Knowledge, attitude, and practise of healthcare workers toward hepatitis B virus infection in Sudan

Bakry, Salah; Mustafa, Asim Faroug; Eldalo, Ahmed; Yousif, MA

doi:10.1016/j.jcv.2015.06.015

Cited by 6 publications

(8 citation statements)

References 6 publications

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“…10 Similarly, a study from Sudan showed that although over 90% of hospital staff had knowledge about HBV transmission but less than 50% reported having received vaccination against HBV (one or more doses). 11 These reports, similar to ours, show alarming evidence that very few health-care workers in sub-Saharan Africa report receiving vaccination against HBV. This is of critical importance since accidental injuries, both percutaneous and mucosal types, are common.…”

supporting

confidence: 80%

Knowledge of Hepatitis B Transmission Risks Among Health Workers in Tanzania

Debes

Kayandabila

Pogemiller

2016

The American Society of Tropical Medicine and Hygiene

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Abstract. Healthcare workers are at increased risk of contracting hepatitis B virus (HBV), particularly in settings of high HBV seroprevalence, such as sub-Saharan Africa. We evaluated HBV knowledge among health-care workers in rural Tanzania by distributing an HBV paper survey in two northern Tanzanian hospitals. There were 114 participants (mean age 33 years, 67% female). Of the participants, 91% were unaware of their HBV status and 89% indicated they had never received an HBV vaccine, with lack of vaccine awareness being the most common reason (34%), whereas 70% were aware of HBV complications and 60% understood routes of transmission. There was a significant difference in knowledge of HBV serostatus and vaccination between participants with a medical background and others, P = 0.01 and 0.001, respectively. However, only 33% of consultants (senior medical staff) knew their HBV serostatus. There was no significant difference between knowledge of HBV transmission routes and occupation. Our study reveals low knowledge of HBV serostatus and vaccination status among hospital workers in Tanzania.Infection with the hepatitis B virus (HBV) represents a major cause of morbidity and mortality worldwide, with an estimated 350 million people infected, of which the great majority reside in Asia and sub-Saharan Africa.1,2 Chronic infection with HBV can lead to cirrhosis and/or liver cancer. The therapeutic resources to battle either cirrhosis or liver cancer in the developing world are scarce, and in sub-Saharan Africa, both conditions carry an extremely high risk of mortality within a year of diagnosis.2,3 It is well known that health-care workers are at increased risk for HBV transmission, largely due to transmission via blood contacting mucosa. 4,5 Although the likelihood of chronic disease during contact with HBV in adulthood is low, the probability of being infected through this route is higher than with the human immunodeficiency virus (HIV). 6The risk of HBV transmission in health-care workers is highest in a setting of high seroprevalence of the virus within a population, such as sub-Saharan Africa, where the overall prevalence of hepatitis B surface antigen in blood is > 8%. 2,5 In this environment, adherence to universal precautions is critical to prevent HBV transmission. A recent survey regarding occupational exposure in Tanzania observed that nearly half of health-care workers experienced at least one occupational injury within the 12 months preceding the survey. 7 In that study, workers were mainly concerned about transmission of HIV. Knowledge of HBV transmission risks in African healthcare facilities is important since it is likely to modify healthcare workers' adherence to precautions. 8In this study, we aimed to assess the knowledge of HBV serostatus as well as barriers to HBV vaccination in Tanzanian health-care workers. We provided a paper survey to staff in two hospitals in northern Tanzania (Arusha Lutheran Medical Center and Selian Lutheran Hospital, both within the Arusha region of northern Tanzania...

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supporting

confidence: 80%

Knowledge of Hepatitis B Transmission Risks Among Health Workers in Tanzania

Debes

Kayandabila

Pogemiller

2016

The American Society of Tropical Medicine and Hygiene

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“…Meanwhile, other national studies have not been identified on the theme, with a focus on nursing. International research points to deficient knowledge, attitude and practice of health professionals about infection by the hepatitis B virus (8) . On the other hand, another study identified a high knowledge of obstetricians and gynecologists about preventing infectious diseases, including hepatitis B, in pregnancy (9) .…”

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confidence: 99%

Knowledge, attitudes and practices of nurses and doctors about the vertical transmission of hepatitis B

