Qualitative Research to Design Sustainable Community-Based Surveillance for Rabies in Northern Australia and Papua New Guinea
Qualitative Research to Design Sustainable Community-Based Surveillance for Rabies in Northern Australia and Papua New Guinea
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DOI：
10.3389/fvets.2017.00019
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发表时间：
2017-02-22
影响因子：
3.2
通讯作者：
Ward, Michael P.
中科院分区：
文献类型：
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作者：
Brookes, Victoria J.;Kennedy, Emma;Ward, Michael P.
鉴于狂犬病在印度尼西亚的临近和最近的传播，在澳大利亚北部和巴布亚新几内亚(巴布亚新几内亚)，对狗进行有效的狂犬病监测是一个优先事项。报告潜在病例需要社区参与；因此，这种系统的价值和可接受性对于确保可持续监测至关重要。我们使用定性研究方法来确定影响社区狂犬病监测可接受性和价值的因素。对东阿纳姆、北部半岛地区、澳大利亚托雷斯海峡和巴新西部省的16个社区的举报人进行了32次半结构化访谈。专题分析确定了共同的主题，包括口头交流的重要性，特别是通过无线电、社区会议和直接对话。我们还发现，狗通过与文化、经济(特别是狩猎)和陪伴的联系，对社区成员具有很高的价值。报告患病犬只的最大障碍是兽医服务不足以及随后缺乏治疗反应。在一些地区，承认生病的狗是正常的日常事件，以及缺乏对当局的信任，也是报告的障碍。这项研究的结果将用于设计澳大利亚北部和巴布亚新几内亚的可持续狂犬病监测，方法是利用传统的沟通渠道，并建立在现有和有价值的动物管理服务的基础上。这项研究的方法和结果补充了以前的定量研究，以便有针对性地监测这些区域内的高危地区。
Given the proximity and recent spread of rabies in Indonesia, effective rabies surveillance in dogs is a priority in Northern Australia and Papua New Guinea (PNG). Reporting of potential cases requires community engagement; therefore, the value and acceptability of such a system is critical to ensure sustainable surveillance. We used qualitative research methods to identify factors that influence the acceptability and value of community-based rabies surveillance. Thirty-two semi-structured interviews were conducted with informants in 16 communities in East Arnhem, the Northern Peninsula Area, the Torres Strait in Australia, and in Western Province, PNG. Thematic analysis identified common themes including the importance of verbal communication, particularly via radio, community meetings, and direct conversation. We also found that dogs have high value to community members through connection to culture, economic (especially hunting), and companionship. The greatest barrier to the reporting of sick dogs was insufficient veterinary services and the subsequent lack of treatment response. In some regions, acceptance that sick dogs are a normal daily occurrence and lack of trust of authorities were also barriers to reporting. The findings from this study will be used to design sustainable rabies surveillance in Northern Australia and PNG by utilizing traditional communication channels and building on existing and valued animal-management services. The methods and findings of this study complement previous quantitative research, so as to target surveillance to high-risk areas within these regions.