Knowledge, attitude and practice (KAP) survey of canine rabies in Khyber Pakhtunkhwa and Punjab Province of Pakistan

Research output: Journal Publications and Reviews (RGC: 21, 22, 62)21_Publication in refereed journalpeer-review

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Author(s)

  • Touseef Ahmad
  • Ubaid-ur-Rehman Zia
  • Sangay Rinchen
  • Ammar Yasir
  • Shafique Ahmed
  • Waqar Ali Khan
  • Muhammad Farooq Tahir
  • Robert Ricketson

Detail(s)

Original languageEnglish
Article number1293
Journal / PublicationBMC Public Health
Volume20
Online published26 Aug 2020
Publication statusPublished - 2020
Externally publishedYes

Link(s)

Abstract

Background: This study aimed to assess the extent of knowledge and understanding of rabies disease in rural and urban communities of Pakistan. It also identified malpractices after suspected dog bite that might pose a risk for humans contracting rabies.
Methods: A cross-sectional study was conducted (n = 1466) on people having different age groups and educational levels in four different geographic regions of Punjab and Khyber Pakhtunkhwa provinces in Pakistan. Knowledge, attitude, and practices of people were assessed using a structured questionnaire. We used a bivariate and multivariate analysis to study the association between rabies related mortalities in near or extended family members and different risk behaviors.
Results: Our results demonstrate that the majority of the juvenile population (less than 18 years of age) were not aware of the clinical signs of rabies in animals. 75% of the total respondents were not vaccinated against rabies, 60% did not seek a doctor's advice after a suspected animal bite, and 55% had inadequate health care facilities for rabies patients in local hospitals. 
Respondents that had pets at home had not vaccinated (38%; p < 0.05; odds ratio 1.58) themselves against rabies due to lack of knowledge and awareness of pre-exposure prophylaxis for rabies (51%; p < 0.05; odds ratio 1.25). They also tend to not visit doctor after suspected bite (52%; p < 0.05; odds ratio 1.97), which may had resulted in more deaths (65%; p < 0.05; odds ratio 1.73) of someone in their near or extended family due to rabies.
Conclusions: Lack of knowledge about the nature of rabies disease and prophylaxis has contributed to increase of rabies related deaths. Inadequate health care facilities and poor attitude of not seeking medical attention after suspected dog bite are the major reasons of rabies related deaths. These findings could help in devising a targeted management strategy and awareness program to control and reduce the incidence of human rabies related deaths in Pakistan.

Research Area(s)

  • Rabies, infectious disease epidemiology, Zoonosis, KAP survey, Pakistan

Citation Format(s)

Knowledge, attitude and practice (KAP) survey of canine rabies in Khyber Pakhtunkhwa and Punjab Province of Pakistan. / Ahmad, Touseef; Hussain, Sabir; Zia, Ubaid-ur-Rehman; Rinchen, Sangay; Yasir, Ammar; Ahmed, Shafique; Khan, Waqar Ali; Tahir, Muhammad Farooq; Ricketson, Robert.

In: BMC Public Health, Vol. 20, 1293, 2020.

Research output: Journal Publications and Reviews (RGC: 21, 22, 62)21_Publication in refereed journalpeer-review

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