Gonçalves

2013

Rev. Latino-Am. Enfermagem

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Objective: to identify knowledge, attitudes and practices of physicians and nurses of the Family Health Strategy and a maternity hospital unit about vertical transmission of hepatitis B. Method: a cross-sectional study with a self-administered questionnaire applied to professionals. The data were analyzed according to professional category and site of action, whose differences were tested by χ 2 and significance <5%. Results: professionals recognize viral hepatitis as a disease of compulsory notification; however, not everyone knows its mechanisms of transmission. A large portion of professionals requested serological tests, specifying the marker, especially physicians.The majority of family health nurses did not indicate hepatitis B vaccine for pregnant women, although they knew the immunization schedule. The majority of physicians on the maternity unit had proper knowledge about prevention of vertical transmission. Conclusion: the differences in the knowledge, attitudes and practices about vertical transmission of hepatitis B revealed that the population is at risk, since not all the professionals involved know or properly perform control strategies for vertical transmission of hepatitis B. Nurses dominated vaccination aspects and physicians dominated aspects related to the management of cases with positive serology.

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“…4,6,[14][15][16][17][18] On questions pertaining to Integrated Management of Neonatal and Childhood Illnesses (IMNCI), Infant and Young Child Nutrition (IYCN) and Oral rehydration solution (ORS), nearly 50% of both ANMs and LWs responded correctly in the pre-test and also showed significant improvement in their post-test scores. (Tables 1 and 2) Other researchers [20][21][22] have reported lack of awareness among paramedical staff on various aspects of neonatal and child care.…”

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confidence: 99%

Cross-sectional comparative study of the effect of refresher training on the knowledge, attitude and practices of urban primary health care providers

Malgaonkar

Kartikeyan

2016

Int J Community Med Public Health

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INTRODUCTIONPrimary health care providers cater to the basic health needs of people in urban and rural areas and endeavour to provide critically needed outreach services in urban slums and remotest villages. For providing credible and good quality services to those in need, it is imperative that these primary health care providers have the basic knowledge and a positive conducive attitude regarding the services they deliver. Urban health posts (UHPs), launched under the Urban Revamping Scheme to provide primary health care in urban slums, are staffed by auxiliary nurse midwives (ANMs), also known as multipurpose health workers (female), who are trained paraprofessional health care providers and function as the first contact between the community and the formal health care system. Link workers (LWs) are primarily female volunteers from local communities, who identify high-risk groups and mobilise vulnerable and inaccessible sub-groups in the community. Various studies have emphasized the ABSTRACT Background: Primary health care providers, who cater to the basic health care needs in urban and rural areas, ought to have the basic knowledge and a positive attitude in relation to the services they deliver. This cross-sectional, complete-enumeration, before-and-after study was conducted to determine the outcome of refresher training on the knowledge, attitudes and practices of auxiliary nurse midwives (ANMs), and link workers (LWs) in an urban area in Western India. Methods: Each willing participant answered a structured pre-test questionnaire containing 25 questions in the local language (Marathi), following which, Government-approved refresher training (3 days for ANMs and 1 day for LWs) was conducted in the same language. The participants took the same questionnaire after the refresher training (posttest). The pre-and post-test scores were tabulated and statistically analysed. Results: In case of ANMs (n=60), the post-test scores (mean=20.7; SD=1.8) improved over the pre-test scores (mean=17.5; SD=2.76). The LWs (n=170) also bettered their post-test scores (mean=20.9; SD=2.52), over their pretest scores (mean=14.4; SD=4.41). The degree of improvement in scores varied from marginal to statistically significant. Conclusions: Though the post-test results were encouraging, sustained efforts would be required to bring about the desired attitudes and practices. As a consequence of the widespread use of mobile phones, it is possible to conduct periodic refresher training through mobile phones at a much lower cost.

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Knowledge, attitude, and practise of healthcare workers toward hepatitis B virus infection in Sudan

Cited by 6 publications

References 6 publications

Knowledge of Hepatitis B Transmission Risks Among Health Workers in Tanzania

Knowledge of Hepatitis B Transmission Risks Among Health Workers in Tanzania

Knowledge, attitudes and practices of nurses and doctors about the vertical transmission of hepatitis B

Cross-sectional comparative study of the effect of refresher training on the knowledge, attitude and practices of urban primary health care providers

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