Syphilis diagnosis and treatment during antenatal care: the potential catalytic impact of the dual HIV and syphilis rapid diagnostic test

Using the antenatal care platform for diagnosis of both maternal HIV and syphilis infections using a single rapid diagnostic test is a simple intervention that could rapidly be brought to scale in high-burden countries. This scenario is a test case for WHO’s people-centred integrated service delivery systems. The incremental cost is small, but the potential gains—prevention of stillbirth, preterm birth, neonatal death, and long-term disability of children—are enormous.