Table 6 Key recommendations
Community-level |
â–ª Improve knowledge about the disease, and awareness of the disease in at-risk groups â–ª Raise awareness of the asymptomatic nature of disease â–ª Tackle misperceptions â–ª Tackle stigma both at the individual and community level â–ª Provide health system navigators and clarify entitlements to health services â–ª Explore developing family support to influence testing and longer term compliance |
Healthcare practitioners and services |
▪ Improve healthcare practitioners’ knowledge of the disease, and raise their awareness of risk groups ▪ Develop cultural competency of staff. Be aware of in-group diversity ▪ Provide language support with health literate interpreters ▪ Train staff in the use of interpreters ▪ Make greater use of informational aids and tools such as patient alerts in electronic health records |
Commissioners, Service Managers and Policymakers |
â–ª Ensure adequate resourcing for implementation of testing â–ª Identify advocate to champion the issue to local decision-makers. â–ª Engender leadership and ownership of the agenda â–ª Develop a compelling narrative of need and the economic case â–ª Clarify roles and responsibilities for commissioning hepatitis B services for migrants â–ª Develop joint collaborative commissioning where the responsibilities are split â–ª Encourage and empower local innovation â–ª Recognise community diversity and tailor responses to local needs and context â–ª Look to make services sustainable â–ª Increase accessibility of services - community-based/outreach services may help â–ª Explore collaboration with other agencies and the voluntary sector |