Lanyo Theresa Norpeli, Adjei Charles Ampong, Ani-Amponsah Mary
Department of Women and Children, University of Ghana Medical Centre, Accra, Greater Accra, Ghana.
Department of Public Health Nursing, University of Ghana, School of Nursing and Midwifery, Legon, Greater Accra, Ghana.
SAGE Open Nurs. 2024 May 30;10:23779608241255183. doi: 10.1177/23779608241255183. eCollection 2024 Jan-Dec.
Hepatitis B virus infection is a global public health problem with disproportionately high endemicity in Africa and Ghana. The current national prevalence of hepatitis B among pregnant women in Ghana stands at 7.44%, highlighting the considerable threat of chronic hepatitis B on pregnant women and their general well-being. The study explored the informational and practical needs of pregnant women with chronic hepatitis B in Ghana. Fourteen pregnant women were selected purposefully using the exploratory descriptive qualitative design. Data were analyzed using thematic analysis. The findings showed that pregnant women with chronic hepatitis B lacked knowledge about the infection and were in great need of hepatitis B-related information. The study also revealed significant financial implications for treating the infection, necessitating policy reforms and stakeholder actions. To achieve effective coping, better health-seeking, and health-promoting behaviors for better health outcomes, it is crucial to provide targeted care that comprehensively covers the specific needs of pregnant women with chronic hepatitis B. It is also essential to consider including hepatitis B management in the National Health Insurance package to improve care quality.
乙型肝炎病毒感染是一个全球性的公共卫生问题,在非洲和加纳的流行率极高。加纳目前全国孕妇中乙型肝炎的患病率为7.44%,这凸显了慢性乙型肝炎对孕妇及其总体健康构成的巨大威胁。该研究探讨了加纳慢性乙型肝炎孕妇的信息需求和实际需求。采用探索性描述性定性设计,有目的地选取了14名孕妇。使用主题分析法对数据进行了分析。研究结果表明,慢性乙型肝炎孕妇对该感染缺乏了解,迫切需要与乙型肝炎相关的信息。该研究还揭示了治疗该感染的巨大经济影响,这需要政策改革和利益相关者采取行动。为了实现有效的应对、更好的求医行为和促进健康的行为以获得更好的健康结果,提供全面覆盖慢性乙型肝炎孕妇特定需求的针对性护理至关重要。将乙型肝炎管理纳入国家医疗保险计划以提高护理质量也很重要。