Hepatitis update program: need of the situation to co-manage viral hepatitis and COVID-19





Viral hepatitis, COVID-19, Co-management, Infection, Nurses, Knowledge


Background: Government of India has taken several initiatives towards combating viral hepatitis but due to sudden surge in COVID-19 cases resulted in suspension of viral hepatitis program related activities. Moreover, COVID-19 has several liver related complications hence more special precautions are required to manage patients with known liver diseases. Nurses play an important role in management of any disease. However, there is limited knowledge among nurses on co-management of COVID-19 and viral hepatitis. With this background, two-day training program for nursing professionals was conceptualized under the project PRAKASH to educate and train the nurses about co-management of COVID-19 and viral hepatitis.        

Methods: A pre-post study was undertaken among nurses who have registered for hepatitis update program. The online link to 25-knowledge related questions along with demographic variables was shared with the registered participants. Paired t test and other statistical analyses were done using SPSS v-21. Level of significance was taken at p<0.05

Results: A total of 1151 responses were received out of 1477 trained participants. The mean age of the nursing participants was 32.5±6.95 years. The overall mean knowledge score in the pre-assessment was found to be 15.47±4.13 out of 25, which further increased to 20.72±3.81 in the post-assessment. Gender, type of facility, education, willingness to get trained and prior training related to viral hepatitis were found to be independently associated with pre-knowledge score.

Conclusions: Training programs should be encouraged for diseases which are of public health importance and can’t be ignored with respect to increasing burden of COVID-19 cases.


World Health Organisation. Global hepatitis report. 2017. Available at: https://apps.who.int/iris/ bitstream/handle/10665/255016/9789241565455-eng.pdf;jsessionid=AE1E5866C7632C4F535F838C385645F9?sequence=1. Accessed on 01 Jan 2021.

MoHFW M. National Viral Hepatitis Control Program. 2018. Available at: http://inasl.org.in/national-viral-hepatitis-control-program.pdf. Accessed on 01 Jan 2021.

Kumar M, Sarin SK. Viral hepatitis eradication in India by 2080-gaps, challenges and targets. Indian J Med Res. 2014;140(1):1-4.

Ministry of Health and Family Welfare, Governemnt of India. National Viral Hepatitis Control Program - Operational Guidelines. 2018. Available at: http://inasl.org.in/national-viral-hepatitis-control-program.pdf. Accessed on 01 Jan 2021.

Mahalmani VM, Mahendru D, Semwal A, Kaur S, Kaur H, Sarma P et al. COVID-19 pandemic: A review based on current evidence. Indian J Pharmacol. 2020;52(2):117-29.

Wingrove C, Ferrier L, James C, Wang S. The impact of COVID-19 on hepatitis elimination. Lancet Gastroenterol Hepatol. 2020;5(9):792-4.

Blach S, Kondili LA, Aghemo A, Cai Z, Dugan E, Estes C et al. Impact of COVID-19 on global HCV elimination efforts. J Hepatol. 2021;74(1):31-6.

Azer SA. COVID-19: pathophysiology, diagnosis, complications and investigational therapeutics. New Microbes New Infect. 2020;37:100738.

Wu J, Song S, Cao H-C, Li L-J. Liver diseases in COVID-19: Etiology, treatment and prognosis. World J Gastroenterol. 2020;26(19):2286-93.

Schaefer EAK, Arvind A, Bloom PP, Chung RT. Interrelationship Between Coronavirus Infection and Liver Disease. Clin Liver Dis. 2020;15(5):175-80.

Spanakis M, Patelarou AE, Patelarou E. Nursing Personnel in the Era of Personalized Healthcare in Clinical Practice. J Pers Med. 2020;10(3).

Zerbini G, Ebigbo A, Reicherts P, Kunz M, Messman H. Psychosocial burden of healthcare professionals in times of COVID-19-a survey conducted at the University Hospital Augsburg. GMS Ger Med Sci. 2020;18.

Shreffler J, Petrey J, Huecker M. The Impact of COVID-19 on Healthcare Worker Wellness: A Scoping Review. West J Emerg Med. 2020;21(5):1059-66.

Morin KH, Baptiste D. Nurses as heroes, warriors and political activists. J Clin Nurs. 2020.

Rastogi A, Syed S, Bansal A, Ramalingam A, Sharma T, Kumar V et al. Knowledge, attitude, and practice toward prevention and management of COVID-19 among Indian nurses: A cross-sectional study. J Appl Sci Clin Pract. 2021;2(1):14-21.

Six months of coronavirus: the mysteries scientists are still racing to solve-PubMed. Available at: https://pubmed.ncbi.nlm.nih.gov/32620885/. Accessed on 08 Apr 2021.

Bhardwaj T, Tandon S, Chand S, Bhargava A. Knowledge, attitude and practice towards preventive dental care- A KAP study. J Glob Oral Health. 2019;2(1):36-40.

Keshan P, Chauhan S, Syed S, Rastogi A, Bansal A. Viral Hepatitis Training for Laboratory Workers: Addressing the Unaddressed. J Adv Med Med Res. 2020;364-72.

Aghaei N, Nesami MB. Bioterrorism education effect on knowledge and attitudes of nurses. J Emerg Trauma Shock. 2013;6(2):78-82.

Ahwal S, Bist D, Anand AS, Adhikary P, Arora A, Dagar K. COVID 19 knowledge assessment: A step towards protecting health care workers. J App Sci Clin Practice. 2020;1(1):16-20.

Verma SK, Kumar DS, Khanum RS, N C, Narayanmurthy MR. Knowledge, attitude and practices towards COVID-19 among healthcare workers of Karnataka, India: a cross-sectional survey. Int J Community Med Public Health. 2020;7(12):4889-94.

Hailikari T, Katajavuori N, Lindblom-Ylanne S. The Relevance of Prior Knowledge in Learning and Instructional Design. Am J Pharm Educ. 2008;72:5.

Argimon-Pallàs JM, Flores-Mateo G, Jiménez-Villa J, Pujol-Ribera E. Effectiveness of a short-course in improving knowledge and skills on evidence-based practice. BMC Fam Pract 2011;12:64.




How to Cite

Keshan, P., Rastogi, A., Syed, S., Ramalingam, A., Sharma, T., Kumar, V., & Bansal, A. (2021). Hepatitis update program: need of the situation to co-manage viral hepatitis and COVID-19. International Journal of Research in Medical Sciences, 9(7), 2019–2027. https://doi.org/10.18203/2320-6012.ijrms20212349



Original Research Articles