A Study on Assessment of Community Knowledge, Attitudes and Practices Regarding Rabies in Ambo Town, Oromia Regional State, Ethiopia
Volume 11| Issue 1 | June 2025
AUTHOR(S)
Chala Kitaba, Tesfaye Rebum, Bedadi Nuguse, Tamasgen Ragasa, Mahendra Pal

ABSTRACT

Rabies is a severe zoonotic disease with significant public and veterinary health consequences worldwide, including in Ethiopia. However, the study area’s information on community awareness and prevention remains limited. A cross-sectional study using a semi-structured questionnaire assessed knowledge, attitudes, and practices (KAP) related to rabies among Ambo town residents to bridge this gap. 384 randomly selected participants from six kebeles provided insights into their understanding and response to rabies. About 32.3% of respondents have awareness of zoonotic diseases with 82% recognizing rabies as a zoonotic disease. However, misconceptions persisted, including the belief that individuals bitten by rabid dogs could recover without significant effects (64.1%). While 93.8% acknowledged that rabies could be prevented through vaccination, only 25.8% were aware of post-exposure prophylaxis, and only 19.5% vaccinated their dogs. Rabies transmission through bites was widely recognized (75.8%), and a large proportion identified clinical signs in dogs, such as excessive salivation (52.9%). Regarding practices, 74.2% sought healthcare after a dog bite, but significant gaps were found in stray dog control and dog vaccination practices. Explanatory variables, such as gender (P < 0.041), age (P < 0.000), occupation (P < 0.000), educational level (P < 0.000), and pet ownership (P < 0.001), showed a statistically significant difference from important KAP-related questions. The aforementioned results underscore the necessity of focused educational initiatives to dispel misunderstandings, especially concerning topics like dog vaccination, stray dog control, and post-exposure prophylaxis.

