Nasreen S Quadri1, Shemal M Shah2, Holly Rodin3, Jose D Debes1,4,5. 1. Department of Medicine, University of Minnesota, 420 Delaware Street SE, Minneapolis, Minnesota, USA. 2. Department of Medicine, Regions Hospital, 640 Jackson St, Saint Paul, Minnesota, USA. 3. Analytic Center of Excellence, Hennepin Healthcare, 701 Park Avenue, Minneapolis, Minnesota, USA. 4. Department of Gastroenterology and Hepatology, Hennepin Healthcare, 701 Park Avenue, Minneapolis, Minnesota, USA. 5. Arusha Lutheran Medical Center, Makao Mapya Road, Arusha, Tanzania.
Abstract
Background: Hepatitis B virus (HBV) infection disproportionally affects populations in sub-Saharan Africa. Lack of HBV awareness perpetuates disease burden in Africa. Objective: To promote HBV awareness in Tanzania using a systematic, measurable, and expandable approach to educating health care workers (HCW). Methods: 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. Findings: 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). Conclusions: Our low-cost intervention is applicable to increase HBV awareness in low resource settings across Africa. Copyright:
Background: Hepatitis B virus (HBV) infection disproportionally affects populations in sub-Saharan Africa. Lack of HBV awareness perpetuates disease burden in Africa. Objective: To promote HBV awareness in Tanzania using a systematic, measurable, and expandable approach to educating health care workers (HCW). Methods: 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. Findings: 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). Conclusions: Our low-cost intervention is applicable to increase HBV awareness in low resource settings across Africa. Copyright:
Authors: C Wendy Spearman; Mary Afihene; Reidwaan Ally; Betty Apica; Yaw Awuku; Lina Cunha; Geoffrey Dusheiko; Neliswa Gogela; Chris Kassianides; Michael Kew; Philip Lam; Olufunmilayo Lesi; Marie-Jeanne Lohouès-Kouacou; Papa Saliou Mbaye; Emmanuel Musabeyezu; Betty Musau; Olusegun Ojo; John Rwegasha; Barbara Scholz; Abate B Shewaye; Christian Tzeuton; Mark W Sonderup Journal: Lancet Gastroenterol Hepatol Date: 2017-12
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