Healthcare Provider Perspectives on Congenital Syphilis Prevention in NSW Aboriginal and Torres Strait Islander Communities

Congenital syphilis is a significant and preventable condition that disproportionately affects Aboriginal and Torres Strait Islander communities. Untreated syphilis infection can lead to significant morbidity over a number of years, and during pregnancy, congenital syphilis causes adverse outcomes such as stillbirth, neonatal death, prematurity and low birth weight.

In September 2024, three co-design workshops were conducted across rural and metropolitan areas with healthcare providers from NSW Health services, ACCHOs, and NGOs. Healthcare providers are central to the prevention and treatment of syphilis, often serving as the primary link between communities and health services.

This report consolidates providers’ perspectives, gained from the workshops, identifying practical challenges and solutions based on their experiences, highlighting gaps in resources, service accessibility, and cultural competencies. These insights are essential for designing responsive, culturally safe, and effective public health interventions.