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Pregnant women’s hepatitis B vaccination coverage in Nigeria: a national pilot cross-sectional study
OBJECTIVE: To determine the hepatitis B vaccination coverage, full-dose (⩾3) coverage and the associated factors affecting uptake among pregnant women. METHODS: This was a cross-sectional study among pregnant women attending antenatal care in six tertiary hospitals across all the geopolitical zones...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327013/ https://www.ncbi.nlm.nih.gov/pubmed/34377929 http://dx.doi.org/10.1177/25151355211032595 |
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author | Eleje, George Uchenna Akaba, Godwin Otuodichinma Mbachu, Ikechukwu Innocent Rabiu, Ayyuba Loto, Olabisi Morebise Usman, Hadiza Abdullahi Fiebai, Preye Owen Chukwuanukwu, Rebecca Chinyelu Joe-Ikechebelu, Ngozi Nneka Nwankwo, Chike Henry Kalu, Stephen Okoroafor Onubogu, Chinyere Ukamaka Ogbuagu, Chukwuanugo Nkemakonam Chukwurah, Shirley Nneka Uzochukwu, Chinwe Elizabeth Inuyomi, Samuel Oluwagbenga Adesoji, Bukola Abimbola Ogwaluonye, Uchenna Chukwunonso Nweje, Sussan Ifeyinwa Egeonu, Richard Obinwanne Igue, Odion Emmanuel Jibuaku, Chiamaka Henrietta Aja, Prince Ogbonnia Chidozie, Chiamaka Perpetua Ibrahim, Hadiza Sani Aliyu, Fatima Ele Numan, Aisha Ismaila Okoro, Ogbonna Dennis Omoruyi, Solace Amechi Oppah, Ijeoma Chioma Anyang, Ubong Inyang Ahmed, Aishat Umeononihu, Osita Samuel Umeh, Eric Okechukwu Emeka, Ekene Agatha Onwuegbuna, Arinze Anthony Igbodike, Emeka Philip Ajuba, Ifeoma Clara Yakasai, Ibrahim Adamu Ezechi, Oliver Chukwujekwu Ikechebelu, Joseph Ifeanyichukwu |
author_facet | Eleje, George Uchenna Akaba, Godwin Otuodichinma Mbachu, Ikechukwu Innocent Rabiu, Ayyuba Loto, Olabisi Morebise Usman, Hadiza Abdullahi Fiebai, Preye Owen Chukwuanukwu, Rebecca Chinyelu Joe-Ikechebelu, Ngozi Nneka Nwankwo, Chike Henry Kalu, Stephen Okoroafor Onubogu, Chinyere Ukamaka Ogbuagu, Chukwuanugo Nkemakonam Chukwurah, Shirley Nneka Uzochukwu, Chinwe Elizabeth Inuyomi, Samuel Oluwagbenga Adesoji, Bukola Abimbola Ogwaluonye, Uchenna Chukwunonso Nweje, Sussan Ifeyinwa Egeonu, Richard Obinwanne Igue, Odion Emmanuel Jibuaku, Chiamaka Henrietta Aja, Prince Ogbonnia Chidozie, Chiamaka Perpetua Ibrahim, Hadiza Sani Aliyu, Fatima Ele Numan, Aisha Ismaila Okoro, Ogbonna Dennis Omoruyi, Solace Amechi Oppah, Ijeoma Chioma Anyang, Ubong Inyang Ahmed, Aishat Umeononihu, Osita Samuel Umeh, Eric Okechukwu Emeka, Ekene Agatha Onwuegbuna, Arinze Anthony Igbodike, Emeka Philip Ajuba, Ifeoma Clara Yakasai, Ibrahim Adamu Ezechi, Oliver Chukwujekwu Ikechebelu, Joseph Ifeanyichukwu |
author_sort | Eleje, George Uchenna |
collection | PubMed |
description | OBJECTIVE: To determine the hepatitis B vaccination coverage, full-dose (⩾3) coverage and the associated factors affecting uptake among pregnant women. METHODS: This was a cross-sectional study among pregnant women attending antenatal care in six tertiary hospitals across all the geopolitical zones of Nigeria. Pregnant women who consented to the study completed screening questions about their hepatitis B vaccination status and coverage. The main outcome measures were hepatitis B vaccination coverage rate, dose, and factors affecting uptake. Bivariate analysis was performed by the chi-square test and conditional logistic regression analysis was used to determine variables associated with uptake of the vaccination. Odds ratios (ORs) and adjusted odds ratios (aORs) were calculated and statistical significance was accepted when p-value was < 0.05. RESULTS: Of 159 pregnant women who completed the interview questions, 21 [13.2%, 95% confidence interval (CI) 7.9–18.5%] were vaccinated for hepatitis B for one to three doses. The numbers of doses received were: three doses (8/159, 5.0%), two doses (5/159, 3.1%), and one dose (8/159, 5.0%). The reasons for non-uptake of vaccination included: lack of awareness of the vaccine 83/138 (60.1%), inadequate access to vaccine 11/138 (8.0%), and positivity to hepatitis B virus 10/138 (7.2%). The uptake of hepatitis B vaccination was significantly affected by the level of education (OR 0.284, 95% CI 0.08–1.01, p = 0.041), but in multivariable logistic regression, adjusted for confounders, the association between hepatitis B vaccination and participants’ level of education (aOR 3.09; 95% CI 0.95–10.16; p = 0.061) did not remain significant. CONCLUSIONS: In Nigeria, the national hepatitis B vaccination coverage among pregnant women appears poor, with the full-dose coverage even poorer. The level of education was not positively associated with uptake of hepatitis B vaccination, while lack of awareness of the vaccine was the commonest reason for non-uptake. FUNDING: TETFund National Research Fund 2019 (grant number TETFund/DR&D/CE/NRF/STI/33). |
format | Online Article Text |
id | pubmed-8327013 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-83270132021-08-09 Pregnant women’s hepatitis B vaccination coverage in Nigeria: a national pilot cross-sectional study Eleje, George Uchenna Akaba, Godwin Otuodichinma Mbachu, Ikechukwu Innocent Rabiu, Ayyuba Loto, Olabisi Morebise Usman, Hadiza Abdullahi Fiebai, Preye Owen Chukwuanukwu, Rebecca Chinyelu Joe-Ikechebelu, Ngozi Nneka Nwankwo, Chike Henry Kalu, Stephen Okoroafor Onubogu, Chinyere Ukamaka Ogbuagu, Chukwuanugo Nkemakonam Chukwurah, Shirley Nneka Uzochukwu, Chinwe Elizabeth Inuyomi, Samuel Oluwagbenga Adesoji, Bukola Abimbola Ogwaluonye, Uchenna Chukwunonso Nweje, Sussan Ifeyinwa Egeonu, Richard Obinwanne Igue, Odion Emmanuel Jibuaku, Chiamaka Henrietta Aja, Prince Ogbonnia Chidozie, Chiamaka Perpetua Ibrahim, Hadiza Sani Aliyu, Fatima Ele Numan, Aisha Ismaila Okoro, Ogbonna Dennis Omoruyi, Solace Amechi Oppah, Ijeoma Chioma Anyang, Ubong Inyang Ahmed, Aishat Umeononihu, Osita Samuel Umeh, Eric Okechukwu Emeka, Ekene Agatha Onwuegbuna, Arinze Anthony Igbodike, Emeka Philip Ajuba, Ifeoma Clara Yakasai, Ibrahim Adamu Ezechi, Oliver Chukwujekwu Ikechebelu, Joseph Ifeanyichukwu Ther Adv Vaccines Immunother Original Research OBJECTIVE: To determine the hepatitis B vaccination coverage, full-dose (⩾3) coverage and the associated factors affecting uptake among pregnant women. METHODS: This was a cross-sectional study among pregnant women attending antenatal care in six tertiary hospitals across all the geopolitical zones of Nigeria. Pregnant women who consented to the study completed screening questions about their hepatitis B vaccination status and coverage. The main outcome measures were hepatitis B vaccination coverage rate, dose, and factors affecting uptake. Bivariate analysis was performed by the chi-square test and conditional logistic regression analysis was used to determine variables associated with uptake of the vaccination. Odds ratios (ORs) and adjusted odds ratios (aORs) were calculated and statistical significance was accepted