Community-based study on knowledge, attitudes and perception of rabies in Gelephu, south-central Bhutan.

Abstract

Community knowledge, attitudes and practices are important both for prevention of human deaths due to rabies and for control of the disease in animals. This study was a cross-sectional survey investigating the level of community knowledge as well as attitudes and perceptions about rabies in Gelephu, south central Bhutan, a region endemic for rabies. A total of 615 household respondents were interviewed, of which 224 (36%) were males and 391 (64%) were females. The majority of the respondents had high level of knowledge, and attitude and perception of rabies, and has a positive attitude towards the prevention and control of rabies. Multivariable logistic regression model showed that better knowledge about rabies was predicted by gender, educational level and dog ownership status of the respondents, whilst health-seeking behaviours of animal bite injuries were predicted by dog ownership status, presence of children in the household and occupation of the respondents. The majority of the respondents believed that stray dogs are a problem in the community and felt that it was important to control the dog population in Gelephu. These findings also indicate that there exists a knowledge gap about rabies in the community that could be improved by creating an awareness education programme. Keywords: Knowledge, Attitude, Perception, Rabies, Cross-sectional survey, Bhutan