<p>Seroprevalence of HBV infection of 10.5% showed high endemicity. We recommend scaling up screening and vaccination programs including; routine HBV screening and other opportunistic infections including syphilis at PMTCT clinics, instituting HBV prophylaxis, and introducing hepatitis B immune globulin as well as HBV vaccine birth dose in neonates born from infected mothers to prevent perinatal transmission.</p>