title: Low coverage of central point vaccination against dog rabies in Bamako, Mali.
abstract: Canine rabies remains an important public-health problem in Africa. Dog mass vaccination is the recommended method for rabies control and elimination. We report on the first small-scale mass dog vaccination campaign trial in Bamako, Mali. Our objective was to estimate coverage of the vaccination campaign and to quantify determinants of intervention effectiveness. In September 2013, a central point vaccination campaign--free of cost for dog owners--was carried out in 17 posts on three consecutive days within Bamako's Commune 1. Vaccination coverage and the proportion of ownerless dogs were estimated by combining mark-recapture household and transect surveys using Bayesian modeling. The estimated vaccination coverage was 17.6% (95% Credibility Interval, CI: 14.4-22.1%) which is far below the World Health Organization (WHO) recommended vaccination coverage of 70%. The Bayesian estimate for the owned dog population of Commune 1 was 3459 dogs (95% CI: 2786-4131) and the proportion of ownerless dogs was about 8%. The low coverage observed is primarily attributed to low participation by dog owners. Dog owners reported several reasons for not bringing their dogs to the vaccination posts. The most frequently reported reasons for non-attendance were lack of information (25%) and the inability to handle the dog (16%). For 37% of respondents, no clear reason was given for non-vaccination. Despite low coverage, the vaccination campaign in Bamako was relatively easy to implement, both in terms of logistics and organization. Almost half of the participating dog owners brought their pets on the first day of the campaign. Participatory stakeholder processes involving communities and local authorities are needed to identify effective communication channels and locally adapted vaccination strategies, which could include both central-point and door-to-door vaccination.
authors.affiliation: Swiss Tropical and Public Health Institute, Socinstrasse 57, Basel, Switzerland; University of Basel, Petersplatz 1, 4003 Basel, Switzerland.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Muthiani
authors.affiliation: Laboratoire Central Veterinaire (LCV), Km 8, Route de Koulikoro, BP 2295 Bamako, Mali.
authors.forename: Abdallah
authors.initials: A
authors.lastname: Traoré
authors.affiliation: Swiss Tropical and Public Health Institute, Socinstrasse 57, Basel, Switzerland; University of Basel, Petersplatz 1, 4003 Basel, Switzerland.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Mauti
authors.affiliation: Swiss Tropical and Public Health Institute, Socinstrasse 57, Basel, Switzerland; University of Basel, Petersplatz 1, 4003 Basel, Switzerland.
authors.forename: Jakob
authors.initials: J
authors.lastname: Zinsstag
authors.affiliation: Swiss Tropical and Public Health Institute, Socinstrasse 57, Basel, Switzerland; University of Basel, Petersplatz 1, 4003 Basel, Switzerland. Electronic address: jan.hattendorf@unibas.ch.
authors.forename: Jan
authors.initials: J
authors.lastname: Hattendorf
mesh_terms: D000818:Animals; D002371:Cat Diseases / Q000517:prevention & control*; D002415:Cats; D004283:Dog Diseases / Q000517:prevention & control*; D004285:Dogs; D005260:Female; D008297:Male; D008302:Mali; D032541:Mass Vaccination / Q000662:veterinary*; D011818:Rabies / Q000517:prevention & control / Q000662:veterinary*; D011819:Rabies Vaccines / Q000008:administration & dosage / Q000627:therapeutic use*
chemical_list: D011819:Rabies Vaccines
keywords: Dog rabies; Intervention effectiveness; Mali; Vaccination campaign