Uptake of Hepatitis B vaccine and its predictors among healthcare workers in south-south Nigeria: a cross-sectional survey

Background : Hepatitis B vaccination rates among healthcare workers in many developing countries including Nigeria continue to be low. Objective : This study assessed the uptake of hepatitis B vaccine and its predictors among HCWs in south-south Nigeria. Methods : This was a cross-sectional study conducted to assess the uptake of hepatitis B vaccine and its predictors among 565 healthcare workers. Data was collected using a semi-structured questionnaire which was self-administered. Descriptive and inferential analysis of data collected was carried out using the IBM SPSS version 22 software. Results : Over half of the study participants had blood and body fluids exposure (58.6%) in the preceding year and were unvaccinated (53.4 %) respectively. About a tenth (9.6%), 12.0% and 25.0% of the study participants reported receipt of one, two and three doses of hepatitis B vaccine respectively. The study participants who had been trained on infection prevention and control (OR=1.25; 95% CI: 1.06-1.49), who were married (OR=1.28; 95% CI: 1.07-1.54), and who had good perception of the risk of blood-borne infections (OR=1.93; 95% CI: 1.65-2.25) had 25.0%, 28.0% and 93% increased odds respectively of receiving at least one dose of hepatitis B vaccine. Conclusion : The study brings to the fore a low hepatitis B vaccination coverage and a high rate of blood and body fluid exposure among the study participants. There is a need to stimulate and motivate healthcare workers in the study locations to improve their uptake of hepatitis B vaccine.

[1]  T. Khan,et al.  Immune Persistence After Infant Hepatitis-B Vaccination: A Systematic Review and Meta-Analysis , 2018, Scientific Reports.

[2]  R. Marinho,et al.  Three decades of hepatitis B control with vaccination. , 2015, World journal of hepatology.

[3]  S. Eholie,et al.  Reducing the neglected burden of viral hepatitis in Africa: strategies for a global approach. , 2015, Journal of hepatology.

[4]  M. Azage,et al.  Hepatitis B vaccine knowledge and vaccination status among health care workers of Bahir Dar City Administration, Northwest Ethiopia: a cross sectional study , 2015, BMC Infectious Diseases.

[5]  B. Akodu,et al.  Knowledge, attitude and practice of hepatitis B vaccination among health workers at the Lagos State accident and emergency centre, Toll-Gate, Alausa, Lagos State. , 2013, West African journal of medicine.

[6]  M. Rezai,et al.  Prevalence of occupational exposure to blood and body secretions and its related effective factors among health care workers of three Emergency Departments in Tehran , 2012, Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences.

[7]  A. Dongo,et al.  Knowledge of Hepatitis B Vaccine among Operating Room Personnel in Nigeria and Their Vaccination Status , 2011, Hepatitis research and treatment.

[8]  M. Yadollahi,et al.  Precautions for health care workers to avoid hepatitis B and C virus infection. , 2011, The international journal of occupational and environmental medicine.

[9]  L. Grohskopf,et al.  Immunization of health-care personnel: recommendations of the Advisory Committee on Immunization Practices (ACIP). , 2011, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.

[10]  C. Azodo,et al.  Occupational Risks and Hepatitis B Vaccination Status of Dental Auxiliaries in Nigeria , 2010, Medical Principles and Practice.

[11]  O. Babatunde,et al.  Health workers' knowledge, attitude and behaviour towards hepatitis B infection in Southern Nigeria , 2009 .

[12]  C. Gilks,et al.  Susceptibility of healthcare workers in Kenya to hepatitis B: new strategies for facilitating vaccination uptake. , 2006, The Journal of hospital infection.

[13]  F. Mahoney,et al.  Occupational exposure to needlestick injuries and hepatitis B vaccination coverage among health care workers in Egypt. , 2003, American journal of infection control.