Effect of counselling on health-care-seeking behaviours and rabies vaccination adherence after dog bites in Haiti, 2014-15: a retrospective follow-up survey

The Lancet Global Health
M EtheartR M Wallace

Abstract

Haiti has an integrated bite case management (IBCM) programme to counsel animal-bite victims on the risk of rabies and appropriate treatment, as well as the Haiti Animal Rabies Surveillance Program (HARSP) to examine the animals. We assessed the usefulness of the IBCM programme to promote best practices for rabies prophylaxis after exposure in a low-income rabies-endemic setting. We did a retrospective follow-up survey of randomly selected bite victims who were counselled by Haiti's IBCM programme between May 15, 2014, and Sept 15, 2015. We classified participants by HARSP decisions of confirmed, probable, suspected, or non-rabies exposures. We compared health-care outcomes in people who sought medical care before IBCM counselling with those in people who sought care after counselling. We used decision trees to estimate the probability of actions taken in the health-care system, and thereby human deaths. During the study period, 1478 dog bites were reported to HARSP for assessment. 37 (3%) were confirmed exposures, 76 (5%) probable exposures, 189 (13%) suspected exposures, and 1176 (80%) non-rabies exposures. 115 of these cases were followed up in the survey. IBCM counselling was associated with a 1·2 times increase in frequenc...Continue Reading

Citations

Sep 7, 2018·PLoS Neglected Tropical Diseases·Casimir Ledoux SofeuMathurin Cyrille Tejiokem
Nov 14, 2018·PLoS Neglected Tropical Diseases·Cuc H TranRyan M Wallace
Aug 6, 2019·PLoS Neglected Tropical Diseases·Julio A BenavidesKatie Hampson
Oct 26, 2018·PLoS Neglected Tropical Diseases·Rany OctariaRyan M Wallace
May 21, 2020·Transboundary and Emerging Diseases·Hao LiuNing Shi
May 22, 2020·Transboundary and Emerging Diseases·Galileu Barbosa CostaRyan M Wallace
Apr 13, 2019·BMC Infectious Diseases·Mamadou Korka DialloEmmanuelle Espié
Jan 25, 2020·Scientific Reports·Xiaoyue MaRyan M Wallace
Apr 20, 2019·Emerging Infectious Diseases·Hong ZhaoYi-Hua Zhou
Dec 4, 2019·PLoS Neglected Tropical Diseases·Seonghye JeonRyan Wallace
Oct 18, 2020·Tropical Medicine and Infectious Disease·Matthew R BoyceClaire J Standley
Feb 6, 2021·The American Journal of Tropical Medicine and Hygiene· MunibullahMamoona Chaudhry
Jun 12, 2021·Patient Preference and Adherence·Miao-Miao ZhangKe-Ke Lu

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