The impact of poverty on dog ownership and access to canine rabies vaccination:results from a knowledge,attitudes and practices survey,Uganda 2013

作     者：Ryan MacLaren Wallace Jason Mehal Yoshinori Nakazawa Sergio Recuenco Barnabas Bakamutumaho Modupe Osinubi Victor Tugumizemu Jesse D.Blanton Amy Gilbert Joseph Wamala 

作者机构：United States Centers for Disease Control and PreventionAtlantaGAUSA Uganda Virus Research InstituteKampalaUganda Veterinary Public Health DivisionMinistry of HealthKampalaUganda World Health OrganizationKampalaUganda 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2017年第6卷第1期

页      面：859-880页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：This study was conducting with USAID funding.The funding agency had no role in study design analysis or interpretation of the data 

主　　题：Rabies Dogs Vaccination Poverty Low-income Neglected Africa 

摘      要：Background:Rabies is a neglected disease despite being responsible for more human deaths than any other zoonosis.A lack of adequate human and dog surveillance,resulting in low prioritization,is often blamed for this *** methods are often employed to describe the rabies burden when surveillance data are not available,however these figures are rarely based on country-specific ***:In 2013 a knowledge,attitudes,and practices survey was conducted in Uganda to understand dog population,rabies vaccination,and human rabies risk factors and improve in-country and regional rabies burden *** and multi-level logistic regression techniques were conducted to estimate the total dog population and vaccination ***:Twenty-four villages were selected,of which 798 households completed the survey,representing 4375 *** owning households represented 12.9%of the population,for which 175 dogs were owned(25 people per dog).A history of vaccination was reported in 55.6%of owned *** and human population density highly correlated with dog ownership,and when accounted for in multi-level regression models,the human to dog ratio fell to 47:1 and the estimated national canine-rabies vaccination coverage fell to 36.1%.This study estimates there are 729486 owned dogs in Uganda(95%CI:719919-739053).Ten percent of survey respondents provided care to dogs they did not own,however unowned dog populations were not enumerated in this estimate.89.8%of Uganda’s human population was estimated to reside in a community that can support enzootic canine rabies ***:This study is the first to comprehensively evaluate the effect of poverty on dog ownership in *** results indicate that describing a dog population may not be as simple as applying a human:dog ratio,and factors such as poverty are likely to heavily influence dog ownership and vaccination *** modelled estimates should be confirmed through further f