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Factors affecting HBV vaccination in a Medical training College in Kenya: A mixed methods Study

机译:影响肯尼亚医学培训学院HBV疫苗接种的因素:混合方法研究

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BACKGROUND:Hepatitis B Virus (HBV) is highly endemic in Sub-Saharan Africa with 70 to 90% of the population becoming infected before the age of 40?years. Healthcare workers (HCWs) including healthcare students (HCSs) are at an increased risk of contracting HBV due to occupational exposure. HCSs are especially at a high risk because of their inexperience with infection control procedures and insufficient knowledge about the level of risk when dealing with patients. Despite the availability of an effective vaccine, and its recommendation by Kenya's Ministry of Health, few HCW and students are vaccinated. The aim of this study was to evaluate the influence of awareness, attitude, practices, and access factors on hepatitis B vaccination uptake by HCSs at Kenya Medical Training College (KMTC).METHODS:This was a concurrent mixed methods study. For the quantitative arm, a structured questionnaire was used to assess the awareness, knowledge, attitudes and practices towards HBV disease and vaccination. Accessibility of the HBV vaccine in the participating campuses was also assessed. Two FGDs were carried out: one comprised of student representatives of the participating campuses while the second comprised of members of staff. Quantitative data was analysed using STATA (version 15) while NVIVO (version 11) was used for qualitative data.RESULTS:Out of 634 students invited to participate in the study, 487 participated (response rate 76.8%). Majority of the respondents were from Nairobi Campus (44.2%) and from the Department of Nursing (31.2%). HBV vaccine uptake rate was 85.8% while the non-vaccination rate was 14.3%. Full vaccination was reported by only 20.2% of respondents. The major reason for not receiving the recommended doses was the unavailability of the vaccine when students went for it. The qualitative study revealed challenges in the implementation of the vaccination program at KMTC.CONCLUSIONS:Full vaccination rates remained low despite good knowledge of HBV infection and positive attitude towards vaccination. There is therefore need to streamline vaccination programs in medical colleges to ensure availability and accessibility of the vaccine to healthcare students.
机译:背景:乙型肝炎病毒(HBV)在撒哈拉以南非洲的高度流行,70%至90%的人口在40岁之前被感染了。包括医疗保健学生(HCSS)在内的医疗工作者(HCWS)因职业暴露而缔约HBV的风险增加。由于其感染控制程序的缺乏,HCSS尤其是高风险,并且在处理患者时对风险程度的知识不足。尽管有有效的疫苗,但肯尼亚卫生部的推荐,很少有HCW和学生接种疫苗。本研究的目的是评估意识,态度,实践和获取因素对肯尼亚医学培训学院的乙型肝炎疫苗接种的影响(Kenya医学培训学院(KENTC)。方法:这是一个并发的混合方法研究。对于定量臂,结构化问卷用于评估HBV疾病和疫苗接种的意识,知识,态度和实践。还评估了参与校区中HBV疫苗的可访问性。进行了两项FGD:由参与校区的学生代表组成,而第二个由工作人员成员组成。使用STATA(版本15)分析定量数据,而NVIVO(版本11)用于定性数据。结果:487名学生中的634名学生,参加(响应率76.8%)。受访者的大多数受访者来自内罗毕校区(44.2%)和护理部(31.2%)。 HBV疫苗摄取率为85.8%,而非疫苗接种率为14.3%。只有20.2%的受访者报告了全疫苗。未接受推荐剂量的主要原因是当学生为此而疫苗的不可用。定性研究揭示了KMTC.Concrc.Conclusions的疫苗接种计划的挑战:尽管良好了解HBV感染和对疫苗接种态度的良好态度,但完全疫苗接种率仍然很低。因此,需要简化医学院校的疫苗接种计划,以确保疫苗的可用性和可访问性对医疗保健学生。

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