Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda.

<h4>Background</h4>Healthcare providers (HCPs) are at an elevated occupational health risk of hepatitis B virus infections. Post-exposure prophylaxis (PEP) is one of the measures recommended to avert this risk. However, there is limited evidence of HCPs' awareness of hepatitis B PEP...

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Main Authors: John Bosco Isunju, Solomon Tsebeni Wafula, Rawlance Ndejjo, Rebecca Nuwematsiko, Pamela Bakkabulindi, Aisha Nalugya, James Muleme, Winnie Kansiime Kimara, Simon P S Kibira, Joana Nakiggala, Richard K Mugambe, Esther Buregyeya, Tonny Ssekamatte, Rhoda K Wanyenze
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0270181
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author John Bosco Isunju
Solomon Tsebeni Wafula
Rawlance Ndejjo
Rebecca Nuwematsiko
Pamela Bakkabulindi
Aisha Nalugya
James Muleme
Winnie Kansiime Kimara
Simon P S Kibira
Joana Nakiggala
Richard K Mugambe
Esther Buregyeya
Tonny Ssekamatte
Rhoda K Wanyenze
author_facet John Bosco Isunju
Solomon Tsebeni Wafula
Rawlance Ndejjo
Rebecca Nuwematsiko
Pamela Bakkabulindi
Aisha Nalugya
James Muleme
Winnie Kansiime Kimara
Simon P S Kibira
Joana Nakiggala
Richard K Mugambe
Esther Buregyeya
Tonny Ssekamatte
Rhoda K Wanyenze
author_sort John Bosco Isunju
collection DOAJ
description <h4>Background</h4>Healthcare providers (HCPs) are at an elevated occupational health risk of hepatitis B virus infections. Post-exposure prophylaxis (PEP) is one of the measures recommended to avert this risk. However, there is limited evidence of HCPs' awareness of hepatitis B PEP. Therefore, this study aimed to establish awareness of hepatitis B PEP among HCPs in Wakiso, a peri-urban district that surrounds Uganda's capital, Kampala.<h4>Methods</h4>A total of 306 HCPs, selected from 55 healthcare facilities (HCFs) were interviewed using a validated structured questionnaire. The data were collected and entered using the Kobo Collect mobile application. Multivariable binary logistic regression was used to establish the factors associated with awareness of hepatitis B PEP.<h4>Results</h4>Of the 306 HCPs, 93 (30.4%) had ever heard about hepatitis B PEP and 16 (5.2%) had ever attended training where they were taught about hepatitis B PEP. Only 10.8% were aware of any hepatitis B PEP options, with 19 (6.2%) and 14 (4.6%) mentioning hepatitis B immunoglobulin (HBIG) and hepatitis B vaccine, respectively as PEP options. Individuals working in the maternity department were less likely to be aware of hepatitis B PEP (AOR = 0.10, 95% CI = 0.02-0.53). There was a positive association between working in a healthcare facility in an urban setting and awareness of hepatitis B PEP (AOR = 5.48, 95% CI = 1.42-21.20). Hepatitis B screening and vaccination were not associated with awareness of PEP.<h4>Conclusions</h4>Only one-tenth of the HCPs were aware of any hepatitis B PEP option. Awareness of hepatitis B PEP is associated with the main department of work and working in a healthcare facility in an urban setting. This study suggests a need to sensitise HCPs, especially those in rural HCFs and maternity wards on hepatitis B PEP. The use of innovative strategies such as e-communication channels, including mobile text messaging might be paramount in bridging the awareness gap.
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spelling doaj.art-dc3d9d90729e46fd8358aec7a96fd6892022-12-22T01:52:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176e027018110.1371/journal.pone.0270181Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda.John Bosco IsunjuSolomon Tsebeni WafulaRawlance NdejjoRebecca NuwematsikoPamela BakkabulindiAisha NalugyaJames MulemeWinnie Kansiime KimaraSimon P S KibiraJoana NakiggalaRichard K MugambeEsther BuregyeyaTonny SsekamatteRhoda K Wanyenze<h4>Background</h4>Healthcare providers (HCPs) are at an elevated occupational health risk of hepatitis B virus infections. Post-exposure prophylaxis (PEP) is one of the measures recommended to avert this risk. However, there is limited evidence of HCPs' awareness of hepatitis B PEP. Therefore, this study aimed to establish awareness of hepatitis B PEP among HCPs in Wakiso, a peri-urban district that surrounds Uganda's capital, Kampala.<h4>Methods</h4>A total of 306 HCPs, selected from 55 healthcare facilities (HCFs) were interviewed using a validated structured questionnaire. The data were collected and entered using the Kobo Collect mobile application. Multivariable binary logistic regression was used to establish the factors associated with awareness of hepatitis B PEP.<h4>Results</h4>Of the 306 HCPs, 93 (30.4%) had ever heard about hepatitis B PEP and 16 (5.2%) had ever attended training where they were taught about hepatitis B PEP. Only 10.8% were aware of any hepatitis B PEP options, with 19 (6.2%) and 14 (4.6%) mentioning hepatitis B immunoglobulin (HBIG) and hepatitis B vaccine, respectively as PEP options. Individuals working in the maternity department were less likely to be aware of hepatitis B PEP (AOR = 0.10, 95% CI = 0.02-0.53). There was a positive association between working in a healthcare facility in an urban setting and awareness of hepatitis B PEP (AOR = 5.48, 95% CI = 1.42-21.20). Hepatitis B screening and vaccination were not associated with awareness of PEP.<h4>Conclusions</h4>Only one-tenth of the HCPs were aware of any hepatitis B PEP option. Awareness of hepatitis B PEP is associated with the main department of work and working in a healthcare facility in an urban setting. This study suggests a need to sensitise HCPs, especially those in rural HCFs and maternity wards on hepatitis B PEP. The use of innovative strategies such as e-communication channels, including mobile text messaging might be paramount in bridging the awareness gap.https://doi.org/10.1371/journal.pone.0270181
spellingShingle John Bosco Isunju
Solomon Tsebeni Wafula
Rawlance Ndejjo
Rebecca Nuwematsiko
Pamela Bakkabulindi
Aisha Nalugya
James Muleme
Winnie Kansiime Kimara
Simon P S Kibira
Joana Nakiggala
Richard K Mugambe
Esther Buregyeya
Tonny Ssekamatte
Rhoda K Wanyenze
Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda.
PLoS ONE
title Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda.
title_full Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda.
title_fullStr Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda.
title_full_unstemmed Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda.
title_short Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda.
title_sort awareness of hepatitis b post exposure prophylaxis among healthcare providers in wakiso district central uganda
url https://doi.org/10.1371/journal.pone.0270181
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