evaluation of education interventions
DESCRIPTION
Conference PresentationTRANSCRIPT
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EFFECTIVENESS OF A COMMUNITY-BASED EDUCATIONAL
INTERVENTION TO IMPROVE SCHOOL CHILDRENS KNOWLEDGE
OF RABIES AND DOG BITE PREVENTION
Aashima Auplish, Alison S. Clarke, Trent van Zanten Kate Abel, Charmaine Tham,
Thinlay N. Bhutia, Colin R. Wilks, Mark A. Stevenson, Simon M. Firestone
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RATIONALE BEHIND COMMUNITY-BASED EDUCATIONAL INTERVENTION
Major factors contributing to endemicity: Knowledge gaps in rabies awareness Lack of nationally coordinated control and
prevention strategies
Changing the public perception of rabies prevention and control is a fundamental aspect of ongoing control efforts
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RATIONALE BEHIND COMMUNITY-BASED EDUCATIONAL INTERVENTION
Target demographic:
Risk and burden falls on the most vulnerable sectors of society with 40% of human rabies deaths occurring in children
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RATIONALE BEHIND COMMUNITY-BASED EDUCATIONAL INTERVENTION
Aim: To evaluate the implementation of a community-
based educational intervention, with target demographic of local school children in urban and rural Sikkim
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WHERE DOES EDUCATION FALL INTO DOG POPULATION MANAGEMENT?
Impact 4: Reduce risks to Public Health Dog bite prevention Impact on rabies risk
Impact 5: Improve Public Perception Attitudes towards dogs Human-dog interactions
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MAJOR GAPS IN KNOWLEDGE AND CONTROL STRATEGIES
Most patients are victims of rabies due to: Lack of knowledge Disregard of post-exposure prophylaxis An inadequate availability of primary health care
services
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EDUCATIONAL SESSIONS Section I: Interpretation of dog behaviour Section II: Knowledge of rabies and its transmission Section III: Post-exposure precautionary steps
Sample size (n): 226 students Of 8,700 students participating in the education
program Comparison of pre- and post-test scores to evaluate
the effectiveness of educational intervention
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SECTION 1: INTERPRETATION OF DOG BEHAVIOUR
Impact 4: Reduce risks to Public Health Dog bites & Impact on rabies
Impact 5: Improved Public Perception Attitudes towards dogs & Human-dog interaction
Most important reservoir of rabies are dogs 17 million dog bites occur annually in India Children more likely to suffer bites to the face and head
Key knowledge gap: Appropriate behaviour around scared dogs
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SECTION 1: INTERPRETATION OF DOG BEHAVIOUR
Results: Increased awareness of the risk of approaching
scared dogs (30.4%) Improved ability to identify and approach a
happy dog (22%)
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SECTION 1: INTERPRETATION OF DOG BEHAVIOUR
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SECTION 2: KNOWLEDGE OF RABIES AND
TRANSMISSION Impact 4: Reduce risks to Public Health
Direct impact on reducing rabies risk
Only 15% of patients reported learning about rabies at school*
Key knowledge gap: Understanding animals other than dogs are a
potential source of rabies *As demonstrated in a multi-country, multicenter study conducted in
the SEAR
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SECTION 2: KNOWLEDGE OF RABIES AND
TRANSMISSION
Results: Increased ability of identifying rabies as a virus
(19%)
Increased recognition of only mammals transmitting rabies (16%)
Increased ability to identify that cows transmit rabies (47.2%)
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SECTION 2: KNOWLEDGE OF RABIES AND
TRANSMISSION
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SECTION 3: ABILITY TO CORRECTLY ORDER POST-
EXPOSURE PRECAUTION STEPS
Impact 4: Reduce Risks to Public Health
Reduce dog bites and Impact on rabies risk
Estimated only 20% of 19 million humans bitten (in SEAR) receive one or more doses of PEP vaccine due to lack of awareness
Key knowledge gap: Correctly understanding post-exposure prophylaxis
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SECTION 3: ABILITY TO CORRECTLY ORDER POST-
EXPOSURE PRECAUTION STEPS Results Increased ability to correctly order post-
exposure precautionary steps (40%) Absolute rise of 87.5%
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SECTION 3: ABILITY TO CORRECTLY ORDER POST-
EXPOSURE PRECAUTION STEPS
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LIMITATIONS & REVISIONS
Accessibility and time constraints Large classes of students Selection bias Reliance on students to self complete questions Poor English comprehension Unwillingness for students to answer questions
that they were unsure of the correct response
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CONCLUSION
Gauged requirements for future programs Evidence for incorporation into school curriculum
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INTERNING AT
October December 2014 within the Dept of Control of Neglected Tropical Diseases, under Dr Bernadette Abela Ridder
Organising the 4th International Meeting on the Control of Neglected Zoonotic Diseases
Creation of bite prevention and rabies oriented educational booklets with WHO, GARC for South Africa as part of the Kwa Zulu Natal Rabies Elimination Program
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ACKNOWLEDGEMENTS
Vets Beyond Borders: Charmaine Tham Kate Abel Thinlay Bhutia Helen Byrnes
University of Melbourne Vet Faculty Simon Firestone Colin Wilks Mark Stevenson
External veterinarians Gabrielle Carter, Robert Holmes, Alan Sherlock
Effectiveness of a community-based educational intervention to improve school childrens knowledge of rabies and dog bite preventionRationale behind community-based educational interventionRationale behind community-based educational interventionRationale behind community-based educational interventionWhere does education fall into dog population management?Major gaps in knowledge and control strategiesEducational sessionsSection 1: interpretation of dog behaviourSection 1: interpretation of dog behaviourSlide Number 10Section 1: interpretation of dog behaviourSection 2: knowledge of rabies and transmissionSection 2: knowledge of rabies and transmissionSlide Number 14Slide Number 15Section 2: knowledge of rabies and transmissionSection 3: ability to correctly order post-exposure precaution stepsSection 3: ability to correctly order post-exposure precaution stepsSlide Number 19Section 3: ability to correctly order post-exposure precaution stepsLIMITATIONS & REVISIONSCONCLUSIONInterning atACKNOWLEDGEMENTS