Department of Medicine, University of Minnesota, 420 Delaware Street SE, Minneapolis, Minnesota, USA.
Department of Medicine, Regions Hospital, 640 Jackson St, Saint Paul, Minnesota, USA.
Ann Glob Health. 2021 Feb 25;87(1):22. doi: 10.5334/aogh.3045.
Hepatitis B virus (HBV) infection disproportionally affects populations in sub-Saharan Africa. Lack of HBV awareness perpetuates disease burden in Africa.
To promote HBV awareness in Tanzania using a systematic, measurable, and expandable approach to educating health care workers (HCW).
We designed and implemented an HBV knowledge and teaching skills session in southern Tanzania to empower HCWs in leading education to promote disease awareness in their communities. Training was divided into two sessions: didactic and practical. A five-question anonymous survey was distributed in person immediately before and after the practical portion of the training to evaluate HBV knowledge as well as specific skills for teaching. Differences between responses before and after the sessions were evaluated by Chi-Square analysis. A sub-group of questions were further analyzed for differences based on HCW self-report of HBV serostatus awareness.
130 HCWs participated in the didactic lecture and 30 HCWs participated in both portions. A pre-post training five-question survey showed an increase in correct answers for all questions, with two showing statistical significance: HBV is silent (7% pre vs. 87% post; p < 0.0001), and repetition as key to promote awareness (63% pre vs. 100% post; p = 0.0002).
Our low-cost intervention is applicable to increase HBV awareness in low resource settings across Africa.
乙型肝炎病毒（HBV）感染在撒哈拉以南非洲的人群中不成比例地存在。缺乏 HBV 意识会使非洲的疾病负担持续存在。
通过系统、可衡量和可扩展的方法，为坦桑尼亚的医疗保健工作者（HCW）提供乙型肝炎病毒（HBV）知识教育，以提高 HBV 意识。
我们在坦桑尼亚南部设计并实施了 HBV 知识和教学技能培训课程，使 HCW 能够在领导教育方面发挥作用，以提高其社区的疾病意识。培训分为两个部分：理论和实践。在培训的实践部分之前和之后，我们通过匿名问卷调查了 130 名 HCW，评估他们的 HBV 知识以及教授特定技能。通过卡方分析评估课程前后的回答差异。对 HCW 自我报告的 HBV 血清阳性意识的亚组问题进行了进一步分析。
130 名 HCW 参加了理论讲座，30 名 HCW 参加了理论和实践两个部分。五项问题的培训前后调查显示，所有问题的正确答案都有所增加，其中两个问题具有统计学意义：HBV 是无声的（培训前为 7%，培训后为 87%；p < 0.0001）和重复是提高意识的关键（培训前为 63%，培训后为 100%；p = 0.0002）。
我们的低成本干预措施适用于提高非洲资源匮乏地区的 HBV 意识。
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