Evidence map›Paper›PMID 40131873›Full record

SynthesisPloS one2025

Low Hepatitis B vaccination rates among medical students in South Asia: A systematic review and meta-analysis.

Ramesh Lamichhane, Indra Dev Pathak, Bishnu Deep Pathak, Pritha Adhikari, Sagun Dawadi, Aashika Rai, Pratikshya Ojha, Kripa Maharjan, Kirtan Gautam, Nishan Dhakal and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ramesh LamichhaneDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, United States of America.
Indra Dev PathakDepartment of Internal Medicine, Nepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal.
Bishnu Deep PathakDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, United States of America.
Pritha AdhikariDepartment of Pediatrics, SUNY Upstate Medical University, New York, United States of America.
Sagun DawadiDepartment of Internal Medicine, Nepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal.
Aashika RaiDepartment of Gastroenterology and Hepatology, Sylhet Women's Medical College, Sylhet, Bangladesh.
Pratikshya OjhaDepartment of Gastroenterology and Hepatology, Sylhet Women's Medical College, Sylhet, Bangladesh.
Kripa MaharjanDepartment of Gastroenterology and Hepatology, Sylhet Women's Medical College, Sylhet, Bangladesh.
Kirtan GautamDepartment of Internal Medicine, Nepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal.
Nishan DhakalDepartment of Internal Medicine, Nepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal.
Madhusudan SahaDepartment of Gastroenterology and Hepatology, Sylhet Women's Medical College, Sylhet, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsCurrent and future healthcare professionals, such as medical students, are at risk of contracting Hepatitis B virus infection. Vaccination against Hepatitis B is an effective means of prevention. However, studies have reported variable vaccination rates among medical students from different regions of South Asia. Understanding vaccination rates and barriers can guide effective interventions to protect future doctors. Therefore, we aimed to find out the vaccination rate among medical students in South Asia.

methodsA comprehensive literature search was conducted across multiple databases (PubMed, PubMed Central, Scopus, Embase, CINAHL, Google Scholar, MEDLINE, and other sources) beginning from inception to July 15, 2024. Observational studies reporting vaccination rates among Bachelor of Medicine and Bachelor of Surgery (M.B.B.S.) students in South Asia were included. Two reviewers independently screened and performed the quality assessment. Pooled vaccination rates were calculated and visualized using a random-effects model in R Studio (Version 2023.12.0). Subgroup analysis was performed based on country and year of publication of the studies.

resultsFifty studies from the South Asian region, including 12,231 participants, were included in the quantitative analysis. The overall pooled Hepatitis B vaccination rate using the random-effects model was 56% (CI: 49-63%), with significant heterogeneity among the included studies (I2 = 98%; P = 0). Subgroup analysis based on country revealed a significant regional variation in vaccination rate (59% in Pakistan, 57% in India, 55% in Nepal, and 41% in Bangladesh; P < 0.01). Lack of awareness, perceived low risk or necessity, concerns about side effects, logistical challenges, and lack of motivation have been reported as barriers to vaccination.

conclusionThe overall vaccination rate was relatively low in South Asia, with significant regional variation. Based on the reported barriers, we recommend that relevant authorities focus on vaccination awareness, motivation, cost-effectiveness, logistics management, policy formulation, and monitoring.

Indexed as

Hepatitis BHepatitis B VaccinesStudents, MedicalVaccinationAsiaAsia, SouthernHumansHepatitis B Vaccines

Identifiers

PMID40131873
PMCPMC11936159

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.