The Knowledge of Hepatitis B Infection And Practice Towards Its Prevention Among Pregnant Women
DOI:
https://doi.org/10.53713/nhsj.v4i2.296Keywords:
hepatitis b, knowledge, prevention, practice, pregnant womenAbstract
Infection with Hepatitis B remains a health challenge across the globe. This descriptive survey focused on the knowledge of hepatitis B infection (HBI) and prevention practices of pregnant women. Thus, this study assessed knowledge of HBI, HBI prevention practices, factors affecting the practice of HBI prevention among pregnant women, the association between the socio-demographic characteristics cum knowledge of HBI, as well as the relationship between the knowledge of HBI and the prevention practices. Balloting with replacement was employed in selecting 267 pregnant women attending an antenatal clinic in Delta State, Nigeria. The instrument for data collection was a Questionnaire developed by the researchers. The reliability of the instrument was conducted using Cronbach alpha which yielded coefficient of 0.738. Data collected were analyzed using frequencies, percentages, mean, Kruskal Walis test and Chi-Square statistic test. Majority of the study respondents (53.8%) had low level of knowledge about HBI but 60% had good level of prevention practice. 36.7% of the pregnant women believed that they had a low-risk status for HBI, 43.4% that prayer was more effective than vaccine and 60.7% that herbal medicine was available to prevent HBI. Significant association did not exist between pregnant women’s socio-demographic characteristics and their knowledge of HBI (k=2.92, p-value=0.10). Significant relationship existed between knowledge of HBI and the prevention practices of pregnant women (X2=36.71; p-value=0.001). Findings showed that the pregnant women had a low knowledge level for hepatitis B virus but a good level of prevention practice possibly due to high level of provider-initiated preventive services. Nurses should organize more detailed health education sessions on hepatitis B infection to pregnant women and keep up with their role of performing provider-initiated preventive services.
References
Abdela, A., Woldu, B., Haile, K., Mathewos, B. & Deressa, T. (2016). Assessment of Knowledge, Attitudes and Practices toward Prevention of Hepatitis B Virus Infection among Students of Medicine and Health Sciences in Northwest Ethiopia. BMC Research Notes, 9(1), 2016. doi: 10.1186/s13104-016-2216-y
Abeje, G. & Azage, M. (2015). Hepatitis B vaccine knowledge and vaccination status among health care workers of Bahir Dar City Administration, Northwest Ethiopia: a cross sectional study. BMC Infect Dis., 5(1),1–6. doi: 10.1186/s12879-015-0756-8
Abiola, A., Omoyeni, O., Akodu, B. (2013). Knowledge, Attitude and Practice of Hepatitis B Vaccination among Health Workers at the Lagos State Accident and Emergency Centre, Toll-Gate, Alausa, Lagos State. West African Journal of Medicine, 32, 257–262.
Afihene, M., Duduyemi, B., A-Tetteh, H. & Khatib, M. (2015). Knowledge, attitude and practices concerning Hepatitis B infection, among healthcare workers in Bantama, Ghana: a cross sectional study. International Journal of Community Medicine and Public Health, 2(1), 244–253. doi: 10.18203/2394-6040.ijcmph20150477.
Balegha, A., Yidana, A. & Abiiro, G. (2021). Knowledge, attitude and practice of hepatitis B infection prevention among nursing students. Retrieved on March 10, 2022 from https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0258757
Bittaye, M., Idoko, P., Ekele, B., Obed, S. & Nyan, O. (2019). Hepatitis B virus sero-prevalence amongst pregnant women in the Gambia. BMC Infect Dis, 19, 259. doi: 10.1186/s12879019-38883-9.
Center for Disease Control and Prevention (CDC) (2018). Perinatal Transmission. Available at: https://www.cdc.gov/hepatitis/hbv/perinatalxmtn.htm
Dagnew, M. Million, Y., Destaw, B., Adefris, M., Moges, F. & Tiruneh, M. (2020). Knowledge, Attitude, and Associated Factors Towards Vertical Transmission of Hepatitis B Virus Among Pregnant Women Attending Antenatal Care in Tertiary Hospitals in Amhara Region, Northwest Ethiopia: A Cross-Sectional Study. Retrieved on June 12, 2022 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7585551/. doi: 10.2147/IJWH.S273560
Eni, A., Soluade, G., Oshamika, O., Efekemo, o., Igwe, T. & Onile-ere, O. (2019). Knowledge and Awareness of Hepatitis B Virus Infection in Nigeria. Annals of Global Health, 85(1), 1-6. doi: 10.5334/aogh.33.
