Assessment of Hepatitis B Vaccine Utilization among Health Care Professionals at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
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Date
2016-06
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Addis Ababa University
Abstract
Background: People at high risk for Hepatitis B virus (HBV) include health care workers
(HCWs) in contact with blood and human secretions. HBV is unique compared to other sexually
transmitted diseases, because it can be prevented with vaccine which is highly efficacious that
protects against HBV infection 90- 100%. However, little is known about the utilization of the
vaccination among health care professionals in Ethiopia.
Objective: To assess hepatitis B Vaccine utilization and potential factors for not getting
vaccinated among health care professionals at Tikur Anbessa specialized hospital, 2016
Methods: Facility based cross-sectional study was conducted at Tikur Anbessa Specialized
Hospital among five categories of health professionals (doctors, nurses, laboratory technicians,
anesthetists and midwives), selected using systematic random sampling technique. Sample size
was calculated to be 406 based on prevalence of previous studies. Data was collected using pretested,
structured self-administered questionnaires. The data was entered in to Epi-data version
3.1 and analyzed using SPSS version 20. Descriptive statistics was employed to describe the
study participants by socio-demographic, behavioral and health service factors. The strength of
association was computed using odds ratio and described with crude and adjusted odds ratio.
Furthermore, bivariate and multivariate binary logistic regression analyses were used to identify
the significant associations. Statistical significance was declared at p- value< 0.05.
Results: A total of 394 health care professionals participated in this study with response rate of
97%. Among them only 88(22.3%) have ever received hepatitis B vaccine. Age groups 30-34
[AOR:21.1,95%CI(3.6-125.5)] and 35-39 [AOR:18.6,95%CI(3.14-109.9)], educational status
[AOR:0.14,95%CI,(0.02-0.95)], marital status [AOR:0.24,95%CI,(0.16-0.49)], identification of
patients with hepatitis B [AOR:0.5,95%CI(0.25-0.88)], hand washing as infection prevention
precaution [AOR:0.2,95%CI(0.09-0.42)] and exposure of health care professionals to patients
with hepatitis B [AOR:0.21,95%CI(0.09-0.47)] were found to be significantly associated with
hepatitis B vaccine utilization.
Conclusion and Recommendation: This study showed that percentage of health care
professionals who were tested for hepatitis B and who took hepatitis B vaccination is very low.
This is a serious public health scenario and challenge for a country with high prevalence of
hepatitis B infection. There is a need to promote hepatitis B virus screening and vaccination
among health care professionals and government should play its part by increasing health care
budgets and put priority on hepatitis B prevention by establishing a national awareness
campaign, spreading screening and vaccination services all over public hospitals
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Keywords
Hepatitis B virus (HBV)