Connaissances, attitudes et pratiques des chefs de ménage de la commune d'Abobo (Abidjan, Côte d'Ivoire) en matière de rage, en 2008

Tiembré, I.; Vroh, Joseph Bénie Bi; Kouassi, Damus Paquin; Attoh-Touré, H.; Ekra, Kouadio Daniel; Diane, Aly; Dagnan, N’cho Simplice; Tagliante-Saracino, J.

doi:10.3917/spub.144.0547

Cited by 12 publications

(8 citation statements)

References 10 publications

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“…Only half of our study population had heard of rabies. This proportion is considerably lower than reported in other sub-Saharan African countries, where 76%–99% of respondents had heard of rabies [37,47,84,85,86,87]. The majority of respondents knew that rabies is primarily transmitted through infected dogs (94%) via bites (88%).…”

Section: Discussionmentioning

confidence: 74%

Dog Ecology, Bite Incidence, and Disease Awareness: A Cross-Sectional Survey among a Rabies-Affected Community in the Democratic Republic of the Congo

et al. 2019

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Despite the existence of safe and efficacious human and animal rabies vaccines, millions of people remain at risk of exposure to this deadly zoonotic disease through bites of infected dogs. Sub-Saharan African countries, such as the Democratic Republic of the Congo (DRC), bear the highest per capita death rates from rabies where dog vaccination and availability of lifesaving post-exposure prophylaxis (PEP) is scarce. Mass dog vaccination is the most cost-effective and sustainable approach to prevent human rabies deaths. We conducted a cross-sectional household survey in a rabies-affected community in Matadi, DRC, to estimate the size of the owned dog population and dog bite incidence and assess knowledge and practices regarding rabies, as preparation for future mass dog vaccination campaigns. Our study revealed that the owned dog population in Matadi was almost ten times larger than assumed by local veterinary officials, with a large proportion of free-roaming unvaccinated dogs. The annual dog bite incidence of 5.2 per 1000 person years was high, whereas community rabies knowledge was low resulting in poor practices. Given these findings, human rabies deaths are likely to occur in this community. Lack of disease awareness could negatively affect participation in future mass dog vaccination campaigns. A public sensitization campaign is needed to promote appropriate rabies prevention (washing bite wounds and PEP) and control (dog vaccination) measures in this community.

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Section: Discussionmentioning

confidence: 74%

Dog Ecology, Bite Incidence, and Disease Awareness: A Cross-Sectional Survey among a Rabies-Affected Community in the Democratic Republic of the Congo

et al. 2019

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“…However, the different post-exposure management protocols were unknown to them. Tiembre and col. in Abidjan had found that vaccination (79.82%) was known as the main means of protection against rabies [17]. In the study by Adje and col, on the other hand, the vaccine as a means of prevention was not known by 39% and 55% of students respectively [14].…”

Section: Discussionmentioning

confidence: 98%

Pilot Study for Introduction of Thai Red Cross Protocol in Rabies Post-exposure Prophylaxis: Case of Regional Public Hygiene Office of Bouake, Ivory Coast, 2019

Soumahoro¹,

Kouassi²,

Kouame³

et al. 2021

WJPH

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Context: A project called GAVI-RAGE, in 2017 was initiated in three African countries including Côte d'Ivoire. The idea was to offer subjects at risk of rabies infection the three different protocols, while offering free only prophylaxis by the Thai Red Cross protocol. Paradoxically, this free service was not preferred by all subjects. Some people have opted for the usual feebased protocols (Essen and Zagreb). The search for an understanding of this paradox required a study. Methods: A retrospective cross-sectional study with an analytical aim was carried out from December 2018 to May 2019 at the regional public hygiene office in Bouake. This study consisted of interviewing all subjects exposed to a risk of rabies infection and who consulted the regional public hygiene unit during the project period. The comparison of the proportions was made by the chi-square test with a significance level set for a value p≤0.05. Results: The subjects exposed to rabies were from urban areas (83%), were children under 15 (51,3%) and males (59,3%). Among our respondents, 77% of the subjects had opted for the free vaccine protocol. The reasons given were that it was free of charge (93.5%), lack of money on the day of the consultation (44.3%) and lack of health insurance (44.3%). Respondents who did not accept the free protocol cited insufficient awareness (80.9%) and doubts about its effectiveness (9.9%) as their reasons Acceptance of the said protocol was significantly associated with the living area of the exposed people (p<0.000) and awareness of the treatment (p<0.000). Conclusion: a free vaccine protocol is not synonymous with its acceptance by all populations. However, this free service is a lifeline for many people, especially the poorest.

