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Abstract：
UNASSIGNED: The risk of occupational exposure to Hepatitis B Virus (HBV) is high among healthcare workers (HCWs), especially in developing countries like Ghana where the prevalence of HBV is high. Unfortunately, in such regions, HCW protection does not appear to be a priority, and healthcare facilities (HFs) have been reported to have unsatisfactory levels of implementing preventive strategies to protect HCWs from blood-borne infections including HBV.
UNASSIGNED: A cross-sectional and Q audit was performed involving 255 HFs selected by proportional allocation and systematic random sampling. Data was collected using a structured pretested questionnaire with HF managers being the respondents. Data were analysed using IBM ® SPSS® (Statistical Package for the Social Sciences, version 21.0) where univariate, bivariate, and multivariate analysis was done with the level of significance set at <0.05.
UNASSIGNED: Overall adherence to recommended strategies, structures, and programs for HBV prevention among the HFs was generally low, with a mean score of 37.02 (95% CI = 33.98-40.05). There was a statistically significant difference in the level of adherence between the HF categories (F = 9.698; P = <0.001). Being a hospital (OR = 3.9: CI = 1.68-9.29), possessing infection, prevention and control (IPC) guidelines (OR = 6.69: CI = 3.29-13.63) as well as having functional IPC committees in place (OR = 7.9: CI = 3.59-17.34) were associated with good adherence to HF-level HBV preventive strategies.
UNASSIGNED: Overall adherence to HF-level prevention of HBV is sub-optimal. Higher-level facilities were better resourced with HBV vaccine and Hepatitis B immunoglobulin (HBIG). Adherence to HBV prevention strategies depends on the type of HF and the availability of IPC committees and their respective IPC coordinators.
UNASSIGNED: A cross-sectional and Q audit was performed involving 255 HFs selected by proportional allocation and systematic random sampling. Data was collected using a structured pretested questionnaire with HF managers being the respondents. Data were analysed using IBM ® SPSS® (Statistical Package for the Social Sciences, version 21.0) where univariate, bivariate, and multivariate analysis was done with the level of significance set at <0.05.
UNASSIGNED: Overall adherence to recommended strategies, structures, and programs for HBV prevention among the HFs was generally low, with a mean score of 37.02 (95% CI = 33.98-40.05). There was a statistically significant difference in the level of adherence between the HF categories (F = 9.698; P = <0.001). Being a hospital (OR = 3.9: CI = 1.68-9.29), possessing infection, prevention and control (IPC) guidelines (OR = 6.69: CI = 3.29-13.63) as well as having functional IPC committees in place (OR = 7.9: CI = 3.59-17.34) were associated with good adherence to HF-level HBV preventive strategies.
UNASSIGNED: Overall adherence to HF-level prevention of HBV is sub-optimal. Higher-level facilities were better resourced with HBV vaccine and Hepatitis B immunoglobulin (HBIG). Adherence to HBV prevention strategies depends on the type of HF and the availability of IPC committees and their respective IPC coordinators.
摘要：
■职业暴露于乙型肝炎病毒（HBV）的风险在医护人员（HCWs）中很高，特别是在加纳等发展中国家，HBV的患病率很高。不幸的是,在这些地区,HCW保护似乎不是优先事项，和医疗保健设施（HFs）已被报告有不令人满意的水平实施预防策略，以保护HCWs从血液传播的感染，包括HBV。
■进行了横截面和Q审核，涉及通过比例分配和系统随机抽样选择的255个HF。使用结构化的预测试问卷收集数据，其中HF经理为受访者。使用IBM®SPSS®(社会科学统计软件包，版本21.0)，其中单变量，双变量，多变量分析的显著性水平设置为<0.05。
■总体上遵守推荐的策略，结构,和计划中的乙肝病毒预防的HFs普遍较低，平均得分为37.02（95%CI=33.98-40.05）。HF类别之间的依从性水平有统计学上的显着差异（F=9.698；P=<0.001）。作为医院（OR=3.9：CI=1.68-9.29），有感染,预防和控制(IPC)指南(OR=6.69:CI=3.29~13.63)以及设立了功能性IPC委员会(OR=7.9:CI=3.59~17.34)与HF水平HBV预防策略的良好依从性相关.
■对HBV的HF水平预防的总体依从性是次优的。较高级别的设施获得了更好的HBV疫苗和乙型肝炎免疫球蛋白（HBIG）资源。坚持HBV预防策略取决于HF的类型和IPC委员会及其各自的IPC协调员的可用性。
■进行了横截面和Q审核，涉及通过比例分配和系统随机抽样选择的255个HF。使用结构化的预测试问卷收集数据，其中HF经理为受访者。使用IBM®SPSS®(社会科学统计软件包，版本21.0)，其中单变量，双变量，多变量分析的显著性水平设置为<0.05。
■总体上遵守推荐的策略，结构,和计划中的乙肝病毒预防的HFs普遍较低，平均得分为37.02（95%CI=33.98-40.05）。HF类别之间的依从性水平有统计学上的显着差异（F=9.698；P=<0.001）。作为医院（OR=3.9：CI=1.68-9.29），有感染,预防和控制(IPC)指南(OR=6.69:CI=3.29~13.63)以及设立了功能性IPC委员会(OR=7.9:CI=3.59~17.34)与HF水平HBV预防策略的良好依从性相关.
■对HBV的HF水平预防的总体依从性是次优的。较高级别的设施获得了更好的HBV疫苗和乙型肝炎免疫球蛋白（HBIG）资源。坚持HBV预防策略取决于HF的类型和IPC委员会及其各自的IPC协调员的可用性。
