降低狂犬病疫苗接种水平的因素:坦桑尼亚基巴哈镇地区一例

F. M. Chikoondo, K. Majid, C. Mpelumbe-Ngeleja
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摘要

在坦桑尼亚普瓦尼地区的基巴哈镇议会进行了一项研究,以调查可能对抗狂犬病疫苗接种产生负面影响的因素,这些因素导致一些选定病房的抗狂犬病疫苗覆盖率低。本研究使用的数据来自养猫狗的家庭和机构,采用半结构化问卷调查和访谈。另一组数据是地区兽医办公室狂犬病控制规划的记录。数据分析采用SPSS.16软件、Microsoft Excel 2007软件和EpiInfoTM7软件。调查工具集中在三个主要领域,即受访者对狂犬病的认识、负责任的养狗以及他们对实施狂犬病控制计划相关问题的看法。结果显示,在选定病房的抽样住户中,57%的狗只接种了最后一轮疫苗。很大比例的应答者(64%)持有临床狂犬病可以治愈的错误观念。只有34%的答复者表示,他们在世卫组织项目区接受过狂犬病知识的教育。据了解,在连续两年为该区的狗只注射疫苗后,该区爆发狂犬病。线性趋势的卡方检验显示,不同年份接种疫苗的狗的数量变化有非常显著的统计学差异(p<0.05;= 0.0000)。本研究得出结论,缺乏足够的狂犬病知识和对控制规划的消极态度是疫苗接种覆盖率的最大缺陷。
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Factors Lowering Levels of Rabies Vaccination: A case of Kibaha Town District of Tanzania
A study was conducted in Kibaha Town Council of Pwani Region of Tanzania to survey the probable factors that negatively affected the anti-rabies vaccinations leading to low percent coverage in some selected wards. The data used in this study were gathered from households keeping dogs and cats and institutions, using a semi-structured questionnaire and interviews. Another set of data was the record of the rabies control programme at the district veterinary office. Analysis of the data was done using SPSS.16, Microsoft Excel 2007 and EpiInfoTM7. The enquiry instrument centred on three main fields, namely, knowledge of respondents about rabies, responsible dog ownership and their perception of issues pertaining to the conduct of the rabies control programme. The results showed that the last round of vaccination covered dogs for 57% of the sampled households in the selected wards. A huge percentage of the respondents (64%) kept the wrong perception that clinical rabies could be cured. Only 34% of the respondents indicated that they had been taught about rabies in a WHO project area. It was also learnt that there was an outbreak of rabies in the district after 2 years of consecutively vaccinating the dogs in the area. The Chi- square test for linear trends showed very highly significant statistical differences in the progression of numbers of dogs vaccinated over the years (p<0.05; = 0.0000). This study concludes that, lack of sufficient knowledge on rabies and negative attitude towards the control programme were the biggest drawbacks on the vaccination coverage.
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