A Multilevel Analysis of the Determinants of Knowledge of HBV Transmission in the Upper West Region of Ghana

Authors: Florence Wullo Anfaara*, University of Western Ontario, Kilian Nasung Atouye, University of Western Ontario, Isaac Luginaah, University of Western Ontario
Topics: Medical and Health Geography, Africa, Human-Environment Geography
Keywords: Knowledge, Socio-ecological Model, hepatitis B virus (HBV), UWR, Ghana
Session Type: Guided Poster
Day: 4/5/2019
Start / End Time: 9:55 AM / 11:35 AM
Room: Roosevelt 3.5, Marriott, Exhibition Level
Presentation File: Download



This study examines the influence of individual-level, and facility/community-level factors on knowledge of hepatitis B virus (HBV) transmission among residents in the Upper West Region (UWR) of Ghana. Guided by Socio-ecological Model, we fitted multilevel regression models to cross-sectional data collected on individual community members (n=1,104) and health facilities (n=41). Findings reveal that only a quarter (25%) of respondents possess correct knowledge of HBV transmission. Although individual-level factors such as respondents’ education (OR=2.357; P≤0.001), occupation (OR=2.79; P≤0.01) and district of residence (OR=1.75; P≤0.05) were significantly associated with good knowledge of HBV transmission, religion (OR=0.56; P≤0.05) and urban dwellers (OR=0.56; P≤0.01) were associated with lower odds of good HBV knowledge. At the community-level, type of health facility, and HBV services partly accounted for the disparities in HBV transmission knowledge among residents. Random effects analysis showed that approximately 79% of the variance in the knowledge of HBV transmission in the analysis is explained by the presence and type of hepatitis B services provided by health facilities in the UWR of Ghana. These findings provide important insights on the need to address both individual and facility-based factors on HBV policy in Ghana and similar contexts.

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