Do the most heavily burdened countries have the right policies to eliminate viral hepatitis B and C?

Adam Palayew, Homie Razavi, Sharon J. Hutchinson, Graham S. Cooke, Jeffrey V. Lazarus*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

13 Citations (Scopus)


In 2019, a Lancet Gastroenterology & Hepatology Commission on accelerating the elimination of viral hepatitis reported on the status of 11 viral hepatitis policy indicators in 66 countries and territories with the heaviest burden by global region. Policies were reported as being either in place, in development, or not in place. This study uses the Commission findings to estimate hepatitis B virus (HBV) and hepatitis C virus (HCV) policy scores and rankings for these 66 countries and territories. We applied a multiple correspondence analysis technique to reduce data on policy indicators into a weighted summary for the HBV and HCV policies. We calculated HBV and HCV policy scores for each country. Countries and territories that received higher scores had more policies in place and in development than did countries with lower scores. The highest scoring country for HBV was Australia, whereas Somalia had the lowest score. For the HCV policy score, Australia and New Zealand had perfect scores, whereas Somalia, Sudan, and Yemen had the lowest scores, all having no policy indicators in place.

Original languageEnglish
Pages (from-to)948-953
Number of pages6
JournalThe Lancet Gastroenterology and Hepatology
Issue number10
Early online date27 Jul 2020
Publication statusPublished - 1 Oct 2020


  • viral hepatitis elimination
  • global policies
  • HCV policy score

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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