In order to enable informed consent as detailed in section 4.0 it is crucial to pay attention to language, communication, worldview of health and use of interpreters. Bilingual resources such as the Hep B Story app can be helpful.
Testing for HBV infection and offering appropriate management for all those affected by a positive diagnosis are essential for this priority population (see Aboriginal and Torres Strait Islander peoples). Introducing new screening policy in the Indigenous setting requires community consultation. Local health boards or community-controlled health organisations may make decisions about screening the population they serve for HBV infection based on knowledge of local prevalence, health service factors, regional vaccine funding and consultation with the community. Stigma, shame and blame can often be triggered by discussion of hepatitis B testing, being mindful of who else is present. Cultural protocols around women’s and men’s business are important particularly when mother to child transmission is the most common route or transmission.