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Pilot Study for Introduction of Thai Red Cross Protocol in Rabies Post-exposure Prophylaxis: Case of Regional Public Hygiene Office of Bouake, Ivory Coast, 2019

Received: 24 November 2021     Accepted: 11 December 2021     Published: 29 December 2021
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Abstract

Context: A project called GAVI-RAGE, in 2017 was initiated in three African countries including Côte d'Ivoire. The idea was to offer subjects at risk of rabies infection the three different protocols, while offering free only prophylaxis by the Thai Red Cross protocol. Paradoxically, this free service was not preferred by all subjects. Some people have opted for the usual fee-based protocols (Essen and Zagreb). The search for an understanding of this paradox required a study. Methods: A retrospective cross-sectional study with an analytical aim was carried out from December 2018 to May 2019 at the regional public hygiene office in Bouake. This study consisted of interviewing all subjects exposed to a risk of rabies infection and who consulted the regional public hygiene unit during the project period. The comparison of the proportions was made by the chi-square test with a significance level set for a value p≤0.05. Results: The subjects exposed to rabies were from urban areas (83%), were children under 15 (51,3%) and males (59,3%). Among our respondents, 77% of the subjects had opted for the free vaccine protocol. The reasons given were that it was free of charge (93.5%), lack of money on the day of the consultation (44.3%) and lack of health insurance (44.3%). Respondents who did not accept the free protocol cited insufficient awareness (80.9%) and doubts about its effectiveness (9.9%) as their reasons Acceptance of the said protocol was significantly associated with the living area of the exposed people (p<0.000) and awareness of the treatment (p<0.000). Conclusion: a free vaccine protocol is not synonymous with its acceptance by all populations. However, this free service is a lifeline for many people, especially the poorest.

Published in World Journal of Public Health (Volume 6, Issue 4)
DOI 10.11648/j.wjph.20210604.19
Page(s) 199-203
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Rabies, Vaccine, Thai Red Cross

References
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[8] El Fakir S, Lakttati F, Serhier Z, ElRhazi K, Bijou A, Nejjari C. Epidémiologie des risques liés aux morsures d’animaux à Fès au Maroc. Maroc med 2006; 28: 245-51.
[9] Ouattara SI, Cissé H, Kouakou G, Diafouka-PrattDoumbia A, Yokoué AD, Eholié SP, Bissagnené E. Rage humaine à Abidjan (Côte d'Ivoire): nouvelles observations. Med Sante Trop 2012; 22: 157-61.
[10] Floret D, Bourhy H, PeigueLafeuille H. La rage humaine en France en 2004: état des lieux et prise en charge. Med mal infect 2004; 34: 551-60.
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[15] Tiembré I, Benié J, Ekra D, Douba A, Kouamé B, Dagnan S, Tagliante-Saracino J. Observance de la surveillance vétérinaire au centre antirabique d’abidjan. Med Trop 2008; 68: 514-8.
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Cite This Article
  • APA Style

    Sory Ibrahim Soumahoro, Damus Paquin Kouassi, Arsene Deby Kouame, M’begnan Coulibaly, Awa Madaho Sokodogo, et al. (2021). Pilot Study for Introduction of Thai Red Cross Protocol in Rabies Post-exposure Prophylaxis: Case of Regional Public Hygiene Office of Bouake, Ivory Coast, 2019. World Journal of Public Health, 6(4), 199-203. https://doi.org/10.11648/j.wjph.20210604.19

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    ACS Style

    Sory Ibrahim Soumahoro; Damus Paquin Kouassi; Arsene Deby Kouame; M’begnan Coulibaly; Awa Madaho Sokodogo, et al. Pilot Study for Introduction of Thai Red Cross Protocol in Rabies Post-exposure Prophylaxis: Case of Regional Public Hygiene Office of Bouake, Ivory Coast, 2019. World J. Public Health 2021, 6(4), 199-203. doi: 10.11648/j.wjph.20210604.19

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    AMA Style

    Sory Ibrahim Soumahoro, Damus Paquin Kouassi, Arsene Deby Kouame, M’begnan Coulibaly, Awa Madaho Sokodogo, et al. Pilot Study for Introduction of Thai Red Cross Protocol in Rabies Post-exposure Prophylaxis: Case of Regional Public Hygiene Office of Bouake, Ivory Coast, 2019. World J Public Health. 2021;6(4):199-203. doi: 10.11648/j.wjph.20210604.19

