Pattnaik Matrujyoti, Choudhary Hari Ram, Parai Debaprasad, Shandilya Jyoti, Padhi Arun Kumar, Sahoo Niranjana, Ghosal Shishirendu, Sathpathy Sarangdhar, Panigrahi Santosh Kumar, Sahu Susanta Kumar, Samantaray Aurobindo, Pati Sanghamitra, Bhattacharya Debdutta
Department of Microbiology, ICMR-Regional Medical Research Centre (Dept. of Health Research, Ministry of Health & Family Welfare, Govt. of India), Chandrasekharpur, Bhubaneswar 751023, India.
Office of the Chief District Medical Officer Koraput, Department of Health and Family Welfare, Government of Odisha, India.
One Health. 2024 Apr 12;18:100729. doi: 10.1016/j.onehlt.2024.100729. eCollection 2024 Jun.
This study was to compare a baseline and endline survey which were conducted to assess the changes in knowledge, attitude and practices about anthrax disease among the communities after One Health intervention for the elimination of human anthrax in an endemic district of Odisha.
A total of 2670 respondents were interviewed during the baseline and 2511 for the endline survey using a structured questionnaire by multi-stage sampling method. Descriptive statistics were used and logistic regression was performed to estimate the relationship between the variables and knowledge of anthrax.
Out of the total participants in the study, males were about 76.25% in baseline and 72.08% in endline and about half of the total respondents were illiterate. Majority of the respondents had reported agriculture as their main occupation during both surveys. More than 50% of the respondents had livestock in their houses and farming was the main purpose for keeping them in both surveys. Around 20.26% of respondents knew about anthrax in baseline which raised to 53.64% after One Health intervention. Almost 21.29% of livestock owners had vaccinated their animals against anthrax disease throughout baseline, which increased to 66.5% during the endline survey.
This study highlights a significant surge in both knowledge and practices related to anthrax within the community after the implementation of intervention packages based on the One Health approach. The outcome of our study signified the importance of One Health interventions to address the health challenges related to zoonotic diseases in tribal communities. The data could be useful for local Governments to incorporate such an approach in their health policy to eliminate human anthrax.
本研究旨在比较基线调查和终线调查，这两项调查旨在评估在奥里萨邦一个地方病流行区实施“同一健康”干预措施以消除人类炭疽病后，社区对炭疽病的知识、态度和行为的变化。
采用多阶段抽样方法，在基线调查期间共采访了2670名受访者，终线调查采访了2511名受访者，使用结构化问卷进行调查。采用描述性统计方法，并进行逻辑回归分析以估计变量与炭疽病知识之间的关系。
在研究的总参与者中，基线调查时男性约占76.25%，终线调查时占72.08%，约一半的受访者为文盲。在两次调查中，大多数受访者都将农业作为主要职业。超过50%的受访者家中饲养牲畜，在两次调查中，饲养牲畜的主要目的都是务农。基线调查时约20.26%的受访者了解炭疽病，在“同一健康”干预措施实施后，这一比例升至53.64%。在整个基线调查期间，几乎21.29%的牲畜所有者给他们的动物接种了炭疽病疫苗，在终线调查期间这一比例增至66.5%。
本研究强调，在实施基于“同一健康”方法的一揽子干预措施后，社区内与炭疽病相关的知识和行为都有显著增加。我们的研究结果表明了“同一健康”干预措施对于应对部落社区人畜共患病相关健康挑战的重要性。这些数据可能有助于地方政府将这种方法纳入其卫生政策，以消除人类炭疽病。
