Abstract

Exploring rabies prevention and control practices in India using social ecological model

Vinayak K. Nahar, MD, PhD, MS1, Ram Lakhan, DrPH2, Logan N. Moore, MS1, Pream M. Kadevari, MS1, Robert E. Davis, PhD3 and Manoj Sharma, MBBS, MCHES, Ph.D.4
(1)Center for Animal and Human Health in Appalachia, College of Veterinary Medicine, DeBusk College of Osteopathic Medicine, and School of Mathematics and Sciences, Lincoln Memorial University, Harrogate, TN, (2)Berea College, Berea, KY, (3)Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, (4)Jackson State University, Walden University & Health for All, Jackson, MS

APHA's 2019 Annual Meeting and Expo (Nov. 2 - Nov. 6)

Background: Human rabies is a major public health concern in developing countries such as India. Nearly 36% of rabies deaths worldwide occur annually in India with dogs being the main reservoir and source of transmission. Using the social ecological model as a theoretical framework, the purpose of this narrative review was to explore rabies prevention and its control practices in India. Methods: An extensive literature search was conducted by two independent researchers in established electronic databases. The independent researchers used the following eligibility criteria: (1) original research articles published between 2013 and 2018, (2) studies carried out in India, (3) studies pertaining to rabies prevention and control practices, (4) investigation of rabies-related individual and socio-ecological factors, (5) publication in English , and (6) use of quantitative paradigm. The articles from the grey literature and those that did not meet the above criteria were excluded. Results: A total of 62 studies were included in this narrative review. Results showed that most rabies-related knowledge in Indian communities came from shared ideas and multiple misconceptions between neighbors, friends, and family members. These misconceptions led to improper wound management and delayed wound presentation. Moreover, there was an apparent lack of rabies-related knowledge among the medical practitioners in India. Poor availability of rabies prevention services could be seen throughout the communities. National, state, and local laws in India regarding rabies control were deficient. Conclusion: Overall, there was a lack of rabies awareness regarding transmission, prevention, and control, especially in the rural areas of India. Implications for public health practice and policy will be presented and discussed at the conference.

Planning of health education strategies, interventions, and programs Public health or related education Public health or related public policy Public health or related research