Knowledge, Attitude, and Practice of pregnant women toward Intermittent preventive treatment during pregnancy in selected medical centers in banadir region, Mogadishu Somalia.; A Cross-Sectional Study.

Mohamud, Abdirahman Khalif; MOHAMUD, BAHJO ISMAIL

doi:10.21203/rs.3.rs-1702975/v2

Cited by 4 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A study conducted in Ethiopia reached similar conclusions and recommended educational and awareness programs for healthcare workers to discourage traditional dental procedures that may increase the risk of HBV infection [66-69]. Other studies have also supported these ndings [70][71][72][73].…”

Section: Discussionmentioning

confidence: 64%

What are the risk factors associated with Hepatitis B Virus infection in Somalia?

Mohamud,

Inchon,

Suwannaporn

et al. 2024

Preprint

Self Cite

View full text Add to dashboard Cite

Background The Hepatitis B virus (HBV) is transmitted through contaminated blood or bodily fluids. Globally, over 81 million blood units are donated annually, a crucial therapeutic procedure without alternatives. However, blood-borne infections, including HBV, pose a significant hurdle to safe transfusions, especially in HBV-endemic regions like Somalia with limited screening. Therefore, this study aims to estimate the prevalence of Hepatitis B virus infection and identify risk factors associated with it among blood donors in Mogadishu, Somalia. Method A hospital-based cross-sectional study was conducted between February and April 2023. Research tools included a 5-ml blood sample and a structured questionnaire. The presence or absence of HB markers was determined using a multi-HB rapid test and CDC’s HB marker interpretation guideline. Logistic regression was used in univariate and multivariate models to identify risk factors associated with HBV infection, with significance set at a p-value < 0.05 in the final model. Result A total of 494 blood donors were recruited for this study; 93.9% were male, with a mean age of 31.5 (SD = 8.11). The prevalence of Hepatitis B virus (HBV) infection among blood donors was 9.7%, with a 95% CI of 7.1–12.3. In multivariable logistic regression, those with a monthly income of less than 200 USD (AOR = 5.20, 95% CI = 1.61–16.79), those with an income between 200 and 400 (AOR = 3.59, 95% CI = 1.38–9.34), Jobless blood donors (AOR = 3.78, 95% CI = 1.17–12.20), those in business occupations (AOR = 3.35, 95% CI = 1.24–9.08), those with a history of STDs (AOR = 4.83, 95% CI = 2.03–11.50), those without a history of HB vaccine (AOR = 13.81, 95% CI = 2.46–77.41), those with a history of tooth extraction (AOR = 6.90, 95% CI = 2.66–17.88), and those who shared sharp equipment (AOR = 2.90, 95% CI = 1.07–7.82) were more likely to become infected with the Hepatitis B virus (HBV) compared to their counterparts. Conclusion This study highlights a high prevalence of Hepatitis B virus (HBV) infection. Implementation efforts against HBV infection should specifically focus on low-income individuals, the jobless, and donors with a history of STD to mitigate the burden of HBV infection and promote safer blood donation. In addition, discouraging the sharing of sharp equipment, improving infection control practices during tooth extraction procedures, and enhancing HB vaccination uptake, particularly among individuals lacking a history of HB vaccine, is highly recommended.

show abstract

Section: Discussionmentioning

confidence: 64%

What are the risk factors associated with Hepatitis B Virus infection in Somalia?

Mohamud,

Inchon,

Suwannaporn

et al. 2024

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…Like other CBS implementations (2,6,11,28), the timeliness of veri cation and response was shown to be very high, particularly considering poor network could be a challenge for the supervisor to reach the volunteers, and documentation was not always completed at the same time a response occurs. However, good improvements have been made on timely veri cation and closure of alerts after the 2020 evaluation.…”

Section: Discussionmentioning

confidence: 89%

“…Trained RCRC volunteers can improve access to health information and care. Studies on early outbreak detection through CBS by volunteers of the RCRC membership leading to early response and con nement of the outbreak have been reported previously, e.g., (6,(11)(12)(13). However, data demonstrating effectiveness of CBS remains limited (9).…”

Section: Introductionmentioning

confidence: 95%

Community-based surveillance programme evaluation using the platform Nyss implemented by the Somali Red Crescent society – a mixed methods approach

