Rabies healthcare-seeking behaviors of urban and peri-urban residents: Results from a rabies knowledge,attitudes, and practices survey,Bangladesh, 2018 |
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| Authors: | Yasmeen B. Ross Mahbubul Hoque Jesse D. Blanton Erin D. Kennedy Md Sohel Rana Sanya Tahmina Sarah Bonaparte Jennifer R. Head Ryan M. Wallace |
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| Affiliation: | 1. US Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America;2. Training Programs in Epidemiology and Public Health Interventions Network, Atlanta, Georgia, United States of America;3. Department of Livestock Services, Ministry of Fisheries and Livestock, Dhaka, Bangladesh;4. Directorate General of Health Services, Dhaka, Bangladesh; Swiss Tropical and Public Health Institute: Schweizerisches Tropen- und Public Health-Institut, SWITZERLAND |
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| Abstract: | Rabies is one of the most lethal infectious diseases, with those living in Asia and Africa having the highest risk of dying from rabies. We conducted a knowledge, attitudes and practices survey in urban and peri-urban areas of Bangladesh to describe canine bite rates, rabies knowledge, and healthcare seeking behaviors and barriers to human and dog vaccination. A bite risk assessment score (BRAS) and healthcare-seeking behavior score (HSBS) was calculated for each bite victim. Respondents were given two hypothetical situations to assess potential behaviors after a bite and willingness to pay for rabies vaccine and immunoglobulin. In total, 2,447 households participated in the survey and 85 bite victims were identified. The BRAS identified that 31% of bites posed no risk of rabies transmission. Multivariate analyses showed that living in Chittagong (β = 1.4; 95% CI: 0.1, 2.7) was associated with a higher HSBS. Findings presented here provide useful information regarding bite occurrences, healthcare-seeking behaviors, and a need for strategies to increase rabies awareness. |
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