Freeland, C., Bodor, S., Perera, U. & Cohen, C. (2020). Barriers to hepatitis B screening and Prevention for African Immigrant Populations in United States: A Qualitative Study. Viruses, 12(3), 305. doi: 10.3390/v12030305
Hajarizadeh B, Wallace J, Richmond J, Ngo N, Enright C. (2015). Hepatitis B knowledge and associated factors among people with chronic hepatitis B. Australian and New Zealand Journal of Public Health, 39(6), 563-568. doi: 10.1111/1753-6405.12378
Khan, N., Riya, S., Islam, M. & Majeed, H. (2017). Knowledge and preventive practice regarding hepatitis b among the nurses in Dhaka medical college hospital. Journal of Dhaka medical college hospital, 26(7). doi: https://doi.org/10.3329/jdmc.v26i1.33999
Maqsood, S., Iqbal, S., Zakar, R., Zakar, M. & Fischer, F. (2021). Determinants of Overall Knowledge and Health behaviours in relation to hepatitis B and C among ever-married women in Pakistan: evidence based on Demographic and Health survey 2017-18. BMC Public Health, 21(1), 2328. doi: 10.1186/s12889-021-12406-z
Meireles, L., Marinho, T. & Damme, P. (2015). Three Decades of Hepatitis B Control with Vaccination. World Journal of Hepatology, 7(1), 2127-2132. doi: 10.4254/wjh.v7.i18.2127
Mursy, S. & Mohamed, S. (2019). Knowledge, attitude, and practice towards Hepatitis B infection among nurses and midwives in two maternity hospitals in Khartoum, Sudan. BMC Public Health, 19(1), 1597. doi: 10.1186/s12889-019-7982-8
Nguyen, T., Pham, T., So, S., Hoang, T., Nguyen, T., Ngo, T.,… & Pham, M. (2021). Knowledge, Attitudes and Practices toward Hepatitis B Virus Infection among Students of Medicine in Vietnam. International Journal of Environmental Resources and Public Health, 18(13), 70-80. doi: 10.3390/ijerph18137081.
Osei, E., Niyilapah, J. & Amenuvegbe, G. (2019). Hepatitis B Knowledge, Testing, and Vaccination History among Undergraduate Public Health Students in Ghana. BioMed Research International, 2019, 1–10. doi: 10.1155/2019/7645106
Pham, T., Le, T., Nguyen, D., Luu, C., Truong, B., Tran P., Toy, M. & So, S. (2019). Knowledge, attitudes and medical practice regarding hepatitis B prevention and management among healthcare workers in Northern Vietnam. Retrieved on March 10, 2022 from https://www.ncbi.nlm.nih.gov/pubmed/31609983. doi: 10.1371/journal.pone.0223733
Rathi, A., Kumar, V., Majhi, J., Jain, S., Lal, P. & Singh, S. (2018). Assessment of knowledge, attitude, and practices towards prevention of hepatitis B infection among medical students in a high-risk setting of a newly established medical institution. J Lab Physicians, 10(1),374–379. doi: 10.4103/JLP.JLP_93_18
Rav-Marathe, K., Wan, T. & Marathe, S. (2016). A systematic review on the kap-o framework for diabetes education and research. Medical Research Archives, 4(1), 1-21.
Shrestha, D., Khadka, M., Khadka, M., Subedi, P., Pokharel, S. & Thapa, B. (2020). Hepatitis B Vaccination status and knowledge, attitude and practice regarding Hepatitis B among preclinical medical students of a medical college in Nepal. Plos One, 15(11), e0242658. doi: 10.1371/journal.pone.0242658.eCollection2020
Singhal, V., Bora, D. & Singh, S. (2009). Hepatitis B in health care workers: Indian scenario. J Lab Physicians, 2009(1), 41–48. doi: 10.4103/0974-2727.59697
Spearman, C., Afihene, M., Ally, R., et al. (2017). Hepatitis B in sub-Saharan Africa: Strategies to achieve the 2030 elimination targets. Lancet Gastroenterol and Hepatology, 2(12), 900–909. doi: 10.1016/S2468-1253(17)30295-9.
United Nations Development Programme. (2015). Prevent hepatitis: Act now. Retrieved on February 4, 2022 from https://news.un.org/en/story/2015/07/505202-prevent-hepatitis-act-now-declares-un-world-day-targeting-hepatitis-b-and-c
World Health Organisation (2016). Global health sector strategy on viral hepatitis 2016–2021. Towards ending viral hepatitis. Retrieved on April 12, 2022 from https://apps.who.int /iris/handle/10665/246177.
World Health Organization (2020). Hepatitis B. Retrieved on June 12, 2022 from https://www.who.int/news-room/fact-sheets/detail/hepatitis-b
Zaeri, A., Zaihi, Z., AbuDyab, F., Othman, E., Somily, E., Zalah, A. & Ahmed, A. (2018). Knowledge, Attitude and Practice among Jazan University Students in Health Sciences Colleges Regarding Hepatitis B Virus and its Vaccine. The Egyptian Journal of Hospital Medicine, 73(1), 6959–6966. doi: 10.21608/ejhm.2018.17211