Knowledge, Attitudes and Practices (KAP) about rabies prevention and control: a community survey in Tanzania

Sambo, M., Lembo, T., Cleaveland, S., Ferguson, H., Sikana, L., Simon, C., Urassa, H. and Hampson, K. (2014) Knowledge, Attitudes and Practices (KAP) about rabies prevention and control: a community survey in Tanzania. PLoS Neglected Tropical Diseases, 8(12), e3310. (doi:10.1371/journal.pntd.0003310) (PMID:25473834) (PMCID:PMC4256472)

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Abstract

BACKGROUND: Despite being entirely preventable,canine rabies still kills 55,000 people/year in developing countries. Information about local beliefs and practices can identify knowledge gaps that may affect prevention practices and lead to unnecessary deaths. METHODOLOGY/PRINCIPAL FINDINGS: We investigated knowledge, attitudes and practices related to rabies and its prevention and control amongst a cross-section of households (n = 5,141)in urban and rural areas of central, southern and northern Tanzania. Over 17% of respondents owned domestic dogs (average of 2.3 dogs/household), >95% had heard about rabies, and >80% knew that rabies is transmitted through dog bites. People who (1)had greater education,(2)originated from areas with a history of rabies interventions,(3)had experienced exposure by a suspect rabid animal,(4)were male and(5)owned dogs were more likely to have greater knowledge about the disease. Around 80% of respondents would seek hospital treatment after a suspect bite, but only 5% were aware of the need for prompt wound cleansing after a bite. Although >65% of respondents knew of dog vaccination as a means to control rabies, only 51% vaccinated their dogs. Determinants of dog vaccination included(1)being a male-headed household,(2)presence of children,(3)low economic status,(4)residing in urban areas,(5)owning livestock,(6)originating from areas with rabies interventions and(7)having purchased a dog. The majority of dog-owning respondents were willing to contribute no more than US$0.31 towards veterinary services. CONCLUSIONS/SIGNIFICANCE: We identified important knowledge gaps related to, and factors influencing the prevention and control of rabies in Tanzania. Increasing knowledge regarding wound washing, seeking post-exposure prophylaxis and the need to vaccinate dogs are likely to result in more effective prevention of rabies; however, greater engagement of the veterinary and medical sectors is also needed to ensure the availability of preventative services.

Item Type:Articles (Other)
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Lembo, Dr Tiziana and Cleaveland, Professor Sarah and Hampson, Dr Katie and Ferguson, Dr Heather
Authors: Sambo, M., Lembo, T., Cleaveland, S., Ferguson, H., Sikana, L., Simon, C., Urassa, H., and Hampson, K.
College/School:College of Medical Veterinary and Life Sciences > Institute of Biodiversity Animal Health and Comparative Medicine
Journal Name:PLoS Neglected Tropical Diseases
Journal Abbr.:PLoS Negl. Trop. Dis.
Publisher:Public Library of Science
ISSN:1935-2727
ISSN (Online):1935-2735
Copyright Holders:Copyright © 2014 2014 Sambo et al.
First Published:First published online in PLoS Neglected Tropical Diseases 8(12):e3310
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
539491Understanding the role of contact networks in the epidemiological and evolutionary dynamics of zootonic diseaseSarah CleavelandWellcome Trust (WELLCOME)082715/B/07/ZRI BIODIVERSITY ANIMAL HEALTH & COMPMED
522631Epidemiological dynamics of rabies in rural Tanzania and impacts on local communitiesSarah CleavelandWellcome Trust (WELLCOME)087393/B/08/ZRI BIODIVERSITY ANIMAL HEALTH & COMPMED
539491Understanding the role of contact networks in the epidemiological and evolutionary dynamics of zootonic diseaseSarah CleavelandWellcome Trust (WELLCOME)082715/B/07/ZRI BIODIVERSITY ANIMAL HEALTH & COMPMED