Article: Facilities and services of postexposure prophylaxis in anti-rabies clinics: A national assessment in India.
Indian journal of public health
2019 Volume 63, Issue Supplement, Page(s) S26–S30
Abstract: Background: The rabies postexposure prophylaxis (PEP) is provided through anti-rabies clinics in the country. It was considered important to assess their facilities under a nationwide multi-centric survey.: Objectives: The objective of this study is ... ...
| Abstract | Background: The rabies postexposure prophylaxis (PEP) is provided through anti-rabies clinics in the country. It was considered important to assess their facilities under a nationwide multi-centric survey. Objectives: The objective of this study is to assess the facilities available for PEP at the anti-rabies clinics and to ascertain the PEP provided at the anti-rabies clinics. Methods: The cross-sectional assessment was made from May 2017 to January 2018 in selected seven states of India. Thirty-five anti-rabies clinics from both Government and private; urban and rural areas from the states were assessed by an expert team using a pretested checklist for facilities and services available for PEP. Results: On an average, 10 new animal bite cases were attended at each anti-rabies clinic per day. The cold chain facilities for rabies biologicals were satisfactory. The facilities for wound washing (54.3%) and the use of antiseptics to animal bite wounds were not adequate. Rabies vaccines were administered by intramuscular in 54.3% and by intradermal route in 45.7% of the cases. The vaccine stock-outs were reported only in the government sector (18.5%). The type of rabies immunoglobulin (RIG) used was equine (63.2%) and human (36.8%); given free of cost in 40% of Anti rabies clinics. The local wound infiltration of RIG was in practice at 58.6% of anti-rabies clinics. The stock-out of RIG was more in private (50%) hospitals than in Government (40.7%) hospitals. Conclusion: The facilities available for PEP at the anti-rabies clinics were inadequate and have to be improved across the country. |
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| MeSH term(s) | Ambulatory Care Facilities/organization & administration ; Ambulatory Care Facilities/standards ; Bites and Stings/epidemiology ; Drug Administration Routes ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Humans ; India/epidemiology ; Patient Acceptance of Health Care/statistics & numerical data ; Post-Exposure Prophylaxis/statistics & numerical data ; Rabies/epidemiology ; Rabies/prevention & control ; Rabies Vaccines/administration & dosage ; Rabies Vaccines/supply & distribution ; Residence Characteristics |
| Chemical Substances | Rabies Vaccines |
| Language | English |
| Publishing date | 2019-08-28 |
| Publishing country | India |
| Document type | Journal Article |
| ZDB-ID | 800737-8 |
| ISSN | 2229-7693 ; 0019-557X |
| ISSN (online) | 2229-7693 |
| ISSN | 0019-557X |
| DOI | 10.4103/ijph.IJPH_367_19 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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