AAO. Ambo Agricultural office livestock statistical data report. Ethiopia, 2024.
Alie A, Assefa A, Derso S, Ayele B. Assessment of knowledge, attitude and practice on rabies in and around Debretabor, South Gondar, Northwest Ethiopia. International Journal of Basic and Applied Virology. 2015; 4 (1):28-34.
Bahiru A, Molla W, Yizengaw L, Mekonnen SA, Jemberu WT. Knowledge, attitude and practice related to rabies among residents of Amhara region, Ethiopia. Heliyon. 2022; 8(11): e11366.
Bihon A, Meresa D, Tesfaw A. Rabies: knowledge, attitude and practices in and around South Gondar, North West Ethiopia. Diseases. 2020; 28(1):1-13.
Chernet B, Nejash A. Review of rabies preventions and control. Journal of Medicine, International Journal of Public Health Science. 2017; 6: 343-350. DOI:10.11591/ijphs.v6i4.10781
Dabuma T, Kabeta T, Mengist HM. Assessment of basic knowledge, attitude and practice of community on rabies and retrospective survey in and around ambo town, west Shoa zone of Ethiopia. Journal of Medical Microbiology and Diagnosis. 2017; 6 (4). https://doi.org/10.4172/2161-0703.1000263
Deressa A, Ali A, Beyene M, Selassie BN, Yimer E, Hussen K. (2010) The status of rabies in Ethiopia: a retrospective record review. Ethiopian Journal of Health and Development. 2010; 24:127-32.
Deressa A, Pal M, Kobayashi Y, Kassa T. Molecular epidemiology of rabies virus isolates in Ethiopia. International Journal of Livestock Research. 2015; 5(10), 21-33. Dietzschold B, Koprowski H. Screening of organ and tissue donors for rabies. The Lancet 2005; 365 (9467): 1305.
Digafe RT, Kifelew LG, Mechesso AF. Knowledge, attitudes and practices towards rabies: questionnaire survey in rural household heads of Gondar Zuria District, Ethiopia. BMC Research Notes. 2015; 8(1): 1-7.
Ejeta I, Pal M. Assessment of knowledge, attitude and practices of community towards rabies in Meta Robi district, oromia region, central Ethiopia. Journal of Biology and Medicine: Open Access. 2024; 4 (1): 1-15.
Gebeyaw J, Kidanemariam F, Fesseha H. Assessment of community knowledge, attitude and practice towards rabies in Mersa town, Amhara Regional State, Ethiopia. International Journal of Research Studies in Microbiology and Biotechnology. 2020; 6 (2): 6-13.
Gebeyaw S, Teshome D. Study on community knowledge, attitude, and practice of rabies in and around Dessie City. Australian Journal of Veterinary Science and Animal Husbandry. 2016; 3(1): 10-20.
Gebrehiwot TT, Sime AG, Deresa B, Tafese W, Hajito KW, Gemeda DH. Community health seeking behavior for suspected human and animal rabies cases, Gomma District, Southwest Ethiopia. PloS one. 2016; 11(3): e0149363.
Guadu T, Shite A, Chanie M, Bogale B, Fentahun T. Assessment of knowledge, attitude and practices about rabies and associated factors: in the case of Bahir Dar town. Global Veterinaria. 2014; 13 (3): 348-54.
Hampson K, Coudeville L, Lembo T, Sambo M, Kieffer A, Attlan M, Barrat J, Blanton JD, Briggs DJ, Cleaveland S, Costa P. Estimating the global burden of endemic canine rabies. PLoS neglected tropical diseases. 2015; 9(4): e0003709.
Hemachudha T, Laothamatas J, Rupprecht CE. Human rabies: a disease of complex neuropathogenetic mechanisms and diagnostic challenges. The Lancet Neurology. 2002; 1(2): 101-9.
Kabeta T, Deresa B, Tigre W, Ward MP, Mor SM. Knowledge, attitudes and practices of animal bite victims attending an anti-rabies health center in Jimma Town, Ethiopia. PLoS Neglected Tropical Diseases.2015; 9(6): e0003867.
Knobel DL, Cleaveland S, Coleman PG, Fèvre EM, Meltzer MI, Miranda ME, Shaw A, Zinsstag J, Meslin FX. Re-evaluating the burden of rabies in Africa and Asia. Bulletin of the World health Organization. 2005; 83: 360-8.
Madhusudana SN, Subha S, Thankappan U, Ashwin YB. Evaluation of a direct rapid immunohistochemical test (dRIT) for rapid diagnosis of rabies in animals and humans. Virologica Sinica. 2012; 27: 299-302.
Mapatse M, Sabeta C, Fafetine J, Abernethy D. Knowledge, attitudes, practices (KAP) and control of rabies among community households and health practitioners at the human-wildlife interface in Limpopo National Park, Massingir District, Mozambique. PLoS Neglected Tropical Diseases. 2022; 16 (3): e0010202.
Matibag GC, Kamigaki T, Kumarasiri PV, Wijewardana TG, Kalupahana AW, Dissanayake DA, De Silva DN, Gunawardena GP, Obayashi Y, Kanda K, Tamashiro H. Knowledge, attitudes, and practices survey of rabies in a community in Sri Lanka. Environmental Health and Preventive Medicine. 2007; 12(2): 84-9.
Nilsson M. Effect of rabies education programs on rabies awareness, attitudes towards dogs and animal welfare among children in Lilongwe, Malawi. Examensarbete. 2014; 26.
Pal M. Can immunization be an effective tool in rabies control ?. EC Microbiology. 2017; 10 (1): 01-02.
Pal M, Rebuma T, Regassa M, Gutema C, Mazzeo A. Endemic rabies in Ethiopia in the One Health era. American Journal of Public Health. 2024; 12 (2), 22-32.
Rebuma T, Mehdipour S. Rabies virus: A major neglected tropical disease. International Journal of Medical Parasitology and Epidemiology Science. 2024; 5(3): 88-91.
Tandon S, Kotwal SK, Malik MA, Singh M, Kumar D, Shafiq M, Kumar M. A community-based survey on rabies control and prevention using KAP in Jammu, India. Journal of Animal Research.2017; 7(6): 1019-28.
WHO. The control of neglected zoonotic diseases: from advocacy to action and Report of The Fourth International Meeting Held at WHO Headquarters, Geneva, Switzerland. 2015; 19-20 November.
WHO. Zero by 30: the global strategic plan to end human deaths from dog-mediated rabies by 2030. World Health Organization; Food and Agricultural Organization (FAO); World Organization for Animal Health (WOAH) Retrieved from. 2018 https://www.who.int/publications/i/item/97892415138 38.
WHO. Neglected tropical diseases. World Health Organization (WHO). Retrieved from, 2023. https://www.who.int/health-topics/neglected-tropical-diseases#tab=tab_1.

DOI
https://www.doi.org/10.62418/ijvph.11.1.2025.75-86
How to cite this article:
Corresponding author’s email ID: palmahendra2@gmail.com
Citation: Kitaba C, Rebuma T, BNuguse B, Ragasa T, Pal M. A Study on Assessment of Community Knowledge, Attitudes and Practices Regarding Rabies in Ambo Town, Oromia Regional State, Ethiopia. Indian Journal of Veterinary Public Health. 2025; 11(1):75-86.
DOI: https://www.doi.org/10.62418/ijvph.11.1.2025.75-86