Households’ Practices towards Rabies Prevention and Control in Rural Nepal

Rabies is a vaccine-preventable, zoonotic, viral disease and a major public health concern for developing countries such as Nepal. A study was conducted from October–December 2021 among 308 household heads from three districts in Nepal (Siraha, Parsa, and Nawalparasi West) through an in-person interview to examine the rural people’s practices towards rabies. Of 70 respondents owning pet animals, 82.9% vaccinated them against rabies but 87.9% (51/58) of them kept a vaccination record. Nearly all respondents (99.7%, 307/308) said they would visit hospitals after being bitten by rabid or rabies suspected animals, and 18.2% (56/308) of them said they would also opt to visit traditional healers seeking treatment against rabies. Seven in ten respondents knew that they should wash bitten body area with soap and water. Around 60% (184/308) of respondents said they would not bother to notify or report to the local authorities if they saw someone bitten by a presumed rabid dog or observed animal behavior suggestive of rabies. The Chi-square test showed a significant association between the socio-demographic characteristics of respondents with practices (good practice and poor practice) towards rabies. The study findings suggest that rural people in Nepal need to be educated with applied rabies control and prevention practices and made aware of health seeking behavior and the role that a community members have to play to control, prevent, and eradicate rabies.

[1]  Abebaw Gedef Azene,et al.  Rabies prevention practices and associated factors among household heads in Bure Zuria district, North West Ethiopia , 2022, Scientific Reports.

[2]  J. Fafetine,et al.  Knowledge, attitudes, practices (KAP) and control of rabies among community households and health practitioners at the human-wildlife interface in Limpopo National Park, Massingir District, Mozambique , 2022, PLoS neglected tropical diseases.

[3]  Swotantra Dangi,et al.  Awareness towards Rabies in the residents of Kathmandu Metropolitan City, Nepal. , 2021 .

[4]  T. Rukkwamsuk,et al.  Knowledge, attitude, and practice about rabies prevention and control: A community survey in Nepal , 2021, Veterinary world.

[5]  U. Zia,et al.  Knowledge, attitude and practice (KAP) survey of canine rabies in Khyber Pakhtunkhwa and Punjab Province of Pakistan , 2020, BMC Public Health.

[6]  S. Dhakal,et al.  Review of rabies in Nepal , 2020, One health.

[7]  P. Mshelbwala,et al.  Knowledge, Attitudes, and Practices Regarding Rabies in El Jadida Region, Morocco , 2020, Veterinary sciences.

[8]  Amare Bihon,et al.  Rabies: Knowledge, Attitude and Practices in and Around South Gondar, North West Ethiopia , 2020, Diseases.

[9]  K. Acharya,et al.  Fight against rabies in Nepal: Immediate need for government intervention , 2019, One health.

[10]  B. Dachew,et al.  Assessment of knowledge, attitude and practice towards rabies and associated factors among household heads in Mekelle city, Ethiopia , 2019, BMC public health.

[11]  F. van der Meer,et al.  A community-based knowledge, attitude, and practice survey on rabies among cattle owners in selected areas of Bhutan , 2019, PLoS neglected tropical diseases.

[12]  A. Getachew,et al.  Assessment of public knowledge, attitude and practices towards rabies in the community of Kombolcha, Southern Wollo, Amhara Reginal State, Ethiopia , 2019, Journal of Public Health and Epidemiology.

[13]  A. Vanak,et al.  Knowledge, attitudes and practices (KAP) towards rabies and free-roaming dogs (FRD) in Shirsuphal village in western India: A community based cross-sectional study , 2019, PLoS neglected tropical diseases.

[14]  F. Niragire,et al.  Knowledge, attitudes and practices regarding rabies and its control among dog owners in Kigali city, Rwanda , 2018, bioRxiv.

[15]  Haldun Akoglu,et al.  User's guide to correlation coefficients , 2018, Turkish journal of emergency medicine.

[16]  J. Blanton,et al.  The influence of poverty and rabies knowledge on healthcare seeking behaviors and dog ownership, Cameroon , 2018, PloS one.

[17]  S. Sarkar,et al.  Awareness about rabies among general population and treatment seeking behaviour following dog-bite in rural Puducherry: a community based cross-sectional study , 2018 .

[18]  Nejash Abdela,et al.  Knowledge, attitudes and practices towards rabies in Dedo district of Jimma zone, southwestern Ethiopia: A community based cross-sectional study , 2017 .

[19]  K. Dhama,et al.  Rabies – epidemiology, pathogenesis, public health concerns and advances in diagnosis and control: a comprehensive review , 2017, The Veterinary quarterly.

[20]  Kaba Tamirat,et al.  Community Perception towards Traditional Healers and Health Centers on Management of Dog Bites and its Relation with Veterinary Public Health Activities , 2016 .

[21]  I. Robertson,et al.  Size and demography pattern of the domestic dog population in Bhutan: Implications for dog population management and disease control. , 2016, Preventive veterinary medicine.

[22]  B. Ahmed,et al.  Awareness of rabies and response to dog bites in a Bangladesh community , 2016, Veterinary medicine and science.

[23]  F. Meslin,et al.  Worldwide rabies deaths prevention--A focus on the current inadequacies in postexposure prophylaxis of animal bite victims. , 2016, Vaccine.

[24]  A. Mechesso,et al.  Knowledge, attitudes and practices towards rabies: questionnaire survey in rural household heads of Gondar Zuria District, Ethiopia , 2015, BMC Research Notes.

[25]  A. Mechesso,et al.  Knowledge, attitudes and practices towards rabies: questionnaire survey in rural household heads of Gondar Zuria District, Ethiopia , 2015, BMC Research Notes.

[26]  D. Grace,et al.  On dogs, people, and a rabies epidemic: results from a sociocultural study in Bali, Indonesia , 2015, Infectious Diseases of Poverty.

[27]  M. Ward,et al.  Knowledge, Attitudes and Practices of Animal Bite Victims Attending an Anti-rabies Health Center in Jimma Town, Ethiopia , 2015, PLoS neglected tropical diseases.

[28]  M. Yamage,et al.  Free-Roaming Dog Population Estimation and Status of the Dog Population Management and Rabies Control Program in Dhaka City, Bangladesh , 2015, PLoS neglected tropical diseases.

[29]  S. Cleaveland,et al.  Knowledge, Attitudes and Practices (KAP) about Rabies Prevention and Control: A Community Survey in Tanzania , 2014, PLoS neglected tropical diseases.

[30]  E. Ahmed,et al.  A study on knowledge, attitude and practice of rabies among residents in Addis Ababa, Ethiopia. , 2014 .

[31]  A. Ogunkoya,et al.  Detection of Rabies Antigen in the Saliva and Brains of Apparently Healthy Dogs Slaughtered for Human Consumption and Its Public Health Implications in Abia State, Nigeria , 2013, ISRN veterinary science.

[32]  Wassie Molla,et al.  Incidence of Rabies in Humans and Domestic Animals and People's Awareness in North Gondar Zone, Ethiopia , 2013, PLoS neglected tropical diseases.

[33]  Tenzin,et al.  Community-based study on knowledge, attitudes and perception of rabies in Gelephu, south-central Bhutan. , 2012, International health.

[34]  M. Chanie,et al.  Assessment of Knowledge, Attitude and Practices about Rabies and Associated Factors: In the Case of Bahir Dar Town , 2014 .

[35]  O. Radostits,et al.  Veterinary medicine : a textbook of the diseases of cattle, horses, sheep, pigs and goats , 2007 .