{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:10:46Z","timestamp":1790835046755,"version":"4.1.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hepatitis B virus (HBV) and neonatal tetanus infections remain endemic in Nigeria despite the availability of safe, effective vaccines. We aimed to determine health facilities\u2019 capacity for hepatitis B vaccine birth dose (HepB-BD) and maternal tetanus-diphtheria (Td) vaccination and to assess knowledge, attitudes, and practices of HepB-BD and maternal Td vaccine administration among health facility staff in Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This was a cross-sectional study assessing public primary and secondary health facilities in Adamawa and Enugu States. A multistage sampling approach was used to select 40 facilities and 79 health-care workers (HCWs) from each state. A structured facility assessment tool and standardized questionnaire evaluated facility characteristics and HCW knowledge, attitudes, and practices related to HepB-BD and maternal Td vaccination. Frequencies and proportions were reported as descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The survey of 80 facilities revealed that 73.8% implemented HepB-BD and maternal Td vaccination policies. HepB-BD was administered within 24 h of birth at 61.3% of facilities and at all times at 57.5%. However, administration seldom occurred in labor and delivery (35%) or maternity wards (16.3%). Nearly half of the facilities (46.3%) had HCWs believing there were contraindications to HepB-BD vaccination. Among 158 HCWs, 26.5% believed tetanus could be transmitted through unprotected sex, prevented by vaccination at birth (46.1%), or by avoiding sharing food and utensils. 65% of HCWs knew HBV infection had the worst outcome for newborns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The limited implementation of national policies on HepB-BD and maternal Td vaccination, coupled with knowledge gaps among HCWs, pose significant challenges to timely vaccination, necessitating interventions to address these gaps.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_28_24","type":"journal-article","created":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T06:00:17Z","timestamp":1729663217000},"page":"113-123","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Health Facility Capacity and Health-care Worker Knowledge, Attitudes, and Practices of Hepatitis B Vaccine Birth-dose and Maternal Tetanus-Diphtheria Vaccine Administration in Nigeria: A Baseline Assessment"],"prefix":"10.4103","volume":"24","author":[{"given":"Belinda V.","family":"Uba","sequence":"first","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahaya","family":"Mohammed","sequence":"additional","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugochukwu Uzoechina","family":"Nwokoro","sequence":"additional","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhoda","family":"Fadahunsi","sequence":"additional","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adefisoye","family":"Adewole","sequence":"additional","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gideon","family":"Ugbenyo","sequence":"additional","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin","family":"Simple","sequence":"additional","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margeret Osas","family":"Wisdom","sequence":"additional","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ndadilnasiya E.","family":"Waziri","sequence":"additional","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles A.","family":"Michael","sequence":"additional","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilian Akudo","family":"Okeke","sequence":"additional","affiliation":[{"name":"National Stop Transmission of Polio Program, African Field Epidemiology Network, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Kanu","sequence":"additional","affiliation":[{"name":"Global Immunization Division, US CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadley","family":"Ikwe","sequence":"additional","affiliation":[{"name":"Global Immunization Division, US CDC Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hardeep S.","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Global Immunization Division, US CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeyelu","family":"Asekun","sequence":"additional","affiliation":[{"name":"Global Immunization Division, US CDC Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rania A.","family":"Tohme","sequence":"additional","affiliation":[{"name":"Global Immunization Division, US CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Freeland","sequence":"additional","affiliation":[{"name":"Hepatitis B Foundation, Doylestown, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Minta","sequence":"additional","affiliation":[{"name":"Global Immunization Division, US CDC, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulaiman Saidu","family":"Bashir","sequence":"additional","affiliation":[{"name":"Adamawa State Primary Health Care Development Agency, Adamawa, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullahi","family":"Isa","sequence":"additional","affiliation":[{"name":"Adamawa State Ministry of Health, Adamawa, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James J.","family":"Vasumu","sequence":"additional","affiliation":[{"name":"Adamawa State Primary Health Care Development Agency, Adamawa, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abubakar U.","family":"Bahuli","sequence":"additional","affiliation":[{"name":"Adamawa State Primary Health Care Development Agency, Adamawa, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George O.","family":"Ugwu","sequence":"additional","affiliation":[{"name":"Enugu State Primary Health Care Development Agency, Enugu, Nigeria"},{"name":"Department of Community Medicine, Faculty of Medical Sciences, College of Medicine, University of Nigeria\/University of Nigeria Teaching Hospital, Enugu, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel I.","family":"Obi","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Faculty of Medical Sciences, College of Medicine, University of Nigeria\/University of Nigeria Teaching Hospital, Enugu, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binta 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