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April 13, 2026BMJ Global Health0 citationsOpen Access

Strengthening the hepatitis B care cascade to prevent vertical transmission in Africa: a call to empower midwives

JAJuliet AbreduKCKaren CampbellJFJordan J Feld

Key Points

  • The research aims to identify gaps in the hepatitis B care cascade and highlight the role of midwives in prevention efforts.
  • Review of current hepatitis B infection rates in Africa
  • Assessment of the perinatal care cascade
  • Evaluation of existing interventions like screening and vaccination
  • Africa has the highest global burden of hepatitis B infection
  • Significant gaps exist in access to care and preventive measures
  • Empowering midwives may improve the effectiveness of hepatitis B prevention strategies

Abstract

Summary box Africa bears the highest global burden of hepatitis B virus (HBV) infection, and despite the availability of interventions for the prevention of mother to child transmission, including antenatal screening, antiviral prophylaxis and timely administration of the hepatitis B birth-dose vaccine, significant gaps persist across the perinatal HBV care cascade, where access to physician specialist care is limited.

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Cite This Study

Abredu et al. (2026) studied this question.

synapsesocial.com/papers/69dc87983afacbeac03e9dbchttps://doi.org/10.1136/bmjgh-2026-023690
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Spatial patterns and inequalities in skilled birth attendance and caesarean delivery in sub-Saharan Africa2021 · 44 citations
  2. 2Residual Risk of Hepatitis B Virus Mother-to-Child Transmission and Gaps in Care Cascades Among Pregnant Women in the Gambia: The INFANT-B Study2025 · 2 citations
  3. 3Prevention and care of hepatitis B in the rural region of Fatick in Senegal: a healthcare workers’ perspective using a mixed methods approach2019 · 32 citations
  4. 4Nurse- and Midwife-Led HIV Services in Eastern and Southern Africa: Challenges and Opportunities for Health Facilities2020 · 9 citations
  5. 5Prevention of mother-to-child transmission of hepatitis B virus in antenatal care and maternity services, Mozambique2022 · 25 citations