Assessment of Post-exposure Prophylaxis Services for Animal Exposures in Healthcare Facilities of a Municipal Corporation

  • Ravish HS Professor of Community Medicine, Kempegowda Institute of Medical Sciences, Bangalore, India.
  • Pradeep Kumar DP Administrative Medical Officer, Shantigram CHC, Hassan, Karnataka, India.
  • Nitu Kumari Senior Resident, Department of Community Medicine, UCMS & GTB Hospital, New Delhi, India
  • Ramya MP Medical Officer of Health, Kanathur, Turuvekere, Tumkur, Karnataka, India
  • Iswarya S Assistant Professor, Department of Community Medicine, Government Medical College, Suryapet, Telangana, India
  • Nidhi Fotedar Tutor Cum PG, Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bangalore, India
Keywords: Post-exposure Prophylaxis, Rabies Immunoglobulin, Municipal Corporation, Anti-rabies Clinics, KAP


Background: In India, animal bites are common among lower socio-economic group, who invariably go to Government sector for post exposure prophylaxis. These services depend on the availability of facilities and knowledge, attitude and practice of the service provider.

Objectives:1. To assess the post exposure prophylaxis facilities available at the health facilities. 2. To appraise the availability of rabies biologicals to these centers. 3. To assess the knowledge, attitude and practice of post exposure prophylaxis among medical officers.

Methods: A cross-sectional study was conducted at all 84 health centers of a municipal corporation; to assess the facilities available and their supply logistics. The KAP of 88 medical officers working in these health centres was assessed and the barriers for administration of rabies immunoglobulin were recorded. The KAP data normality was tested using Shapiro-Wilk test and correlation using Spearman’s Rank correlation.

Results: The post exposure prophylaxis facilities were available at 66 out of 84 centers (78.6%). 18530 vials of anti-rabies vaccine were utilized, 25 centers had 7-20 days/year stock out days; 4982 vials of equine rabies immunoglobulin was used in 6 (9.1%) referral hospitals and 3 centres had stock out days of 30-60 days/year. The rank correlation between knowledge attitude and practice (R=-0.025) had weak negative correlation. The common barriers for rabies immunoglobulin administration were afraid of ADEs (62.5%), time consuming (62.5%) and cumbersome procedure (46.5%).

Conclusion: The post exposure prophylaxis services at the municipal corporation health centres have to be further improved to achieve the goal of eliminating rabies by 2030.


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