An association of knowledge and misconceptions with health seeking behaviour for dog bite: a cross-sectional study in Ahmedabad

Jakasania, Arjunkumar Hardas; Mansuri, Farzana; Dixit, Grishma T.

doi:10.18203/2394-6040.ijcmph20172865

Cited by 5 publications

(10 citation statements)

References 3 publications

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“…Likewise, a study conducted by Ganasva et al, showed that 95.8% of the exposures were from stray dogs. 15 Similarly, a study conducted by S Sharma et al showed that, 84.2% of the exposures were on lower limbs. 14 A study by Trivedi et al, showed that 82.85% of bites were by dogs, 52.06% were by stray animals, 78.41% was unprovoked bites,62.59% of bites were over lower limbs, 70.74% suffered from multiple bites/scratches and 73.01% were category III bites.…”

Section: Discussionmentioning

confidence: 92%

“…14 Similarly, a study by Ganasva et al showed that 93.8% approached Government health care facilities for post exposure prophylaxis and 64.1% travelled <10kms to approach the health care facility. 15 A study by Anshuli Trivedi et al, showed that, 53.01% washed their wound with soap and water. 16 A study by Venkatesan et al, showed that only 36% washed their wounds with soap and water, 65% received treatment from primary health centre.…”

Section: Discussionmentioning

confidence: 99%

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Health seeking behaviours of individuals exposed to animals

Krishna

Syiem

Nongbet

et al. 2019

NJRCM

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Background: India is a rabies endemic country, where animal bites to humans are a major public health problem and an estimated 17.4 million animal bites occur annually. It is more common in urban poor locality, since there is a combination of large human and dog populations in congested habitable areas. Seeking timely and correct post exposure prophylaxis by the exposed victims is important to prevent rabies. Objectives: 1. To know the characteristics of animal exposures. 2. To determine the post exposure prophylaxis seeking behaviour of individuals exposed to animals. Methodology: A community based cross-sectional study was conducted in urban poor locality of Tumkur District, Karnataka. The study subjects were interviewed using a pretested, semi-structured proforma to collect information regarding any history of animal exposures in last one year; if there were any animal exposures, a detailed history regarding the post exposure prophylaxis seeking behaviour was obtained. Results: A total of 11,289 individuals were surveyed, among whom 128 animal bite cases were reported giving the prevalence of 1.13%. In all the 128 cases, the biting animal was dog and 86.2% of them were unprovoked bites. The common bite injuries were abrasions (59.4%)) and were mainly on the limbs (97.6%); 52.4% of them were category III exposures. Among the exposed, 96.1% sought help from the medical doctor, among whom 61.7% from government health care facility. Conclusion: The post exposure prophylaxis seeking behaviour has to be further improved; since early and correct post exposure prophylaxis is necessary to prevent rabies.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Health seeking behaviours of individuals exposed to animals

Krishna

Syiem

Nongbet

et al. 2019

NJRCM

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“…Studies in other rabies endemic countries have found similar or much higher proportion of rabies exposed victims (Sri Lanka: 7.3%, Tanzania: 20%, Guangdong province in China: 67% and Philippines: 92%) who did not seek PEP following potential rabies exposure from animal-bite [28–32]. Awareness level about rabies, socio-economic status, accessibility and availability of PEP are some of the major factors associated with PEP seeking behavior by the victims following potential rabies exposures [1, 3, 33, 34].…”

Section: Discussionmentioning

confidence: 99%

Determinants of health seeking behavior of animal bite victims in rabies endemic South Bhutan: a community-based contact-tracing survey

