School of Health Sciences, Catholic University of Central Africa, Yaoundé, Cameroon.
Department of Microbiology and Parasitology, Faculty of Science, University of Buea, Buea, Cameroon.
Pan Afr Med J. 2021 Dec 9;40:216. doi: 10.11604/pamj.2021.40.216.16856. eCollection 2021.
Hepatitis B virus (HBV) infection is one of the most serious occupational hazards faced by healthcare workers (HCW). This study aimed at assessing the influence of knowledge and attitudes of HCWs in the Bamenda Health District (BHD) on their vaccination status.
this was a cross-sectional analytic study carried out in Bamenda health district, Cameroon. Random sampling method was used to select 10 private, 10 public, and 4 confessional health facilities, from which 280 HCW were included in the study by convenience sampling. Data were analysed using Epi Info 7 and presented using tables, figures, and percentages.
the vaccination coverage among HCW in the BHD was found to be 13.9%. Healthcare workers who had no knowledge of the minimum number of doses for complete primary HBV vaccination were less likely to be vaccinated than those who had knowledge (p = 0.00). Healthcare workers who had been tested for HBsAg were more likely to be vaccinated than those who had not done the test (p = 0.00). Among HCW (90.7%) who knew they were more at risk of contracting HBV, 98.6% knew it can be prevented out of which 72.6% reported that vaccination is the most effective means of prevention; only 13.9% of HCW were vaccinated. Other factors could have influenced the vaccination status of HCW; high cost of the vaccine, lack of time for vaccination, negligence, and the non-availability of the vaccine.
awareness should be created among HCW and they should be encouraged to go for HBsAg screening and those who are negative should receive a full dose of HBV vaccine. Also, the vaccine should be subsidized and made available to all HCW in the BHD.
乙型肝炎病毒（HBV）感染是医护人员（HCW）面临的最严重职业危害之一。本研究旨在评估巴门达卫生区（BHD）HCW 的知识和态度对其疫苗接种状况的影响。
这是在喀麦隆巴门达卫生区进行的一项横断面分析研究。采用随机抽样法，从 10 家私立、10 家公立和 4 家宗教卫生机构中选择了 280 名 HCW 进行便利抽样研究。数据使用 Epi Info 7 进行分析，并以表格、图形和百分比表示。
BHD 中 HCW 的疫苗接种覆盖率为 13.9%。不知道完成 HBV 初级疫苗接种所需最低剂量的 HCW 比有知识的 HCW 更不可能接种疫苗（p=0.00）。已经接受 HBsAg 检测的 HCW 比未接受检测的 HCW 更有可能接种疫苗（p=0.00）。在知道自己感染 HBV 风险更高的 HCW（90.7%）中，98.6%知道它可以预防，其中 72.6%表示接种疫苗是最有效的预防手段；只有 13.9%的 HCW 接种了疫苗。其他因素可能影响 HCW 的疫苗接种状况；疫苗价格高、接种时间不足、疏忽以及疫苗供应不足。
应提高 HCW 的认识，并鼓励他们进行 HBsAg 筛查，对阴性者应给予 HBV 疫苗全程接种。此外，应补贴疫苗并提供给 BHD 中的所有 HCW。
