary Hospital: A Case-Control Study

The magnitude of syphilis infection among pregnant women is increasing worldwide. Syphilis infection during pregnancy is a risk of congenital syphilis for the fetus, might result in intrauterine death. The objective this study was to identify the predictors of syphilis infection among pregnant and delivering mother in Olenchity primary hospital from October 2017 to January 2018 G. C. Unmatched case-control study design (61 cases and 244 controls) was conducted among women seeking Antenatal care and delivery services. Cases and controls were selected based according to their of the serology result. Data was collected using pre-tested and structured questionnaire. The collected data were entered into EPI-info version 7 and analyzed using SPSS version 20. Principally binary logistic regression model was used to estimate the odds ratio at 95% confidence intervals. Education (AOR, 0.381; 95% CI: 0.169, 0.857), knowledge about Sexually transmitted Infections (AOR, 0.244 95% CI: 0.114, 0.522), loss of baby during pregnancy (AOR, 2.275; 95% CI: 1.022, 5.065), multiple sexual partner (AOR, 3.071; 95% CI: 1.220, 7.730), Cigarette smoking (AOR 7.628; 95% CI: 1.714,33.946), Human immune deficiency virus Positives (AOR, 41.145; 95% CI: 2.250, 752.362) were factors significantly associated with syphilis. Factors like having primary and secondary education and knowledgeable about sexually transmitted infections were less likely to have syphilis. However, having the history of multiple sexual partner, cigarette smoking, lose baby during pregnancy, HIV positive were more likely to associate with syphilis infection. These factors should be taken into consideration to prevent or curb the problems syphilis infection.