Received Date: 04 November 2018 | Accepted Date: 27 November 2018 | Published Date: 31 December 2018
Keywords: Ngaoundéré, KAP, Garoua, Cameroon, rabies, Yaoundé.
Rabies has been proven to be endemic in Cameroon and in order to understand the determinants of this situation a Knowledge-Attitudes-Practices (KAP) evaluation has been undertaken in three regions with different sociodemographic characteristics of the country (Centre, North and Adamawa) from September 2012 to July 2014. Fourty-five questions have been addressed to 2500 households, 500 each in Garoua and Ngaoundéré cities in North and Adamawa, and 1500 in Yaoundé, one person chosen randomly per household. The overall answered rate was 44.72%, with 79.6% in Garoua, 49.6% in Ngaoundéré and 31.47% in Yaoundé with a total of 1118 households with exploitable data. 88.73% of these persons said they have heard about rabies, 97.88% of them being able to name at least one of the susceptible species. The transmission of rabies has been mostly associated to bites which has been cited 90.87% in animals and 96.44% in humans respectively by 64.01% and 79.33% of the population. However, this knowledge was very limited as wrong means of transmission as sexual intercourses, dirtiness, and consumption of dogs have also been listed. Furthermore, more than a half (52.22%) of people who have heard about rabies claim that the disease can be cured at any stage of its evolution, 3.65% of them saying that the disease can be cured through traditional means like plants, or by eating the raw liver or heart of the affected dog. The attitudes and practices regarding rabies were also wrong as more than a half of dog owners have not vaccinated their animals and 34.25% recommended to kill stray dogs as a mean to control rabies rather than vaccination (16.35%) and education (1.61%). In general, the population of Yaoundé have shown a better knowledge attitude and practices of the disease than those of Ngaoundéré and Garoua respectively. An association has been established between the knowledge of the issue of the disease and the localization (p=0.00069). The eradication of the disease being based on the appropriate knowledge of the disease, there is a need for all the different parts of the community to be involved in an establishment of a sensitization program for the population.
|Abdela, N., & Teshome, E. (2017). Community based cross-sectional study on knowledge, attitudes and practices towards rabies in Munesa District, Arsi Zone, Southeastern Ethiopia. Journal of Public Health and Epidemiology, 9(6), 161-170.
|Ali, A., Ahmed, E. Y., & Sifer, D. (2013). A study on knowledge, attitude and practice of rabies among residents in Addis Ababa, Ethiopia. Ethiopian Veterinary Journal, 17(2), 19-35.
|Awah-Ndukum, J., Tchoumboue, J. & Tong, J. C. (2002). Canine and human rabies in Cameroon. Tropical Veterinarian, 20(3), 162-168.|
|Awah-Ndukum, J., Tchoumboue, J., & Zoli, P. A. (2004). Involvement of communities in the control of dog-related public health hazards in the Western Highlands of Cameroon. Journal of the Cameroon Academy of Sciences, 4(1), 11-18.|
|BUCREP (2010a). 3e RGPH Activités économiques de la population (Vol. II tome 03). Yaoundé: BUCREP, Pp. 1-140.|
|BUCREP (2010b). 3e RGPH Socio demographic situation of ordinary households (Vol. II tome 04). Yaoundé, Cameroon: BUCREP, Pp. 1-141.|
|BUCREP (2010c). Rapport de présentation des résultats définitifs. Yaoundé: BUCREP, Pp. 1-67.|
|Fuchs, M. (2009). Fiabilité des réponses des enfants aux enquêtes: Incidence du fonctionnement cognitif sur le comportement du répondant. Recueil du Symposium 2008 de statistique Canada collecte des données: défis, réalisations et nouvelles orientations, 1-10.|
|Knobel, D. L., Cleaveland, S., Coleman, P. G., Fèvre, E. M., Meltzer, M. l., & Miranda, M. E. (2005). Re-evaluating the burden of rabies in Africa and Asia. Bulletin of the World Health Organization 83(5), 360-368.|
|Mindekem, R., Kayali, U., Yemadji, N., Ndoutamia, A. G., & Zinsstag, J. (2005). La démographie canine et son importance pour la transmission de la rage humaine à N'djamena. Médecine Tropicale 65(1), 53-58.|
|MINEPAT (2010). Rapport Régional de progrès des objectifs du millénaire pour le développement, Région du Nord. Institut National de la Statistique, Pp. 1-31.|
|Nel, L. H. (2013). Discrepancies in data reporting for Rabies, Africa. Emerging Infectious Diseases, 19(4), 529-533.
|Ngana, F., Sougnabé, P., Gonné, B., & Ababa, A. M. (2009). Transformations foncières dans les espaces périurbains en Afrique centrale soudanienne. Savanes africaines en développement, 1-9.|
|Nilsson, M. (2014). Effect of rabies education programs on rabies awareness, attitudes towards dogs and animal welfare among children in Lilongwe, Malawi. Swedish University of Agricultural Sciences, Faculty of Veterinary Medicine and Animal science Department of clinical sciences, 1-54.|
|OMS. (2006). l'approche STEPwise de l'OMS pour la surveillance des facteurs de risque des maladies chroniques. Organisation Mondiale de la Santé, OMS, 1-453. Reta T., Legesse G & Abraham F: Knowledge, Attitudes and Practices towards rabies: questionnaire in rural households of Gondar Zuria District, Ethiopia. BMC Research Notes, 8(1), 1-4.|
|Palamar, M. B., Peterson, N. M., Deperno, C. S., & Correa, M. T. (2013). Assessing rabies knowledge and perceptions among ethnic minorities in Greensboro, North Carolina. The Journal of Wildlife Management, 77(7), 1321-1326.
|Prakash, M., Bhatti, C. V., & Venkatesh, G. (2013). Rabies menace and control- An insight into knowledge, Attitude and practices. Medical Journal Armed Forces India, (69)1, 57-60.
|Ribadeau-Dumas, F., Dacheux, L., & Bourhy, H. (2013). La rage. médecine/sciences, 29(1), 47-55.
|Sambo, M., Lembo, T., Cleaveland, S., Ferguson, H.M., Sikana, L., Simon, C., Urassa, H. & Hampson, K. Neglected Tropical Disease, 8(12), e3310.|
|Tariku, T., & Araya, M. (2017). Knowledge of rabies in and around Nekemte town, Ethiopia. Journal of Public Health and Epidemiology, 9(9), 244-250
|Tchotsoua, M., Ndame, J. P., Wakponou, A., & Bonvallot, J. (1999). Maitrise et gestion des eaux à Ngaoundéré (Cameroun) problèmes et esquisses de solutions. Geo-Eco-Trop., 23, 91-105.|
|Thrusfield, M. (2007). Veterinary Epidemiology. University of Edinburgh: Blackwell science, 3, 1-626.|
|WHO (2005). WHO Expert consultation on rabies (Vol. WHO technical report series 931). Geneva, Switzerland: WHO press, Pp. 1-121.|
|WHO (2013). WHO expert consultation on rabies. Geneva: WHO press (982), Pp. 1-146.|