Hepatitis B Infection in Outpatients and Pregnant Women Visiting a Mission Hospital in Ghana

ABSTRACT Millions of individuals worldwide suffer from hepatitis B, a serious, potentially fatal liver infection brought on by the hepatitis B virus (HBV). Although vaccines are available for HBV, infections continue to persist in Ghana. This study reports the prevalence of HBV infections in outpati...

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Main Authors: Margaret Addo, Sule Apaame, Michael Abbey Ghanney, Hannah Konadu Adu, Michael E. DeWitt, Seth Offei Addo
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Public Health Challenges
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Online Access:https://doi.org/10.1002/puh2.70071
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author Margaret Addo
Sule Apaame
Michael Abbey Ghanney
Hannah Konadu Adu
Michael E. DeWitt
Seth Offei Addo
author_facet Margaret Addo
Sule Apaame
Michael Abbey Ghanney
Hannah Konadu Adu
Michael E. DeWitt
Seth Offei Addo
author_sort Margaret Addo
collection DOAJ
description ABSTRACT Millions of individuals worldwide suffer from hepatitis B, a serious, potentially fatal liver infection brought on by the hepatitis B virus (HBV). Although vaccines are available for HBV, infections continue to persist in Ghana. This study reports the prevalence of HBV infections in outpatients and pregnant women attending antenatal care at the Seventh‐day Adventist (SDA) Hospital in Gbawe, Ghana. This retrospective cohort study involved the review of de‐identified medical records of outpatients and pregnant women who visited the hospital between 2022 and 2024. Data on their HBV infection status, sex and age were analysed using R version 4.4.1. A total of 531 outpatients and 768 pregnant women visited the hospital during the study period. The prevalence of HBV infection was 7.5% in outpatients and 3.9% in pregnant women. It was observed that outpatients were more likely to be hepatitis B surface antigen (HBsAg) positive (OR = 2.0, 95%CI = 1.24–3.28, p = 0.005). It was also seen that HBV prevalence increased from 2022 to 2023 and decreased in 2024. There is a need for more educational campaigns to raise awareness of HBV infections, especially in pregnant women due to the risk of mother‐to‐child transmission. Furthermore, vaccinations need to be made affordable and easily accessible to the general population to ensure maximum coverage within the country.
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spelling doaj-art-4c32ea7a3fdd469d93e0daa67e6fd52e2025-08-20T03:16:14ZengWileyPublic Health Challenges2769-24502025-06-0142n/an/a10.1002/puh2.70071Hepatitis B Infection in Outpatients and Pregnant Women Visiting a Mission Hospital in GhanaMargaret Addo0Sule Apaame1Michael Abbey Ghanney2Hannah Konadu Adu3Michael E. DeWitt4Seth Offei Addo5Gbawe Seventh Day Adventist Hospital Gbawe GhanaGbawe Seventh Day Adventist Hospital Gbawe GhanaGbawe Seventh Day Adventist Hospital Gbawe GhanaGbawe Seventh Day Adventist Hospital Gbawe GhanaDepartment of Internal Medicine Section on Infectious Diseases Wake Forest University School of Medicine Winston‐Salem North Carolina USAParasitology Department Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana Accra GhanaABSTRACT Millions of individuals worldwide suffer from hepatitis B, a serious, potentially fatal liver infection brought on by the hepatitis B virus (HBV). Although vaccines are available for HBV, infections continue to persist in Ghana. This study reports the prevalence of HBV infections in outpatients and pregnant women attending antenatal care at the Seventh‐day Adventist (SDA) Hospital in Gbawe, Ghana. This retrospective cohort study involved the review of de‐identified medical records of outpatients and pregnant women who visited the hospital between 2022 and 2024. Data on their HBV infection status, sex and age were analysed using R version 4.4.1. A total of 531 outpatients and 768 pregnant women visited the hospital during the study period. The prevalence of HBV infection was 7.5% in outpatients and 3.9% in pregnant women. It was observed that outpatients were more likely to be hepatitis B surface antigen (HBsAg) positive (OR = 2.0, 95%CI = 1.24–3.28, p = 0.005). It was also seen that HBV prevalence increased from 2022 to 2023 and decreased in 2024. There is a need for more educational campaigns to raise awareness of HBV infections, especially in pregnant women due to the risk of mother‐to‐child transmission. Furthermore, vaccinations need to be made affordable and easily accessible to the general population to ensure maximum coverage within the country.https://doi.org/10.1002/puh2.70071Ghana | hepatitis B virus (HBV) infection | outpatients | pregnant women
spellingShingle Margaret Addo
Sule Apaame
Michael Abbey Ghanney
Hannah Konadu Adu
Michael E. DeWitt
Seth Offei Addo
Hepatitis B Infection in Outpatients and Pregnant Women Visiting a Mission Hospital in Ghana
Public Health Challenges
Ghana | hepatitis B virus (HBV) infection | outpatients | pregnant women
title Hepatitis B Infection in Outpatients and Pregnant Women Visiting a Mission Hospital in Ghana
title_full Hepatitis B Infection in Outpatients and Pregnant Women Visiting a Mission Hospital in Ghana
title_fullStr Hepatitis B Infection in Outpatients and Pregnant Women Visiting a Mission Hospital in Ghana
title_full_unstemmed Hepatitis B Infection in Outpatients and Pregnant Women Visiting a Mission Hospital in Ghana
title_short Hepatitis B Infection in Outpatients and Pregnant Women Visiting a Mission Hospital in Ghana
title_sort hepatitis b infection in outpatients and pregnant women visiting a mission hospital in ghana
topic Ghana | hepatitis B virus (HBV) infection | outpatients | pregnant women
url https://doi.org/10.1002/puh2.70071
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AT hannahkonaduadu hepatitisbinfectioninoutpatientsandpregnantwomenvisitingamissionhospitalinghana
AT michaeledewitt hepatitisbinfectioninoutpatientsandpregnantwomenvisitingamissionhospitalinghana
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