@article{fdi:010076679,
  title = {{P}revention and care of hepatitis {B} in the rural region of {F}atick in {S}enegal : a healthcare workers' perspective using a mixed methods approach},
  author = {{D}jaogol, {T}. and {C}oste, {M}. and {M}arcellin, {F}. and {J}aquet, {A}. and {C}habrol, {F}anny and {G}iles-{V}ernick, {T}. and {D}iallo, {A}. and {C}arrieri, {M}. {P}. and {B}oyer, {S}. and {B}erenger, {C}. and {B}ousmah, {M}. {A}. and {C}arrieri, {P}. and de {S}eze, {M}. and {M}aradan, {G}. and {T}reibich, {C}. and {B}a, {E}. and {D}ialio, {A}. and {D}ieye, {F}. and {D}iouf, {A}. and {F}aye, {E}. {B}. and {N}diaye, {A}. and {P}erieres, {L}. and {S}okhna, {C}heikh and {K}ane, {C}. {T}. and {L}o, {G}. and {N}diaye, {A}. {J}. {S}. and {H}alfon, {P}. and {M}ohamed, {S}. and {R}ouveau, {N}. and {C}ortes, {M}. {C}. {C}. and {L}aborde-{B}alen, {G}. and {ANRS} 12356 {A}m{BASS} {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {I}n countries where hepatitis {B} virus ({HBV}) is endemic, including {S}enegal, the {W}orld {H}ealth {O}rganization recommends systematic {HBV} screening of pregnant women and vaccination at birth to prevent mother-to-child transmission ({MTCT}). {T}his study investigated healthcare workers' ({HCW}) knowledge and practices regarding {HBV} prevention and care in the rural region of {F}atick in {S}enegal, as well as challenges they faced in implementing prevention activities related to {HBV} {MTCT}. {M}ethods {A} mixed-methods survey was conducted between {M}ay-{J}uly 2017 among 112 {HCW} working in 15 healthcare facilities in two districts of the {F}atick region using face-to-face questionnaires and semi-structured interviews. {D}escriptive statistics and chi-square/{M}ann-{W}hitney tests were used to analyze quantitative data, while qualitative data were analyzed thematically. {R}esults {T}he study population included 87 {HCW} in the quantitative component (83% women, median age [interquartile range, {IQR}] = 35 [31-40] years) and 11 in the qualitative component. {A} knowledge gap was observed in key areas of {HBV} infection: only 24, 51 and 38%, respectively, correctly reported that early {HBV} acquisition is associated with a high risk of developing chronic infection, that perinatal transmission is one of the main modes of {HBV} transmission in {S}enegal, and that three to four doses of {HBV} vaccine are required to ensure immunization in children. {D}espite good acceptability of systematic screening of pregnant women and vaccination at birth, only 48% of {HCW} mainly involved in prenatal care and 71% of those involved exclusively in vaccination routinely performed these two key interventions. {HCW} reported several structural barriers that may hinder their implementation: a lack of training in {HBV} and in counseling, poor availability of rapid diagnostic tests ({RDT}), high costs of both screening and treatment, a lack of adequate information on treatment options and missed opportunities for vaccination at birth. {C}onclusions {HCW} working in the {F}atick region may be insufficiently trained and supported to effectively implement {HBV} prevention strategies. {O}ur findings suggest an urgent need to strengthen {MTCT} prevention in this region, by improving {HCW} knowledge in key areas of {HBV} infection, providing {RDT} and antiviral treatment at low cost, and enhancing community-based interventions for the timely vaccination of newborns.},
  keywords = {{H}epatitis {B} ; {HBV} ; {M}ixed-methods ; {H}ealthcare workers ; {P}revention ; {V}accination at birth ; {S}enegal ; {A}frica ; {V}ertical transmission ; {M}other-to-child transmission ; {D}ecentralized care ; {SENEGAL} ; {FATICK}},
  booktitle = {},
  journal = {{BMC} {H}ealth {S}ervices {R}esearch},
  volume = {19},
  numero = {1},
  pages = {art. 627 [17 ]},
  year = {2019},
  DOI = {10.1186/s12913-019-4416-3},
  URL = {https://www.documentation.ird.fr/hor/fdi:010076679},
}