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International Journal of Public Health

, Volume 57, Issue 3, pp 581–588 | Cite as

A model program for hepatitis B vaccination and education of schoolchildren in rural China

  • Jonathan J. Chen
  • Ellen T. Chang
  • Yi-Ren Chen
  • Meredith B. Bailey
  • Samuel K. S. So
Original Article

Abstract

Objectives

Incomplete hepatitis B virus (HBV) vaccine coverage and poor HBV-related knowledge in China leave millions of children unprotected from this life-threatening infection. To address these gaps, a pilot program for HBV education and vaccination was launched in rural China.

Methods

In 2006, public and private organizations in the US and China collaborated to provide HBV education and vaccination to 55,000 school-age children in the remote, highly HBV-endemic area of Qinghai Province. The impact of the educational program on HBV-related knowledge was evaluated among more than 2,800 elementary school students.

Results

Between September 2006 and March 2007, the three-shot hepatitis B vaccine series was administered to 54,680 students, with a completion rate of 99.4%. From low pre-existing knowledge levels, classroom educational sessions statistically significantly increased knowledge about HBV risks, symptoms, transmission, and prevention.

Conclusions

This program offers an effective and sustainable model for HBV catch-up vaccination and education that can be replicated throughout China, as well as in other underserved HBV-endemic regions, as a strategy to reduce chronic HBV infection, liver failure, and liver cancer.

Keywords

Hepatitis B Vaccine Education China 

Notes

Acknowledgments

This project was supported by a donation from the ZeShan Foundation (Hong Kong) and by the Asian Liver Center at Stanford University through private donations. The authors thank Jordan Su for her work on coordinating this project.

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Copyright information

© Swiss School of Public Health 2011

Authors and Affiliations

  • Jonathan J. Chen
    • 1
  • Ellen T. Chang
    • 1
    • 2
    • 3
  • Yi-Ren Chen
    • 1
    • 3
  • Meredith B. Bailey
    • 1
  • Samuel K. S. So
    • 1
    • 3
  1. 1.Asian Liver Center at Stanford UniversityPalo AltoUSA
  2. 2.Cancer Prevention Institute of CaliforniaFremontUSA
  3. 3.Stanford University School of MedicineStanfordUSA

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