dc.contributor.author |
Amparo, Anna Charinna B.
|
|
dc.contributor.author |
Jayme, Sarah I.
|
|
dc.contributor.author |
Roces, Maria Concepcion R.
|
|
dc.contributor.author |
Quizon, Maria Consorcia L.
|
|
dc.contributor.author |
Mercado, Maria Luisa L.
|
|
dc.contributor.author |
Dela Cruz, Maria Pinky Z.
|
|
dc.contributor.author |
Licuan, Dianne A.
|
|
dc.contributor.author |
Villalon, Ernesto E. S.
|
|
dc.contributor.author |
Baquilod, Mario S.
|
|
dc.contributor.author |
Hernandez, Leda M.
|
|
dc.contributor.author |
Taylor, Louise H.
|
|
dc.contributor.author |
Nel, Louis Hendrik
|
|
dc.date.accessioned |
2019-10-21T12:47:14Z |
|
dc.date.available |
2019-10-21T12:47:14Z |
|
dc.date.issued |
2018-07-26 |
|
dc.description |
S1 Checklist. STROBE checklist.
https://doi.org/10.1371/journal.pone.0200873.s001 |
en_ZA |
dc.description |
S1 Fig. Locations of ABTCs in (A) Nueva Vizcaya, (B) Palawan, and (C) Tarlac.
https://doi.org/10.1371/journal.pone.0200873.s002 |
en_ZA |
dc.description |
S1 Table. Number of animal bites and scratches recorded by community surveys by province and by year.
https://doi.org/10.1371/journal.pone.0200873.s003 |
en_ZA |
dc.description |
S2 Table. Additional reasons given in the community survey for not seeking medical treatment for wounds.
https://doi.org/10.1371/journal.pone.0200873.s004 |
en_ZA |
dc.description |
S3 Table. Reasons for patients not completing the PEP series.
https://doi.org/10.1371/journal.pone.0200873.s005 |
en_ZA |
dc.description |
S4 Table. Total Out-of-Pocket Expenses, ABTC patient survey, 2017.
https://doi.org/10.1371/journal.pone.0200873.s006 |
en_ZA |
dc.description |
S5 Table. Biting animal status at day 28 follow-up.
https://doi.org/10.1371/journal.pone.0200873.s007 |
en_ZA |
dc.description |
S6 Table. PEP completion status of patients bitten by animals that died or were of unknown status.
https://doi.org/10.1371/journal.pone.0200873.s008 |
en_ZA |
dc.description.abstract |
BACKGROUND:
The Philippines has built an extensive decentralised network of Animal Bite Treatment Centers (ABTCs) to help bite victims receive timely rabies post-exposure prophylaxis (PEP) at little cost. This study surveyed patients in the community and at ABTCs of three provinces to assess animal bite/scratch incidence, health-seeking behaviour and PEP-related out-of pocket expenses (OOPE).
METHODOLOGY AND PRINCIPAL FINDINGS:
During community surveys in 90 barangays (neighbourhoods), 53% of households reported at least one animal bite /scratch injury over the past 3 years, similar across urban and rural barangays. Overall bite/scratch incidences in 2016-17 were 67.3, 41.9 and 48.8 per 1,000 population per year for Nueva Vizcaya, Palawan and Tarlac respectively. Incidences were around 50% higher amongst those under 15 years of age, compared to -those older than 15. Household awareness of the nearest ABTCs was generally over 80%, but only 44.9% sought proper medical treatment and traditional remedies were still frequently used. The proportion of patients seeking PEP was not related to the distance or travel time to the nearest ABTC. For those that did not seek medical treatment, most cited a lack of awareness or insufficient funds and almost a third visited a traditional healer. No deaths from bite/scratch injuries were reported. A cohort of 1,105 patients were interviewed at six ABTCs in early 2017. OOPE varied across the ABTCs, from 5.53 USD to 37.83 USD per patient, primarily dependent on the need to pay for immunization if government supplies had run out. Overall, 78% of patients completed the recommended course, and the main reason for non-completion was a lack of time, followed by insufficient funds. Dog observation data revealed that 85% of patients were not truly exposed to rabies, and education in bite prevention might reduce provoked bites and demand for PEP. An accompanying paper details the ABTC network from the health provider's perspective. |
en_ZA |
dc.description.department |
Veterinary Tropical Diseases |
en_ZA |
dc.description.sponsorship |
GlaxoSmithKline Biologicals SA (Belgium) |
en_ZA |
dc.description.uri |
http://www.plosone.org |
en_ZA |
dc.identifier.citation |
Amparo ACB, Jayme SI, Roces MCR, Quizon MCL, Mercado MLL, Dela Cruz MPZ, et al. (2018) The evaluation of Animal Bite Treatment Centers in the Philippines from a patient perspective. PLoS ONE 13(7): e0200873. https://doi.org/10.1371/journal.pone.0200873. |
en_ZA |
dc.identifier.issn |
1932-6203 (online) |
|
dc.identifier.other |
10.1371/journal.pone.0200873 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/71888 |
|
dc.language.iso |
en |
en_ZA |
dc.publisher |
Public Library of Science |
en_ZA |
dc.rights |
© 2018 Amparo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License. |
en_ZA |
dc.subject |
Animal bite treatment centers (ABTC) |
en_ZA |
dc.subject |
Post-exposure prophylaxis (PEP) |
en_ZA |
dc.subject |
Philippine standard geographic code |
en_ZA |
dc.subject |
Out-of pocket expenses (OOPE) |
en_ZA |
dc.title |
The evaluation of animal bite treatment centers in the Philippines from a patient perspective |
en_ZA |
dc.type |
Article |
en_ZA |