TA/Research Partner Pre-Meeting Survey

HepB Birth Dose Introduction in African Region Community of Practice

Name*

Organization*

Title*

Email*

1. In which African countries is your organization working on hepatitis B birth dose-related activities or projects?

Select or enter value

2. Do any of the countries you work in have a National Hepatitis Strategy?

Yes

If yes, which countries?

3. HepB Birth Dose Activities

What types of hepB birth dose-related activities or projects has your organization worked on in the African region? (Please check all that apply)

Epidemiological research

Birth dose introduction planning

Birth dose vaccination training and improvement of timely hepatitis B birth dose vaccination coverage

Generating evidence on disease burden (i.e., serosurveys or modeling)

Data collection and reporting (on birth dose administration)

Clinical training (on birth dose administration/implementation)

Civil society mobilization and advocacy

Integration of HepB birth dose vaccination with other progams

Which other programs?

Select or enter value

If other program, specify here

4. Partners

What types of partners are you collaborating with? (Please check all that apply).

Government health official (s)

Please specify the government agency or department

Clinicians

Technical/research partner (s)

Please specify the technical partner (s)

Civil society organization (s)

Please specify the civil society organization (s)

Multi-national organization (s)

Please specify the name of the multilateral organization (s)

Please specify any other partners

5. Future Activity Plans

Do you have plans for future hepB birth dose activities or projects in the African Region?

Yes

What types of upcoming activities or projects are planned? (please select all that apply)

Select or enter value

What programs is integration planned for?

HIV

Maternal child health

Other

What other programs is integration planned for?

If other, please specify the type of activity or project planned

6. Challenges

What do you see as the biggest challenges to introduce/improve timely hepatitis B birth dose vaccination coverage (within 24 hours of birth) in the African Region? Please check the most important challenges (maximum of 2 per section):

Policy/Planning Challenges

Select or enter value

Programmatic Challenges

Select or enter value

Community/Cultural Challenges

Select or enter value

Other challenges

7. Resource sharing

Please share any publications or or web-based reports highlighting your work on hepatitis B birth dose vaccination, e.g., educational and training materials, program evaluations. These resources will be shared with the community of practice members. Also feel free to email globalhep@taskforce.org with additional materials later on.

Please provide as web links here

Please upload any PDF or other exportable file here

Drag and drop files here or

8. Please suggest other individuals and/or organizations with an interest in hepatitis B vaccination and/or maternal child health in the African Region, to receive an invitation to join the Africa HepB birth dose community of practice:

9. Please share other information you believe helpful in advancing progress in HepB birth dose implementation in Africa

Thank you!

We look forward to seeing you at the first meeting March 17-18th.

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