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“…Several studies [23][24][25] have explored rabies surveillance in the western region of Cameroon, in line with WHO recommendations highlighting the importance of involving communities and health facilities at all levels of the health system [26]. To this end, the 658 participants involved in this study included 273 health professionals of which 235 were rabies surveillance focal points and 38 were zoo technical station managers, while 385 respondents were community members and victims of dog bites.…”

Section: Discussionmentioning

confidence: 99%

Awareness of rabies control and challenges to the intersectoral management of dog bites in Western Cameroon

Djuikoue,

Toutcho,

Savadogo

et al. 2023

Preprint

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Background: Rabies is a zoonotic and a typical One Health challenge. Intersectoral surveillance is a critical component of rabies control programmes. However, the under-reporting of animal bite cases and the lack of coordination between sectors involved in the surveillance may lead to failure in the control efforts of this public health concern. Methods: A cross-sectional study was conducted at the operational level. Two separate survey grids were used for simultaneous data collection in the study sites, including 385 dog bite victims within communities and 273 human health and animal health professionals responsible for rabies surveillance in health and veterinary facilities Results: There was no association (OR: 0,76; CI: 0,452-1,39 and p=0.38) between data loss and professional profile of the surveillance focal points; however, there was a significant association between the under-reporting of physical aggression cases of dog bites by victims and the level of education (OR: 1.75; IC:1.02-2.99 and P=0.0413), and with individuals younger than 20 years and those over 50 years of age (OR:0.39; CI:0.16-0.96 and p=0.0415). Indeed, there was a positively and statistically significant association (OR: 3.11; CI: 1.94-5.00 and p<0.0001) between knowledge of rabies with under-reporting of dog bites by community members; while negatively associated CI: 0.52-1.82 and p=0.9226) with the level of education. Interestingly, there was no significant difference in the under-performance in case reporting whether the surveillance focal points had received prior training on rabies surveillance (OR: 1.14; CI: 0.64-2.01 and p=0.66), had knowledge of operational case definition (OR: 0.93; CI: 0.54- 1.58 and p=0.7851) or /and knew the manifestation of rabies (OR: 0.88; CI: 0.51-1.51and p=0.6408). Conclusion: The under-reporting of rabies bites in the West region of Cameroon is as a consequence of negligence and lack of application of the one health approach on rabies surveillance by the surveillance focal points in District health sectors, leading to the no-exhaustive collection and patchy dissemination of dog bite data.

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Connaissances, attitudes et pratiques des chefs de ménage de la commune d'Abobo (Abidjan, Côte d'Ivoire) en matière de rage, en 2008

Abstract: This study shows a good level of knowledge of household heads concerning rabies. However, harmful health practices persist. Public awareness of rabies therefore needs to be reinforced.

Cited by 12 publications

References 10 publications

Dog Ecology, Bite Incidence, and Disease Awareness: A Cross-Sectional Survey among a Rabies-Affected Community in the Democratic Republic of the Congo

Dog Ecology, Bite Incidence, and Disease Awareness: A Cross-Sectional Survey among a Rabies-Affected Community in the Democratic Republic of the Congo

Pilot Study for Introduction of Thai Red Cross Protocol in Rabies Post-exposure Prophylaxis: Case of Regional Public Hygiene Office of Bouake, Ivory Coast, 2019

Awareness of rabies control and challenges to the intersectoral management of dog bites in Western Cameroon

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