A training for health care workers to integrate hepatitis B care and treatment into routine HIV care in a high HBV burden, poorly resourced region of Uganda: the ‘2for1’ project

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dc.contributor.authorNankya‑Mutyoba, Joan
dc.contributor.authorEjalu, David
dc.contributor.authorWandera, Claude
dc.contributor.authorBeyagira, Rachel
dc.contributor.authorAmandua, Jacinto
dc.contributor.authorSeremba, Emmanuel
dc.contributor.authorMugagga, Kaggwa
dc.contributor.authorKambugu, Andrew
dc.contributor.authorMuganzi, Alex
dc.contributor.authorEasterbrook, Philippa
dc.contributor.authorOcama, Ponsiano
dc.date.accessioned2022-04-30T18:36:31Z
dc.date.available2022-04-30T18:36:31Z
dc.date.issued2022
dc.description.abstractThe “2for1” project is a demonstration project to examine the feasibility and effectiveness of HBV care integrated into an HIV clinic and service. An initial phase in implementation of this project was the development of a specific training program. Our objective was to describe key features of this integrated training curriculum and evaluation of its impact in the initial cohort of health care workers (HCWs). Methods: A training curriculum was designed by experts through literature review and expert opinion. Key distinctive features of this training program (compared to standard HBV training provided in the Government program) were; (i) Comparison of commonalities between HIV and HBV (ii) Available clinic- and community-level infrastructure, and the need to strengthen HBV care through integration (iii) Planning and coordination of sustained service integration. The training was aided by a power-point guided presentation, question and answer session and discussion, facilitated by physicians and hepatologists with expertise in viral hepatitis. Assessment approach used a self-administered questionnaire among a cohort of HCWs from 2 health facilities to answer questions on demographic information, knowledge and attitudes related to HBV and its prevention, before and after the training. Knowledge scores were generated and compared using paired t- tests. Results: A training curriculum was developed and delivered to a cohort of 44 HCWs including medical and nursing staff from the two project sites. Of the 44 participants, 20 (45.5%) were male, average age (SD) was 34.3 (8.3) with an age range of 22–58 years. More than half (24, 54.5%) had been in service for fewer than 5 years. Mean correct knowledge scores increased across three knowledge domains (HBV epidemiology and transmission, natural history and treatment) post-intervention. However, knowledge related to diagnosis and prevention of HBV did not change. Conclusion: A structured HBV education intervention conducted as part of an HIV/HBV care integration training for health care workers yielded improved knowledge on HBV and identified aspects that require further training. This approach may be replicated in other settings, as a public health strategy to heighten HBV elimination efforts.en_US
dc.identifier.citationNankya-Mutyoba, J., Ejalu, D., Wandera, C., Beyagira, R., Amandua, J., Seremba, E., ... & Ocama, P. (2022). A training for health care workers to integrate hepatitis B care and treatment into routine HIV care in a high HBV burden, poorly resourced region of Uganda: the ‘2for1’project. BMC Medical Education, 22(1), 1-11. https://doi.org/10.1186/s12909-022-03329-3en_US
dc.identifier.urihttps://doi.org/10.1186/s12909-022-03329-3
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3061
dc.language.isoenen_US
dc.publisherBMC Medical Educationen_US
dc.subjectHepatitis Ben_US
dc.subjectKnowledgeen_US
dc.subjectHealth care workersen_US
dc.subjectUgandaen_US
dc.titleA training for health care workers to integrate hepatitis B care and treatment into routine HIV care in a high HBV burden, poorly resourced region of Uganda: the ‘2for1’ projecten_US
dc.typeArticleen_US
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