Knowledge, Risk Perception and Vaccination against Hepatitis B Infection by Primary Healthcare Workers In Jos, North Central Nigeria

Authors

  • Jonathan Daboer Department of Community Medicine, University of Jos, Jos
  • Moses Chingle Department of Community Medicine, University of Jos, Jos
  • Matilda Banwat Department of Community Medicine, University of Jos, Jos

DOI:

https://doi.org/10.60787/tnhj.v10i1-2.31

Keywords:

Hepatitis B, primary healthcare workers, Nigeria.

Abstract

Background: Hepatitis B infection remains a major occupational health hazard among healthcare workers in Nigeria where the disease is hyperendemic. Primary healthcare workers are at an even greater risk due to poorer compliance with standard safety precautions by them. The objective of this study is to determine the knowledge, risk perception and vaccination status of primary healthcare workers in Jos regarding Hepatitis B infection.

Methodology: From each of the existing 6 PHC zones in Jos North LGA, 2 PHC clinics were selected by simple random sampling technique using balloting. In each selected PHC clinic all trained healthcare workers who had worked there for at least 1 year and who consented to participate were recruited into the study. A cross sectional study design was then used to collect information from the respondents using a semi structured self-administered questionnaire.

Results: Two hundred and eighty eight primary healthcare workers completed and returned the questionnaires. Two hundred and forty nine (86.5%) had good knowledge of HB infection though only 31 (10.8%) of them had ever attended any training or workshop on standard safety precautions and blood borne infections. As many as 238 (82.6%) mentioned immunization as a strategy to prevent HB infection although only 12 (5.2%) had good knowledge of the vaccine. Furthermore only 52 (19.8%) had received at least a dose of the vaccine. The mean age of those vaccinated was 40.0 ± 4.8 years. Both the knowledge of the vaccine (p=0.000...) and the practice of vaccination (p=0.000...) increased with the age of respondents and the association was statistically significant. Although more males (24.5%) than female (18.6%) were vaccinated, this difference was not statistically significant (p=0.33). Only 7 (12.9%) respondents perceived their work as putting them at high risk of contracting HB infection and 85 (29.5%) believed they were at no risk at all or were unsure.

Conclusion: Primary healthcare workers in Jos have good knowledge of HB infection but poor knowledge of the HB vaccination. HB vaccination among them is very poor as is their perception of their occupational risk for the disease. Continuing education, training and vaccine provision are recommended to address this important healthcare need.

References

World health Organization. Hepatitis B. Available at http://www.who.int/emc. Last accessed 07/06/10

Fatusi AO, Fatusi OA, Esimai AO, Onayade AA, Ojo OS. Acceptance of Hepatitis B vaccine by workers in a Nigerian teaching hospital. East African Medical Journal 2000; 77 (11): 608-612

Hou J, Liu Z, Gu F. Epidemiology and Prevention ofHepatitis B Virus Infection. Int J Med Sci 2005; 2:50-57. Available from http://www.medsci.org/v02p0050.htm. Last accessed 07/06/2010

World Health Organization. Hepatitis. Fact sheet No 204 August 2008

Emechebe GO, Emodi IJ, Ikefuna AN, Ilechukwu GC, Igwe WC, Ejeofor OS etal.Hepatitis B virus infection in Nigeria- A review. Niger Med J 2009; 50(1):18-22

Wikipedia. Hepatitis. Available from http://www.wikipedia.org/wiki/Hepatitis B. Last accessed 03/06/2010

Krishnan P, Dick F, Murphy E. The impact ofeducational interventions on primary healthcare workers' knowledge of occupational exposure to blood or body fluids. Occupational Medicine 2007; 57(2):98-103

Djeriri K , Laurichesse H, Merle JL, Charof R, Abouyoub A, Fontana L, et al. Hepatitis B in Moroccan healthcare workers. Occupational Medicine 2008; 58 (6):419-424

Kermode M, Jolley D, Langkham B, Thomas MS, Crofts N. Occupational exposure to blood and risk of blood born virus infection among healthcare workers in rural north Indian healthcare settings. Am J Infect Control 2005; 33 (1):31-41

Garcia PL, Facchini LA. Exposures to blood and body fluids in Brazilian primary health care. Occupational Medicine 2009; 59:107-113

Sadoh WE, Fawole AO, Sadoh AE, Oladimeji AO, Sotiloye OS. Practice of universal precautions among healthcare workers. Journal of the National Medical Association 2006; 98 (5): 722-726

Pruss-Ustun A, Rapiti E, Hutin Y. Sharps injuries: Global burden of disease from sharps injuries to healthcare workers. Geneva. WHO, 2003 (WHO Environmental Burden of Disease Series No.3)

World Health Organization African Region: Nigeria. Expanded Programme on Immunization. Available from http://www.who.int/countries/nga/areas/epi/index.html. Last accessed 07/06/2020

Ibekwe RC, Ibeziako N. Hepatitis B vaccination status among health workers in Enugu, Nigeria. Nigerian Journal of Clinical Practice 2006; 9(1):7-10

Musharrafieh UM, Bizri ARN , Nassar NT, Rahi AC, Shoukair AM, Doudakian RM, et al. Healthcare workers' exposure to blood borne pathogens in Lebanon. Occupational Medicine 2008; 58:94-98

Zhang M, Wang H, Miao J, Du X ,Li T, Wu Z. Occupational exposure to blood and body fluids among healthcare workers in a general hospital in China. Am J Ind Med 2009; 52(2):89-98

Araoye OA . Sample size in: Research methodology with statistics for health and social sciences 2003. Nadex publishers Ilorin 115-122

Epi Info 2008 version 3.5.1. Avalable from http://www.cdc.gov/epiinfo/. Last accessed 25/05/2010

Pengi BI, Tully PJ, Boss K, Hiller JE. Sharps injury and body fluid exposure among healthcare workers in an Australian tertiary hospital. Asia Pacific J Public Health 2008; 20(2):139-147

Brown A, Malca R, Zumaran A, Miranda JJ. On the frontline at PHC: the profile of community health workers in rural Quechua communities in Peru. Human Resources for Health 2006; 4:11 Available from http:/www.human-resources-health.com/content/4/1/11

Chaudhari CN, Bhagat MR, Ashturkar A, Misra RN. Hepatitis B immunization in healthcare workers. MJAFI 2009; 65:13-17

Tallat M, Kandeel A, El-Shoubary W, Bondenschatz C, Khairy I, Oun S, et al. Occupational exposure to needlestick injuries and hepatitis B vaccination coverage among healthcare workers in Egypt. American Journal of Infection Control 2003; 31 (8):469-474

Odusanya OO, Meurice FP, Hoet B. Nigerian medical students are at risk for hepatitis B infection. Tropical Medicine and Hygiene 2007; 101(5):465-468

Adebamowo CA. Knowledge, attitude and practice related to hepatitis B virus infection among Nigerian obstetricians and midwives. Journal of Obstetrics and Gynaecology 1998; 18(6):528-532

Ajayi AO, Komolafe AO, Ajumobi K. Seroprevalence ofhepatitis B surface antigenemia among healthcare workers in a Nigerian tertiary health institution. Nigerian Journal of Clinical Practice 2007; 10(4):287-289

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Published

2015-11-30

How to Cite

Daboer, J., Chingle, M., & Banwat, M. (2015). Knowledge, Risk Perception and Vaccination against Hepatitis B Infection by Primary Healthcare Workers In Jos, North Central Nigeria. The Nigerian Health Journal, 10(1-2), 9. https://doi.org/10.60787/tnhj.v10i1-2.31

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