Factors associated with the abandonment of postexposure prophylaxis at the antirabies center in Abidjan, Côte d’Ivoire

Zamina, Bi Yourou Guillaume; Tiembré, I.; Attoh-Touré, H.; Koffi, N.; Tétchi, Sopi Mathilde; Bénié, Bi Vroh Joseph

doi:10.1684/mst.2018.0796

Cited by 4 publications

(2 citation statements)

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“…In Côte d'Ivoire, rabies is endemic, and the national epidemiological surveillance system regularly reports deaths linked to the disease [4]. Since 2008, the country has classified rabies as a notifiable disease and one of the five priority zoonoses in 2017 [5,6]. In 2015, an initiative was taken to eliminate dog-transmitted rabies by 2030 [7].…”

Section: Introductionmentioning

confidence: 99%

Implementation of an Integrated Rabies Control Model in Côte d’Ivoire

Issaka

2023

AJBSR

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Since 2008, Côte d'Ivoire has classified rabies as a notifiable disease and one of the five priority zoonoses in 2017. Following an assessment of the burden of the disease and the prioritization of rabies, we drew an integrated national rabies control plan. Despite the activities implemented, the disease has persisted. In this context, we set ourselves the research question of what model, adapted to the characteristics of rabies, could be recommended, based on the determinants of mortality, to accelerate progress towards its elimination in Côte d'Ivoire. We propose an integrated rabies control model adapted to the characteristics of the disease. We conducted a mixed cross-sectional study from January to September 2023. Data were collected by interview, document review, and narrative review of all published work on rabies in Côte d'Ivoire from 2018 to 2023. The situational analysis was first carried out using the SWOT tool, which enabled us to define the strengths, weaknesses, opportunities, and threats of rabies control in Côte d'Ivoire. Then, using data from the articles, we constructed a problem tree of human rabies deaths in Côte d'Ivoire. Finally, we used this problem tree as a basis for building an integrated model of rabies management in Côte d'Ivoire. The study was conducted by following the ethical rules (administrative authorization, informed consent, confidentiality) in force in Côte d'Ivoire.The main challenges identified in the fight against rabies in Côte d'Ivoire were the low level of animal vaccination, a lack of knowledge about the disease, and the lack of access to PEP. The problem tree highlighted the factors associated with mortality, based essentially on the low vaccination coverage of dogs and the poor knowledge of the disease, which leads to low uptake and nonadherence to PEP. A Model to accelerate progress towards the elimination of rabies in Côte d'Ivoire incorporating interventions that, if implemented, could improve uptake and compliance with PEP as a complement to increasing vaccination coverage in dogs. This model includes a combination of several methods, the main pillars of which are improving geographical and financial accessibility, increasing knowledge, and getting people to take ownership of the fight against rabies. Pending control of the reservoir and vector of the disease, the integrated model of rabies control should be systematically implemented, based on PEP before any exposure to rabies, raising public awareness and improving access to PEP.

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Section: Introductionmentioning

confidence: 99%

Implementation of an Integrated Rabies Control Model in Côte d’Ivoire

Issaka

2023

AJBSR

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“…Data from previous studies and reports from the rabies center show that there are regular reports of deaths from human rabies, despite measures to train health workers, raise awareness among the population and communities, and ensure the availability of vaccines [3]- [8]. In this context, we asked ourselves the following research question: what are the determinants of human rabies deaths in Côte d'Ivoire?…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Facies of Human Rabies Deaths in Côte d’Ivoire from 2016 to 2022

Issaka,

Malthide,

Adama

et al. 2023

OJEpi

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Introduction: Rabies is a highly fatal viral disease outside the post-exposure prophylaxis (PEP). Data from previous studies and reports from the rabies center show that cases of death from human rabies are regularly reported, despite training measures for health workers, awareness-raising and communities, and the availability of vaccines. Objectives: The aim of this study was to analyse the determinants of human rabies deaths in Côte d'Ivoire from 2016 to 2022. Method: A retrospective cross-sectional qualitative study was carried out from January to August 2023 on all the records of patients who died of human rabies at the Treichville Rabies Center from 2016 to 2022. An analysis of the rabies center's annual activity reports from 2016 to 2022 was also carried out in order to complete the information gathered from the files. Results: The socio-demographic characteristics showed that out of 148 deaths, children accounted for 47.97% (71) and 66.22% (98) of rabies deaths were male, with an M/F sex ratio of 1.96. In terms of clinical characteristics, in 97.30% (144) of cases, the deceased had presented with furious rabies, and analysis by the Pasteur Institute of Côte d'Ivoire laboratory confirmed 101 cases (92.66%) of human rabies. Geographical distribution showed that cases of human rabies were recorded in 56 health district, and 64% (94) of the deceased lived in rural areas. The main causes of the occurrence of rabies were essentially non-use of post-exposure prophylaxis (PEP) and missed vaccination due to ignorance. Conclusion: In view of these results, control strategies and interventions need to be adapted to the epidemiological characteristics of the disease, using a community-based approach with a view to eliminating dog-transmitted rabies by 2030.

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Dog rabies control in West and Central Africa: A review

et al. 2021

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Factors associated with the abandonment of postexposure prophylaxis at the antirabies center in Abidjan, Côte d’Ivoire

Cited by 4 publications

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Implementation of an Integrated Rabies Control Model in Côte d’Ivoire

Implementation of an Integrated Rabies Control Model in Côte d’Ivoire

Epidemiological Facies of Human Rabies Deaths in Côte d’Ivoire from 2016 to 2022

Dog rabies control in West and Central Africa: A review

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Factors associated with the abandonment of postexposure prophylaxis at the antirabies center in Abidjan, Côte d’Ivoire

Cited by 4 publications

References 0 publications

Implementation of an Integrated Rabies Control Model in Côte d’Ivoire

Implementation of an Integrated Rabies Control Model in Côte d’Ivoire

Epidemiological Facies of Human Rabies Deaths in C&#244;te d’Ivoire from 2016 to 2022

Dog rabies control in West and Central Africa: A review

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Epidemiological Facies of Human Rabies Deaths in Côte d’Ivoire from 2016 to 2022