Assessment of barriers and constraints Involved in Early Dog bite case reporting and Management Under Integrated Disease Surveillance Programme (IDSP), Hassan (Karnataka) Reddy Kesaram Reshma1, Sundar M.2,*, Venkatesh R.3, Hirannaiah C. R.4 1Postgraduate, Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka 2Professor and Head, Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka 3District Health Officer, Department of Health and Family Welfare, Hassan, Karnataka 4District Surveillance Officer, Department of Health and Family Welfare, Hassan, Karnataka *Corresponding Author: Dr. M. Sundar, Professor and Head, Department of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka-573201, Email: msundar34@gmail.com
Online published on 4 June, 2019. Abstract Background Rabies is one of the endemic diseases in India with dog rabies being a major public health problem with more than 90% of mortality and morbidity. National Rabies Control Programme which was approved by the Government of India under 12th five-year plan aims to control the disease. Surveillance of dog bite cases is done by Integrated Disease Surveillance Programme which helps in detection of outbreaks quickly. Objectives This study was planned to assess the effectiveness in the early case identification of dog bite cases who are eligible to receive post exposure prophylaxis and to identify the barriers in the reporting of cases in Hassan peripheral health centres. Method The study was conducted during the period of May to October 2017 in Hassan district of Karnataka, India. Cross-sectional evaluation of dog bite case reporting along with retrospective record analysis of one-year dog bite cases in the selected health centres comparing with the data obtained from the IDSP portal of the District Surveillance Office. Results Significant under-reporting was noticed with respect to the number of cases registered in the health centre and the number of cases reported to IDSP. Staff nurses were trained for IDSP in only 58.3% of the centres. Significant correlation was found between reporting of data to IDSP portal and training received by the staff. Conclusion For improvement in the dog bite case detection and control of rabies in India, there is a need to improve the surveillance system. Manual reporting of dog bite cases through IDSP can be replaced by real time data reporting through IHIP to minimize errors. Top Keywords Rabies, Dog bite, Surveillance, Case reporting, Integrated Disease Surveillance Programme (IDSP), Integrated Health Information Platform (IHIP). Top |