Perceptions and Challenges of Health Personnel in Managing Animal Bite Cases at a Rural Health Training Centre (RHTC) of Medical College in Ahmedabad: A Qualitative Study
DOI:
https://doi.org/10.51957/Healthline_766_2025Keywords:
Animal bite management, Challenges, Perception, Qualitative study, Service providersAbstract
Introduction: Animal bite in human is a public health concern in India. Prompt reporting followed by wound care and vaccination are essential to avoid rabies. Perception of service provider towards treatment contributes an important role for prevention against rabies. Objectives: To explore the perception and challenges faced by health personnel in animal bite cases management Methods: A qualitative study was conducted at the RHTC of medical college in Ahmedabad. Data were collected through Focus Group Discussions of ASHAs and Key Informants Interviews (KII) with service providers (3 Medical Officers (MOs), 1 staff nurse, 1 pharmacist, and 2 support staff). Data were analysed thematically. Ethical approval and informed consent were obtained. Results: Service providers' KIIs showed that MOs were unclear about classification of animal bites due to lack of formal/updated training. Immunoglobulins were the only ARV-related logistics not available at facility. No system in place to monitor cases of animal bites. ASHA's FGD shared that community still continues to treat wounds with traditional remedies like chhikni, turmeric etc., and also take vow due to belief. The local authority isn't doing enough to address stray dog problem and recent surge in dog bite incidents reported. ASHAs knew importance of ARV, but having a partial knowledge of its schedule. They did not receive any formal training on managing animal bites, despite ASHA's were ready to learn more about it. Conclusion: The study highlighted inadequacies in the management of animal bites, such as lack of resources, misunderstandings in the community and insufficient staff training.
References
1. National Rabies Control Programme. National guidelines for rabies prophylaxis. New Delhi: National Centre for Disease Control, Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India; 2024 [cited 2025 May 24]. ncdc.mohfw.gov.in/wp-content/uploads/2024/04/National-Guidelines-for-Rabies-Prophylaxis.pdf
2. Sekhon AS, Singh A, Kaur P, Gupta S. Misconceptions and myths in the management of animal bite cases. Indian J Community Med. 2002 Jan-Mar;27(1):9-11.
3. Shankaraiah RH, Rajashekar RA, Veena V, Hanumanthaiah AN. Compliance to anti-rabies vaccination in post-exposure prophylaxis. Indian J Public Health. 2015;59(1):58-60. DOI: https://doi.org/10.4103/0019-557X.152867
4. Sudarshan MK, Haradanhalli RS. Facilities and services of postexposure prophylaxis in anti-rabies clinics: A national assessment in India. Indian J Public Health. 2019 Sep;63(Supplement):S26-S30. doi: 10.4103/ijph.IJPH_367_19. PMID: 31603088. DOI: https://doi.org/10.4103/ijph.IJPH_367_19
5. Dhiman AK, Thakur A, Mazta SR. Treatment seeking behavior of the dog bite patients in Himachal Pradesh, India: a qualitative study. Int J Community Med Public Health. 2016;3:2064-9. DOI: https://doi.org/10.18203/2394-6040.ijcmph20162547
6. Sahu DP, Ps P, Bhatia V, Singh AK. Anti-Rabies Vaccine Compliance and Knowledge of Community Health Worker Regarding Animal Bite Management in Rural Area of Eastern India. Cureus. 2021 Mar 31;13(3):e14229. DOI: https://doi.org/10.7759/cureus.14229
7. Sudarshan MK, Madhusudana SN, Mahendra BJ, Rao NS, Ashwath Narayana DH, Abdul Rahman S, et al. Assessing the burden of human rabies in India: Results of a national multicenter epidemiological survey. Int J Infect Dis 2007;11:29-35. DOI: https://doi.org/10.1016/j.ijid.2005.10.007
