Community Health Seeking Behavior for Suspected Human and Animal Rabies Cases, Gomma District, Southwest Ethiopia.
Community Health Seeking Behavior for Suspected Human and Animal Rabies Cases, Gomma District, Southwest Ethiopia.
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DOI：
10.1371/journal.pone.0149363
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Gemeda DH
中科院分区：
文献类型：
--
作者：
G/hiwot TT;Sime AG;Deresa B;Tafese W;Hajito KW;Gemeda DH
及时向适当的卫生服务提供者报告人畜共患疾病（如狂犬病）的患病动物/人类，对于早期病例/疫情检测和管理非常重要。然而，关于埃塞俄比亚社区狂犬病就医实践的数据有限。因此，本研究的目的是确定社区的狂犬病求医行为，埃塞俄比亚西南部。本研究于2015年1月16日至2月14日进行了一项横断面调查，收集了808名受访者的数据，受访者采用多阶段抽样技术进行选择。数据收集使用采访者管理的结构式问卷调查，由受过培训的流行病学研究生水平的学生。将数据输入Epidata 3.1版，并使用SPSS 20 for windows进行分析。803名（99.4%）受访者参加了这项研究。在报告其家庭成员接触狂犬病的28名答复者中，有8人回答说，接触狂犬病的家庭成员寻求传统治疗师的治疗。超过十分之九的受访者认为，暴露于狂犬病的人和家畜应该寻求帮助，其中85%的人建议现代医疗机构作为患病人和家畜的首选管理选择。然而，在报告患病家畜的人中，近72%的人要么屠宰供人食用，要么立即出售，要么去看传统医生，要么给予家庭护理，要么对患病家畜无动于衷。大多数受访者对寻求现代医疗机构治疗狂犬病有良好的看法。然而，相当一部分人对患狂犬病的家畜管理不当。因此，需要提高社区对狂犬病患病家畜的管理以及向人类和动物卫生服务提供者报告的必要性的认识。
Timely presentation to appropriate health service provider of sick animals/humans from zoonotic diseases like rabies is important for early case/outbreak detection and management. However, data on community’s health seeking practice for rabies in Ethiopia is limited. Therefore the objective of this study was to determine community’s health seeking behavior on rabies, Southwest Ethiopia. A cross-sectional survey was conducted from January 16-February 14, 2015 to collect data from 808 respondents where the respondents were selected using multistage sampling technique. Data were collected using interviewer administered structured questionnaire by trained epidemiology graduate level students. Data were entered to Epidata version 3.1 and analyzed using SPSS version 20 for windows. Eight hundred three (99.4%) respondents participated in the study. Out of 28 respondents who reported their family members’ exposure to rabies, 8 of them replied that the exposed family members sought treatment from traditional healers. More than nine in ten respondents perceived that humans and domestic animals with rabies exposure should seek help of which 85% of them suggested modern health care facilities as the preferred management option for the sick humans and domestic animals. However, among those who reported sick domestic animals, near to 72% of them had either slaughtered for human consumption, sold immediately, visited traditional healer, given home care or did nothing for the sick domestic animals. Majority of the respondents had favorable perception of seeking treatment from modern health care facilities for rabies. However, significant number of them had managed inappropriately for the sick domestic animals from rabies. Hence, raising awareness of the community about management of sick domestic animals from rabies and the need for reporting to both human and animal health service providers is needed.