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Enhanced Rabies Surveillance Using a Direct Rapid Immunohistochemical Test
Published on: April 30, 2019
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Implementing a One Health Approach to Rabies Surveillance: Lessons From Integrated Bite Case Management
Catherine Swedberg1, Stella Mazeri2, Richard J Mellanby2
1Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, United Kingdom.
Frontiers in Tropical Diseases
|March 22, 2023
Summary
Integrated Bite Case Management (IBCM) is crucial for the
Area of Science:
- One Health
- Epidemiology
- Public Health
Background:
- The 'Zero by 30' strategy aims to eliminate human deaths from dog-mediated rabies by 2030.
- Integrated Bite Case Management (IBCM) is recommended within a One Health framework.
- Understanding IBCM implementation in practice is limited.
Purpose of the Study:
- To explore the conceptualization and operationalization of IBCM.
- To identify barriers and facilitators to IBCM implementation.
- To understand the impact of context on IBCM programs.
Main Methods:
- Semi-structured interviews with 17 international, national, and local experts.
- Expertise spanned Africa, Asia, and the Americas.
- Thematic analysis using inductive and deductive approaches.
Main Results:
- Four themes emerged: conceptualization of IBCM, contextual variations in operation, barriers/facilitators, and COVID-19 impact.
- IBCM is not a one-size-fits-all approach; implementation varies significantly by local context.
- Sustainability is the greatest implementation challenge; contextual features influence delivery and impact.
Conclusions:
- IBCM conceptualization and operationalization show diversity, requiring context-specific tailoring.
- Sustainability and context-specific guidance for health workers are critical for effective IBCM.
- Findings offer insights for optimizing IBCM to achieve the 'Zero by 30' rabies elimination goal.
Keywords:
dog-mediated rabiesimplementation researchmobile healthpost-exposure prophylaxisrabies eliminationrapid diagnostic testszoonosisMore Related Videos
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