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Distribution of Hepatitis B prevention services in Wakiso District, Central Uganda

Hepatitis B Virus (HBV) infection remains a significant global public health challenge especially in low-and-middle income countries. Although there are significant global and national efforts to control Hepatitis B, equitable distribution and access to prevention services such as testing and vaccin...

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Autores principales: Ssekamatte, Tonny, Isunju, John Bosco, Nalugya, Aisha, Wafula, Solomon Tsebeni, Nuwematsiko, Rebecca, Nakalembe, Doreen, Kansiime, Winnifred K., Muyanga, Naume, Nakiggala, Joana, Bukenya, Justine N., Mugambe, Richard K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10516414/
https://www.ncbi.nlm.nih.gov/pubmed/37738234
http://dx.doi.org/10.1371/journal.pgph.0000478
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author Ssekamatte, Tonny
Isunju, John Bosco
Nalugya, Aisha
Wafula, Solomon Tsebeni
Nuwematsiko, Rebecca
Nakalembe, Doreen
Kansiime, Winnifred K.
Muyanga, Naume
Nakiggala, Joana
Bukenya, Justine N.
Mugambe, Richard K.
author_facet Ssekamatte, Tonny
Isunju, John Bosco
Nalugya, Aisha
Wafula, Solomon Tsebeni
Nuwematsiko, Rebecca
Nakalembe, Doreen
Kansiime, Winnifred K.
Muyanga, Naume
Nakiggala, Joana
Bukenya, Justine N.
Mugambe, Richard K.
author_sort Ssekamatte, Tonny
collection PubMed
description Hepatitis B Virus (HBV) infection remains a significant global public health challenge especially in low-and-middle income countries. Although there are significant global and national efforts to control Hepatitis B, equitable distribution and access to prevention services such as testing and vaccination remains a challenge. Efforts to increase access are hindered by inadequate evidence on the availability and distribution of HBV services. This cross-sectional study aimed at generating evidence of the distribution of HBV prevention services in Wakiso District, Uganda. A total of 55 healthcare facilities (HCFs) including 4 hospitals, and 51 primary care facilities were surveyed. Data were collected using an electronic structured questionnaire and analysed using STATA 14.0. A chi-square test was performed to establish the relationship between HCF characteristics and the availability of hepatitis B services. ArcGIS (version 10.1) was used to generate maps to illustrate the distribution of hepatitis B prevention services. We found out that the hepatitis B vaccine was available in only 27.3% (15) of the HCF, and 60% (33) had testing services. Receipt of the hepatitis B vaccine doses in the last 12 months was associated with the level (p = ≤0.001) and location (p = 0.030) of HCF. Availability of the hepatitis B vaccine at the time of the survey was associated with the level (p = 0.002) and location (p = 0.010) of HCF. The availability of hepatitis B testing services was associated with the level (p = 0.031), ownership (p≤0.001) and location (p = 0.010) of HCF. HCFs offering vaccination and testing services were mostly in urban areas, and close to Kampala, Uganda’s capital. Based on this study, hepatitis B prevention services were sub-optimal across all HCF levels, locations, and ownership. There is a need to extend hepatitis B prevention services to rural, public and private-not-for-profit HCFs.
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spelling pubmed-105164142023-09-23 Distribution of Hepatitis B prevention services in Wakiso District, Central Uganda Ssekamatte, Tonny Isunju, John Bosco Nalugya, Aisha Wafula, Solomon Tsebeni Nuwematsiko, Rebecca Nakalembe, Doreen Kansiime, Winnifred K. Muyanga, Naume Nakiggala, Joana Bukenya, Justine N. Mugambe, Richard K. PLOS Glob Public Health Research Article Hepatitis B Virus (HBV) infection remains a significant global public health challenge especially in low-and-middle income countries. Although there are significant global and national efforts to control Hepatitis B, equitable distribution and access to prevention services such as testing and vaccination remains a challenge. Efforts to increase access are hindered by inadequate evidence on the availability and distribution of HBV services. This cross-sectional study aimed at generating evidence of the distribution of HBV prevention services in Wakiso District, Uganda. A total of 55 healthcare facilities (HCFs) including 4 hospitals, and 51 primary care facilities were surveyed. Data were collected using an electronic structured questionnaire and analysed using STATA 14.0. A chi-square test was performed to establish the relationship between HCF characteristics and the availability of hepatitis B services. ArcGIS (version 10.1) was used to generate maps to illustrate the distribution of hepatitis B prevention services. We found out that the hepatitis B vaccine was available in only 27.3% (15) of the HCF, and 60% (33) had testing services. Receipt of the hepatitis B vaccine doses in the last 12 months was associated with the level (p = ≤0.001) and location (p = 0.030) of HCF. Availability of the hepatitis B vaccine at the time of the survey was associated with the level (p = 0.002) and location (p = 0.010) of HCF. The availability of hepatitis B testing services was associated with the level (p = 0.031), ownership (p≤0.001) and location (p = 0.010) of HCF. HCFs offering vaccination and testing services were mostly in urban areas, and close to Kampala, Uganda’s capital. Based on this study, hepatitis B prevention services were sub-optimal across all HCF levels, locations, and ownership. There is a need to extend hepatitis B prevention services to rural, public and private-not-for-profit HCFs. Public Library of Science 2023-09-22 /pmc/articles/PMC10516414/ /pubmed/37738234 http://dx.doi.org/10.1371/journal.pgph.0000478 Text en © 2023 Ssekamatte et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ssekamatte, Tonny
Isunju, John Bosco
Nalugya, Aisha
Wafula, Solomon Tsebeni
Nuwematsiko, Rebecca
Nakalembe, Doreen
Kansiime, Winnifred K.
Muyanga, Naume
Nakiggala, Joana
Bukenya, Justine N.
Mugambe, Richard K.
Distribution of Hepatitis B prevention services in Wakiso District, Central Uganda
title Distribution of Hepatitis B prevention services in Wakiso District, Central Uganda
title_full Distribution of Hepatitis B prevention services in Wakiso District, Central Uganda
title_fullStr Distribution of Hepatitis B prevention services in Wakiso District, Central Uganda
title_full_unstemmed Distribution of Hepatitis B prevention services in Wakiso District, Central Uganda
title_short Distribution of Hepatitis B prevention services in Wakiso District, Central Uganda
title_sort distribution of hepatitis b prevention services in wakiso district, central uganda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10516414/
https://www.ncbi.nlm.nih.gov/pubmed/37738234
http://dx.doi.org/10.1371/journal.pgph.0000478
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