A positive attitude among primary healthcare providers predicts better hepatitis B prevention practices: evidence from a cross-sectional survey in Wakiso district, Central Uganda

Ssekamatte, Tonny; Isunju, John Bosco; Zirimala, Paul Alex Kimoga; Etajak, Samuel; Kamukama, Saul; Seviiri, Mathias; Nakafeero, Mary; Nalugya, Aisha; Wafula, Solomon Tsebeni; Atusingwize, Edwinah; Bukenya, Justine; Mugambe, Richard K.

doi:10.1080/21642850.2021.1904935

Cited by 16 publications

(31 citation statements)

References 28 publications

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“…The questions used in the current study were adopted from the data collection tool that was used by Ssekamatte, Mukama [ 16 ] to establish the screening and vaccination status of healthcare providers in Wakiso district, Uganda. The data collection tool was validated by a team of experts in hepatitis B research who were based at the Makerere University College of Health Sciences [ 31 , 60 ]. Prior to data collection, all research assistants received training on the study protocol and data collection tool.…”

Section: Methodsmentioning

confidence: 99%

“…Evidence on the predictors of Hepatitis B screening and vaccination status, will inform interventions aimed at achieving the targets highlighted in the global hepatitis response strategy [ 15 ]. Our study used the Andersen’s behavioural framework of health care utilization [ 26 – 28 ] and the knowledge, attitude and practice model [ 29 – 31 ] to establish the predictors of Hepatitis B screening and vaccination status of young psychoactive substance users in the informal settlements of Kampala, Uganda. These models have previously been applied to understand Hepatitis B screening and vaccination behaviours [ 32 – 34 ].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Hepatitis B screening and vaccination status of young psychoactive substance users in informal settlements in Kampala, Uganda

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Background Young psychoactive substance users exhibit high-risk behaviours such as unprotected sexual intercourse, and sharing needles and syringes, which increases their risk of Hepatitis B infection. However, there is limited evidence of screening, and vaccination status of this subgroup. The aim of this study was to establish the predictors of screening and completion of the hepatitis B vaccination schedule. Methods A cross-sectional study using respondent driven sampling was used to enrol respondents from twelve out of fifty-seven informal settlements in Kampala city. Data were collected using an electronic structured questionnaire uploaded on the KoboCollect mobile application, and analysed using Stata version 14. A “modified” Poisson regression analysis was done to determine the predictors of screening while logistic regression was used to determine the predictors of completion of the Hepatitis B vaccination schedule. Results About 13.3% (102/768) and 2.7% (21/768) of the respondents had ever screened for Hepatitis B, and completed the Hepatitis B vaccination schedule respectively. Being female (aPR 1.61, 95% CI: 1.11–2.33), earning a monthly income >USD 136 (aPR 1.78, 95% CI: 1.11–2.86); completion of the Hepatitis B vaccination schedule (aPR 1.85, 95% CI: 1.26–2.70); lack of awareness about the recommended Hepatitis B vaccine dose (aPR 0.43, 95% CI: 0.27–0.68); and the belief that the Hepatitis B vaccine is effective in preventing Hepatitis B infection (aPRR 3.67, 95% CI: 2.34–5.73) were associated with “ever screening” for Hepatitis B. Knowledge of the recommended Hepatitis B vaccine dose (aOR 0.06, 95% CI: 0.01–0.35); “ever screening” for hepatitis B (aOR 9.68, 95% CI: 2.17–43.16) and the belief that the hepatitis B vaccine is effective in preventing Hepatitis B infection (aOR 11.8, 95% CI: 1.13–110.14) were associated with completion of the hepatitis B vaccination schedule. Conclusions Our findings indicate a low prevalence of Hepatitis B screening and completion of the Hepatitis B vaccination schedule among young psychoactive substance users in informal settings. It is evident that lack of awareness about Hepatitis B is associated with the low screening and vaccination rates. We recommend creation of awareness of Hepatitis B among young people in urban informal settlements.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of Hepatitis B screening and vaccination status of young psychoactive substance users in informal settlements in Kampala, Uganda

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“…Knowledge of OH and its bene ts may have changed the attitude of the alumni toward collaboration with individuals from other disciplines, thus discouraging working in discipline-speci c silos. Knowledge has previously been shown to in uence attitude (42). In addition, the OH alumni in these organisations may have shared their knowledge and skills, which would ultimately stimulate a multidisciplinary and collaborative approach to work.…”

Section: Discussionmentioning

confidence: 99%

Employment status of AFROHUN-Uganda One Health alumni, and facilitators and barriers for application of the One Health approach: a tracer study