when p-value was < 0.05. RESULTS: Of 159 pregnant women who completed the interview questions, 21 [13.2%, 95% confidence interval (CI) 7.9–18.5%] were vaccinated for hepatitis B for one to three doses. The numbers of doses received were: three doses (8/159, 5.0%), two doses (5/159, 3.1%), and one dose (8/159, 5.0%). The reasons for non-uptake of vaccination included: lack of awareness of the vaccine 83/138 (60.1%), inadequate access to vaccine 11/138 (8.0%), and positivity to hepatitis B virus 10/138 (7.2%). The uptake of hepatitis B vaccination was significantly affected by the level of education (OR 0.284, 95% CI 0.08–1.01, p = 0.041), but in multivariable logistic regression, adjusted for confounders, the association between hepatitis B vaccination and participants’ level of education (aOR 3.09; 95% CI 0.95–10.16; p = 0.061) did not remain significant. CONCLUSIONS: In Nigeria, the national hepatitis B vaccination coverage among pregnant women appears poor, with the full-dose coverage even poorer. The level of education was not positively associated with uptake of hepatitis B vaccination, while lack of awareness of the vaccine was the commonest reason for non-uptake. FUNDING: TETFund National Research Fund 2019 (grant number TETFund/DR&D/CE/NRF/STI/33). SAGE Publications 2021-07-29 /pmc/articles/PMC8327013/ /pubmed/34377929 http://dx.doi.org/10.1177/25151355211032595 Text en © The Author(s), 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Eleje, George Uchenna Akaba, Godwin Otuodichinma Mbachu, Ikechukwu Innocent Rabiu, Ayyuba Loto, Olabisi Morebise Usman, Hadiza Abdullahi Fiebai, Preye Owen Chukwuanukwu, Rebecca Chinyelu Joe-Ikechebelu, Ngozi Nneka Nwankwo, Chike Henry Kalu, Stephen Okoroafor Onubogu, Chinyere Ukamaka Ogbuagu, Chukwuanugo Nkemakonam Chukwurah, Shirley Nneka Uzochukwu, Chinwe Elizabeth Inuyomi, Samuel Oluwagbenga Adesoji, Bukola Abimbola Ogwaluonye, Uchenna Chukwunonso Nweje, Sussan Ifeyinwa Egeonu, Richard Obinwanne Igue, Odion Emmanuel Jibuaku, Chiamaka Henrietta Aja, Prince Ogbonnia Chidozie, Chiamaka Perpetua Ibrahim, Hadiza Sani Aliyu, Fatima Ele Numan, Aisha Ismaila Okoro, Ogbonna Dennis Omoruyi, Solace Amechi Oppah, Ijeoma Chioma Anyang, Ubong Inyang Ahmed, Aishat Umeononihu, Osita Samuel Umeh, Eric Okechukwu Emeka, Ekene Agatha Onwuegbuna, Arinze Anthony Igbodike, Emeka Philip Ajuba, Ifeoma Clara Yakasai, Ibrahim Adamu Ezechi, Oliver Chukwujekwu Ikechebelu, Joseph Ifeanyichukwu Pregnant women’s hepatitis B vaccination coverage in Nigeria: a national pilot cross-sectional study |
title | Pregnant women’s hepatitis B vaccination coverage in Nigeria: a
national pilot cross-sectional study |
title_full | Pregnant women’s hepatitis B vaccination coverage in Nigeria: a
national pilot cross-sectional study |
title_fullStr | Pregnant women’s hepatitis B vaccination coverage in Nigeria: a
national pilot cross-sectional study |
title_full_unstemmed | Pregnant women’s hepatitis B vaccination coverage in Nigeria: a
national pilot cross-sectional study |
title_short | Pregnant women’s hepatitis B vaccination coverage in Nigeria: a
national pilot cross-sectional study |
title_sort | pregnant women’s hepatitis b vaccination coverage in nigeria: a
national pilot cross-sectional study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327013/ https://www.ncbi.nlm.nih.gov/pubmed/34377929 http://dx.doi.org/10.1177/25151355211032595 |
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