8. Anandaraj R, Balu PS, Anandaraj R. Compliance to anti-rabies vaccine and animal bite management practices in a rural area of Davangere, Karnataka, India. Int J Community Med Public Health. 2016;3(1):170-3. doi:10.18203/2394-6040.ijcmph20151556. DOI: https://doi.org/10.18203/2394-6040.ijcmph20151556
9. Nguyen AK, Nguyen HT, Pham TN, Hoang TV, Olowokure B. Awareness of rabies prevention and control measures among public health workers in Northern Vietnam. Public Health. 2015 Dec;129(12):1591-6. doi: 10.1016/j.puhe.2015.07.019. Epub 2015 Aug 13. PMID: 26278473. DOI: https://doi.org/10.1016/j.puhe.2015.07.019
10. Sambo M, Lembo T, Cleaveland S, Ferguson HM, Sikana L, Simon C, Urassa H, Hampson K. Knowledge, attitudes and practices (KAP) about rabies prevention and control: a community survey in Tanzania. PLoS Negl Trop Dis. 2014 Dec 4;8(12):e3310. doi: 10.1371/journal.pntd.0003310. PMID: 25473834; PMCID: PMC4256472. DOI: https://doi.org/10.1371/journal.pntd.0003310
11. Patil AR, Bawa MS, Shirpurkar MB, Tambe MP. A retrospective epidemiological study of delay for updated Thai red cross intradermal anti-rabies vaccination schedule amongst animal bite cases attending ARV clinic at a tertiary care centre. Int J Community Med Public Health. 2015;2(1):19-24. DOI: https://doi.org/10.5455/2394-6040.ijcmph20150205
12. World Health Organization. WHO expert consultation on rabies. Second Report Geneva, 2013. WHO Technical Report Series, No. (982). Geneva, Switzerland: WHO; 2013.
13. Ichhpujani RL, Mala C, Veena M, Singh J, Bhardwaj M, Bhattacharya D, Pattanaik SK, Balakrishnan N, Reddy AK, Samnpath G, Gandhi N, Nagar SS, Shiv L. Epidemiology of animal bites and rabies cases in India. A multicentric study. J Commun Dis. 2008 Mar;40(1):27-36. PMID: 19127666.
14. Joseph J, N S, Khan AM, Rajoura OP. Determinants of delay in initiating post-exposure prophylaxis for rabies prevention among animal bite cases: hospital-based study. Vaccine. 2013 Dec 17;32(1):74-7. doi: 10.1016/j.vaccine.2013.10.067. Epub 2013 Nov 1. PMID: 24188758. DOI: https://doi.org/10.1016/j.vaccine.2013.10.067
15. Li GW, Chen QG, Qu ZY, Xia Y, Lam A, et al. Epidemiological characteristics of human rabies in Henan province in China from 2005 to 2013. J Venom Anim Toxins Incl Trop Dis.2015;21:34. DOI: https://doi.org/10.1186/s40409-015-0034-7
16. Ren J, Gong Z, Chen E, Lin J, Lv H, et al. Human rabies in Zhejiang Province, China. Int J Infect Dis.2015;38:77-82. DOI: https://doi.org/10.1016/j.ijid.2015.07.013
17. Jain P, Jain G. Study of general awareness, attitude, behavior, and practice study on dog bites and its management in the context of prevention of rabies among the victims of dog bite attending the opd services of CHC Muradnagar. J Fam Med Primary Care 2014;3:355-8. DOI: https://doi.org/10.4103/2249-4863.148107
18. Salve H, Rizwan SA, Kant S, Rai SK, Kharya P, et al. Kumar S. Pre-treatment practices among patients attending an Animal Bite Management clinic at a primary health centre in Haryana, North India. Trop Doct.2015;45:123-5. DOI: https://doi.org/10.1177/0049475514562492
19. Bhargava A, Deshmukh R, Ghosh TK, Goswami A, Prasannaraj P, Marfatia SP, et al. Profile and characteristics of animal bites in India. J Assoc Physicians India. 1996;44(1):37-8.
20. Mahendra BJ, Harish BR, Vinay M. A study of factors influencing compliance to IDRV at anti-rabies clinic of Mandya Institute of Medical Sciences, Mandya. APCRI J. 2009;11:18-20.
21. Tiwari HK, Vanak AT, O'Dea M, Robertson ID. Knowledge, attitudes and practices towards dog-bite related rabies in para-medical staff at rural primary health centres in Baramati, western India. PLoS One. 2018 Nov 16;13(11): e0207025. doi: 10.1371/journal.pone.0207025. PMID: 30444871; PMCID: PMC6239288. DOI: https://doi.org/10.1371/journal.pone.0207025
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