Ssekamatte

Mugambe

Nalugya

et al. 2022

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BackgroundThe One Health (OH) approach integrates multiple competencies in the prevention and control of disease outbreaks. Through a range of OH competence-based activities, the Africa One Health University Network (AFROHUN) built the capacity of selected students at Makerere University and Mbarara University of Science and Technology. This study applied the Systems Theoretical Framework (STF) of career development to establish the employment status of AFROHUN-Uganda alumni, and the facilitators and barriers for application of the OH approach in their organisations.MethodsWe conducted a cross-sectional study using mixed methods to collect and analyse data from a random sample of 182 OH alumni of the 2013-2018 cohorts. For quantitative data, descriptive statistics were computed using Stata 14.0 statistical software. A total of 12 in-depth interviews were conducted, and NVivo 12 Pro was used to organise data during thematic analysis.ResultsWhile the majority, 87.4% were or got employed after participating in the AFROHUN Uganda capacity building programme, 68.1% were employed at the time of the survey, 57.7% have worked with their current employer for at least a year, and 39% hold managerial positions. The facilitators of applying the OH approach into employing organisations included being knowledgeable about OH, the presence of a multidisciplinary workforce, the nature of activities implemented, and existing partnerships and collaborations between organisations. The barriers to the application of the OH approach included limited funding, a negative attitude towards working with people from other disciplines, and limited knowledge of the One Health approach.ConclusionNotably, more than two-thirds of the OH alumni are employed, and more than a third hold managerial position. While these findings portray a fairly good absorption rate of the OH alumni into the workforce, they also highlight the facilitators of application of the OH approach that need to be promoted as well as the barriers that need to be addressed if the application of the OH approach is to be improved within the workforce.

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“…A total of 55 HCFs were surveyed. The sampling of the HCFs in the current study was purposive and has been detailed in our earlier publications (11, 27). Briefly, based on the national health facility inventory (19), we purposively selected 6 hospitals, 16 health centre IVs and 33 IIIs because these provided high-risk medical interventions such as blood transfusions, delivering higher numbers of mothers, and other surgical procedures that can elevate the risk of transmission of HBV (27, 28).…”

Section: Methodsmentioning

confidence: 99%

“…The sampling of the HCFs in the current study was purposive and has been detailed in our earlier publications (11, 27). Briefly, based on the national health facility inventory (19), we purposively selected 6 hospitals, 16 health centre IVs and 33 IIIs because these provided high-risk medical interventions such as blood transfusions, delivering higher numbers of mothers, and other surgical procedures that can elevate the risk of transmission of HBV (27, 28). Upon selection of the HCFs, data were collected using the Kobo Collect mobile application which was installed on Android-enabled mobile phones and tablets, and preloaded with the electronic version of the questionnaire.…”

Section: Methodsmentioning

confidence: 99%

Geospatial distribution of Hepatitis B prevention services in Wakiso District, Central Uganda

Ssekamatte

Isunju

Nalugya

et al. 2022

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IntroductionDespite global and national efforts in place for the prevention and control of Hepatitis B, there remains a gap in access to hepatitis B prevention services such as testing and vaccination. Nonetheless, there is limited evidence of the geospatial distribution of Hepatitis B services. This study established the geospatial distribution of HBV vaccination services in Wakiso District, Uganda.Materials and methodsA cross-sectional quantitative descriptive study was conducted among 55 healthcare facilities including 6 hospitals, and 49 primary care facilities in Wakiso district. Data were collected using the KoboCollect application. Quantitative data were analysed using STATA 14.0. A chi-square test was performed to establish the relationship between healthcare facility characteristics and the availability of hepatitis B services. ArcGIS (version 10.1) was used for analysis of geospatial data.ResultsThe hepatitis B vaccine was available in only 27.3 % (15) of the facilities, and 60% (33) had testing services. Receipt of the hepatitis B vaccine doses in the last 12 months was associated with the level of healthcare facility (p=≤0.001) and location (p=0.030). Availability of the Hepatitis B vaccines at the time of the survey was associated with the level of healthcare facility (p=0.002) and location (p=0.010). Availability of hepatitis B testing services was associated with level of healthcare facility (p=0.031), ownership (p≤0.001) and location (p=0.010). Healthcare facilities offering vaccination and testing services were mostly in urban healthcare facilities, and close to Kampala, Uganda’s capital.ConclusionHepatitis B services were sub-optimal across all healthcare facility levels, locations, and ownership. The majority of the hepatitis B prevention services were provided in urban settings, close to major towns, municipalities, and the city. This calls a extension of hepatitis B prevention services to rural, public and PNFP healthcare facilities.

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A positive attitude among primary healthcare providers predicts better hepatitis B prevention practices: evidence from a cross-sectional survey in Wakiso district, Central Uganda

Cited by 16 publications

References 28 publications

Predictors of Hepatitis B screening and vaccination status of young psychoactive substance users in informal settlements in Kampala, Uganda

Predictors of Hepatitis B screening and vaccination status of young psychoactive substance users in informal settlements in Kampala, Uganda

Employment status of AFROHUN-Uganda One Health alumni, and facilitators and barriers for application of the One Health approach: a tracer study

Geospatial distribution of Hepatitis B prevention services in Wakiso District, Central Uganda

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