PMID- 36915413
OWN - NLM
STAT- MEDLINE
DCOM- 20230315
LR  - 20230315
IS  - 1937-8688 (Electronic)
VI  - 43
DP  - 2022
TI  - Determinants and preventive practices of midwives and physicians toward vertical 
      transmission of hepatitis B in Ghana: a cross-sectional survey.
PG  - 183
LID - 10.11604/pamj.2022.43.183.31794 [doi]
LID - 183
AB  - INTRODUCTION: countries in sub-Saharan Africa, including Ghana, are 
      disproportionately affected by hepatitis B viral (HBV) infection. In these areas, 
      mother-to-child transmission (MTCT) is an essential mode of HBV transmission. 
      Evidently, timely hepatitis B birth dose vaccination remains an effective 
      preventive intervention against MTCT of HBV. Considering that midwives and 
      physicians are the primary care providers of newborns in Ghana, we sought to 
      examine their preventive practices toward vertical transmission of HBV in the 
      eastern region of Ghana. METHODS: a cross-sectional survey was conducted with 126 
      healthcare providers (HCP; midwives and physicians). The participants were 
      conveniently recruited from one regional hospital and four district hospitals. 
      Statistical significance was set at 0.05 alpha level. RESULTS: the findings 
      indicate that 42.9% (n = 54) of HCPs' prevention of mother to child transmission 
      (PMTCT) practices for hepatitis B were good (X(2) = 2.57, p > 0.05). Explicitly, 
      79% indicated screening all pregnant women for hepatitis B as part of antenatal 
      care (X(2) = 41.14, p < 0.001). Additionally, about half of the participants 
      (52.4%) reported providing pre-test counselling (X(2) = 0.29, p > 0.05), whereas 
      one-third (33%) reported routinely administering a birth dose of the hepatitis B 
      vaccine to neonates of mothers with hepatitis B (X(2) = 14.00, p < 0.001). 
      However, only 37% reported administering the hepatitis B vaccine to newborns 
      within 12 hours of birth (X(2) = 9.18, p < 0.01). The binary logistic regression 
      analyses identified training as the only significant predictor of good practice 
      on PMTCT of hepatitis B at the 5% level (Wald = 3.91, p =0.05). CONCLUSION: given 
      that more than half of the participants in the study area had incorrect PMTCT 
      practices for hepatitis B, it is imperative that a series of workshops on 
      hepatitis B be done for healthcare providers in Ghana. In addition, hepatitis B 
      birth dose vaccine must be incorporated into the  Expanded Programme on 
      Immunisation  to remove the cost that acts as a barrier to access.
CI  - Copyright: Charles Ampong Adjei et al.
FAU - Adjei, Charles Ampong
AU  - Adjei CA
AD  - Department of Community Health Nursing, School of Nursing and Midwifery, 
      University of Ghana, Accra, Ghana.
FAU - Nachinab, Gilbert Ti-Enkawol
AU  - Nachinab GT
AD  - Department of Midwifery, University for Development Studies of Ghana, Tamale, 
      Ghana.
FAU - Atibila, Fidelis
AU  - Atibila F
AD  - Department of Nursing, Valley View University, Techiman, Ghana.
FAU - Ansah-Nyarko, Michael
AU  - Ansah-Nyarko M
AD  - Department of Research, Ghana Tertiary Education Commission, Accra, Ghana.
FAU - Kyei, Josephine Mpomaa
AU  - Kyei JM
AD  - Department of Community Health Nursing, School of Nursing and Midwifery, 
      University of Ghana, Accra, Ghana.
FAU - Fosu, Peter Kwabena
AU  - Fosu PK
AD  - Department of Medicine, The Trust Hospital, Accra, Ghana.
LA  - eng
PT  - Journal Article
DEP - 20221208
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
RN  - 0 (Hepatitis B Vaccines)
RN  - 0 (Hepatitis B Surface Antigens)
SB  - IM
MH  - Female
MH  - Pregnancy
MH  - Infant, Newborn
MH  - Humans
MH  - Infectious Disease Transmission, Vertical/prevention & control
MH  - Cross-Sectional Studies
MH  - Hepatitis B Vaccines
MH  - *Midwifery
MH  - Ghana
MH  - *Hepatitis B/prevention & control
MH  - *Physicians
MH  - Hepatitis B virus
MH  - *Pregnancy Complications, Infectious/prevention & control/diagnosis
MH  - Hepatitis B Surface Antigens
PMC - PMC10007700
OTO - NOTNLM
OT  - Ghana
OT  - Hepatitis B
OT  - midwives
OT  - physicians
OT  - prevention of mother-to-child transmission
COIS- The authors declare no competing interests.
EDAT- 2023/03/15 06:00
MHDA- 2023/03/16 06:00
PMCR- 2022/12/08
CRDT- 2023/03/14 02:06
PHST- 2021/09/28 00:00 [received]
PHST- 2022/07/12 00:00 [accepted]
PHST- 2023/03/14 02:06 [entrez]
PHST- 2023/03/15 06:00 [pubmed]
PHST- 2023/03/16 06:00 [medline]
PHST- 2022/12/08 00:00 [pmc-release]
AID - PAMJ-43-183 [pii]
AID - 10.11604/pamj.2022.43.183.31794 [doi]
PST - epublish
SO  - Pan Afr Med J. 2022 Dec 8;43:183. doi: 10.11604/pamj.2022.43.183.31794. 
      eCollection 2022.