2019

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Background Dog bites are the main source of rabies infection and death in humans, contributing up to 99% of all cases. We conducted a contact-tracing study to evaluate the health seeking and treatment compliance behaviors of people following potential exposure to rabies in rabies endemic south Bhutan. Methods Using information from the rabies post exposure prophylaxis (PEP) register, animal-exposed victims who had visited five hospitals in south Bhutan between January and March 2017 were traced and further data were collected from them using a structured questionnaire. A snowballing technique was used to identify victims who did not seek PEP.The survey was conducted between April and June 2017. Logistic regression was performed to assess factors associated with PEP-seeking and compliance behavior by the victims. Results Amongst 630 who reported to hospitals, 70% (444) of people could be traced and additional 8% (39) who did not seek PEP was identified through contact tracing. Therefore, a total of 483 people were interviewed. Seventy one percent (344/483) of exposure were due to animal bites of which 80% (365/455) were considered to be provoked incidents. Common reasons for not seeking health care included assumptions that risks of infection were minor if bitten by an owned or vaccinated dog. The victims who are male (OR: 0.36; 95% CI: 0.16–0.77) and educated (OR: 0.41; 95% CI: 0.17–0.96) were less likely to seek PEP, while those that experienced unprovoked bite (OR: 5.10; 95% CI: 1.20–21.77) were more likely to seek PEP in the hospitals. Overall, 82% of the victims sought PEP from the hospitals within 24 h after exposure. Eighty three percent completed the PEP course prescribed by the physician. The respondents living in urban areas (OR: 2.67; 95% CI: 1.34–5.30) were more likely to complete the prescribed PEP course than rural dwellers. Conclusions There is high risk of rabies infection in southern Bhutan. It is critical to bridge knowledge gaps and dispel existing myths which will help to improve PEP seeking and compliance behavior of people exposed to rabies infection from animals. A risk-based advocacy program is necessary to prevent dog-mediated human rabies deaths. Electronic supplementary material The online version of this article (10.1186/s12889-019-6559-x) contains supplementary material, which is available to authorized users.

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“…During the In-Depth Discussion it was revealed that not all cases of dog bites were unprovoked. Lack of understanding of dog gestures, which could have led to unprovoked dog bites, were previously reported especially among children [ 29 , 40 , 41 ]. Therefore, reinforcing findings from the current study.…”

Section: Discussionmentioning

confidence: 99%

Multisectoral approach to achieve canine rabies controlled zone using Intervention Mapping: Preliminary results

et al. 2020

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Background Annually, in India, millions of dog bite cases occur; most of them are inflicted by a stray dog. There are over 25 million dogs in the country. The rate of stray dog vaccination is suboptimal in India. This study aims to develop an intervention strategy, using Intervention Mapping framework, tailored for the target community to achieve canine rabies controlled zone. Methodology This is an exploratory, cross-sectional study conducted at a tertiary care Medical Institute at Jodhpur, Rajasthan, India, from 2018–2019. The semi-structured, In-Depth Discussion was conducted with a multidisciplinary planning group comprising of members from veterinary, health, and administrative sectors. The In-Depth Discussion focused on knowledge regarding complete stray dog vaccination schedule, self-efficacy (to prevent dog bites), challenges, and barriers faced by residents to achieve canine rabies controlled zone. Further, discussion with veterinary stakeholders focused on challenges faced for rigorous implementation of stray dog vaccination and sterilization. Results In-Depth Discussion revealed the following challenges: Lack of participation by the study population for canine vaccination, incomplete knowledge about annual canine vaccination schedule, lack of understanding of dog gestures, lack of infrastructure and resources at veterinary hospitals. The majority of the dogs in the study area were stray dogs that were partially or non-vaccinated and non-sterilized. An intersectoral collaboration was achieved between the community members, veterinary stakeholders both private and Non-Governmental organisations, and heath sector. Following which 35 (76.0%) stray dogs were vaccinated, and 17 (35.4%) were sterilized with community support. Burden of dog bite cases also decreased. The stray dog density map was prepared, and community engagement activity on dog gestures was conducted. Conclusion The present study demonstrates the feasibility of achieving canine rabies controlled zone. When implemented in a phase-wise manner across all Medical and Residential complex, this strategy would ensure achieving canine rabies controlled zone through multi-stakeholder engagement.

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An association of knowledge and misconceptions with health seeking behaviour for dog bite: a cross-sectional study in Ahmedabad

Cited by 5 publications

References 3 publications

Health seeking behaviours of individuals exposed to animals

Health seeking behaviours of individuals exposed to animals

Determinants of health seeking behavior of animal bite victims in rabies endemic South Bhutan: a community-based contact-tracing survey

Multisectoral approach to achieve canine rabies controlled zone using Intervention Mapping: Preliminary results

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