Exterior of a building with an archway entrance, a signboard, and a trash bin on the sidewalk.

UTH Bogodogo, Ougagdougou

Principle investigators: Dr Guingané Nanelin Alice

Locations: University Teaching Hospital Bogodogo, Ouagadougou, Burkina Faso

Description: We have regular consultations, upper and lower digestive endoscopies, fibroscan and hospitalisation. On research, in 2014 we initiated a cohort of pregnant women infected with the hepatitis B virus to prevent mother-to-child transmission through treatment of mothers and vaccination at birth.

The screening programme included the following four steps: (i) training on HBV counselling for health-care workers in primary-care services; (ii) counselling and offer of HBsAg screening for pregnant women during the first antenatal consultation in the primary-care centre; (iii) simplified referral process of women testing positive for HBsAg to the hepato-gastroenterology department of the referral hospital; and (iv) post-test counselling of HBsAg-positive women at the referral hospital.

  • More than 1000 women were included and followed. Fifty nine women (9.5%) were indicated for treatment and fifty-four (91.5%) of these were treated. Approximately 90% of newborns were vaccinated at birth.

  • We then initiated intra-family screening using pregnant women as index cases and we have now a cohort of pregnant women and children, as well as a cohort of infected adults who are regularly monitored.

  • The prenatal consultation is a crucial moment for family screening for HBV and linkage to care. However, sharing of HBV status within couples is essential to achieve this. Involving men improves the chances of success of PMTCT actions and specific screening strategies targeting spouses are still needed.

Entrance of the University Hospital Center of Bogodogo, with cars parked and people walking outside under a blue sky.
Residential area with beige buildings, large trees, and motorcycles parked under the trees.
School hallway with open double doors leading to a well-lit corridor, decorated with a backpack on the side, and a sign reading 'BIENVENUE' above the doorway.
Six students wearing white uniforms and face masks seated in a small classroom, working on computers and reading papers, with a window and brown curtains in the background.
A medical treatment room with an examination table covered with a gray and black patterned sheet, a pillow, and a small step stool. To the left, there is a desk with a computer and various medical equipment. On the right, there are four red blood pressure monitors on a table. The room has beige walls, tiled floor, and bright natural light coming through a window.
A small room with green chairs arranged in a circle, a white table with a yellow flower, a sink, and a window with curtains.