Houston Health Department Launches My Prenatal Promise Campaign

Houston Health Department launches new campaign emphasizing importance of prenatal care, syphilis testing for expectant mothers

Amid sharp increases of congenital syphilis, campaign promotes education, testing, prevention and treatment

HOUSTON (Feb. 4, 2020) — Responding to a spike in syphilis cases among women in Harris County, the Houston Health Department (HHD) is launching a campaign urging expectant mothers to seek consistent prenatal care and required syphilis testing to prevent congenital syphilis.

The new campaign, called “My Prenatal Promise,” targets women of childbearing age (16-44), and emphasizes the importance of prenatal care and getting tested three times for syphilis, as required by Texas state law. The goals are to increase awareness about prenatal care and its link to the prevention of congenital syphilis, to promote the prevention, diagnosis and treatment of syphilis and to educate and encourage women to get tested for syphilis, HIV and other sexually transmitted infections (STIs) during pregnancy. The campaign emphasizes three actions: “Talk, Test and Treat.”

The first action, “talk,” urges expectant mothers — preferably accompanied by the fathers of the unborn babies — to specifically discuss STI testing with their doctors. The second action, “test,” urges taking all necessary tests to detect syphilis, HIV or other STIs. The third action, “treat,” urges expectant mothers to get treated immediately if diagnosed with syphilis.

Marlene McNeese, assistant director of the HHD’s Division of Disease Prevention and Control, added that many pregnant women are unaware of the importance of getting tested regularly for STIs.

“The ‘My Prenatal Promise’ campaign is designed to educate, encourage and equip women with the information and resources they need to receive the best prenatal care for themselves and their babies so that they can stay healthy during their pregnancy,” McNeese said. “This campaign has the potential to reverse the  rise in congenital syphilis cases in Texas and in the Houston/Harris County area.”

The number of congenital syphilis cases among pregnant mothers in Houston and Harris County more than doubled from 2017 (47 cases) to 2018 (104 cases) — a 121 percent increase. Women ages 18-34 in Harris County accounted for 92 percent of all syphilis cases from 2017 to 2018. In 2018, Houston ranked first (at 88 percent) in Harris County for all reported congenital syphilis cases. Meanwhile, Texas ranked fourth for total congenital syphilis cases reported in the United States in 2017, according to the Centers for Disease Control and Prevention (CDC). In 2018, Texas saw increased cases of syphilis in women of childbearing age along with a rise in congenital syphilis cases. The number of congenital syphilis cases in Texas increased 124 percent between 2017 (164 cases) and 2018 (367 cases), led by Harris County. This is the largest number of congenital syphilis cases reported annually in Texas in more than 20 years.

The integrated marketing campaign, developed in English and Spanish, will feature a series of communication elements focusing on the expectant mother and her doctor and on the mother and child to emphasize that pregnant women must get tested. The campaign will be anchored by the “My Prenatal Promise” website, three 30-second public service announcements (PSAs) for broadcast TV and cable networks,  two 15-second radio PSAs for urban and Spanish-language radio stations, multiple Facebook and Instagram social media ads, a YouTube channel and precision mobile/display targeting ads.

Another strategic pillar of the “My Prenatal Promise” campaign calls on expectant mothers to make a personal “My Prenatal Pledge” (MPP) to get tested for syphilis, HIV and other sexually transmitted infections when they visit the campaign’s website. The campaign also asks them to share the pledge on social media to increase awareness among other expectant mothers and all Houstonians.

“If you are pregnant or planning to become pregnant, it is important to get routine prenatal care and make certain that syphilis testing is a regular facet of that care,” said Lupita Thornton, HHD Public Health Investigation manager. “Pregnant women need to get tested for syphilis at their first prenatal visit, during the third trimester and at delivery.”

Statewide legislation formally enacted in September 2019 requires syphilis testing by doctors at three intervals of a woman’s pregnancy. Although syphilis is a sexually transmitted disease, congenital syphilis occurs when a pregnant woman is diagnosed with syphilis and passes the infection to her unborn child during fetal development or at birth — which can cause serious health problems such as premature and low birth weight infants, blindness, physical deformities, miscarriage, stillbirth or infant death.

About the Houston Health Department

The Houston Health Department (HHD) has provided traditional public health services for more than 180 years, seeking to use innovative methods to market the community’s present and future needs. Our mission is to work in partnership with the community to promote and protect the health and social well-being of all Houstonians and the environment in which they live.  HHD is now the first health department in Texas and the second in a large U.S. city to earn national accreditation from the Public Health Accreditation Board (PHAB).

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My Prenatal Pledge

"I pledge to be the best mother I can be for the most optimal health of my unborn baby!!!"

C. Parham, An Expectant Mother, 35-44, Houston

My Prenatal Pledge

"I already got my first trimester testing for STIs, and I am grateful to be healthy. I take my health + my growing baby's health very seriously."

L Leonhardt, An Expectant Mother, 25-34, Harris County

My Prenatal Pledge

"To get tested and to stay clean."

N. Crawford, An Expectant Mother, 35-44, Houston

My Prenatal Pledge

"I PLEDGE To: Get tested three times for syphilis, HIV and other STIs, and to also share My Prenatal Pledge with my family, friends and on social media with other expectant mothers and all Houstonians."

Danielle Jackson, An Expectant Mother, 25-34, Harris County

My Prenatal Pledge

"To stay healthy and sti free during my pregnancy."

T Wright, An Expectant Mother, 25-34, Harris County