Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone
This study reports on the prevalence and risk factors of chronic HBV among health care workers (HCWs) in a rural secondary hospital in Sierra Leone. Additionally, data on the uptake of HBV vaccination among negatively tested HCWs and on the linkage to care among positively tested HCWs are presented....
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doaj-76f6390609fb44a4918d2e7888873f282021-04-29T23:00:17ZengMDPI AGTropical Medicine and Infectious Disease2414-63662021-04-016656510.3390/tropicalmed6020065Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra LeoneMusa Bangura0Anna Frühauf1Michael Mhango2Daniel Lavallie3Vicky Reed4Marta Patiño Rodriguez5Samuel Juana Smith6Sulaiman Lakoh7Emmanuel Ibrahim-Sayo8Sorie Conteh9Marta Lado10Chiyembekezo Kachimanga11Partners In Health, Koidu, Sierra LeonePartners In Health, Koidu, Sierra LeonePartners In Health, Koidu, Sierra LeoneKoidu Government Hospital, Ministry of Health and Sanitation, Koidu, Sierra LeonePartners In Health, Koidu, Sierra LeonePartners In Health, Koidu, Sierra LeoneDepartment of Community Medicine, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneDepartment of Medicine, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneDepartment of Medicine, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneDepartment of Medicine, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeonePartners In Health, Koidu, Sierra LeonePartners In Health, Koidu, Sierra LeoneThis study reports on the prevalence and risk factors of chronic HBV among health care workers (HCWs) in a rural secondary hospital in Sierra Leone. Additionally, data on the uptake of HBV vaccination among negatively tested HCWs and on the linkage to care among positively tested HCWs are presented. In December 2019, 781 HCWs were invited to a screening and vaccination campaign at Koidu Government Hospital in Kono District. For each HCW, demographic information and data on their HBV risk history were captured, followed by a hepatitis B surface antigen (HBsAg) test. HCWs with a negative test result were offered an HBV vaccine on the same day, after one and six months. HCWs that were HBsAg positive were linked to a free HBV clinic. In total, 80% (632) of HCWs were screened. Among the screened, 97% had never received an HBV vaccine and 10.3% (n = 65) had chronic HBV. The following characteristics were associated with being HBsAg positive: aged less than 30 years old (aOR 2.17, CI 1.16–4.03, <i>p</i> = 0.01), male gender (aOR 2.0, CI 1.06–3.78, <i>p</i> = 0.03), working experience of 1–4 years (aOR 3.99, CI 1.15–13.73, <i>p</i> = 0.03) and over 9 years (aOR 6.16, CI 1.41–26.9, <i>p</i> = 0.02). For HBsAg-negative HCWs (n = 567), 99.8% (n = 566), 97.5% (n = 553) and 82.7% (n = 469) received their first, second and third dose of the vaccine, respectively. For HBsAg-positive HCWs (n = 65), 73.9% (n = 48) were successfully linked to an HBV clinic for further care. Most HCWs are unvaccinated for HBV, and the HBV prevalence amongst this at-risk group is high. Uptake of vaccination and linkage to care was successful.https://www.mdpi.com/2414-6366/6/2/65Sierra Leonehealth care workershepatitis B viruschronic liver diseasescreeningvaccination |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Musa Bangura Anna Frühauf Michael Mhango Daniel Lavallie Vicky Reed Marta Patiño Rodriguez Samuel Juana Smith Sulaiman Lakoh Emmanuel Ibrahim-Sayo Sorie Conteh Marta Lado Chiyembekezo Kachimanga |
spellingShingle |
Musa Bangura Anna Frühauf Michael Mhango Daniel Lavallie Vicky Reed Marta Patiño Rodriguez Samuel Juana Smith Sulaiman Lakoh Emmanuel Ibrahim-Sayo Sorie Conteh Marta Lado Chiyembekezo Kachimanga Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone Tropical Medicine and Infectious Disease Sierra Leone health care workers hepatitis B virus chronic liver disease screening vaccination |
author_facet |
Musa Bangura Anna Frühauf Michael Mhango Daniel Lavallie Vicky Reed Marta Patiño Rodriguez Samuel Juana Smith Sulaiman Lakoh Emmanuel Ibrahim-Sayo Sorie Conteh Marta Lado Chiyembekezo Kachimanga |
author_sort |
Musa Bangura |
title |
Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone |
title_short |
Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone |
title_full |
Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone |
title_fullStr |
Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone |
title_full_unstemmed |
Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone |
title_sort |
screening, vaccination uptake and linkage to care for hepatitis b virus among health care workers in rural sierra leone |
publisher |
MDPI AG |
series |
Tropical Medicine and Infectious Disease |
issn |
2414-6366 |
publishDate |
2021-04-01 |
description |
This study reports on the prevalence and risk factors of chronic HBV among health care workers (HCWs) in a rural secondary hospital in Sierra Leone. Additionally, data on the uptake of HBV vaccination among negatively tested HCWs and on the linkage to care among positively tested HCWs are presented. In December 2019, 781 HCWs were invited to a screening and vaccination campaign at Koidu Government Hospital in Kono District. For each HCW, demographic information and data on their HBV risk history were captured, followed by a hepatitis B surface antigen (HBsAg) test. HCWs with a negative test result were offered an HBV vaccine on the same day, after one and six months. HCWs that were HBsAg positive were linked to a free HBV clinic. In total, 80% (632) of HCWs were screened. Among the screened, 97% had never received an HBV vaccine and 10.3% (n = 65) had chronic HBV. The following characteristics were associated with being HBsAg positive: aged less than 30 years old (aOR 2.17, CI 1.16–4.03, <i>p</i> = 0.01), male gender (aOR 2.0, CI 1.06–3.78, <i>p</i> = 0.03), working experience of 1–4 years (aOR 3.99, CI 1.15–13.73, <i>p</i> = 0.03) and over 9 years (aOR 6.16, CI 1.41–26.9, <i>p</i> = 0.02). For HBsAg-negative HCWs (n = 567), 99.8% (n = 566), 97.5% (n = 553) and 82.7% (n = 469) received their first, second and third dose of the vaccine, respectively. For HBsAg-positive HCWs (n = 65), 73.9% (n = 48) were successfully linked to an HBV clinic for further care. Most HCWs are unvaccinated for HBV, and the HBV prevalence amongst this at-risk group is high. Uptake of vaccination and linkage to care was successful. |
topic |
Sierra Leone health care workers hepatitis B virus chronic liver disease screening vaccination |
url |
https://www.mdpi.com/2414-6366/6/2/65 |
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