The SARE tool for rabies control: Current experience in Ethiopia

Coetzer, André; Kidane, Abraham Haile; Bekele, Meseret; Hundera, Asefa Deressa; Pieracci, Emily G.; Shiferaw, Miriam L.; Wallace, Ryan M.; Nel, Louis Hendrik

doi:10.1016/j.antiviral.2016.09.011

Cited by 50 publications

(37 citation statements)

References 14 publications

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“…For example, the Stepwise Approach toward Rabies Elimination, which is embedded in the rabies blueprint, 5 follows the principles of enhancing intersectoral collaboration. This guidance has been used by countries across three continents, mostly at national or regional stakeholder consultations, to kick-start coordinated rabies control (32). Likewise, the rabies surveillance blueprint 6 provides guidance for planning of surveillance in particular.…”

Section: Overcoming Barriers To Rabies Eliminationmentioning

confidence: 99%

The Road to Dog Rabies Control and Elimination—What Keeps Us from Moving Faster?

Fahrion

Taylor

Torres

et al. 2017

Front. Public Health

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Rabies, a vaccine preventable neglected tropical disease, still claims an estimated 35,000–60,000 human lives annually. The international community, with more than 100 endemic countries, has set a global target of 0 human deaths from dog-transmitted rabies by 2030. While it has been proven in several countries and regions that elimination of rabies as a public health problem is feasible and tools are available, rabies deaths globally have not yet been prevented effectively. While there has been extensive rabies research, specific areas of implementation for control and elimination have not been sufficiently addressed. This article highlights some of the commonest perceived barriers for countries to implementing rabies control and elimination programs and discusses possible solutions for sociopolitical, organizational, technical, and resource-linked requirements, following the pillars of the global framework for the elimination of dog-mediated human rabies adopted at the global rabies meeting in December 2015.

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Section: Overcoming Barriers To Rabies Eliminationmentioning

confidence: 99%

The Road to Dog Rabies Control and Elimination—What Keeps Us from Moving Faster?

Fahrion

Taylor

Torres

et al. 2017

Front. Public Health

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“…The SARE tool, initially developed in 2012 by the FAO, OIE, WHO and GARC, comprises a self-assessment and a practical guide to the development and implementation of national rabies control programmes (Coetzer et al, 2016;FAO and GARC, 2012). This…”

Section: Stepwise Approach Towards Rabies Elimination (Sare) Workhopmentioning

confidence: 99%

“…Microsoft Ô Excel-based tool relies on user input to assess activities (stated as simple yes/no questions) that have been grouped into different components that directly correlate with the STOP-R framework (WHO et al, 2015), viz. legislation; data collection and analysis; laboratory diagnosis; information, education and communication; prevention and control; dog population-related matters; and cross-cutting issues (Coetzer et al, 2016). The SARE activities provide countries with direct, actionable objectives that have been designed to follow a logical flow that systematically progresses into sustainable national programmes.…”

Section: Stepwise Approach Towards Rabies Elimination (Sare) Workhopmentioning

confidence: 99%

Formation of the Asian Rabies Control Network (ARACON): A common approach towards a global good

et al. 2018

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The drive towards the worldwide elimination of dog-mediated human rabies by 2030 is the first step towards the ultimate goal of dog rabies elimination - as dogs account for more than 99% of human rabies cases globally - and has gained considerable momentum since this resolution was taken at a global meeting in Geneva in December 2015. For dog rabies-endemic countries and regions, dedicated regional networks may offer unique opportunities to take advantage of this global momentum. Towards this goal, the Pan-African Rabies Control Network (PARACON) was created in 2015, and the past year has seen the formation of the Asian Rabies Control Network (ARACON). ARACON provides opportunities for member countries to share lessons learnt and challenges faced, while also introducing them to programmatic support tools such as the Stepwise Approach towards Rabies Elimination (SARE) assessment and the Rabies Epidemiological Bulletin (REB). During the inaugural ARACON meeting, member countries evaluated their progress and developed country-specific Practical Workplans based on their SARE outcomes. The results from the national-level SARE assessments were considered at the regional level and, after discussion among countries, consensual agreement was reached that the target date of regional freedom from dog-mediated human rabies by 2020 was not feasible, and a new regional target of 2030 was set. With this new regional target, ongoing support will continue to be provided to countries through regional structures such as ARACON. However, the responsibility remains with the countries to use the available tools and resources to progress towards the new regional goal of dog-mediated human rabies elimination by 2030.

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“…In a detailed workshop focused on the Stepwise Approach towards Rabies Elimination (SARE), and its linkage to the Rabies Blueprint ( ), country representatives identified the current status of rabies control within their country. The SARE assessment provided countries with measurable steps to progress from canine rabies endemic to a canine rabies free status [ 12 ]. Representatives outlined these steps to prioritize short- and medium-term activities for each country towards a dynamic and ongoing development and implementation of national rabies control plans.…”

Section: The Stepwise Approach Towards Rabies Eliminationmentioning

confidence: 99%

The Formation of the Eastern Africa Rabies Network: A Sub-Regional Approach to Rabies Elimination

et al. 2017

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International rabies networks have been formed in many of the canine-rabies endemic regions around the world to create unified and directed regional approaches towards elimination. The aim of the first sub-regional Eastern Africa rabies network meeting, which included Kenya, Ethiopia, Tanzania, Rwanda, and Uganda, was to discuss how individual country strategies could be coordinated to address the unique challenges that are faced within the network. The Stepwise Approach towards Rabies Elimination and the Global Dog Rabies Elimination Pathway tool were used to stimulate discussion and planning to achieve the elimination of canine-mediated human rabies by 2030. Our analysis estimated a total dog population of 18.3 million dogs in the Eastern Africa region. The current dog vaccination coverage was estimated to be approximately 5% (915,000 dogs), with an estimated 4910 vaccinators available. Assuming that every vaccinator performs rabies vaccination, this equated to each vaccinator currently vaccinating 186 dogs per year, whilst the target would be to vaccinate 2609 dogs every year for the community to reach 70% coverage. In order to achieve the World Health Organization-recommended 70% vaccination coverage, an additional 11 million dogs need to be vaccinated each year, pointing to an average annual shortfall of $ 23 million USD in current spending to achieve elimination by 2030 across the region. Improved vaccination efficiency within the region could be achieved by improving logistics and/or incorporating multiple vaccination methods to increase vaccinator efficiency, and could serve to reduce the financial burden associated with rabies elimination. Regional approaches to rabies control are of value, as neighboring countries can share their unique challenges while, at the same time, common approaches can be developed and resource-saving strategies can be implemented.

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The SARE tool for rabies control: Current experience in Ethiopia

Cited by 50 publications

References 14 publications

The Road to Dog Rabies Control and Elimination—What Keeps Us from Moving Faster?

The Road to Dog Rabies Control and Elimination—What Keeps Us from Moving Faster?

Formation of the Asian Rabies Control Network (ARACON): A common approach towards a global good

The Formation of the Eastern Africa Rabies Network: A Sub-Regional Approach to Rabies Elimination

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