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Gaps in hepatitis B vaccination completion and sero-protection for people who inject drugs in Hpakant, Myanmar, 2015-2018 | Journal Article / Research | MSF Science Portal
Journal Article
|Research

Gaps in hepatitis B vaccination completion and sero-protection for people who inject drugs in Hpakant, Myanmar, 2015-2018

Yee NS, Naing AY, Cuesta JG, Das M, Dave K
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Abstract
Hepatitis B vaccination (HBV) is recommended for high-risk groups, such as people who inject drugs (PWIDs). As part of a harm reduction program by a non-governmental organization, hepatitis B screening, vaccination and antibody (HBAb) testing after completion of the vaccination schedule were offered to PWIDS in Myanmar. We determined the proportions of HBV non-completion and sero-unprotection among PWIDs enrolled in the program and their association with socio-demographic and clinical characteristics. We conducted a descriptive study based on routine program data in five selected clinics in Hpakant Township, Myanmar. PWIDs who were Hepatitis B antigen negative at screening during January 2015-December 2018 were included. Among 5386 participants eligible for HBV, 9% refused vaccination. Among those who accepted vaccination (n = 3177 individuals), 65% completed vaccination. Of those tested for HBsAb (n = 2202), 30% were sero-unprotected. Young-adults (aged 18-44 years) and migrant workers had a higher risk of incomplete vaccination. However, participants who used methadone had a lower risk of incomplete vaccination. Migrant workers had higher risk of not returning for HBsAb testing and HIV-positive participants had a higher risk of being HBV sero-unprotected. Efforts to increase HBV vaccination in PWIDs for young adults and clients during methadone and anti-retroviral services should be prioritized.

Countries

Myanmar

Subject Area

vaccinationdisease surveillancehepatitis B

Languages

English
DOI
10.3390/tropicalmed5020077
Published Date
12 May 2020
PubMed ID
32408591
Journal
Tropical Medicine and Infectious Disease
Volume | Issue | Pages
Volume 5, Issue 2, Pages 77
Issue Date
2020-05-12
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