@article{fdi:010090748,
  title = {{I}nvestigating linkage to care following community-based screening for hepatitis {B} virus in rural {S}enegal : a mixed methods study},
  author = {{C}oste, {M}arion and {D}iouf, {A}. and {N}dong, {C}. and {D}iouf, {A}. and {P}{\'e}ri{\`e}res, {L}auren and {N}ishimwe, {M}. {L}. and {B}ureau, {M}. and {N}diaye, {A}. and {M}aradan, {G}. and {D}iallo, {A}. and {B}oyer, {S}. and {A}m, {B}ass study grp},
  editor = {},
  language = {{ENG}},
  abstract = {{T}his paper investigates linkage to care following community-based screening for hepatitis {B} virus ({HBV}) in rural {S}enegal. {HBV}-positive participants who completed a biological and clinical examination to assess liver disease and treatment eligibility were referred to a regional hospital (if eligible for treatment), invited to join the {S}en-{B} research cohort study (adults with detectable viral load) or referred to their local health centre (all others). {L}ogistic regressions were conducted to investigate factors associated with (i) uptake of the scheduled post-screening examination, and (ii) {HBV} management initiation. {O}bstacles to {HBV} management were identified using thematic analysis of in-depth patient interviews. {O}f the 206 {HBV}-positive participants, 163 (79.1%) underwent the examination; 47 of the 163 (28.8%) initiated {HBV} management. {W}omen, people not migrating for >6 months/year, individuals living in households with more agricultural and monetary resources, with other {HBV}-positive participants, and beneficiaries of the national cash transfer program, were all more likely to undergo the examination. {T}he likelihood of joining the {S}en-{B} cohort increased with household monetary resources, but decreased with agricultural resources. {I}nitiation of {HBV} management in local health centre was higher among participants with a non-agricultural economic activity. {I}ndividuals reported wariness and confusion about {HBV} management content and rationale at various stages of the care continuum, in particular with respect to venous blood sampling and management without treatment. {I}n conclusion, {HBV} community-based test-and-treat strategies are feasible, but early loss to follow-up must be addressed through simplified, affordable management and community support and sensitization.},
  keywords = {chronic hepatitis {B} virus ({HBV}) infection ; linkage to care ; {S}enegal ; {SENEGAL}},
  booktitle = {},
  journal = {{J}ournal of {V}iral {H}epatitis},
  volume = {31},
  numero = {9},
  pages = {544--556},
  ISSN = {1352-0504},
  year = {2024},
  DOI = {10.1111/jvh.13977},
  URL = {https://www.documentation.ird.fr/hor/fdi:010090748},
}