Seroprevalence of Hepatitis B Virus Markers among Pregnant Women at the Cité-verte District Hospital in Yaoundé Cameroon

Authors

  • Louise Stéphanie Makemgue* Department of Biological Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Ebolowa, PO Box 599, Cameroon Author
  • Donatien Serge Mbaga Department of Biomedical Sciences, Faculty of Sciences, University of Bertoua, PO Box 416, Cameroon Author
  • Jean De Matha Ndengué Department of Animal Biology and Physiology, University of Yaoundé I, Yaoundé, PO Box 812, Cameroon Author
  • Justin Olivier Essindi Department of Microbiology, Faculty of Sciences, University of Yaoundé I, PO Box 812, Cameroon. Author
  • André Urbain Njiki- Bikoï Department of Microbiology, Faculty of Sciences, University of Yaoundé I, PO Box 812, Cameroon. Author
  • Jacky Njiki- Bikoï Department of Microbiology, Faculty of Sciences, University of Yaoundé I, PO Box 812, Cameroon. Author

DOI:

https://doi.org/10.65336/

Keywords:

HBsAg, HBeAg, anti-HBs, anti-HBc, anti-HBe, Yaounde

Abstract

Background: Chronic Hepatitis B virus (HBV) remains a critical global health threat, with sub-Saharan Africa facing a disproportionate burden of mother-to-child transmission (MTCT). In Cameroon, localized data on the full spectrum of HBV serological markers is essential to refine prevention strategies. This study aimed to determine the seroprevalence of five HBV markers and identify factors influencing neonatal health security.

Methods: A cross-sectional study was conducted from March to November 2025 at the Cite-verte District Hospital in Yaoundé. Convenience sampling was used to recruit 214 pregnant women. HBV markers (HBsAg, HBeAg, anti-HBs, anti-HBc, anti-HBe) were screened using rapid diagnostic tests and confirmed via ELISA. Data were analyzed using Fisher's exact test and Odds Ratios (OR) with a significance level of p < 0.05.

Results: HBsAg seroprevalence was 16.4%, with 51.4% of these cases being HBeAg-positive, indicating high infectivity. All HBsAg and HBeAg positive cases were concentrated in the second trimester (p < 0.001). Primiparous women were significantly more likely to be HBsAg-positive (74.3%; p = 0.004). Blood transfusion was identified as a massive risk factor for transmissibility (OR = 41.56; 95% CI [12.69–136.12]; p < 0.001). No co-infections with HCV or HDV were detected.

Conclusion: The high endemicity (16.4%) and significant HBeAg positivity pose a severe silent threat for vertical transmission in Yaoundé. These findings advocate for mandatory second-trimester screening and the integration of antiviral prophylaxis for high-risk mothers to ensure neonatal health security.

 

References

1. Tadiwos, M. B., Kanno, G. G., Areba, A. S., Kabthymer, R. H., Abate, Z. G., & Aregu, M. B. (2021). Sero-prevalence of hepatitis B virus infection and associated factors among pregnant women attending antenatal care services in Gedeo Zone, Southern Ethiopia. Journal of Primary Care & Community Health, 12, 215013272199362.

2. Ouoba, S., Ko, K., Lingani, M., Nagashima, S., Guingane, A. N., Bunthen, E., et al. (2023). Intermediate hepatitis B virus infection prevalence among 1622 pregnant women in rural Burkina Faso and implications for mother-to-child transmission. Scientific Reports, 13(1), 6115.

3. Shuaib, B. I., Momodu, A., Ohenhen, J. E., Umeche, I. E., & Muhibi, M. A. (2024). Prevalence of overt and occult hepatitis B viral infection among pregnant women attending antenatal clinics in Edo State University Teaching Hospital, Auchi, Nigeria. BMC Infectious Diseases, 24(1), 1468.

4. Erhabor, O., Mohammad, S. Y., Bello, L., Onuigwe, F. U., Abdulrahman, Y., Zama, I., et al. (2020). Prevalence of some hepatitis B virus markers among pregnant women attending antenatal clinic in Specialist Hospital Sokoto, Nigeria. Human Antibodies, 28(3), 233–243.

5. Belay, A. S., Yehualashet, S. S., Abateneh, D. D., & Kebede, K. M. (2022). Sero-prevalence of hepatitis B virus surface antigen and associated factors among women of reproductive age in Bench Maji Zone, Southwest Ethiopia: Community-based cross-sectional study. African Health Sciences, 22(2), 107–115.

6. Ansari, A., Vincent, J. P., Moorhouse, L., Shimakawa, Y., & Nayagam, S. (2023). Risk of early horizontal transmission of hepatitis B virus in children of uninfected mothers in sub-Saharan Africa: A systematic review and meta-analysis. The Lancet Global Health, 11(5), e715–e728.

7. Riches, N., Henrion, M. Y. R., MacPherson, P., Hahn, C., Kachala, R., Mitchell, T., et al. (2025). Vertical transmission of hepatitis B virus in the WHO African region: A systematic review and meta-analysis. The Lancet Global Health, 13(3), e447–e458.

8. Shimakawa, Y., Veillon, P., Birguel, J., Pivert, A., Sauvage, V., Guillou-Guillemette, H. L., et al. (2022). Residual risk of mother-to-child transmission of hepatitis B virus infection despite timely birth-dose vaccination in Cameroon (ANRS 12303): A single-centre, longitudinal observational study. The Lancet Global Health, 10(4), e521–e529.

9. Tesfu, M. A., Habtemariam, T. T., & Belay, N. B. (2023). Risk factors associated with hepatitis B virus infection among pregnant women attending public hospitals in Addis Ababa, Ethiopia. PLoS ONE, 18(4), e0284646.

