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评估肯尼亚图尔卡纳地区兽医专业人员对社区关于犬类狂犬病的知识、态度和做法的看法。

Assessing veterinary professionals' perspectives on community knowledge, attitudes, and practices regarding dog rabies in Turkana, Kenya.

作者信息

Das Moumita, Aguirreburualde María Sol Pérez, Kipkemoi Job Ronoh, Nakadio Erenius Lochede, Perez Andres M, Wilkins Melinda

机构信息

Center for Animal Health and Food Safety, College of Veterinary Medicine, University of Minnesota, St. Paul, MN, United States.

Department of Veterinary Population Medicine, University of Minnesota, St. Paul, MN, United States.

出版信息

Front Vet Sci. 2025 Mar 13;12:1526551. doi: 10.3389/fvets.2025.1526551. eCollection 2025.

Abstract

In Kenya, rabies is a deadly zoonotic illness that has been recognized for over a century. The main reservoir and vector for human transmission of the disease is domestic dogs. Utilizing a Rabies Workshop in Turkana County, Kenya in November 2023, this study aimed to assess the knowledge, attitudes, and practices (KAP) of the local community people regarding rabies. Data were gathered using an online survey from a range of veterinary professionals, including public and private veterinarians, para-veterinarians, and community disease reporters, using a cross-sectional approach. Each participant acted as a representative respondent for the local communities in which they served. A one-way analysis of variance (ANOVA) was used to analyze occupational differences, while a two-sample -test was conducted to evaluate regional differences. The results indicated that 42.4% of experts believed less than half of the community was knowledgeable about rabies, while 75.8% thought less than half could recognize the clinical signs in dogs. Likewise, the level of knowledge, positive attitudes, and practices regarding dog vaccination in Turkana was similarly less than 50%. Dogs were largely utilized for the purpose of security and guarding, and predominantly free to roam. The primary obstacles to dog vaccination encompassed insufficient awareness regarding rabies, a lack of information concerning immunization campaigns and the cost of vaccination. No statistical significance was found in the participant's responses against their service locations, and their professions, except the positive attitudes toward veterinary care for dogs in different sub-counties (-value = 0.03). The study indicates that utilizing any and/or all professionals can contribute valid surveillance data for rabies control efforts in Turkana. Overall, the rabies-related knowledge, attitudes, and practices among the Turkana community are unsatisfactory across all sub-counties. These findings have significant influence on policy development and decision-making process, highlighting the importance of targeted interventions to improve rabies awareness and vaccination rates in similar settings.

摘要

在肯尼亚,狂犬病是一种致命的人畜共患疾病,已被确认存在一个多世纪。人类感染该疾病的主要宿主和传播媒介是家犬。本研究利用2023年11月在肯尼亚图尔卡纳县举办的狂犬病研讨会,旨在评估当地社区居民对狂犬病的知识、态度和行为(KAP)。采用横断面研究方法,通过在线调查收集了一系列兽医专业人员的数据,包括公立和私立兽医、准兽医以及社区疾病报告员。每位参与者代表他们所服务的当地社区进行回应。使用单因素方差分析(ANOVA)来分析职业差异,同时进行双样本t检验以评估地区差异。结果表明,42.4%的专家认为不到一半的社区居民了解狂犬病,而75.8%的专家认为不到一半的居民能够识别犬类的临床症状。同样,图尔卡纳县居民在犬类疫苗接种方面的知识水平、积极态度和实际行为同样低于50%。犬类主要用于安保目的,且大多自由放养。犬类疫苗接种的主要障碍包括对狂犬病认识不足、缺乏免疫接种活动信息以及疫苗接种费用。除了不同次县对犬类兽医护理的积极态度存在差异(p值 = 0.03)外,未发现参与者的回答与其服务地点和职业之间存在统计学意义。该研究表明,利用任何和/或所有专业人员都可以为图尔卡纳县的狂犬病防控工作提供有效的监测数据。总体而言,图尔卡纳社区各次县居民在狂犬病相关知识、态度和行为方面均不尽人意。这些发现对政策制定和决策过程具有重大影响,凸显了在类似环境中进行有针对性干预以提高狂犬病认知度和疫苗接种率的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f57c/11948536/130ab49b2030/fvets-12-1526551-g001.jpg

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