Assessment of knowledge, attitude and practice of rabies prophylaxis among medical officers of anti-rabies vaccination clinics of Municipal Corporation of Greater Mumbai

Authors

  • Achhelal R. Pasi Airport Health Organisation, Mumbai, Maharashtra, India
  • M. K. Sudarshan Retired Dean and Professor Head, Department of Community Medicine, KIMS, Bangalore, Karnataka, India
  • Kanica Kaushal National Centre for Disease Control (NCDC), New Delhi, India
  • Tanzin Dikid National Centre for Disease Control (NCDC), New Delhi, India
  • Sheela Jagtap Public Health Department, Municipal Corporation Greater Mumbai, Mumbai, Maharashtra, India
  • R. S. Rathod Public Health Department, Municipal Corporation Greater Mumbai, Mumbai, Maharashtra, India
  • Khyati Aroskar EISO, India EIS programme, NCDC, New Delhi, India
  • Pragati B. Gaikwad Airport Health Organisation, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20210819

Keywords:

ARV clinics, KAP study, Post exposure prophylaxis, Rabies, Rabies vaccines

Abstract

Background: We conducted the present study to assess the knowledge, attitude and practice of rabies prophylaxis among medical officers of anti-rabies vaccination clinics of Municipal Corporation of Greater Mumbai (MCGM).

Methods: We conducted a cross sectional study in 30 ARV clinics of MCGM. We collected data using pretested, structured, self-administered questionnaire and a facility survey check list. Questionnaire included questions pertaining to epidemiology of animal bite, biologicals supplied, protocols and guidelines for rabies prophylaxis, dosage and route of administration of ARV and training status. We analysed data using Microsoft Excel, 2007. Spearman’s rank correlation and Friedman test was used to examine the relationship between knowledge, attitude, and practice. The results were presented in the form of rates and ratios appropriately and p≤0.05 was considered statistically significant.

Results: Mean knowledge, attitude and practice score of the study participants was 74.6%, 68.7% and 41% respectively. The difference between knowledge, attitude and practice was statistically significant (p<0.01). Knowledge poorly correlated with attitude (r=0.18) and practice (r=0.13).

Conclusions: In Mumbai ARV clinics are uniformly spread in the community. All the clinics are well equipped and staffed. There was no shortage of vaccine in any centre. Counselling of patients was done in all ARV clinics however there was lack of patient education materials. Knowledge of medical officers in respect of dose, route of administration, site of vaccination and schedule of vaccination of anti-rabies vaccine was good. The knowledge of immunoglobulins was poor. Knowledge poorly correlated with attitude and practice.

Author Biography

Achhelal R. Pasi, Airport Health Organisation, Mumbai, Maharashtra, India

Deputy Director - Public Health in Ministry of Health & Family Welfare, Govt of India

References

National guidelines on rabies prophylaxis. National Centre for Disease Control, Ministry of Health and Family Welfare, Govt. of India. 2013. Available at: https://ncdc.gov.in/WriteReadData/l892s/File557.pdf. Accessed on 13 January 2020.

Report of a national multicentre survey (Internet), May 2004. Association for Prevention and Control of Rabies in India (APCRI). Assessing burden of rabies in India. Available at: http://www.apcri.org/pdf/WHO-APCRI%20Survey%20Report.pdf. Accessed on 10 January2020.

Shankaraiah RH, Bilagumba G, Narayana DH, Annadani R, Vijayashankar V. Brief Communication (Original). Knowledge, attitude, and practice of rabies prophylaxis among physicians at Indian animal bite clinics. Asian Biomed. 2013;7(2):237-42.

Manual on rabies immunoglobulin (RIG) administration, February 2009. Association for Prevention and Control of Rabies in India (APCRI). Available at: http://www.apcri.org/pdf/APCRI%20RIG%20Manual.pdf. Accessed on 09 January 2020.

Manual on Particulars of Organization, functions and duties, 2016. Municipal Corporation of Greater Mumbai. Available at: https://portal.mcgm.gov.in/irj/go/km/docs/documents/MCGM%20Department%20List/ChiefEngineerSolidWasteManagement/RTI%20Manuals/CESWM_RTI_E02.pdf. Accessed on 09 January 2020.

Debroy S. Dog bite cases up 20% in Mumbai, rabies death worries BMC. TOI Mumbai. Available at: https://timesofindia.indiatimes.com/city/mumbai/dog-bite-cases-up-20-in-city-rabies-death-worries-bmc/articleshow/70528041.cms. Accessed on 18 November 2019.

Harish BR, Subhas Babu P, Mahendra BJ, Manjunath M. A study of awareness of rabies prevention and intra-dermal rabies vaccination amongst doctors of Mandya. APCRI J. 2011;13:30-2.

World Health Organization. WHO expert consultation on rabies. TRS 931. WHO Geneva. 2005. Available at: https://apps.who.int/iris/bitstream/handle/10665/272364/9789241210218-eng.pdf. Accessed on 09 January 2020.

World Health Organization. WHO expert consultation on rabies. TRS 824. WHO Geneva. 1992. Available at: https://apps.who.int/iris/ bitstream/handle/10665/272364/9789241210218-eng.pdf?ua=1. Accessed on 09 January 2020.

Sudarshan MK, Ashwath Narayana DH, Giriyanna G. A critical appraisal of usage of rabies immunoglobulin in an anti-rabies clinic in India. APCRI J. 2012;13:11-2.

Wilde H, Chomchey P, Punyaratbandhu P, Phanupak P, Chutivongse S. Purified equine rabies immune globulin: a safe and affordable alternative to human rabies immune globulin. Bull World Health Organ. 1989;67:731-6.

Sudarshan MK, Ravish HS, Ashwath Narayana DH. Time interval for booster vaccination following re-exposure to rabies in previously vaccinated subjects. Asian Biomed. 2011;5:589-93.

Malerczyk C, Briggs DJ, Dreesen DW, Banzhoff A. Duration of immunity: an anamnestic response 14 years after rabies vaccination with purified chick embryo cell rabies vaccine. J Travel Med. 2007;14:63-4.

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Published

2021-02-24

How to Cite

Pasi, A. R., Sudarshan, M. K., Kaushal, K., Dikid, T., Jagtap, S., Rathod, R. S., Aroskar, K., & Gaikwad, P. B. (2021). Assessment of knowledge, attitude and practice of rabies prophylaxis among medical officers of anti-rabies vaccination clinics of Municipal Corporation of Greater Mumbai. International Journal Of Community Medicine And Public Health, 8(3), 1312–1318. https://doi.org/10.18203/2394-6040.ijcmph20210819

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Original Research Articles