Findings from a hepatitis B birth dose assessment in health facilities in the Philippines: opportunities to engage the private sector

Vaccine
Minal K PatelKaren Hennessey

Abstract

Hepatitis B vaccination in the Philippines was introduced in 1992 to reduce the high burden of chronic hepatitis B virus (HBV) infection in the population; in 2007, a birth dose (HepB-BD) was introduced to decrease perinatal HBV transmission. Timely HepB-BD coverage, defined as doses given within 24h of birth, was 40% nationally in 2011. A first step in improving timely HepB-BD coverage is to ensure that all newborns born in health facilities are vaccinated. In order to assess ways of improving the Philippines' HepB-BD program, we evaluated knowledge, attitudes, and practices surrounding HepB-BD administration in health facilities. Teams visited selected government clinics, government hospitals, and private hospitals in regions with low reported HepB-BD coverage and interviewed immunization and maternity staff. HepB-BD coverage was calculated in each facility for a 3-month period in 2011. Of the 142 health facilities visited, 12 (8%) did not provide HepB-BD; seven were private hospitals and five were government hospitals. Median timely HepB-BD coverage was 90% (IQR 80%-100%) among government clinics, 87% (IQR 50%-97%) among government hospitals, and 50% (IQR 0%-90%) among private hospitals (p=0.02). The private hospitals were l...Continue Reading

References

Oct 27, 2005·International Journal of Epidemiology·Susan T GoldsteinHarold S Margolis

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Citations

Jul 7, 2015·The Lancet Infectious Diseases·Chloe L ThioStephan Ehrhardt
Dec 9, 2015·Journal of Gastroenterology and Hepatology·Robert G GishJanus P Ong
Nov 8, 2019·Journal of Viral Hepatitis·Shevanthi NayagamMaud Lemoine

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