Promoting hepatitis B awareness: Evaluating an educational approach through health care workers in Tanzania

Nasreen S. Quadri, Shemal M. Shah, Holly Rodin, Jose D. Debes

Research output: Contribution to journalArticlepeer-review


Background: Hepatitis B virus (HBV) infection disproportionally affects populations in sub-Saharan Africa. Lack of HBV awareness perpetuates disease burden in Africa. Objective: To promote HBV awareness in Tanzania using a systematic, measurable, and expandable approach to educating health care workers (HCW). Methods: We designed and implemented an HBV knowledge and teaching skills session in southern Tanzania to empower HCWs in leading education to promote disease awareness in their communities. Training was divided into two sessions: didactic and practical. A five-question anonymous survey was distributed in person immediately before and after the practical portion of the training to evaluate HBV knowledge as well as specific skills for teaching. Differences between responses before and after the sessions were evaluated by Chi-Square analysis. A sub-group of questions were further analyzed for differences based on HCW self-report of HBV serostatus awareness. Findings: 130 HCWs participated in the didactic lecture and 30 HCWs participated in both portions. A pre-post training five-question survey showed an increase in correct answers for all questions, with two showing statistical significance: HBV is silent (7% pre vs. 87% post; p < 0.0001), and repetition as key to promote awareness (63% pre vs. 100% post; p = 0.0002). Conclusions: Our low-cost intervention is applicable to increase HBV awareness in low resource settings across Africa.

Original languageEnglish (US)
Article number22
Pages (from-to)1-6
Number of pages6
JournalAnnals of global health
Issue number1
StatePublished - Feb 25 2021

Bibliographical note

Funding Information:
This work was funded by the Robert Wood Johnson Foundation, Harold Amos Medical Faculty Development Program, Mitialto Foundation, The National Cancer Institute at the National Health Institute [Grant Number R21 CA215883-01A1], and University of Minnesota Center for Global Health and Social Responsibility Global Health Seed Award.

Publisher Copyright:
© 2021 The Author(s).

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural


Dive into the research topics of 'Promoting hepatitis B awareness: Evaluating an educational approach through health care workers in Tanzania'. Together they form a unique fingerprint.

Cite this