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Knowledge, attitude and practice of staff of 4 hospitals in Yaoundé on the prevention of vertical transmission of hepatitis B.

Abstract Hepatitis B virus infection is a public health concern in Cameroon and worldwide. With hepatitis C virus, it is the first cause of liver cancer in Cameroon. The high prevalence of 11.9% in Cameroon is associated with the premature contamination at the perinatal period, due to vertical transmission, from mother-to-child. To put into practice the preventives measures, actors need a good knowledge on premature contamination of a baby. The general objective of this study was to evaluate the influence of level of knowledge on the attitudes and the professional practices concerning prevention of mother-to-child transmission of hepatitis B (PMTCT/HBV) in Yaoundéhospitals and environs.
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Authors

Mayor MeshTerms

Health Knowledge, Attitudes, Practice

Keywords

PMTCT/HBV

attitudes and practices

healthcare providers

hepatitis B

knowledges

Journal Title the pan african medical journal
Publication Year Start




PMID- 29541320
OWN - NLM
STAT- MEDLINE
DCOM- 20180322
LR  - 20180322
IS  - 1937-8688 (Electronic)
VI  - 28
DP  - 2017
TI  - Knowledge, attitude and practice of staff of 4 hospitals in Yaounde on the
      prevention of vertical transmission of hepatitis B.
PG  - 174
LID - 10.11604/pamj.2017.28.174.10971 [doi]
AB  - Introduction: Hepatitis B virus infection is a public health concern in Cameroon 
      and worldwide. With hepatitis C virus, it is the first cause of liver cancer in
      Cameroon. The high prevalence of 11.9% in Cameroon is associated with the
      premature contamination at the perinatal period, due to vertical transmission,
      from mother-to-child. To put into practice the preventives measures, actors need 
      a good knowledge on premature contamination of a baby. The general objective of
      this study was to evaluate the influence of level of knowledge on the attitudes
      and the professional practices concerning prevention of mother-to-child
      transmission of hepatitis B (PMTCT/HBV) in Yaoundehospitals and environs.
      Methods: We carried out a cross sectional multicentric, KAP study from 10(th)
      March to 15(th) December 2015 in the obstetrics services of 4 hospitals in
      Yaoundeand environs. For each health care provider who gave his consent, we used 
      a pretested questionnaire to collect socio-demographics and professional data as 
      well as their knowledges, attitudes and practices on PMTCT/HBV. After given a
      grade to each item, we proceeded to a quantitative analysis of data using SPSS
      software and Epi info 7(th) version. Results: 105 health care provider took part 
      in the study, made up of 82 women (79%) and 22 men (21%). The ages were between
      23 and 60 years, with a mean age of 40.9 +/- 9.2 years. Only 21% of the
      participants had good knowledges on HBV/PMCT. This knowledge had a significant
      link with the profession, the professional experience and the duration in the
      same service. All the nurseaids had inadequate knowledges as well as the elders
      in the profession. Most of the participants (64.4%) had favorableattitude on
      PMTCT/HBV and that was significantly associated to good knowledges. (OR:5.34; CI 
      95% [1.47-19.47], p = 0.006). The practices on PMTCT/HBV were inappropriate in
      57.1% of the participants. There were no significant relation between good
      knowledge and the practices (OR: 1.818, CI 95% [0.705-4.68]; p = 0.213) as well
      as between good attitudes and practices on PMTCT/HBV (OR: 0.932; CI 95%
      [0.423-2.058]; p = 0.862). Conclusion: The healthcare provider in hospitals in
      Yaounde and its environs are old. Their knowledge on PMTCT/HBV is inadequate and 
      their practices inappropriate. Good knowledge doesn't always lead to good
      practices of PMTCT/HBV. There exist some obstacles or intermediate variables
      between good knowledge, good attitudes and appropriate practices of PMTCT/HBV.
FAU - Paul, Talla
AU  - Paul T
AD  - Yaounde General Hospital, Yaounde, Cameroon.
FAU - Marie, Tebeu Pierre
AU  - Marie TP
AD  - Yaounde University Teaching Hospital and Faculty of Medicine and Biomedical
      Sciences, University of Yaounde 1, Yaounde, Cameroon.
FAU - Bechem, Efuetnkeng
AU  - Bechem E
AD  - Bamenda Regional Hospital, Yaounde, Cameroon.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20171025
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Adult
MH  - Cameroon/epidemiology
MH  - Cross-Sectional Studies
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Hepatitis B/*prevention & control/transmission
MH  - Humans
MH  - Infectious Disease Transmission, Vertical/*prevention & control
MH  - Male
MH  - Middle Aged
MH  - Personnel, Hospital/statistics & numerical data
MH  - Pregnancy
MH  - Pregnancy Complications, Infectious/epidemiology/*virology
MH  - Prevalence
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC5847251
OTO - NOTNLM
OT  - PMTCT/HBV
OT  - attitudes and practices
OT  - healthcare providers
OT  - hepatitis B
OT  - knowledges
EDAT- 2018/03/16 06:00
MHDA- 2018/03/23 06:00
CRDT- 2018/03/16 06:00
PHST- 2016/10/16 00:00 [received]
PHST- 2017/04/03 00:00 [accepted]
PHST- 2018/03/16 06:00 [entrez]
PHST- 2018/03/16 06:00 [pubmed]
PHST- 2018/03/23 06:00 [medline]
AID - 10.11604/pamj.2017.28.174.10971 [doi]
AID - PAMJ-28-174 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Oct 25;28:174. doi: 10.11604/pamj.2017.28.174.10971.
      eCollection 2017.