Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria

Omotowo, I. B.; Meka, Ijeoma A; Ijoma, Uchenna; Okoli, V. E.; Obienu, Olive; Nwagha, Theresa Ukamaka; Ndu, Afam; Onodugo, D. O.; Onyekonwu, L. C.; Ugwu, Emmanuel Onyebuchi

doi:10.1186/s12879-018-3191-9

Cited by 58 publications

(67 citation statements)

References 16 publications

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“…However, we found that a lower number of students (43.2%) were aware of the recommended number of doses of the vaccine despite knowing the correct route of administration (75.3%).Our findings are similar to those among medical students in Cameroon that showed a majority had adequate knowledge of HBV infection and vaccine, and HBV transmission [31]. However, they are different from those found among medical students in India, Syria, Nigeria and Lao PDR, which found poor knowledge, and lack of awareness about hepatitis B, its routes of transmission, risk factors, and modes of prevention [32][33][34][35].…”

Section: Discussionsupporting

confidence: 74%

Factors affecting HBV vaccination in a Medical training College in Kenya: A mixed methods Study

Maina

Bii

2020

BMC Public Health

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Background: Hepatitis B Virus (HBV) is highly endemic in Sub-Saharan Africa with 70 to 90% of the population becoming infected before the age of 40 years. Healthcare workers (HCWs) including healthcare students (HCSs) are at an increased risk of contracting HBV due to occupational exposure. HCSs are especially at a high risk because of their inexperience with infection control procedures and insufficient knowledge about the level of risk when dealing with patients. Despite the availability of an effective vaccine, and its recommendation by Kenya's Ministry of Health, few HCW and students are vaccinated. The aim of this study was to evaluate the influence of awareness, attitude, practices, and access factors on hepatitis B vaccination uptake by HCSs at Kenya Medical Training College (KMTC). Methods: This was a concurrent mixed methods study. For the quantitative arm, a structured questionnaire was used to assess the awareness, knowledge, attitudes and practices towards HBV disease and vaccination. Accessibility of the HBV vaccine in the participating campuses was also assessed. Two FGDs were carried out: one comprised of student representatives of the participating campuses while the second comprised of members of staff. Quantitative data was analysed using STATA (version 15) while NVIVO (version 11) was used for qualitative data. Results: Out of 634 students invited to participate in the study, 487 participated (response rate 76.8%). Majority of the respondents were from Nairobi Campus (44.2%) and from the Department of Nursing (31.2%). HBV vaccine uptake rate was 85.8% while the non-vaccination rate was 14.3%. Full vaccination was reported by only 20.2% of respondents. The major reason for not receiving the recommended doses was the unavailability of the vaccine when students went for it. The qualitative study revealed challenges in the implementation of the vaccination program at KMTC. Conclusions: Full vaccination rates remained low despite good knowledge of HBV infection and positive attitude towards vaccination. There is therefore need to streamline vaccination programs in medical colleges to ensure availability and accessibility of the vaccine to healthcare students.

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Section: Discussionsupporting

confidence: 74%

Factors affecting HBV vaccination in a Medical training College in Kenya: A mixed methods Study

Maina

Bii

2020

BMC Public Health

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“…Fourteen included studies assessed the awareness of 9,446 Africans in regard to HBV, three studies were conducted in each of Nigeria [61,62,64] , Cameroon [20,40,58] and Ghana [12,15,28] , two in Ethiopia [32,52] , one in each of Kenya, Mozambique and Madagascar [26,57,71] . The oldest among the study included was conducted in 2010 while the newest was conducted in 2016 (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Knowledge Gaps of STIs in Africa; Systematic review

