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

Citation

Ahmed, Touseef et al. (2020), Knowledge, attitude and practice (KAP) survey of canine rabies in Khyber Pakhtunkhwa and Punjab Province of Pakistan, Dryad, Dataset, https://doi.org/10.5061/dryad.xsj3tx9ch

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.

Methods

Data was collected on a pre-designed, structured questionnaire from different sites in the 4 aforementioned geographic regions of Punjab and KPK province by trained enumerators. Convenient sampling technique was used to collect data regarding knowledge, attitude, and practices of rabies. For the sake of convenience, to maximize accuracy along with response rate, and to avoid any sort of confusion by the respondents, the questionnaire was translated into the local language in that region. Data was collected after obtaining informed verbal consent using debriefing form. Each respondent including guardian or parent of respondent below 16 year of age was informed using same debriefing form. Verbal consent is preferred because it is socially and culturally acceptable in comparison to written consent which creates lot of suspicion.