Current Hepatology Reports

, Volume 18, Issue 3, pp 342–356 | Cite as

Community-Based Strategies to Improve Screening, Diagnosis and Linkage to Care for Patients with Chronic Hepatitis B

  • Monica RobotinEmail author
  • Jacob George
Hepatitis B (JK Lim, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Hepatitis B


Purpose of Review

Chronic hepatitis B (CHB) places 3.5% of the world population at risk of dying from liver failure or liver cancer. Effective antiviral therapies can change disease outcomes, provided that CHB screening and linkage to care can be delivered at population level, to reach the vast numbers of undiagnosed people. We therefore reviewed the experience of community-based CHB screening programs reported in the English literature since 2014.

Recent Findings

Twenty papers met eligibility criteria and only one originated from a low-income country. The two randomised studies found that culturally tailored hepatitis education increased hepatitis testing. Successful linkage to care was facilitated by partnerships with community-based organisations and the use of bilingual patient navigators. Point of care testing and chain referral sampling were successfully tested in two programs.


These studies demonstrated that community-based interventions can screen large numbers of people and could deliver the population-level outcomes required to meet the WHO targets of hepatitis B elimination.


Chronic hepatitis B Immigrants Screening Liver cancer prevention Antiviral treatment 


Compliance with Ethical Standards

Conflict of Interest

Monica Robotin and Jacob George each declare no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.University of Notre Dame Australia, School of MedicineSydneyAustralia
  2. 2.University of Sydney, School of Public HealthSydneyAustralia
  3. 3.Storr Liver Centre, Westmead Institute for Medical Research, Westmead HospitalUniversity of SydneySydneyAustralia

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