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Geospatial distribution of Hepatitis B prevention services in Wakiso District, Central Uganda

Article scientifique 2022 Anglais

Résumé

Abstract Introduction Despite global and national efforts in place for the prevention and control of Hepatitis B, there remains a gap in access to hepatitis B prevention services such as testing and vaccination. Nonetheless, there is limited evidence of the geospatial distribution of Hepatitis B services. This study established the geospatial distribution of HBV vaccination services in Wakiso District, Uganda. Materials and methods A cross-sectional quantitative descriptive study was conducted among 55 healthcare facilities including 6 hospitals, and 49 primary care facilities in Wakiso district. Data were collected using the KoboCollect application. Quantitative data were analysed using STATA 14.0. A chi-square test was performed to establish the relationship between healthcare facility characteristics and the availability of hepatitis B services. ArcGIS (version 10.1) was used for analysis of geospatial data. Results The hepatitis B vaccine was available in only 27.3 % (15) of the facilities, and 60% (33) had testing services. Receipt of the hepatitis B vaccine doses in the last 12 months was associated with the level of healthcare facility (p=≤0.001) and location (p=0.030). Availability of the Hepatitis B vaccines at the time of the survey was associated with the level of healthcare facility (p=0.002) and location (p=0.010). Availability of hepatitis B testing services was associated with level of healthcare facility (p=0.031), ownership (p≤0.001) and location (p=0.010). Healthcare facilities offering vaccination and testing services were mostly in urban healthcare facilities, and close to Kampala, Uganda’s capital. Conclusion Hepatitis B services were sub-optimal across all healthcare facility levels, locations, and ownership. The majority of the hepatitis B prevention services were provided in urban settings, close to major towns, municipalities, and the city. This calls a extension of hepatitis B prevention services to rural, public and PNFP healthcare facilities.

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Ssekamatte, T., Isunju, J., Nalugya, A., Wafula, S., Nuwematsiko, R., Nakalembe, D., Kansiime, W., Naume, M., Nakiggala, J., Bukenya, J., Mugambe, R. (2022). Geospatial distribution of Hepatitis B prevention services in Wakiso District, Central Uganda. https://doi.org/10.1101/2022.04.20.22274066

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Auteur(s)

Tonny Ssekamatte John Bosco Isunju Aisha Nalugya Solomon Tsebeni Wafula Rebecca Nuwematsiko Doreen Nakalembe Winnifred K. Kansiime Muyanga Naume Joana Nakiggala Justine Bukenya Richard K. Mugambe

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