Suluiman¹,

SalahEldin

Idris

et al. 2019

Preprint

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30Sexually Transmitted Infections (STIs) are ambiguous burden of tremendous health, social and 31 economic consequences, The current systematic review was conducted in order to determine 32 awareness and knowledge of Africans of sexually transmitted infections, not only concerning 33 HIV/AIDS, but also other STIs such as, gonorrhea, syphilis, HBV, HCV and HPV. A systematic 34 review of the literature was conducted, studies were retrieved and selected after they fulfilled the 35 inclusion criteria and passed the assessment procedure. related data was extracted, quantitative 36 analysis was conducted among participants who responded to questions related to HIV, HBV, HCV, 37 HPV or STIs knowledge, sensitivity analysis as well as subgroup analysis were also conducted. 38 Seventy four articles addressing knowledge among 35 African countries were included and 136 39 questions were analyzed and synthesized. The question Using condom will reduce HIV 40 transmission?'' was answered by 1,799,374 Africans in 35 countries, 66.82% [95% Cl; 62.65, 70.98] 41 answered yes. While the question ''Is sexual contact a possible route of HBV transmission?'' was 42 answered by 7,490 participants in 5 countries; 42.58% [95% Cl; 20.45, 64.71] answered yes. The 43 differences observed among populations are highlighting the possibility for containment and control 44 by directing light toward specific populations or countries as well as addressing specific awareness 45 knowledge to ensure that the general as well as the related specific preventive awareness knowledge 46 is improved. 47 Introduction 50 Sexually transmitted Infections (STIs) are ambiguous burden of tremendous health, social and 51 economic consequences. Most of them are hidden because many people may feel stigmatized when 52 addressing them. Moreover, the committee on prevention and control of sexually transmitted diseases 53 in USA estimated that the annual costs of selected major STDs are approximately $10 billion or, if 54 sexually transmitted HIV is included, $17 billion [1] . 55 According to UNAIDS; almost 37 million people globally were living with HIV in 2017, sub-Saharan 56 Africa accounted for 66% of the cases, 68% of new adult HIV infections, 92% of new infections in 57 children and 72% of all AIDS-related deaths. Earlier in 2009, Swaziland topped the world's HIV 3 58epidemic countries with a 26% prevalence among adults, while South Africa was the country with the 59 world's largest prevalence of people living with HIV as 5.6 million [2,3] . 60On the other hand and according to WHO; an estimated 257 million people are living with HBV 61 infection with the highest prevalence in the Western Pacific Region and the African Region as 6.2% 62 and 6.1% of the adult population are infected, respectively. About 1% of persons living with HBV 63 infection (2.7 million people) are also infected with HIV. Moreover, approximately 399,000 people 64 89 exception was if the collection process continued months/years earlier than 2010 and ended in 2010 or 90 afterwards. The keyw...

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“…Fourteen included studies assessed the awareness of 9,446 Africans in regard to HBV, three studies were conducted in each of Nigeria [61,62,64], Cameroon [20,40,58] and Ghana [12,15,28], two in Ethiopia [32,52], one in each of Kenya, Mozambique and Madagascar [26,57,71]. The oldest among the study included was conducted in 2010 while the newest was conducted in 2016 (Table 1).…”

Section: Hepatitis B Virus (Hbv)mentioning

confidence: 99%

Knowledge gaps of STIs in Africa; Systematic review

Badawi¹,

SalahEldin

Idris

et al. 2019

PLoS ONE

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Sexually Transmitted Infections (STIs) are ambiguous burden of tremendous health, social and economic consequences. The current systematic review was conducted in order to determine awareness and knowledge of Africans toward sexually transmitted infections, not only concerning HIV/AIDS, but also other STIs such as gonorrhea, syphilis, HBV, HCV and HPV. A systematic review of literature was conducted, studies were retrieved and selected after fulfilling the inclusion criteria as well as passing the assessment procedure. Related data was extracted, quantitative analysis was conducted among participants who responded to questions related to HIV, HBV, HCV, HPV or STIs knowledge, sensitivity analysis as well as subgroup analysis were also conducted. Seventy four articles addressing knowledge among 35 African countries were included and 136 questions were analyzed and synthesized. The question "does using condom reduces HIV transmission?" was answered by 1,316,873 Africans in 35 countries, 66.8% [95% Cl; 62.6, 70.9] answered yes. While the question "is sexual contact a possible route of HBV transmission?" was answered by 7,490 participants in 5 countries; 42.5% [95% Cl; 20.4, 64.7] answered yes. The differences observed among populations are highlighting the possibility for improvement by directing light toward specific populations as well as addressing specific awareness knowledge to ensure that the general as well as the related specific preventive knowledge is improved.

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Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria

Cited by 58 publications

References 16 publications

Factors affecting HBV vaccination in a Medical training College in Kenya: A mixed methods Study

Factors affecting HBV vaccination in a Medical training College in Kenya: A mixed methods Study

Knowledge Gaps of STIs in Africa; Systematic review

Knowledge gaps of STIs in Africa; Systematic review

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