Rabies awareness and knowledge among adults in an urban Indian setting: evidence from Jaipur, India

Komal Devra; Naresh Kumar; Prakarsh Srivastava; Sarina Kalia

doi:10.18203/2394-6040.ijcmph20263268

Authors

Komal Devra Department of Geography, University of Rajasthan, JLN Marg, Jaipur, Rajasthan, India
Naresh Kumar Department of Geography, University of Rajasthan, JLN Marg, Jaipur, Rajasthan, India
Prakarsh Srivastava Department of Geography, University of Rajasthan, JLN Marg, Jaipur, Rajasthan, India
Sarina Kalia Department of Geography, University of Rajasthan, JLN Marg, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20263268

Keywords:

Rabies, Knowledge, Post-exposure prophylaxis, Dog bite, Urban health

Abstract

Background: Rabies is almost invariably fatal once symptoms appear yet preventable if post-exposure prophylaxis (PEP) is completed in time. National data show that almost half of those who begin a vaccine course in India do not complete it. Whether Jaipur residents possess the specific knowledge that governs treatment completion had not been assessed.

Methods: A cross-sectional survey used a bilingual questionnaire of ten factual knowledge items, administered online and face to face across Jaipur (September 2025 to February 2026). After exclusions, 349 adults were analysed.

Results: General awareness was high: 99.4% would attend a hospital after a bite and 89.1% knew rabies is preventable if treated in time. However, life-critical procedural knowledge was weak. Only 37.8% knew that rabies cannot be cured once symptoms appear, while 43.8% believed a hospital could still cure it, making the incorrect belief more prevalent than the correct one. Only 26.5% knew vaccine-induced protection is not immediate, 57.3% knew the full course requires four or five injections, and 42.1% knew that mammals other than dogs transmit the virus. Mean knowledge score was 6.07 of 10 (SD 1.87); 22.3% scored poorly. Scores were higher among those with a dog bite in the family or social circle (p=0.003).

Conclusions: High awareness coexists with critical gaps in the knowledge that determines survival: that rabies is incurable after symptom onset, that protection is not immediate, and that the course must be completed. Closing these gaps requires targeted communication at the point of post-exposure care, not broader awareness activity.

References

World Health Organization. WHO expert consultation on rabies: third report. WHO Technical Report Series No. 1012. Geneva: World Health Organization; 2018. Available at: https://iris.who.int/handle/10665/272364. Accessed on 28 August 2026.

Hampson K, Coudeville L, Lembo T, Sambo M, Kieffer A, Attlan M, et al. Estimating the global burden of endemic canine rabies. PLoS Negl Trop Dis. 2015;9(4):e0003709.

Thangaraj JWV, Kumar MS, Kumar CPG, Sabarinathan R, Kumar VS, Bhatnagar T, et al. Estimates of the burden of human rabies deaths and animal bites in India, 2022-23: a community-based cross-sectional survey and probability decision-tree modelling study. Lancet Infect Dis. 2024;25(1):126-34.

Sudarshan MK, Madhusudana SN, Mahendra BJ, Rao NSN, Ashwath Narayana DH, Abdul Rahman S, et al. Assessing the burden of human rabies in India: results of a national multi-center epidemiological survey. Int J Infect Dis. 2007;11(1):29-35.

Sambo M, Lembo T, Cleaveland S, Ferguson HM, Sikana L, Simon C, et al. Knowledge, attitudes and practices (KAP) about rabies prevention and control: a community survey in Tanzania. PLoS Negl Trop Dis. 2014;8(12):e3310.

Tripathy R, Satapathy S, Karmee N. Assessment of knowledge, attitude and practice regarding rabies and its prevention among construction workers: a cross-sectional study in Berhampur, Odisha. Int J Res Med Sci. 2017;5(9):3971-5.

Singh T, Mahajan S, Dahiya N. A cross-sectional study of awareness and practices regarding animal bites in rural community, North India. J Family Med Prim Care. 2020;9(6):2751-7.

Tiwari HK, O'Dea M, Robertson ID, Vanak AT. Knowledge, attitudes and practices (KAP) towards rabies and free-roaming dogs (FRD) in Shirsuphal village in western India: a community based cross-sectional study. PLoS Negl Trop Dis. 2019;13(1):e0007120.

Tiwari HK, O'Dea M, Robertson ID, Vanak AT. Knowledge, attitudes and practices (KAP) towards rabies and free roaming dogs (FRD) in Panchkula district of north India: a cross-sectional study of urban residents. PLoS Negl Trop Dis. 2019;13(4):e0007384.

Kapoor P, Baig VN, Kacker S, Sharma M, Sharma M. A cross-sectional study of knowledge regarding rabies among attendees of anti-rabies clinic of a teaching hospital, Jaipur. J Family Med Prim Care. 2019;8(1):194-8.

Office of the Registrar General and Census Commissioner, India. Census of India 2011: Primary Census Abstract, Rajasthan. New Delhi: Ministry of Home Affairs, Government of India; 2011. Available at: https://censusindia.gov.in. Accessed on 28 August 2026.

Local Self Government Department, Government of Rajasthan. Notification dated 18 October 2019 constituting Nagar Nigam Jaipur Heritage and Nagar Nigam Jaipur Greater under sections 3, 6 and 10 of the Rajasthan Municipalities Act, 2009. Rajasthan Gazette. 2019.

National Centre for Disease Control, Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India. National guidelines on rabies prophylaxis. New Delhi: NCDC; 2015. Available at: https://clinicalestablishments. mohfw.gov.in/sites/default/files/standard-treatment-guidelines/238.pdf. Accessed on 28 August 2026.

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007;370(9596):1453-7.