DOI: http://dx.doi.org/10.18203/2349-3933.ijam20212106

Physicians as viral hepatitis advocates: empowerment through education

Aayushi Rastogi, Sabin Syed, Ekta Gupta, Akanksha Bansal, Mohit Varshney, Pranav Keshan

Abstract


Background: Viral hepatitis is the most serious infections due to its asymptomatic nature for a long period and complications like liver cirrhosis and hepato cellular carcinoma. Also, available literatures suggest low vaccination status, poor to moderate knowledge about prevention and management of viral hepatitis. Moving forward, physicians can act as advocates in disseminating the correct knowledge about prevention and transmission of viral hepatitis. With this background one-day training program for physicians was conceptualised under project PRAKASH to educate and empower them about prevention and management of viral hepatitis.

Methods: A pre-post study design was undertaken among the physicians who registered themselves for hepatitis induction program. An online link to the knowledge, attitude and practice (KAP) questionnaire consisted of 59 questions of knowledge (35 questions), attitude (12 questions) and practice (12 questions) along with demographic variables was shared with the registered participants. Same knowledge questions were asked during post-test. Paired-t-test and Independent samples t-test were used in analysis using statistical package for the social sciences (SPSS) v-21. Level of significance was taken at p<0.05.

Results: A total of 204 clinicians were trained over five training and pre-post was available for 170 participants. The mean knowledge, attitude and practice scores were found to be 25.11±4.85, 50.17±6.86, 20.18±3.90 out of total score of 35, 60 and 24 respectively. Post knowledge score had increased significantly when compared with pre-score. Pre-knowledge score was found significant with experience level.

Conclusions: Overall, study observed significant improvement of knowledge among physicians which can be attributable to training program and this program can be up scaled and help in empowering the physicians on various health-related topics across the country.


Keywords


Physicians, Hepatitis, Capacity Building, Health knowledge, Vaccination, Prevention, Transmission

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References


World Health Organisation. Global hepatitis report. 2017. Available at: https://apps.who.int/iris/bit stream/handle/10665/255016/9789241565455-eng.pdf;jsessionid=AE1E5866C7632C4F535F838C385645F9?sequence=1. Accessed on 15 January 2021.

MoHFW. National Viral Hepatitis Control Program. 2018. Available at: http://inasl.org.in/national-viral-hepatitis-control-program.pdf. Accessed on 15 January 2021.

Lewis JD, Enfield KB, Sifri CD. Hepatitis B in healthcare workers: Transmission events and guidance for management. World J Hepatol. 2015;7(3):488-97.

Singhal V, Bora D, Singh S. Hepatitis B in Health Care Workers: Indian Scenario. J Lab Physicians. 2009;1(2):41-8.

Shao ER, Mboya IB, Gunda DW, Ruhangisa FG, Temu EM, Nkwama ML, et al. Seroprevalence of hepatitis B virus infection and associated factors among healthcare workers in northern Tanzania. BMC Infect Dis. 2018;18(1):474.

Goel V, Kumar D, Lingaiah R, Singh S. Occurrence of Needlestick and Injuries among Health-care Workers of a Tertiary Care Teaching Hospital in North India. J Lab Physicians. 2017;9(1):20-5.

B FA, M IQ, B M, J SR, M GA. Study on hepatitis B vaccination coverage among workforce of a tertiary care hospital in North India. Int J Med Res Health Sci. 2016;5(5):115-20.

Hang Pham TT, Le TX, Nguyen DT, Luu CM, Truong BD, Tran PD, et al. Knowledge, attitudes and medical practice regarding hepatitis B prevention and management among healthcare workers in Northern Vietnam. PLoS One. 2019;14(10).

Sannathimmappa MB, Nambiar V, Arvindakshan R. Hepatitis B: Knowledge and awareness among preclinical year medical students. Avicenna J Med. 2019;9(2):43-7.

