Seroprevalence of Viral Hepatitis B and C and Knowledge of the Hepatitis B Virus among Pregnant Women Attending Prenatal Care in the Democratic Republic of Congo

Junior Mudji Hôpital Evangélique de Vanga, Kwilu, Democratic Republic of Congo;
Département de médecine de famille et soin de santé Primaire, Université Protestante au Congo, Kinshasa, Democratic Republic of Congo;

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Blaise Madinga Hôpital Evangélique de Vanga, Kwilu, Democratic Republic of Congo;
Département de médecine de famille et soin de santé Primaire, Université Protestante au Congo, Kinshasa, Democratic Republic of Congo;

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Yves Horsmans Hepato-Gastroenterology Department, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium

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ABSTRACT

Viral hepatitis B (HBV) and C (HCV) can significantly influence maternal and child health. Although HIV infection, malaria, and syphilis in pregnant women are likely to be systematically screened for and managed according to national guidelines in the Democratic Republic of Congo, there is no plan for HBV and HCV. Furthermore, there is no documentation regarding pregnant women’s knowledge about HBV and HCV. This situation has motivated the researchers to undertake the current study, which was designed to estimate the seroprevalence of HBV and HCV. We have also assessed knowledge of the HBV infection among pregnant women who consulted for antenatal care for the first time at Vanga Evangelical Hospital in Vanga. A cross-sectional study was conducted with 457 pregnant women who attended antenatal care. Sociodemographic, obstetric, and previous medico-surgical data, as well as information related to women’s HBV knowledge, were collected using a questionnaire. Rapid tests were used to detect HBV surface antigen and HCV antibodies. Most pregnant women were aged 20–24 years. Only 6.8% of respondents had knowledge of HBV, and the main source of this knowledge was health facilities (4.6%). Only 0.7% reported having been tested, whereas 98.5% said that they had not been offered a test. Overall, 18 (3.9%) participants were HBV positive and 22 (4.8%) were positive for HCV. There is limited knowledge about HBV and HCV among pregnant women in rural Vanga. All pregnant women should be screened during antenatal care, and a well-implemented program of management is needed.

Author Notes

Address correspondence to Yves Horsmans, Department of Hepato-Gastroenterology, Cliniques Universitaires Saint-Luc, Ave. Hippocrate 10, Brussels BE-1200, Belgium. E-mail: yves.horsmans@uclouvain.be

Authors’ addresses: Junior Mudji and Blaise Madinga, Hôpital Evangélique de Vanga, Kwilu, Democratic Republic of Congo, and Département de médecine de famille et soin de santé Primaire, Université Protestante au Congo, Kinshasa, Democratic Republic of Congo, E-mails: mudjijunior@gmail.com and madingasima@gmail.com. Yves Horsmans, Department of Hepato-Gastroenterology, CliniquesUniversitaires Saint-Luc, Brussels, Belgium, E-mail: yves.horsmans@uclouvain.be.

  • 1.

    World Health Organization , 2017. Global Hepatitis Report. Geneva, Switzerland: WHO. Available at: https://www.who.int/hepatitis/publications/global-hepatitis-report2017-executive-summary/en/. Accessed June 11, 2020.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Who.int. , 2020. Hepatitis B. Geneva, Switzerland: World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/hepatitis-b. Accessed June 11, 2020.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Chang M , Chen D , 2015. Prevention of hepatitis B. Cold Spring Harbor Perspect Med 5: a021493.

  • 4.

