Public Health Center of Kintamani V, Songan, Bali, Indonesia.
Department of Microbiology, Faculty of Medicine, Pelita Harapan University, Banten, Indonesia.
Int Marit Health. 2021;72(1):26-35. doi: 10.5603/IMH.2021.0004.
Rabies is a preventable yet endemic zoonotic disease caused by a neurotrophic virus, a member of Rhabdoviridae family. Rabies remains a public health threat in Indonesia, specifically Bali Province. The present study aimed to understand the knowledge, attitudes and practices (KAP) regarding rabies among community members in Songan Village, Bali, Indonesia.
We conducted a cross-sectional survey using a structured questionnaire among 175 community members residing in the administrative area of public health centre of Kintamani V in Songan Village of Bangli District, from December 2019 to February 2020. Statistical analyses were performed with SPSS software, version 21.
Of the 175 community members, 53 (30.3%) owned a dog. Majority of the respondents were Hindu (98.8%), female (56.0%), aged ≥ 29 years old (54.9%), with an educational background of higher secondary (28.6%), residing in Songan A and B residential village (86.9%), working as farmers (50.9%), with the level of income less than district minimum wage (71.4%). The KAP scores mean ± standard deviation were 6.93 ± 1.83 and 8.04 ± 1.07 (out of 10), respectively. Multivariable logistic regression models were constructed and the KAP of the community members was found to be significantly influenced by occupation (p-value < 0.05).
Albeit community members demonstrated some level of KAP regarding rabies, overall, this study revealed critical gaps in their fundamental knowledge of rabies, the prevention in dogs, and the local rules and regulations concerning rabies. In accordance with One Health Approach, further enforcement on the collaborative efforts for comprehensive education programmes, scheduled mass vaccination for dogs, and promotion for healthier attitudes and practices are recommended.
狂犬病是一种由神经滋养病毒引起的、可预防的地方性动物传染病，属于 Rhabdoviridae 科。狂犬病仍然是印度尼西亚的一个公共卫生威胁，特别是在巴厘省。本研究旨在了解印度尼西亚巴厘省肯坦马尼 V 区松安村社区成员对狂犬病的知识、态度和实践（KAP）。
我们于 2019 年 12 月至 2020 年 2 月期间，在巴厘省邦里区松安村的公共卫生中心行政区域内，对 175 名社区成员进行了横断面调查，采用结构化问卷进行调查。统计分析采用 SPSS 软件，版本 21。
在 175 名社区成员中，有 53 人（30.3%）拥有狗。大多数受访者是印度教徒（98.8%）、女性（56.0%）、年龄≥29 岁（54.9%）、接受过高中教育（28.6%）、居住在松安 A 和 B 住宅区（86.9%）、务农（50.9%）、收入低于地区最低工资（71.4%）。KAP 得分的平均值±标准差分别为 6.93±1.83 和 8.04±1.07（满分 10 分）。建立多变量逻辑回归模型后，发现社区成员的 KAP 受到职业的显著影响（p 值<0.05）。
尽管社区成员对狂犬病表现出一定程度的 KAP，但总的来说，这项研究揭示了他们对狂犬病基本知识、犬类预防以及当地狂犬病法规的认识存在严重不足。根据“One Health”方法，建议进一步加强综合教育计划、定期为犬类接种疫苗以及倡导更健康的态度和实践的协同努力。
