Hepatitis B, C and Delta Viruses’ Infections and Correlate Factors Among Female Sex Workers in Burkina Faso, West-Africa

Henri G. Ouedraogo1, 2, 3, *, Seni Kouanda1, 3, Sara Goodman4, Hermann Biènou. Lanou1, Odette Ky-Zerbo5, Benoît C. Samadoulougou5, Charlemagne Dabire1, Modibo Camara1, Yves Traore2, Stefan Baral4, Nicolas Barro2
1 Department of Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso, West Africa
2 Department of University Ouaga1 Prof. Joseph Ki-Zerbo, Ouagadougou, Burkina Faso, West Africa
3 Department of Institut Africain de Santé Publique, Ouagadougou, Burkina Faso, West Africa
4 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
5 Programme d’Appui au Monde Assiciatif et Communautaire (PAMAC), Ouagadougou, Burkina Faso, West-Africa

© 2019 Ouedraogo et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department Biomedical and Public Health Department, Institut de Recherche en Sciences de la Santé (IRSS), 03BP7192, Ouagadougou, Burkina Faso, West-Africa.; E-mail:



Female Sex Workers (FSW) have increased vulnerability to viral hepatitis B, C and D transmission. Our study aimed to assess the seroprevalence of hepatitis B, C and D viruses and their associated factors among FSW in Ouagadougou, Burkina Faso.


This is a cross-sectional study among FSW at least 18 years old in Ouagadougou, Burkina Faso. Data were collected from February 2013 to May 2013 using Respondent-Driven Sampling (RDS). Hepatitis B, C, and D tests were performed on FSW storage serums using fourth generation ELISA kits. Survey-weighted bivariate and multivariate logistic regression analyses were performed using Stata version 14 to identify factors associated with viral hepatitis infections.


Population-weighted prevalence of viral hepatitis infections in FSW was respectively 18.2% (95%CI: 14.4-22.9) for Hepatitis B Virus (HBV), 10.6% (95%CI: 07.5-14.8) for Hepatitis C Virus (HCV) and 1.5% (95Cl: 0.2-10.3) for Hepatitis D Virus (HDV). Factors independently associated with HCV include positive HIV status, inconsistent condom use during the last 12 months, condom reuse with clients, sex with clients in the street, bars or public gardens. No sociodemographic or behavioral factors were independently associated with HBV infection.


The prevalence of HBV and HCV was high among FSW and the prevalence of HDV was relatively low in this group in Burkina Faso. These findings suggest urgent and comprehensive prevention of these viruses through education for safer sex and behaviors, and immunization against HBV for FSW.

Keywords: HBV, HCV, HDV, Female sex workers, Burkina faso, Respondent-driven sampling.