Hepatitis B Vaccination Coverage among the Health Care Workers of a Government Medical College in North Kashmir: A Cross-Sectional Study

Introduction: Hepatitis B virus (HBV) infection remains a major global public health concern and poses a significant occupational risk to healthcare workers (HCWs) due to frequent exposure to blood and body fluids. Although safe and effective vaccines are available, vaccination coverage among HCWs in many low- and middle-income countries remains suboptimal. Aim: To assess Hepatitis B vaccination coverage and identify factors influencing vaccine uptake among healthcare workers at Government Medical College Baramulla and its associated hospitals. Methodology: A hospital-based cross-sectional study was conducted from June to October 2025 among HCWs including doctors, residents, nursing staff, laboratory personnel, technicians, and paramedical staff. A total of 276 participants were enrolled using convenience sampling. Data were collected through a pre-tested structured questionnaire. Statistical analysis was performed using Jamovi version 2.2.18. Associations were assessed using Chi-square test and independent sample t-test. Multivariate logistic regression was applied to identify independent predictors of non-vaccination. A p-value <0.05 was considered statistically significant. Results: Only 30.4% of HCWs had completed the full three-dose Hepatitis B vaccination schedule. Lack of free vaccine availability (AOR 3.64; 95% CI: 1.98–6.70; p<0.001) and absence of needle-stick injury (AOR 2.87; 95% CI: 1.52–5.41; p=0.001) were significant independent predictors of non-vaccination. Increasing years of professional experience reduced the odds of non-vaccination (AOR 0.94 per year; p=0.004). The most common reasons for non-vaccination were access-related issues (25%) and lack of time (22.9%). Conclusion: Hepatitis B vaccination coverage among HCWs was suboptimal. Institutional policies ensuring free and mandatory pre-placement vaccination are urgently needed to enhance occupational protection. Key words: Hepatitis B; Vaccination coverage; Healthcare workers; Occupational exposure;