A. All healthy newborns
B. Family members with someone infected with VGB
C. Sexual partners of people infected with VGB
D. Non-immune health workers
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E. All of the above
24. When should a healthy child receive the first dose of the HBV vaccine? ( Select only one box )
A. Within the first 24 hours after birth
B. Between 1-7 years old
C. When the baby is 1 month old
25. Do you think the VGB vaccine is safe? ( Select only one box ):
A. Very safe
B. May be safe
C. Not really safe
26. What should pregnant women infected with VGB do to protect their children from the risk of infection? ( Select only one box )
A. Vaccination against HBV for pregnant women
B. Give the first dose of VGB vaccine and HBIG to the baby within 12 hours after birth.
then continue to complete the next injections
C. Give the first dose of VGB vaccine and HBIG to the baby within 48 hours after birth.
then continue to complete the next injections
27. Does your medical facility have VGB vaccine for newborns? ( Only)
select a cell ):
A.Yes, always ready
B. Yes, but sometimes vaccines run out
C. None
D. Don't know
DIAGNOSIS AND MANAGEMENT OF VGB DISEASE
Question 28 - 39: Which of the following groups of patients should be tested for HBV even if they have no symptoms or have normal liver enzyme test results?
28. Pregnant women
A. True
B. False
C. Don't know
29. People with HIV
A. True
B. False
C. Don't know
30. Men who have homosexual relationships
A. True
B. False
C. Don't know
31. Family members with VGB infection
A. True
B. False
C. Don't know
32. What tests should be done to determine whether a patient is infected with VGB? ( Select only one box ):
A.HBsAg
B. Anti-HBs
C. Anti-HBc
D. HBeAg
33. What test is needed to determine whether a patient is immune to VGB? ( Select only one box ):
A.HBsAg
B. Anti-HBs
C. Anti-HBc
D. Anti-HBe
E. HBeAg
34. Have you ever met any patients with chronic HBV infection?
A. Yes
B. Not yet
35. According to you, what is the most common sign in patients with chronic HBV infection? ( Select only one box )
A. Headache and fatigue
B. Nausea or vomiting
C. Anorexia
D. Jaundice
E. All of the above
F. No, there are usually no signs.
36. Which of the following is true regarding VGB treatment? ( Select only one box ):
A.VGB is curable
B. There is no cure but there are medications that can effectively manage and control the disease.
C. There is no specific treatment, but there are herbs to slow the progression of the disease.
37. In your opinion, is it necessary to treat all patients with chronic HBV? ( Select only one box ):
A. Yes, all patients with chronic HBV infection should be treated as soon as possible.
B. Only patients with liver damage or cirrhosis need treatment.
C. No treatment is necessary because there is no specific cure.
38. Which of the following statements is true regarding monitoring patients infected with VGB? ( Select only one box ):
A. Only patients with symptoms need regular monitoring and testing.
B. Only patients undergoing treatment for VGB need regular monitoring and testing.
C. All patients infected with VGB need regular follow-up and testing regardless of whether they are being treated or not or in what way they are being treated.
39. Without proper monitoring and treatment, what percentage of chronic HBV patients are at risk of death from the consequences of HBV? ( Select only one box ):
A. Less than 5%
B. 5-10%
C. 15-25%
D. >30-40%
E. Over 40%
Question 40-42: Which of the following training courses have you attended in the past 2 years?
recently?
40. VGB Prevention
A. Yes
B. No
41. Diagnosis of VGB
A. Yes
B. No
42. Management of VGB patients
A. Yes
B. No
Question 43-52: Diagnosis and management of pregnant women with chronic VGB:
43. Do you prescribe HBsAg testing for pregnant women?
A. Yes
B. No
44. Do you prescribe HBeAg testing for pregnant women?
A. Yes
B. No
45. Do you prescribe viral load testing for pregnant women infected with HBV?
A. Yes
B. No
46. Do you know when pregnant women need to do a VGB test?
A. Yes
B. No
C. Don't know
47. When do you recommend pregnant women to do VGB tests?
A. First prenatal visit
B. First month of pregnancy
C. First trimester
D. Second trimester
E. Third trimester
F. At birth
Question 48-52: Counseling pregnant women about VGB
48. Do you discuss with pregnant women the consequences of HBV infection?
A. Yes
B. No
49. Do you discuss with pregnant women the benefits and risks of HBV vaccination?
A. Yes
B. No
50. Do you advise mothers with HBsAg positive to get 3 doses of vaccine?
VGB for children?
A. Yes
B. No
Question 53 - 56: Source of VGB vaccine supply
51. At the hospital where you work, is the newborn hepatitis B vaccine available?
A. Yes
B. No
C. Don't know
52. Does a mother have to pay for her child's newborn VGB vaccine?
A. Yes
B. No
C. Don't know
53. Is hepatitis B immune globulin (HBIG) available at the hospital where you work?
A. Yes
B. No
C. Don't know
54. Does the mother have to pay for her child's hepatitis B immune globulin (HBIG) injection?
A. Yes
B. No
55. Do you provide newborn HBV vaccine within 24 hours regardless of the mother's HBV status?
A. Yes
B. No
56. Do you provide hepatitis B immune globulin (HBIG) to infants born to HBsAg-positive mothers?
A. Yes
B. No
Question 57 - 63: Treatment for pregnant women with HBV
57. According to you, do pregnant women with HBV need treatment?
A. Yes
B. No
58. According to you, when do pregnant women with HBV need treatment?
A. First trimester
B. Second trimester
C. Third trimester
D. Week 24-28 of pregnancy
E. Weeks 28-32 of pregnancy
F. Don't know
59. Do you know what tests pregnant women need to do before treatment?
A. Yes
B. No
If yes, go to question 59A.
59A. What tests should pregnant women do before treatment? (Multiple answers can be selected)
A. HBsAg
B. HBeAg
C. ALT
D. HBV DNA
E. Liver ultrasound
F. Liver biopsy
60. Do you know the criteria for antiviral therapy for pregnant women with positive HBsAg?
A. Yes
B. No
61. According to you, what criteria should pregnant women with positive HBsAg be referred for treatment?
A. HBeAg positive
B. HBV - DNA above 200,000 IU/ml (106 copies/ml)
C. ALT increased more than 2 times the upper limit of normal
D. HBV-DNA> 20,000 IU/ml (105 copies/ml) and HBeAg positive
E. HBV - DNA> 2000 IU/ml (104 copies/ml) and HBeAg negative
F. Don't know
62. Do you know of any medical facilities that can treat VGB for pregnant women in Hai Phong?
A. Yes
B. No
63. Do you advise treatment for pregnant women with positive HBsAg and whether treatment is indicated?
A. Yes
B. No
C. Not yet implemented
63A. Reasons why you did not/have not yet provided counseling to pregnant women carrying HBsAg
positive according to the instructions of the Ministry of Health?
A. There is no standard procedure
B. Not qualified to perform
C. Not my job
D. Uncooperative pregnant woman
Question 64 - 70: Mother-child transmission of HBV
64. According to you, what measures can prevent mother-to-child transmission of VGB?
A. Antiviral therapy for mothers during pregnancy
B. Vaccinate newborns against HBV
C. VGB immune globulin (HBIG) injection for children
D. Vaccinate against VGB according to the vaccination program
E. Caesarean section
F. Not breastfeeding
65. According to you, when is the right time to vaccinate newborns against HBV?