Research Article
Seroprevalence of Malaria and Hepatitis B Coinfection among
Pregnant Women in Tamale Metropolis of Ghana:
A Cross-Sectional Study
Gideon Kofi Helegbe ,
1
PaulArmahAryee ,
2
Baba Sulemana Mohammed ,
3
Anthony Wemakor ,
2
David Kolbila,
4
Abdul-Wahid Abubakari,
5
Salam Askanda,
5
Rashid Alhassan,
5
Collins Barnie ,
5
Afua Aboagyewaa Donkoh,
5
andErnestOfosu
5
1
Department of Biochemistry and Molecular Medicine, School of Medicine and Health Sciences (SMHS),
University for Development Studies (UDS), Tamale, Ghana
2
Department of Nutritional Sciences, School of Allied Health Sciences (SAHS), University for Development Studies (UDS),
Tamale, Ghana
3
Department of Pharmacology, School of Medicine and Health Sciences (SMHS), University for Development Studies (UDS),
Tamale, Ghana
4
DepartmentofObstetricsandGynaecology,SchoolofMedicineandHealthSciences(SMHS),UniversityforDevelopmentStudies
(UDS), Tamale, Ghana
5
Department of Nursing, School of Allied Health Sciences (SAHS), University for Development Studies (UDS), Tamale, Ghana
Correspondence should be addressed to Gideon Kofi Helegbe; kofigidi@yahoo.com
Received 11 April 2018; Revised 29 June 2018; Accepted 22 July 2018; Published 24 September 2018
Academic Editor: Christian Bautista
Copyright © 2018 Gideon Kofi Helegbe et al. is is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Background. Coinfections are becoming common risk factors that may contribute to the increased burden of morbidity in
pregnancy. e aim of this study was to assess the seroprevalence of coinfections of malaria, hepatitis B (HBV), human im-
munodeficiency virus (HIV), and syphilis among pregnant women attending antenatal clinics (ANC) in the Tamale Metropolis.
Methods. By means of rapid diagnostic tests (RDTs), pregnant women attending the Tamale Teaching Hospital (TTH) were
screened for malaria, HBV infection, HIV infection, and syphilis from March 2013 to February 2015. Haemoglobin (Hb) values,
sickling, and glucose-6-phosphate dehydrogenase deficiency (G6PDd) statuses were also assessed using full blood count (FBC),
sodium metabisulphite, and methaemoglobin reduction tests, respectively. Logistic regression analysis was performed to estimate
the risks/odds ratios (ORs) for the coinfections and other variables (age, gravidity, and time of the first ANC visit) with 95%
confidence intervals (CIs) and set p values for accepting any differences at <0.05. Results. Within the two-year study period, data
were collected from 3,127 pregnant women. e mean age (SD) of the pregnant women was 28.5 (±5.0) years. Of the total number,
seroprevalence was high for malaria (11.6%) and HBV infection (4.2%) and low for HIV infection (1.0%) and syphilis (0.4%)
monoinfections. Mal/HBV coinfection was higher (0.7%) when compared with Mal/HIV (0.1%), Mal/syphilis (0.0%), HBV/HIV
(0.0%), HBV/syphilis (0.1%), and HIV/syphilis (0.0%) coinfections. e mean Hb (g/dl) for the women with the four mono-
infections was significantly different from one another (p � 0.009). Pregnant women with malaria infection were about 2 times
more likely to be coinfected with HBV even after adjusting for potential confounders (adjusted odds ratio (AOR) � 1.66, 95%
CI � 1.04–2.65, p � 0.031). ose in their third trimester and visiting the ANC for the first time were significantly less likely to be
infected with HBV (AOR � 0.45, 95% CI � 0.28–0.73, p � 0.001), with malaria/HBV coinfection (AOR � 0.09, 95% CI � 0.01–0.68,
p � 0.020), and with any coinfection (AOR � 0.19, 95% CI � 0.06–0.63, p � 0.007). Conclusion. A comparatively high sero-
prevalence of malaria and its coinfection with HBV in pregnant women was observed in this study. Considering the effects that
both malaria and HBV have on the liver, it would be expedient to conduct further studies to assess liver function among
malaria/HBV-infected individuals, while interventions to prevent coinfections among pregnant women are intensified.
Hindawi
Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 2018, Article ID 5610981, 12 pages
https://doi.org/10.1155/2018/5610981