Implementation Of Triple Elimination Screening (Hiv, Syphilis, And Hepatitis B) Among Pregnant Women In Developing Countries: A Scoping Review

This manuscript is a scoping review discussing the implementation of Triple Elimination screening (HIV, syphilis, and Hepatitis B) among pregnant women in developing countries. The main focus of the study is to identify and map the factors influencing the implementation of this screening. Based on the review of 10 relevant articles, four main themes were found to affect the implementation of Triple Elimination screening: individual factors (knowledge, attitudes, motivation, risk behaviors, and antenatal care utilization); family and social factors (husband/family support, stigma, and social norms); health service and provider factors (availability of test kits, service integration, and the workload and communication of health providers); and system and policy factors (national program support, funding, logistics, and health information systems). The conclusion of the study indicates that the successful implementation of Triple Elimination screening is influenced by enhanced maternal knowledge and motivation, family support, reduced social stigma, and the integration of services into a single antenatal visit. However, challenges such as limited availability of test kits, high healthcare provider workload, and logistical issues remain significant barriers. Therefore, efforts to optimize the implementation of this screening need to include improvements in logistics systems, healthcare provider training, and interventions targeting both individual and social factors.