Prevention of Mother-to-Child Transmission of Hepatitis B in the Urban District Health Baskuy Burkina Faso  

作　　者：Alice Nanelin Guingané Nicolas Meda Roger Sombié Christiane Béré/Somé Lydie Sia Rose Ido/Da Issa Guiraud Alain Bougouma Alice Nanelin Guingané;Nicolas Meda;Roger Sombié;Christiane Béré/Somé;Lydie Sia;Rose Ido/Da;Issa Guiraud;Alain Bougouma(Service d’Hépatogastroentérologie, CHU-Yalgado Ouédraogo, Ouagadougou, Burkina Faso;Aix Marseille University, IRD, UMR-S912, Marseille France;Faculty of Health Sciences (UFR-SDS), University of Ouaga I Pr Joseph Ki-Zerbo, Ouagadougou, Burkina Faso;Centre MURAZ, Bobo-Dioulasso, Burkina Faso;Institute of Research on Health Sciences, Ouagadougou, Burkina Faso)

机构地区：[1]Service d’Hépatogastroentérologie, CHU-Yalgado Ouédraogo, Ouagadougou, Burkina Faso [2]Aix Marseille University, IRD, UMR-S912, Marseille France [3]Faculty of Health Sciences (UFR-SDS), University of Ouaga I Pr Joseph Ki-Zerbo, Ouagadougou, Burkina Faso [4]Centre MURAZ, Bobo-Dioulasso, Burkina Faso [5]Institute of Research on Health Sciences, Ouagadougou, Burkina Faso

出　　处：《Open Journal of Gastroenterology》2016年第6期175-187,共13页肠胃病学期刊（英文）

摘　　要：Few studies have been conducted on the epidemiology in pregnancy in sub-Saharan Africa. This study aimed to improve the care of pregnant women infected with hepatitis B virus (VHB) and their newborns in the urban district health. Method: This study was conducted from 01/09/2014 to 01/09/2015. Study involved three types of data collection: a collection of data from health facilities involved in the project;repeated cross-sectional survey among health personnel;a pros- pective study of pregnant women identified positive for HBsAg and followed at the University Hospital Yalgado Ouédraogo (CHU-YO). Knowledge assessment was made among health staff and pregnant women using a knowledge score. Construction of the score came after a factorial analysis of multiple correspondences on population health workers surveyed in the first round (N = 119) on one hand and all pregnant women (N = 266) on the other hand. This had identified among the 79/19 questions, those that discriminated best knowledge of paramedics and pregnant women. For pregnant women, this score was then dichotomized from the center and logistic regression was performed to determine the sociodemographic, medical and obstetric characteristics that influenced it (p value < 005). Results: Health staff had been surveyed twice (N = 119/100). In general, the level of knowledge was good on targeted knowledge, both before and after training. No health worker routinely offered screening for hepatitis B among pregnant women attending antenatal clinics. Altogether 266 pregnant women HBsAg-positive were referred and followed CHU-YO. Half of the patients had a score lower than 2/17. Univariate analysis showed that variables such as education level influenced significantly the level of knowledge. Women with higher levels of education had a higher level of knowledge about the disease, compared to those of primary level [OR = 1.63;[1.34 to 1.99], p value < 0,001]. Newborns during the study period numbered 128 and the vaccine was made in the first 24 hours of life for 83.6% ofFew studies have been conducted on the epidemiology in pregnancy in sub-Saharan Africa. This study aimed to improve the care of pregnant women infected with hepatitis B virus (VHB) and their newborns in the urban district health. Method: This study was conducted from 01/09/2014 to 01/09/2015. Study involved three types of data collection: a collection of data from health facilities involved in the project;repeated cross-sectional survey among health personnel;a pros- pective study of pregnant women identified positive for HBsAg and followed at the University Hospital Yalgado Ouédraogo (CHU-YO). Knowledge assessment was made among health staff and pregnant women using a knowledge score. Construction of the score came after a factorial analysis of multiple correspondences on population health workers surveyed in the first round (N = 119) on one hand and all pregnant women (N = 266) on the other hand. This had identified among the 79/19 questions, those that discriminated best knowledge of paramedics and pregnant women. For pregnant women, this score was then dichotomized from the center and logistic regression was performed to determine the sociodemographic, medical and obstetric characteristics that influenced it (p value < 005). Results: Health staff had been surveyed twice (N = 119/100). In general, the level of knowledge was good on targeted knowledge, both before and after training. No health worker routinely offered screening for hepatitis B among pregnant women attending antenatal clinics. Altogether 266 pregnant women HBsAg-positive were referred and followed CHU-YO. Half of the patients had a score lower than 2/17. Univariate analysis showed that variables such as education level influenced significantly the level of knowledge. Women with higher levels of education had a higher level of knowledge about the disease, compared to those of primary level [OR = 1.63;[1.34 to 1.99], p value < 0,001]. Newborns during the study period numbered 128 and the vaccine was made in the first 24 hours of life for 83.6% of

关 键 词：Hepatitis B PARAMEDICS KNOWLEDGE PRACTICES Pregnant Women IMMUNIZATION NEWBORN 

分 类 号：R51[医药卫生—内科学]