Health workers’ knowledge, attitude and practice towards Hepatitis B infection in Northern Nigeria

Background: Infection by hepatitis B virus is one of the many challenges in public health today and the tenth leading cause of mortality worldwide. Research has shown that health-care personnel are at higher risk of acquiring the disease than the general population. Aim: The aim of this study was to investigate the relationship between knowledge, attitude and practice among health workers towards hepatitis B infection in Northern Nigeria. Methods: This study used a cross-sectional survey with self-administered questionnaire to gather information from an Ear, Nose and Throat health-care professionals in a tertiary hospital in Northern Nigeria. The data collected was coded and analyzed using SPSS software version 20. Results: A similar numbers of males, 49.5% (53/107), and females, 50.5% (54/107) took part. The overall correctly answered knowledge questions by the professions was 76.9%. A one-way ANOVA between participants showed that there were significant difference between the profession groups in terms of knowledge scores (F4, 102 = 11.5, P< 0.001) and in terms of practice scores between the groups (F4, 102 = 4.1, P<0.01); however, there was no significant difference in attitude between the professional groups (F4, 102 = 0.6, P= 0.68). Multivariate analysis showed that health attendants had the best practice score and did not differ significantly to Doctors (β = −0.1, t =−0.9, P= 0.40). Conclusion: The findings suggest that there is a gap in knowledge and lack of compliance to infection control and preventive measures among health-care professionals. There should be an increased in awareness through campaigns geared towards educating health-care personnel on the dangers of hepatitis B infection. Keywords: Health care workers, Hepatitis B infection, prevention and control, Knowledge, attitude and practice, Developing countrie

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries