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medRxiv PreprintsInternational28 October 2026

'Syphilis is a normal thing that children are born with..' Understanding Barriers and Facilitators to Maternal and Congenital Syphilis Care in Kampala, Uganda

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Introduction: Congenital syphilis (CS) remains a major cause of preventable stillbirths and neonatal deaths globally. This qualitative study explored perceptions and experiences of mothers, partners, providers, and policymakers regarding the barriers and facilitators to implementing antenatal and newborn syphilis testing and treatment in Kampala, Uganda. Methods: We conducted 15 in-depth interviews, four focus group discussions, and 16 key informant interviews between March and May 2022 with pregnant and postnatal women, male partners, health workers, traditional birth attendants, and Ministry
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