Chhabra D, Mishra S, Gawande K, Sharma A, Kishore S, Bhadoria AS. Knowledge, attitude, and practice study on hepatitis B among medical and nursing undergraduate students of an apex healthcare institute at Uttarakhand foothills: A descriptive analysis. J Fam Med Prim Care [Internet] 2019 [cited 2020 Oct 27];8(7):2354. Available at: https://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=7;spage=2354;epage=2360;aulast=Chhabra;type=0. Accessed on 15 January 2021.

Reang T, Chakraborty T, Sarker M, Tripura A. A study of knowledge and practice regarding Hepatitis B among nursing students attending tertiary care hospitals in Agartala city. Int J Res Med Sci. 2017;3(7):1641-9.

Weiner SJ, Barnet B, Cheng TL, Daaleman TP. Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-14.

Travaline JM, Ruchinskas R, D’Alonzo GE. Patient-Physician Communication: Why and How. J Am Osteopath Assoc. 2005;105(1):13-8.

Abolfotouh MA, AlQarni AA, Al-Ghamdi SM, Salam M, Al-Assiri MH, Balkhy HH. An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia. BMC Infect Dis. 2017;17(1):4.

Listyowardojo TA, Nap RE, Johnson A. Demographic differences between health care workers who did or did not respond to a safety and organizational culture survey. BMC Res Notes. 2011;4:328.

Berhea TA, Belachew AB, Abreha GF. Knowledge and practice of Essential Newborn Care among postnatal mothers in Mekelle City, North Ethiopia: A population-based survey. PLoS One. 2018;13(8).

Chavan GM, Waghachavare VB, Gore AD, Chavan VM, Dhobale RV, Dhumale GB. Knowledge about diabetes and relationship between compliance to the management among the diabetic patients from Rural Area of Sangli District, Maharashtra, India. J Fam Med Prim Care. 2015;4(3):439-43.

Baig VN, Gupta PK, Sharma AK, Swarnkar M. Assessment of Knowledge, Attitude and Practice about Hepatitis B among Clinicians & Medical Students: A Cross Sectional Study. Natl J Community Med. 2015;6(3):415-22.

Chhabra D, Mishra S, Gawande K, Sharma A, Kishore S, Bhadoria AS. Knowledge, attitude, and practice study on hepatitis B among medical and nursing undergraduate students of an apex healthcare institute at Uttarakhand foothills: A descriptive analysis. J Fam Med Prim Care. 2019;8(7):2354.

W EA, Tume C, Njouom R, Ayong L, Fondoh V, Kuiate J-R. Knowledge, attitude and prevalence of hepatitis B virus among healthcare workers: a cross-sectional, hospital-based study in Bamenda Health District, NWR, Cameroon. BMJ Open. 2020;10(3):e031075.

Elstad EA, Lutfey KE, Marceau LD, Campbell SM, von dem Knesebeck O, McKinlay JB. What do physicians gain (and lose) with experience? Qualitative results from a cross-national study of diabetes. Soc Sci Med. 2010;70(11):1728-36.

Reid S. Estimating the Burden of Disease from Unsafe Injections in India: A Cost–benefit Assessment of the Auto-disable Syringe in a Country with Low Blood-borne Virus Prevalence. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2012;37(2):89-94.

ul Haq N, Hassali MA, Shafie AA, Saleem F, Farooqui M, Aljadhey H. A cross sectional assessment of knowledge, attitude and practice towards Hepatitis B among healthy population of Quetta, Pakistan. BMC Public Health. 2012;12(1):692.

Yasobant S, Trivedi P, Saxena D, Puwar T, Vora K, Patel M. Knowledge of hepatitis B among healthy population: A community-based survey from two districts of Gujarat, India. J Fam Med Prim Care. 2017;6(3):589-94.

Yasobant, Saxena D, Puwar T, Trivedi P, Patel S, Fancy MJ, et al. Knowledge of Hepatitis B among Doctors working in Public Health System of Gujarat, India: An Interventional Study. J Fam Med Community Health. 2017;4(8):1136.

Holodnick CL, Barkauskas V. Reducing percutaneous injuries in the OR by educational methods. AORN J. 2000;72(3):461-76.

Howard GS. Response-Shift Bias: A Problem in Evaluating Interventions with Pre/Post Self-Reports. Eval Rev. 1980;4(1):93-106.