ArticleThe American journal of tropical medicine and hygiene2016
Barriers to Linkage to Care for Hepatitis B Virus Infection: A Qualitative Analysis in Burkina Faso, West Africa.
Article in The American journal of tropical medicine and hygiene, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 49 citations in OpenAlex.
- Decentralization of hepatitis B care in sub-Saharan Africa: study protocol for a prospective cohort assessing three models of care in rural Ethiopia.BMC health services research · 2025Observational
- A nationwide retrospective study of the seroprevalence and risk factors of transfusion-transmissible infections among blood donors in Nigeria.Transfusion medicine (Oxford, England) · 2025Article
- Efforts to link HIV-positive and high-risk blood donors to HIV testing, and treatment services, Mozambique, 2019-2020.Scientific reports · 2025Article
- Putting people at the center: methods for patient journey mapping of viral hepatitis services across two LMICs in the Asia Pacific.BMC health services research · 2025Article
- "It would be better for those of us who have the disease not to be ashamed": Insights from people living with chronic hepatitis B virus infection and healthcare workers providing HBV care in Kilifi, Kenya.PLOS global public health · 2025Article
- Experiences and care trajectories of persons living with Hepatitis B in Senegal: A qualitative study.PLOS global public health · 2025Article
- Alignment of countries in the Americas with the latest WHO guidelines for hepatitis B virus (HBV) infection: a review.Lancet regional health. Americas · 2024Review
- Screening for hepatitis B in the Bronx West African community with a blood pressure cuff: a cohort study.Lancet regional health. Americas · 2024Article
- Survey of lived experiences and challenges in hepatitis B management and treatment.BMC public health · 2024Article
- Article
- Barriers to hepatitis B virus screening of pregnant women in primary healthcare centers in Nigeria: health workers' perspective.BMC primary care · 2023Article
- Information and communication are key for hepatitis B elimination in Francophone Africa: Insights from a survey among healthcare providers.Journal of virus eradication · 2023Article
- Hepatitis B Virus Prevalence and Mother-to-Child Transmission Risk in an HIV Early Intervention Cohort in KwaZulu-Natal, South Africa.Open forum infectious diseases · 2023Article
- Antiviral use among hepatitis B infected patients in a low resource setting in Africa: a case study of West Nile, Uganda.African health sciences · 2023Article
- Challenges and ways of coping of parturient women with chronic hepatitis B in Ghana during COVID-19 pandemic: a qualitative inquiry.BMJ open · 2022Article
- Article
- Vaccination against Hepatitis B: A Scoping Review.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Limited Awareness of Hepatitis B but Widespread Recognition of Its Sequelae in Rural Senegal: A Qualitative Study.The American journal of tropical medicine and hygiene · 2020Article
- Filtering Inequality: Screening and Knowledge in Senegal's Topography of Hepatitis B Care.Frontiers in pharmacology · 2020Article
- Help-Seeking Experiences of Hepatitis B Patients in Transnational Medical Care: The Solution to Health Inequality Is Social Mobility.Healthcare (Basel, Switzerland) · 2019Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hepatitis B virus (HBV) infection is a critical global health problem. The World Health Organization (WHO) has recently developed a global elimination strategy for HBV infection. Increasing access to screening, liver assessment, and antiviral treatment are crucial steps in achieving this goal. Little is known, however, about obstacles to linkage to care in low- and middle-income countries. Using a grounded theory approach, this qualitative study sought to characterize the diagnostic itineraries of people with chronic HBV infection in Burkina Faso, a west African country with high HBV prevalence, to identify barriers to linkage from screening to specialist care with hepatic assessment (alanine transaminase and hepatitis B e antigen or HBV DNA). We conducted 80 semistructured interviews with chronically infected people, their families, medical personnel, and traditional practitioners, and participant observation of HBV diagnostic announcements and consultations. Of 30 individuals diagnosed with chronic viral hepatitis, 18 inadvertently discovered their status through blood screening and 12 actively sought diagnosis for their symptoms. Only a quarter (8/30) were linked to care. Barriers included: 1) patients' ability to pay for testing and treatment; 2) a formal health system lacking trained personnel, diagnostic infrastructures, and other resources; 3) patients' familial and social networks that discouraged access to testing and HBV knowledge; 4) a well-developed demand for and provisioning of traditional medicine for hepatitis; and 5) a weak global politics around HBV. More training for medical personnel would improve linkage to care in sub-Saharan Africa. Developing effective communications between medical workers and patients should be a major priority in this elimination strategy.
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