Knowledge, attitudes and perceptions about rabies among the people in the community, healthcare professionals and veterinary practitioners in Bangladesh

One Health

卷:13

Umme Ruman Siddiqi¹  Afsana Akter Jahan²  Abul Khair Mohammad Shamsuzzaman³  Mst Ismat Ara Begum⁴  S.M. Golam Kaisar⁵  Sumon Ghosh⁶  Md Sohel Rana⁶  Subir Sarker⁶  Sudeb Sarker⁶  Be-Nazir Ahmed⁷ 

[1] Corresponding author at: Department of Livestock Services, Ministry of Fisheries and Livestock, Dhaka-1215, Bangladesh;

[2] Department of Livestock Services, Ministry of Fisheries and Livestock, Dhaka 1215, Bangladesh;

[3] Department of Physiology, Anatomy and Microbiology, School of Life Sciences, La Trobe University, Melbourne, VIC 3086, Australia;

[4] Department of Veterinary and Animal Sciences, University of Rajshahi, Rajshahi 6205, Bangladesh;

[5] School of Environmental and Rural Science, University of New England, Armidale, NSW 2351, Australia;

[6] Communicable Disease Control (CDC), Directorate General of Health Services, Ministry of Health and Family Welfare, Dhaka 1212, Bangladesh;

关键词: Attitudes;    Bangladesh;    Dog bite;    Knowledge;    Perception;    Rabies;   

DOI  :  

来源: DOAJ

【 摘 要 】

It is crucial to explore knowledge, attitudes and perceptions (KAP) about rabies among the people in the community, the personnel dealing with animal bite management and suspected rabies patients, including humans and animals, to facilitate intervention in improving rabies elimination strategies. In 2016, we conducted an interactive face-to-face survey in three different districts of Bangladesh to understand the extent of KAP towards rabies in the community peoples (CPs), human healthcare professionals (HCPs) and veterinary practitioners (VPs). A set of prescribed questions was employed to measure what proportion of each group possessed sufficient knowledge, positive attitudes and adequate perceptions about rabies. A total of 1133 CPs, 211 HCPs and 168 VPs were interviewed by using a standard questionnaire comprising both closed and open-ended questions. Of the CPs, 49% identified the disease correctly (i.e. rabies is caused by an animal bite or a scratch). Only 29% of the CPs were aware that a wound should be washed immediately with soap and water after an animal bite or a scratch. However, only 49% of the CPs, 65% of the HCPs and 60% of the VPs felt that it is important to consult a physician and receive post-exposure vaccine as the first line of treatment following an animal exposure. Among the HCPs, 23% of the respondents did not possess sufficient knowledge about animal bites as categorised by the World Health Organization (WHO), and 12% of the respondents did not possess the knowledge on how to manage an animal bite properly. Out of 52% of the VPs who previously treated suspected rabid animals, only 29% had a history of taking rabies pre-exposure prophylaxis (PEP). Lack of formal education and rural subsistence were found to largely contribute to poor rabies KAP level among the CPs (P ≤ 0.01). There has been a high demand for proper training to be provided to HCPs and VPs for the effective management of an animal bite incidence in human and animals, respectively. Multi-sectoral collaboration through integrated One Health initiatives including community education, awareness programmes, facilitation of rabies PEP, and dog vaccination as well as its population control are critical in the way forward to control rabies in Bangladesh.

【 授权许可】

Unknown