Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Catch-up Vaccination with integrated KAP study of Hepatitis B amongst Medical Students in a High Risk Setting of a newly established Medical Institution
Akanksha Rathi, Vikas Kumar, Jitendra Majhi, Shalini Jain, Panna Lal, SV Singh

Last modified: 2018-08-22

Abstract


Background: India is in the intermediate HBV endemicity zone (HBsAg prevalence among the general population ranges from 2 to 8%) with 50 million cases which makes it the second largest global pool of chronic HBV infections. Among healthcare workers seroprevalence is two to four times higher than that of the general population.

Objectives:

  1. To know the knowledge, attitude and practices (KAP) of medical students regarding Hepatitis-B
  2. To know the vaccination status of the medical students against Hepatitis-B
  3. To Immunize the unimmunized and partially immunized medical students

Materials & Methods: This is a cross-sectional study that was conducted from March to April, 2018. A notice regarding the vaccination program was circulated amongst all the students of the medical college (only first and second year students are there) through proper channels of the Department of Community Medicine. Students were invited to the department on specified dates for awareness and immunization against Hepatitis B. Their KAP was assessed with the help of a self administered questionnaire.

Results: With a response rate of 81.3%, a total of 161 students participated in the study out of 198. The students were between the ages of 17 to 25. Majority of the students were males (112, 70%) as compared to females (49, 30%). Out of the 161 study subjects, only 13(8%) students had received a completed course of Hepatitis B vaccination in the past, 30 (18.6%) students had history of inability to complete the 3 doses of Hepatitis B vaccination and rest were never immunized against Hepatitis-B. The results depict the poor knowledge of students towards the disease. The knowledge about the risk of acquiring the disease at the hospital or high risk setting was present in less than half of the students. Only 50.3% were aware that it can be transmitted through percutaneous injury, 39.8% knew about the transmission through mucuous membrane and 44.1% knew that it can be transmitted if breeched skin comes in contact with infectious material. The attitude of students was positive as 155 (96.3%) opined that everyone should get Hepatitis B vaccination and 145 (90.1%) thought that the vaccine is certainly helpful. Only 6 (3.7%) students said that they are either not at risk or do not need the vaccine.  The average knowledge score was 10.63 out of 16 and average healthy practice score was 2.94 out of 4. On applying Pearson correlation test, it was found that there was a positive correlation of knowledge and practices of the students (p=0.012), implying that better knowledge of the disease has a positive effect on the practices exercised by an individual.

Conclusion: Newly enrolled students and other individuals attached to a high risk setting such as a medical institution should be screened for immunization status during initial medical examination as the number of unimmunized persons especially against Hepatitis B is high. They also need to be sensitized towards this prevalent disease and its prevention.

Keywords: Hepatitis-B, KAP, medical students, high risk, Hepatitis screening