000			04103nam a22002057a 4500
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100			_aInnocent, Mercy _921113 _dCUHAS/MD/4001429/T/15
245			_aGeographical distribution of human animal bites and factors associated with completion of anti-rabies in Mwanza City
260			_aMwanza, Tanzania: _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] : _bPhone: +255 28 298 3384 : _b Fax: +255 28 298 3386 : _b Email: vc@bugando.ac.tz : _b Website: www.bugando.ac.tz : _c ©2019
300			_aviii; 30 Pages
300			_aIncludes Refferences and Appendices
520			_aAbstract: Background: Rbies is an infectious disease that invariable death to patient after they have developed clinical symptoms. Prevention and control measure are the only way to evade the devastating effects of the diseases. Various previous epidemiological studies provided basic information about the burden of the diseases, the use of PEP as a preventive and control measure available, however there is a limited information on the factors that are associated with the completion of PEP in Tanzania, in general and in this particular study area. Therefore, the aim of this study was to determine the geographical distribution of animal bites and factors associated with the complication of anti-rabies prophylaxis in Mwanza city. Methodology: A retrospective study was conducted among animal bite victims registers from May 2016 to May 2019 at the Makongoro Health Center and Nyamagana District Hospital in Mwanza city Tanzania. The study population was all recorded patients diagnosed with animal bite injuries and patients who died due to suspected rabies infection at health facilities. This data was extracted from patient registers at the health facilities and the sample size was 310 in Makongoro Health Center and 300 in Nyamagana District hospital. Geographical Information System (GIS) was used to map animal bite “hotspots” based on the residential places recorded in the registers. Data was analyzed using STATA software based on the objectives of the study. Result: Among the 611 registered patients the median age (IQR) was 14years, ranging from 1 to 83 years and age group where children from 0-14 were 348 (57.1%). Of the 611 registers where sex was captured 281 (46.2%) were females. All animal-bite injuries were inflicted by dogs (100%). Majority of animal-bite victims were from nyamagana district 340 (55.8%) followed by Ilemela 243 (39.9%), kwimba 15(2.5%), and Misungwi district. The median number of days between contact with biting animal and presenting at a health facility was 1 day (minimum=1day, maximum=20days). Of the 611 analyzed records, 297 animal-bite victims reported the timing of presentation to health facility from day of bite, whereas of these, 276(92.9%) animal-bite victims were accessed at health facilities within 24hrs after the bite most of the animals-bite victims received the first dose 99.8% received, the percentage of those attending the subsequent doses decreased, where as 36.8% attended for 2nd dose, 17.6% attended for 3rd dose, 2.8% attended for 4th dose and 0% for the 5th dose. Only 83 (13.6%) of cases completed the schedule of PEP age, sex or timing to which patient first attended health facilities after bite had no significant association to whether or not an animal-bite victim would complete the ARV doses with p-value of >0.05. Conclusions: This study shows majority of animal-bite victims presented in Makongoro Health Centre and Nyamagana district hospital were children and the animal-bite injury were mostly inflicted by dogs. Majority of animals bite victims would present to a health facility within 24hours however of the animal-bite victims initiated on PEP only a few of them completed the PEP doses.
600			_xCommunity Health _948521
600			_xMicrobiology and Immunology _948529
600			_xParasitology _930263
700			_aSeni, Jeremiah _919713
700			_aMaria Zinga _926705
700			_aNyanza, Elias _919718
942			_2ddc _cCR
999			_c21081 _d21081