Original Articles

Prevalence of hepatitis B virus among pregnant women in the southern district of N’Djamena and strategies to prevent mother-to-child transmission

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Published: 3 October 2025
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Hepatitis B remains a major public health concern in Sub-Saharan Africa, with a high risk of mother-to-child transmission. The objective of this study was to estimate the prevalence of hepatitis B surface antigen (HBsAg) among pregnant women in the southern district of N’Djamena and to document neonatal vaccination coverage within 24 hours. A descriptive cross-sectional study was conducted in five health facilities from December 2023 to December 2024. HBsAg screening was performed using an immunochromatographic test (manufacturer’s standard procedure) and confirmed in the laboratory. Among 4,876 participants, 520 were HBsAg-positive (prevalence: 10.66%), with a mean age of 25.17 years, and 35.37% of the participants were illiterate. Out of 289 births from HBsAg+ mothers, 77.85% (n=225) of newborns received the vaccine dose within 24 hours. Inter-facility variations were observed. The observed prevalence confirms high endemicity in the southern district of N’Djamena, as well as a high acceptance of the vaccine at birth. These preliminary results support the implementation of an integrated policy: systematic screening during pregnancy, universal birth-dose vaccination, and community awareness campaigns.

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Supporting Agencies

This study was managed and funded by the MAGIS Foundation within the framework of the project “For a Resilient and Quality Health System in the Land of Toumaï – SiSaTou AID 12590/09/8 SiSaTou”, and by Regione Veneto CS2023B and the RogerVax Association.
Monique Routoubé, Laboratoire des Grandes Épidémies Tropicales, University Hospital Complex “Le Bon Samaritain”, N’Djamena

Faculty of Science and Technology, Evangelical University of Cameroon, Mbouo-Bandjoun, Cameroon.

Abel Dafogo Djibagaou, Laboratoire des Grandes Épidémies Tropicales, University Hospital Complex “Le Bon Samaritain”, N’Djamena

Faculty of Science and Technology, Evangelical University of Cameroon, Mbouo-Bandjoun, Cameroon; Faculty of Medicine, University Hospital Complex “Le Bon Samaritain”, N’Djamena, Chad.

Amine Akouya, Laboratoire des Grandes Épidémies Tropicales, University Hospital Complex “Le Bon Samaritain”, N’Djamena

Faculty of Science and Technology, Evangelical University of Cameroon, Mbouo-Bandjoun, Cameroon.

Noubaramadji Yamti Suitombaye, Laboratoire des Grandes Épidémies Tropicales, University Hospital Complex “Le Bon Samaritain”, N’Djamena

Faculty of Science and Technology, Evangelical University of Cameroon, Mbouo-Bandjoun, Cameroon.

Sabrina Atturo, Italian Jesuit Movement and Action for Development Foundation, Rome

Laboratoire des Grandes Épidémies Tropicales, University Hospital Complex “Le Bon Samaritain”, N’Djamena, Chad.

Koutaya Dezoumbe, Laboratoire des Grandes Épidémies Tropicales, University Hospital Complex “Le Bon Samaritain”, N’Djamena

Faculty of Science and Technology, Evangelical University of Cameroon, Mbouo-Bandjoun, Cameroon; Faculty of Medicine, University Hospital Complex “Le Bon Samaritain”, N’Djamena, Chad.

Ali Mahamat Moussa, Laboratoire des Grandes Épidémies Tropicales, University Hospital Complex “Le Bon Samaritain”, N’Djamena

Faculty of Human Health Sciences, University of N’Djamena, Chad; National University Hospital of Reference, N’Djamena, Chad; Chad National Institute of Public Health, Chad.

How to Cite



Prevalence of hepatitis B virus among pregnant women in the southern district of N’Djamena and strategies to prevent mother-to-child transmission. (2025). Sahelian Journal of Responsible One Health, 1(2). https://doi.org/10.4081/sjroh.2025.565