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  • @article{10.11648/j.wjph.20210604.19,
      author = {Sory Ibrahim Soumahoro and Damus Paquin Kouassi and Arsene Deby Kouame and M’begnan Coulibaly and Awa Madaho Sokodogo and Wako-Tianwa Alice Tuo and Catia Laura Sobro and Salifou Yeo and Opri Irika and Gnissan Henri Auguste Yao and Sopie Mathilde Tetchi},
      title = {Pilot Study for Introduction of Thai Red Cross Protocol in Rabies Post-exposure Prophylaxis: Case of Regional Public Hygiene Office of Bouake, Ivory Coast, 2019},
      journal = {World Journal of Public Health},
      volume = {6},
      number = {4},
      pages = {199-203},
      doi = {10.11648/j.wjph.20210604.19},
      url = {https://doi.org/10.11648/j.wjph.20210604.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20210604.19},
      abstract = {Context: A project called GAVI-RAGE, in 2017 was initiated in three African countries including Côte d'Ivoire. The idea was to offer subjects at risk of rabies infection the three different protocols, while offering free only prophylaxis by the Thai Red Cross protocol. Paradoxically, this free service was not preferred by all subjects. Some people have opted for the usual fee-based protocols (Essen and Zagreb). The search for an understanding of this paradox required a study. Methods: A retrospective cross-sectional study with an analytical aim was carried out from December 2018 to May 2019 at the regional public hygiene office in Bouake. This study consisted of interviewing all subjects exposed to a risk of rabies infection and who consulted the regional public hygiene unit during the project period. The comparison of the proportions was made by the chi-square test with a significance level set for a value p≤0.05. Results: The subjects exposed to rabies were from urban areas (83%), were children under 15 (51,3%) and males (59,3%). Among our respondents, 77% of the subjects had opted for the free vaccine protocol. The reasons given were that it was free of charge (93.5%), lack of money on the day of the consultation (44.3%) and lack of health insurance (44.3%). Respondents who did not accept the free protocol cited insufficient awareness (80.9%) and doubts about its effectiveness (9.9%) as their reasons Acceptance of the said protocol was significantly associated with the living area of the exposed people (pConclusion: a free vaccine protocol is not synonymous with its acceptance by all populations. However, this free service is a lifeline for many people, especially the poorest.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Pilot Study for Introduction of Thai Red Cross Protocol in Rabies Post-exposure Prophylaxis: Case of Regional Public Hygiene Office of Bouake, Ivory Coast, 2019
    AU  - Sory Ibrahim Soumahoro
    AU  - Damus Paquin Kouassi
    AU  - Arsene Deby Kouame
    AU  - M’begnan Coulibaly
    AU  - Awa Madaho Sokodogo
    AU  - Wako-Tianwa Alice Tuo
    AU  - Catia Laura Sobro
    AU  - Salifou Yeo
    AU  - Opri Irika
    AU  - Gnissan Henri Auguste Yao
    AU  - Sopie Mathilde Tetchi
    Y1  - 2021/12/29
    PY  - 2021
    N1  - https://doi.org/10.11648/j.wjph.20210604.19
    DO  - 10.11648/j.wjph.20210604.19
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 199
    EP  - 203
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20210604.19
    AB  - Context: A project called GAVI-RAGE, in 2017 was initiated in three African countries including Côte d'Ivoire. The idea was to offer subjects at risk of rabies infection the three different protocols, while offering free only prophylaxis by the Thai Red Cross protocol. Paradoxically, this free service was not preferred by all subjects. Some people have opted for the usual fee-based protocols (Essen and Zagreb). The search for an understanding of this paradox required a study. Methods: A retrospective cross-sectional study with an analytical aim was carried out from December 2018 to May 2019 at the regional public hygiene office in Bouake. This study consisted of interviewing all subjects exposed to a risk of rabies infection and who consulted the regional public hygiene unit during the project period. The comparison of the proportions was made by the chi-square test with a significance level set for a value p≤0.05. Results: The subjects exposed to rabies were from urban areas (83%), were children under 15 (51,3%) and males (59,3%). Among our respondents, 77% of the subjects had opted for the free vaccine protocol. The reasons given were that it was free of charge (93.5%), lack of money on the day of the consultation (44.3%) and lack of health insurance (44.3%). Respondents who did not accept the free protocol cited insufficient awareness (80.9%) and doubts about its effectiveness (9.9%) as their reasons Acceptance of the said protocol was significantly associated with the living area of the exposed people (pConclusion: a free vaccine protocol is not synonymous with its acceptance by all populations. However, this free service is a lifeline for many people, especially the poorest.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Medical Sciences, Alassane Ouattara University, Bouake, Ivory Coast

  • Medical Sciences, Alassane Ouattara University, Bouake, Ivory Coast

  • Public Health, Regional Public Hygiene Unit, Bouake, Ivory Coast

  • Public Health, Regional Public Hygiene Unit, Bouake, Ivory Coast

  • Medical Sciences, Alassane Ouattara University, Bouake, Ivory Coast

  • Medical Sciences, Alassane Ouattara University, Bouake, Ivory Coast

  • Medical Sciences, Alassane Ouattara University, Bouake, Ivory Coast

  • Public Health, Regional Public Hygiene Unit, Bouake, Ivory Coast

  • Public Health, Regional Public Hygiene Unit, Bouake, Ivory Coast

  • Medical Sciences, Alassane Ouattara University, Bouake, Ivory Coast

  • Public Health, National Institute of Public Hygiene, Abidjan, Ivory Coast

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