10. Abdulkadhim Sayah, M., Khaled Younis Albahadly, W., Subhi Farhan, S., Qasem, S., Majeed Al-Tamimi, S., Al-Shalah, S. A. J., et al. (2022). Investigate the presence of HBV surface antigen in pregnant women, Cairo City, Egypt. Archives of Razi Institute, 77(5), 1909–1916.

11. Belete, D., Fekadie, E., Kassaw, M., Fenta, M., Jegnie, A., Mulu, T., et al. (2024). Seroprevalence of hepatitis B virus and hepatitis C virus infection among pregnant women attending antenatal care at Guhala Primary Hospital, Northwestern Ethiopia. BMC Pregnancy and Childbirth, 24(1), 512.

12. Dagnew, M., Moges, F., Tiruneh, M., Million, Y., Gelaw, A., Adefris, M., et al. (2022). Molecular diversity of hepatitis B virus among pregnant women in Amhara National Regional State, Ethiopia. PLoS ONE, 17(11), e0276687.

13. Mbencho, M. N., Hafza, N., Cao, L. C., Mingo, V. N., Achidi, E. A., Ghogomu, S. M., et al. (2024). Incidence of occult hepatitis B infection and hepatitis B genotype characterization among blood donors in Cameroon. PLoS ONE, 19(10), e0312126.

14. Vincent, J. P., Segeral, O., Kania, D., Borand, L., Adoukara, J. P., Pivert, A., et al. (2025). Hepatitis B core-related antigen rapid diagnostic test for point-of-care identification of women at high risk of hepatitis B vertical transmission: A multicountry diagnostic accuracy study. The Lancet Gastroenterology & Hepatology, 10(5), 452–461.

15. Tamandjou Tchuem, C. R., Andersson, M. I., Wiysonge, C. S., Mufenda, J., Preiser, W., & Cleary, S. (2021). Prevention of hepatitis B mother-to-child transmission in Namibia: A cost-effectiveness analysis. Vaccine, 39(23), 3141–3151.

16. Snecdecor, G. W., & Cochran, W. G. (1991). Statistical methods. Wiley.

17. Bigna, J. J., Amougou, M. A., Asangbeh, S. L., Kenne, A. M., Noumegni, S. R. N., Ngo-Malabo, E. T., et al. (2017). Seroprevalence of hepatitis B virus infection in Cameroon: A systematic review and meta-analysis. BMJ Open, 7(6), e015298.

18. Centers for Disease Control and Prevention. (2024). Adult BMI categories.

19. Khue, P. M., Thuy Linh, N. T., Vinh, V. H., Dung, L. V., & Nguyen Van, B. (2020). Hepatitis B infection and mother-to-child transmission in Haiphong, Vietnam: A cohort study with implications for interventions. BioMed Research International, 2020, 4747965.

20. Eleje, G. U., Usman, H. A., Onubogu, C. U., Fiebai, P. O., Akaba, G. O., Rabiu, A., et al. (2025). Seroprevalence, seroconversion, and mother-to-child transmission of dual and triplex infections of HIV, HBV, and HCV among Nigerian obstetric population: A national multicentre prospective cohort study. Antiviral Therapy, 30(2), 13596535251333259.

21. Astorga, M. J., Sandoval, A., & Espinoza, S. (2024). Seroprevalence of hepatitis B virus in pregnant women at the time of delivery. Andes Pediatrica, 95(2), 159–164.

22. Wang, X., Song, A., Lin, X., Lu, J., Zheng, S., Ma, L., et al. (2022). Clinical characteristics of hepatitis flares during pregnancy and postpartum in Chinese chronic hepatitis B virus carriers: A prospective cohort study of 417 cases. Frontiers in Immunology, 13, 1031291.

23. Yin, W., Chen, B., Yang, Y., Li, X., Li, R., Xie, J., et al. (2021). Association between maternal hepatitis B virus carrier and gestational diabetes mellitus: A retrospective cohort analysis. Virology Journal, 18(1), 226.

24. Oliveira, D., Piedade, J., Castro, R., Lopes, Â., Martins, M. R., & Pereira, F. (2021). Evaluating vertical transmission of sexually transmitted infections to newborns. Journal of Infection in Developing Countries, 15(10), 1547–1550.

25. Wang, R., Zhu, X., Zhang, X., Liu, H., Ji, Y. L., & Chen, Y. H. (2023). Association of vitamin D and polymorphisms of its receptor with antiviral therapy in pregnant women with hepatitis B. World Journal of Gastroenterology, 29(19), 3003–3012.

26. Huang, H., Ning, M., Feng, J., Chen, J., Dai, Y., Hu, Y., et al. (2022). Hepatitis B viral markers in the human milk of HBsAg-positive mothers: An observational study. Journal of Human Lactation, 38(2), 298–308.

27. Ngoc Tram, H. T., Thu Huong, B. T., Duc Hinh, N., Thuy, P. T., Lan Anh, L. T., Kim Phuon, D. T., et al. (2023). Multidimensional analysis of the mother-to-child transmission risk factors in chronic hepatitis B virus infection in pregnant women in Vietnam. Clinica Terapeutica, 174(3), 266–274.

Downloads

Published

2026-06-15

Issue

Section

Articles

How to Cite

[1]
Louise Stéphanie Makemgue*, Donatien Serge Mbaga, Jean De Matha Ndengué, Justin Olivier Essindi, André Urbain Njiki- Bikoï, and Jacky Njiki- Bikoï, Trans., “Seroprevalence of Hepatitis B Virus Markers among Pregnant Women at the Cité-verte District Hospital in Yaoundé Cameroon”, WJAMS, vol. 3, no. 6, pp. 19–25, Jun. 2026, doi: 10.65336/.