{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:45:50Z","timestamp":1787071550619,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Health care workers (HCWs) are at increased occupational risk of acquiring blood borne infections like Hepatitis B, Hepatitis C and HIV. To mitigate this risk, the Ministry of Health and Family Welfare recommends a three-dose prophylactic Hepatitis B Vaccination at 0,1 and 6 months for all the HCWs, who have not completed their vaccination series. However, there is insufficient baseline data on Hepatitis B virus (HBV) vaccination coverage among HCWs in tertiary setting, posing challenges to strategic planning and implementation for partially or incompletely vaccinated cohorts. This perspective highlights the critical role of healthcare managers in operationalizing HBV vaccination programs at multiple levels within the tertiary healthcare institution. It discusses the key managerial challenges encountered at the top level that includes: prolonged approval timelines, budgetary constraints, and sustaining the integration with the Universal Immunization Program demand. The challenges at middle level include maintaining updated vaccination records amidst frequent staff turnover; and at the low level: ensuring timely reminders and follow-ups for subsequent vaccine doses. Drawing on real-world experiences, this perspective underscores the importance of coordinated managerial efforts to strengthen vaccine delivery systems and achieve complete HBV vaccination coverage among HCWs.<\/jats:p>","DOI":"10.4103\/ijcm.ijcm_591_24","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T16:00:14Z","timestamp":1762531214000},"page":"238-241","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Health Care Managers\u2019 Role and Challenges in Implementing Hepatitis B Vaccination for Health Care Workers in a Tertiary Setting"],"prefix":"10.4103","volume":"51","author":[{"given":"Surya","family":"Bali","sequence":"first","affiliation":[{"name":"Department of Community Medicine, AIIMS Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Revadi","family":"Gouroumourty","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,7]]},"reference":[{"key":"R3-20260416","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1002\/med.22030","article-title":"Elimination of the hepatitis B virus: A goal, a challenge","volume":"44","author":"Pond\u00e9 RA de","year":"2024","journal-title":"Med Res Rev"},{"key":"R4-20260416","doi-asserted-by":"crossref","first-page":"100590","DOI":"10.1016\/j.ijregi.2025.100590","article-title":"Intentions for the prevention of hepatitis B and C among healthcare workers in a tertiary facility in Ghana","volume":"14","author":"Cofie","year":"2025","journal-title":"IJID Reg"},{"key":"R5-20260416","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4103\/0974-2727.59697","article-title":"Hepatitis B in health care workers: Indian scenario","volume":"1","author":"Singhal","year":"2009","journal-title":"J Lab Physicians"},{"key":"R6-20260416","doi-asserted-by":"crossref","first-page":"296","DOI":"10.4103\/ijmm.IJMM_15_133","article-title":"Prevalence of transfusion-transmitted viral pathogens among health-care workers and risk mitigation programme in a paediatric tertiary care hospital","volume":"35","author":"Nayyar","year":"2017","journal-title":"Indian J Med Microbiol"},{"key":"R11-20260416","doi-asserted-by":"crossref","first-page":"2454","DOI":"10.3390\/v15122454","article-title":"Hepatitis B in healthcare personnel: An update on the global landscape","volume":"15","author":"Nikolopoulou","year":"2023","journal-title":"Viruses"},{"key":"R12-20260416","first-page":"276","article-title":"Hepatitis B immunization in healthcare workers","volume":"28","author":"Batra","year":"2015","journal-title":"Ann Gastroenterol Q Publ Hell Soc Gastroenterol"},{"key":"R15-20260416","doi-asserted-by":"crossref","first-page":"e2100277","DOI":"10.9745\/GHSP-D-21-00277","article-title":"Implementation approaches for introducing and overcoming barriers to Hepatitis B birth-dose vaccine in sub-Saharan Africa","volume":"10","author":"Boisson","year":"2022","journal-title":"Glob Health Sci Pract"},{"key":"R16-20260416","doi-asserted-by":"crossref","first-page":"1152193","DOI":"10.3389\/fpubh.2023.1152193","article-title":"Low uptake of hepatitis B vaccination among healthcare workers in primary health facilities in Mwanza region, North-Western Tanzania","volume":"11","author":"Ndunguru","year":"2023","journal-title":"Front Public Health"}],"container-title":["Indian Journal of Community Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijcm.ijcm_591_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:48:03Z","timestamp":1787068083000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijcm.ijcm_591_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,7]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijcm.ijcm_591_24","relation":{},"ISSN":["0970-0218","1998-3581"],"issn-type":[{"value":"0970-0218","type":"print"},{"value":"1998-3581","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,7]]},"assertion":[{"value":"2024-08-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}