Abstract:
In this article, the authors discuss the problem of high prevalences of active syphilis amongst
key populations (KPs) in Zimbabwe, in combination with low testing rates, partly because of
a difficult legal and social environment for these populations. The article highlights the need
to develop strategies to address the high prevalence of syphilis amongst KPs. The authors
discuss requirements for addressing deficits in existing clinical services, predominantly
primary care settings, in providing primary healthcare, including sexually transmitted
infection (STI) management, to Zimbabwe’s KP communities and utility of point-of-care
testing and self-testing and other innovations to improve testing uptake.
