Barriers of attendance to dog rabies static point vaccination clinics in Blantyre, Malawi.
Rabies is a devastating yet preventable disease that causes around 59,000 human deaths annually. Almost all human rabies cases are caused by bites from rabies-infected dogs. A large proportion of these cases occur in Sub Saharan Africa (SSA). Annual vaccination of at least 70% of the dog population...
Published in: | PLOS Neglected Tropical Diseases |
---|---|
Main Authors: | , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Public Library of Science (PLoS)
2018
|
Subjects: | |
Online Access: | https://doi.org/10.1371/journal.pntd.0006159 https://doaj.org/article/ab0937d029a547f6a621629ebb3aefcb |
id |
ftdoajarticles:oai:doaj.org/article:ab0937d029a547f6a621629ebb3aefcb |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:ab0937d029a547f6a621629ebb3aefcb 2023-05-15T15:15:41+02:00 Barriers of attendance to dog rabies static point vaccination clinics in Blantyre, Malawi. Stella Mazeri Andrew D Gibson Natascha Meunier Barend M deC Bronsvoort Ian G Handel Richard J Mellanby Luke Gamble 2018-01-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0006159 https://doaj.org/article/ab0937d029a547f6a621629ebb3aefcb EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC5783422?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0006159 https://doaj.org/article/ab0937d029a547f6a621629ebb3aefcb PLoS Neglected Tropical Diseases, Vol 12, Iss 1, p e0006159 (2018) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2018 ftdoajarticles https://doi.org/10.1371/journal.pntd.0006159 2022-12-31T14:37:22Z Rabies is a devastating yet preventable disease that causes around 59,000 human deaths annually. Almost all human rabies cases are caused by bites from rabies-infected dogs. A large proportion of these cases occur in Sub Saharan Africa (SSA). Annual vaccination of at least 70% of the dog population is recommended by the World Health Organisation in order to eliminate rabies. However, achieving such high vaccination coverage has proven challenging, especially in low resource settings. Despite being logistically and economically more feasible than door-to-door approaches, static point (SP) vaccination campaigns often suffer from low attendance and therefore result in low vaccination coverage. Here, we investigated the barriers to attendance at SP offering free rabies vaccinations for dogs in Blantyre, Malawi. We analysed data for 22,924 dogs from a city-wide vaccination campaign in combination with GIS and household questionnaire data using multivariable logistic regression and distance estimation techniques. We found that distance plays a crucial role in SP attendance (i.e. for every km closer the odds of attending a SP point are 3.3 times higher) and that very few people are willing to travel more than 1.5 km to bring their dog for vaccination. Additionally, we found that dogs from areas with higher proportions of people living in poverty are more likely to be presented for vaccination (ORs 1.58-2.22). Furthermore, puppies (OR 0.26), pregnant or lactating female dogs (OR 0.60) are less likely to be presented for vaccination. Owners also reported that they did not attend an SP because they were not aware of the campaign (27%) or they could not handle their dog (19%). Our findings will inform the design of future rabies vaccination programmes in SSA which may lead to improved vaccination coverage achieved by SP alone. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 12 1 e0006159 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Stella Mazeri Andrew D Gibson Natascha Meunier Barend M deC Bronsvoort Ian G Handel Richard J Mellanby Luke Gamble Barriers of attendance to dog rabies static point vaccination clinics in Blantyre, Malawi. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Rabies is a devastating yet preventable disease that causes around 59,000 human deaths annually. Almost all human rabies cases are caused by bites from rabies-infected dogs. A large proportion of these cases occur in Sub Saharan Africa (SSA). Annual vaccination of at least 70% of the dog population is recommended by the World Health Organisation in order to eliminate rabies. However, achieving such high vaccination coverage has proven challenging, especially in low resource settings. Despite being logistically and economically more feasible than door-to-door approaches, static point (SP) vaccination campaigns often suffer from low attendance and therefore result in low vaccination coverage. Here, we investigated the barriers to attendance at SP offering free rabies vaccinations for dogs in Blantyre, Malawi. We analysed data for 22,924 dogs from a city-wide vaccination campaign in combination with GIS and household questionnaire data using multivariable logistic regression and distance estimation techniques. We found that distance plays a crucial role in SP attendance (i.e. for every km closer the odds of attending a SP point are 3.3 times higher) and that very few people are willing to travel more than 1.5 km to bring their dog for vaccination. Additionally, we found that dogs from areas with higher proportions of people living in poverty are more likely to be presented for vaccination (ORs 1.58-2.22). Furthermore, puppies (OR 0.26), pregnant or lactating female dogs (OR 0.60) are less likely to be presented for vaccination. Owners also reported that they did not attend an SP because they were not aware of the campaign (27%) or they could not handle their dog (19%). Our findings will inform the design of future rabies vaccination programmes in SSA which may lead to improved vaccination coverage achieved by SP alone. |
format |
Article in Journal/Newspaper |
author |
Stella Mazeri Andrew D Gibson Natascha Meunier Barend M deC Bronsvoort Ian G Handel Richard J Mellanby Luke Gamble |
author_facet |
Stella Mazeri Andrew D Gibson Natascha Meunier Barend M deC Bronsvoort Ian G Handel Richard J Mellanby Luke Gamble |
author_sort |
Stella Mazeri |
title |
Barriers of attendance to dog rabies static point vaccination clinics in Blantyre, Malawi. |
title_short |
Barriers of attendance to dog rabies static point vaccination clinics in Blantyre, Malawi. |
title_full |
Barriers of attendance to dog rabies static point vaccination clinics in Blantyre, Malawi. |
title_fullStr |
Barriers of attendance to dog rabies static point vaccination clinics in Blantyre, Malawi. |
title_full_unstemmed |
Barriers of attendance to dog rabies static point vaccination clinics in Blantyre, Malawi. |
title_sort |
barriers of attendance to dog rabies static point vaccination clinics in blantyre, malawi. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2018 |
url |
https://doi.org/10.1371/journal.pntd.0006159 https://doaj.org/article/ab0937d029a547f6a621629ebb3aefcb |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 12, Iss 1, p e0006159 (2018) |
op_relation |
http://europepmc.org/articles/PMC5783422?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0006159 https://doaj.org/article/ab0937d029a547f6a621629ebb3aefcb |
op_doi |
https://doi.org/10.1371/journal.pntd.0006159 |
container_title |
PLOS Neglected Tropical Diseases |
container_volume |
12 |
container_issue |
1 |
container_start_page |
e0006159 |
_version_ |
1766346033677205504 |