    Mpody C , Thompson P , Tabala M , Ravelomanana N , Malongo F , Kawende B , Behets F , Okitolonda E , Yotebieng M ; CQI-PMTCT study team , 2019. Hepatitis B infection among pregnant and post-partum women living with HIV and on antiretroviral therapy in Kinshasa, DR Congo: a cross-sectional study. PLoS One 14: e0216293.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Ngalula M , waMomat K , Kakoma J , 2018. Preliminary study of seroprevalence and risk factors for hepatitis B infection in pregnant women in Lubumbashi, Democratic Republic of Congo. Afr J Health Issues 2: 914.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Kabinda J , Akilimali T , Miyanga A , Donnen P , Michèle D , 2015. Hepatitis B, hepatitis C and HIV in pregnant women in the community in the democratic Republic of Congo. World J AIDS 5: 124130.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Laurent C , Henzel D , Mulanga-Kabeya C , Maertens G , Larouzé B , Delaporte E , 2001. Seroepidemiological survey of hepatitis C virus among commercial sex workers and pregnant women in Kinshasa, Democratic Republic of Congo. Intern J Epidemiol 30: 872877.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Liu H , Muyembe-Tamfum J , Dahan K , Desmyter J , Goubau P , 2000. High prevalence of GB virus C/hepatitis G virus in Kinshasa, Democratic Republic of Congo: a phylogenetic analysis. J Med Virol 60: 159165.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    République Démocratique du Congo , 2010. Protocole National prévention de la transmission du VIH de la mère a l’enfant. Kinshasa, Democratic Republic of the Congo: Ministère de la sante publique, Programme National de lutte contre le vih/sida et les ist, 1728.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    République Démocratique du Congo , 2012. Guide technique de prévention et prise en charge du paludisme. Kinshasa, Democratic Republic of the Congo: Ministère de la sante publique, Programme national de lutte contre le paludisme, 4851.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Blum J , Chaney M , Mudji J , Mfungwa J , Rice T , Labhardt N , 2000. Glycaemic control among patients with type 2 diabetes followed in a rural African primary care setting — a reality check in the Democratic Republic of Congo. Prim Care Diabetes 14: 139146.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Shindano T , Kabinda J , Mitashi P , Horsmans Y , 2017. Hepatitis B virus infection in the Democratic Republic of Congo: a systematic review of prevalence studies (2000–2016). J Public Health 26: 595603.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Thompson P et al. 2019. Seroepidemiology of hepatitis B in the democratic Republic of the Congo. Am J Trop Med Hyg 101: 226229.

  • 14.

    Bayo P , Ochola E , Oleo C , Mwaka A , 2014. High prevalence of hepatitis B virus infection among pregnant women attending antenatal care: a cross-sectional study in two hospitals in northern Uganda. BMJ Open 4: e005889.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Angounda BM , Bokilo Dzia A , Boumba MA , Itoua C , Ahombo G , Moukassa D , Ibara JR , Ennaji MM , 2016. Prevalence of serologic markers and risk factors for hepatitis B virus among pregnant women in Brazzaville, Congo. Inter J Sci Res 5: 19071912.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Kirbak ALS , Ng’ang’a Z , Omolo J , Idris H , Usman A , Mbabazi WB , 2017. Sero-prevalence for Hepatitis B virus among pregnant women attending antenatal clinic in Juba Teaching Hospital, Republic of South Sudan. Pan Afr Med J 26: 72.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Mudardum A , Mohammed A , 2019. Prevalence and risk factors for hepatitis B infection among pregnant women attending antenatal clinic in UM dafog area, South Darfur state, Sudan. Sud J Med Sci 14: 914.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Fouelifack F , Fouedjio J , Fouogue J , Fouelifa L , 2018. Seroprevalences and correlates of hepatitis B and C among Cameroonian pregnant women. Clin Med Insights: Reprod Health 12: 1179558 11877067.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Ahoui Apendi C et al. 2019. Seroprevalence of hepatitis B virus in pregnant women in Pointe-Noire. Gastrointhepatol Dig Dis 2: 14.

  • 20.

    Muzembo B , Akita T , Matsuoka T , Tanaka J , 2016. Systematic review and meta-analysis of hepatitis C virus infection in the Democratic Republic of Congo. Public Health 139: 1321.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Bigna JJ , Kenne AM , Hamroun A , Ndangang M , Foka A , Tounouga D , Lenain R , Amougou MA , Nansseu JR , 2019. Gender development and hepatitis B and C infections among pregnant women in Africa: a systematic review and meta-analysis. Infect Dis Poverty 8: 16.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Iles J et al. 2013. Hepatitis C virus infections in the Democratic Republic of Congo exhibit a cohort effect. Infect Genet Evol 19: 386394.

  • 23.

    Frambo A , Atashili J , Fon P , Ndumbe P , 2014. Prevalence of HBsAg and knowledge about hepatitis B in pregnancy in the Buea Health district, Cameroon: a cross-sectional study. BMC Res Notes 7: 394.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Adeyemi A , Enabor O , Ugwu I , Bello F , Olayemi O , 2013. Knowledge of hepatitis B virus infection, access to screening and vaccination among pregnant women in Ibadan, Nigeria. J Obst Gyn 33: 155159.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Kwadzokpui P , Akorsu E , Abaka-Yawson A , Quarshie S , Amankwah S , Tawiah P , 2020. Prevalence and knowledge of hepatitis B virus infection among pregnant women in the Ningo-Prampram district, Ghana. Int J Hepatol 2020: 7965146.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Nankya-Mutyoba J , Aizire J , Makumbi F , Atuyambe L , Ocama P , Kirk G , 2018. Correlates of hepatitis B awareness and disease-specific knowledge among pregnant women in Northern and Central Uganda: a cross-sectional study. Hepatol Med Policy 3: 14.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Alter M , 2003. Epidemiology of hepatitis B in Europe and worldwide. J Hepatol 39: S64S69.

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