Jung,

Larsen,

Beledi

et al. 2023

Preprint

View full text Add to dashboard Cite

Background The Somali Red Crescent Society (SRCS) and the Norwegian Red Cross have implemented community-based surveillance (CBS) in Somaliland branches to reduce the high risk of epidemics by strengthening early warning and response from and at community level. CBS is implemented through SRCS community volunteers reporting health risks or events from the community via SMS to the software platform Nyss. This paper presents results of the CBS programme evaluation from 2021. Methods The attributes usefulness, flexibility, simplicity, data quality, acceptability, sensitivity, and timeliness were investigated. Routine CBS data from 2021 from Nyss for Awdal and Togdheer region and data from qualitative interviews with different stakeholders were analysed. Results The usefulness of the CBS programme in preventing, detecting, and responding to disease outbreaks was acknowledged by the stakeholder. In 2021, CBS generated 138 alerts in Awdal region out of which 83% were escalated to the Ministry of Health and Development (MoHD) as true, meaning they were matching the Community case definition (CCD). For Togdheer region it was 218 out of which 97% were escalated. Cross-checking of alerts by supervisors was done timely. The programme was flexibly adjusted for new diseases and changing CCDs. Average completeness was 68% for Awdal and 64% for Togdheer. Alert outcome documentation was done for 63% and 64% out of the escalated alerts for Awdal and Togdheer respectively. For 85% and 98% of these, “action taken” was recorded, indicating any form of response had been carried out. Evidence on sensitivity was limited. Stakeholders appreciated being engaged, the good collaboration and acceptance of the programme. Conclusion The evaluation showed positive results related to the attributes but also identified indicators to improve on. One major improvement to be worked on is documentation of the outcome of alerts to provide better evidence on further system attributes. A participatory approach and implementation through volunteers showed to be vital in conducting CBS successfully to prevent large scale epidemics by rapid response through the volunteers themselves and early warning of the health authorities and communities. Nyss was useful to ensure early warning of potential health risks, as well as for efficient programme monitoring and evaluation.

show abstract

“…Another similar study highlighted how inadequate knowledge or beliefs about HBV and its transmission can contribute to low vaccination rates within certain communities [45]. Addressing these attitudes and beliefs through targeted education and awareness campaigns, as recommended in previous studies, is crucial in increasing HBV screening, vaccination, and overall prevention efforts [46,47].…”

Section: Discussionmentioning

confidence: 98%

Associations between Knowledge, Attitudes, and Practices Regarding Hepatitis B Virus Infection and HBV Infection among Blood Donors in Mogadishu, Somalia: A Hospital-based Cross-sectional Study

Mohamud,

Inchon,

Suwannaporn

et al. 2024

Preprint

Self Cite

View full text Add to dashboard Cite

Background Globally, more than 81 million blood units are donated annually, and blood transfusion stands as a crucial medical procedure with no viable substitute. Unsafe blood transfusion contributes to 8 to 16 million new hepatitis B virus (HBV) infections, particularly in sub-Saharan Africa. Somalia faces a high demand for blood transfusions with a prevalent HBV infection rate, driven by various factors, yet no similar previous study exists. The objective of this study was to determine the associations between the knowledge, attitudes, and practices of blood donors concerning HBV infection and their infection status in Mogadishu, Somalia. Methods A cross-sectional study was conducted in data collection between February and April 2023, using a 5ml blood sample and a well-structured questionnaire. A rapid test was utilized to indicate HBV positivity. Univariable and multivariable logistic regressions were employed to determine the associations, considering at α = 0.050 as statistically significant. Results Out of the 420 blood donors who participated in this study, 34 (8.1%) tested positive for HBV infection. The majority of the participants (94.2%) were males with an average age of 30.4 (SD ± 7.2). In multivariable logistic regression, the study revealed that blood donors with poor knowledge (AOR = 5.80, 95% CI = 1.69–19.89), those with moderate knowledge (AOR = 4.41, 95% CI = 1.09–17.90), and those with poor practices (AOR = 3.52, 95% CI = 1.09–11.34) toward HBV infection were more likely to become infected compared to their counterparts. Conclusion Blood donors in Mogadishu, Somalia, face a high burden of HBV infection. To effectively address this issue and ensure a safer blood supply, prioritizing initiatives aimed at enhancing the knowledge of blood donors regarding HBV infection is crucial. This involves educating donors about the various modes of transmission, emphasizing preventive measures, and stressing the importance of regular screenings. Additionally, encouraging better practices related to HBV infection among blood donors is essential in this endeavor.

show abstract

Knowledge, Attitude, and Practice of pregnant women toward Intermittent preventive treatment during pregnancy in selected medical centers in banadir region, Mogadishu Somalia.; A Cross-Sectional Study.

Cited by 4 publications

References 0 publications

What are the risk factors associated with Hepatitis B Virus infection in Somalia?

What are the risk factors associated with Hepatitis B Virus infection in Somalia?

Community-based surveillance programme evaluation using the platform Nyss implemented by the Somali Red Crescent society – a mixed methods approach

Associations between Knowledge, Attitudes, and Practices Regarding Hepatitis B Virus Infection and HBV Infection among Blood Donors in Mogadishu, Somalia: A Hospital-based Cross-sectional Study

Contact Info

Product

Resources

About