Rabies is a zoonotic disease that causes encephalitis in humans and dies suddenly. Although Thailand has vaccination for rabies post-exposure treatment, there are still reports of human death. The purpose of the study was to investigate the perception of the health belief about human rabies post-exposure prophylaxis discontinued. The participants were 12 humans in Chiang Mai province, Thailand, who received a vaccination program that discontinued rabies post-exposure in the past year. This qualitative research regarded the interpretative paradigm. The research instruments include audiotape and face-to-face in-depth interviews. The semi-structured interview includes perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self-efficacy, and modifying factor transcribed and analyzed using content analysis. It was concluded that the participant was not cover in perception susceptibility there are not follow the World Health Organization standard. In some cases, there was no opportunity to receive a vaccine after wound healing. That showed most participants’ perceived severity of small wounds and not present exudation from the wound they are not receiving vaccination continued in hospital and, or recieve vaccine late because not understands the participant’s perceived benefit. The participant’s perception barrier prevention remembered the first treatment not impressed and afraid for receiving vaccination continued. The health motivation, when long time appointments for receive vaccine their want to remind from someone. These findings indicate a perception gap about rabies post exposure in the community that could motivate by increasing self-awareness. The results from this study can be applied to health information the most important for people, especially to increase awareness in human rabies post-exposure prophylaxis for effectively block pathogenesis caused by disease.
Reference
D. Pfrimmer, “Rabies in humans,” The Journal of Continuing Education in Nursing, vol. 39, no. 7 pp. 294-295, 2008.
S. A. Plotkin,“Rabies,” Clinical Infectious Diseases, vol. 30, no. 1, pp. 412, 2000.
S. Ruan, “Spatiotemporal epidemic models for rabies among animals,” Infectious Disease Modelling, vol. 2, no. 3, pp. 277-287, 2017.
D. A. Barkhouse, M. Faber and D. C. Hooper, “Pre-and post-exposure safety and efficacy of attenuated rabies virus vaccines are enhanced by their expression of IFN,” Virology, vol. 474, pp. 174-180, 2015.
C. Shayam, A. K. Duggal, U. Kamble and A. K. Agarwal, “Post-exposure prophylaxis for rabies.” Journal, Indian Academy of Clinical Medicine, vol. 7, no. 1, pp. 39-46, 2006.
C. Westgarth and F. Watkins, “A qualitative investigation of the perceptions of female dog-bite victims and implications for the prevention of dog bites,” Journal of Veterinary Behavior: Clinical Applications and Research, vol. 10, no. 6, pp. 479-488, 2015.
S. Benjathummarak, C. Fa-ngoen, C. Pipattanaboon, K. Boonha, P. Ramasoota and P. Pitaksajjakul, “Molecular genetic characterization of rabies virus glycoprotein gene sequences from rabid dogs in Bangkok and neighboring provinces in Thailand, 2013-2014,” Archives of Virology, vol. 161, no. 5, pp. 1261-1271, 2016.
World Health Organization (WHO), “WHO guide for rabies pre and post-exposure prophylaxis in human: General considerations in rabies Post-Exposure Prophylaxis (PEP )” WHO, Geneva, Switzerland, 2014.
World Health Organization (WHO), “Rabies,” Journal, Indian Academy of Clinical Medicine, 2014.
C. L. Jones, J. D. Jensen, J.D., C. L. Scherr, N. R. Brown, K. Christy and J.Weaver, “The health belief model as an explanatory framework in communication research: Exploring parallel, serial, and moderated mediation,” Health communication, vol. 30, no. 6, pp. 566-576, 2015.
E. J. Henshaw and C. R. Freedman-Doan, “Conceptualizing mental health care utilization using the health belief model,” Clinical Psychology: Science and Practice, vol. 16, no. 4, pp. 420-439, 2009.
S. L. Gnacinski, M. ArvinenBarrow, B. W. Brewer and B. B. Meyer, “Factorial validity and measurement invariance of the perceived susceptibility to sport injury scale,” Scandinavian Journal of Medicine & Science in Sports, vol. 27, no. 7, pp. 754-761, 2017.
R. F. Romero-Sengson, “Factors affecting compliance to rabies post-exposure prophylaxis among pediatric patients seen at the research institute for tropical medicine,” Pediatric Infectious Disease Society of the Philippines Journal, vol. 14, no. 2, pp. 56-62, 2015.
J. D. Blanton and C. E. Rupprecht, “Travel vaccination for rabies,” Expert Review of Vaccines, vol. 7, no. 5, pp. 613-620, 2008.
D. L. Knobel, S. Arega, B. Reininghaus, G. J. Simpson, B. D. Gessner, H. Stryhn and A. Conan, “Rabies vaccine is associated with decreased all-cause mortality in dogs,” Vaccine, vol. 35, no. 31, pp. 3844-3849, 2017.
N. K. Dhand, B. D. Rai, S. Tenzin, K. Tsheten, P. Ugyen, K. Singye and M. P. Ward, “Community-based study on knowledge, attitudes and perception of rabies in Gelephu, South-Central Bhutan,” International Health, vol. 4, no. 3, pp. 210-219, 2012.
To Cite this article
S. Somrup, K. N. Lampang and A. Sirimalaisuwan “A qualitative investigation of the health belief in human rabies post exposure prophylaxis,” International Journal of Health and Medical Sciences, vol. 3, no. 3, pp. 85-91, 2017.
