FERTALY: A Rapid Ethnographic Community-based Systems Assessment of Congenital Syphilis in High Risk Communities of Montana

2025

Rates of congenital syphilis (CS) in both the U.S. and Montana have risen sharply. American Indian women in Montana are disproportionately impacted. Increased rates of CS are syndemically linked to other risk factors for pregnant people in Montana, including substance use, lack of housing, poverty, stigma, lack of prenatal care, and insufficient support systems. A community-level, systems-focused needs assessment will serve to document how multiple factors are intertwined to impact pregnant people's access to syphilis testing and treatment in high-risk communities. We will conduct a community-level assessment of barriers and pathways to CS prevention in the greater Billings, MT area (Yellowstone, Rosebud, and Big Horn counties). Findings will support DPHHS and other community partners in the development of practical responses to increased rates of CS. Responses may include targeted interventions, policy changes, or establishing collaboration among partners.

Congenital Syphilis Prevention, Maternal and Child Health, Needs Assessment

Performing Research or Evaluation

Health-Related Activities

Professionals and Para-Professionals, General Public

Racial or Ethnic Minorities, Disadvantaged Circumstances, Geographic Areas, Reservation, Rural/Remote

Mulit-County

N/A