Knowledge, Attitudes and Practices regarding Dog Bite Management Among First-Year Paramedical Students in Etawah, Uttar Pradesh: A Cross-Sectional Study
DOI:
https://doi.org/10.47203/IJCH.2026.v38i03.017Keywords:
rabies, dog bite, paramedical students, knowledge, attitude, practices, post exposure prophylaxisAbstract
Abstract:Background: Dog bites constitute a critical public health concern across India. Paramedical, nursing, and pharmacy trainees form a significant part of the future healthcare workforce, and their preparedness plays a vital role in rabies control and management.
Aims & Objectives: To evaluate the knowledge, attitudes, and practices (KAP) concerning dog bite management among first year paramedical students enrolled at a tertiary level teaching institution in Etawah, Uttar Pradesh.
Study Settings & Design: A cross sectional study design was adopted at a tertiary care teaching hospital in Etawah, with first year paramedical students constituting the target population.
Materials & Methods: All eligible first year paramedical students were invited using a complete enumeration approach, and KAP levels were categorized as good/poor using a ≥50% domain specific cut off score using a pre validated semi structured questionnaire via Google Forms.
Statistical Analysis: Statistical analyses were performed using SPSS version 24.0. Descriptive statistics done to present the study variables, while chi-square/Fisher’s exact test evaluated associations. A p-value below 0.05 was taken as the threshold for statistical significance.
Results: Of the 197 participants, 47.2% exhibited adequate knowledge, 44.7% demonstrated favourable attitudes, and 41.6% reported appropriate practices to dog bite management. No statistically significant associations were detected between sociodemographic characteristics and KAP levels.
Conclusion: Although general awareness of rabies and its transmission was at an acceptable level, notable deficiencies persisted in knowledge and practices concerning post exposure management. Focused educational programmes and curriculum integrated training are warranted to strengthen the preparedness of future healthcare professionals.
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References
1. Hampson K, Coudeville L, Lembo T, Sambo M, Kieffer A, Attlan M, et al. Estimating the Global Burden of Endemic Canine Rabies. Carvalho MS, editor. PLOS Neglected Tropical Diseases. 2015 Apr 16;9(4):e0003709.
2. Thangaraj JWV, Krishna NS, Devika S, Egambaram S, Dhanapal SR, Khan SA, et al. Estimates of the burden of human rabies deaths and animal bites in India, 2022–23: a community-based cross-sectional survey and probability decision-tree modelling study. Lancet Infect Dis. 2025;25(1):126-134.
3. Dasgupta R, Roy P. National Action Plan for Dog-Mediated Rabies Elimination: A One Health Approach to Catalytic Response is Key to India Achieving the Target by 2030. Indian Journal of Community Medicine. 2023 Jan 1;48(5):637–8.
4. Pal P, Yawongsa A, Bhusal TN, Bashyal R, Rukkwamsuk T. Knowledge, attitude, and practice about rabies prevention and control: A community survey in Nepal. Veterinary World. 2021 Apr 17;14(4):933–42.
5. Ross YB, Hoque M, Blanton JD, Kennedy ED, Rana MS, Tahmina S, et al. Rabies healthcare-seeking behaviors of urban and peri-urban residents: Results from a rabies knowledge, attitudes, and practices survey, Bangladesh, 2018. Léchenne M, editor. PLOS Neglected Tropical Diseases. 2022 Aug 9;16(8):e0010634.
6. Amit K, Sinha S, Choudhary SK, Kumar S, Moidu M. Knowledge, attitudes and practices regarding dog bite and its management among rural residents in Patna, Bihar, India. Cureus. 2024;16:e74133.
7. Mohapatra N, Mishra K, Debata I, Ray A, Mishra S. Awareness and health-seeking behaviour regarding animal bites among residents of urban slums in eastern India: a cross-sectional study. Cureus. 2025;17:e96525.
8. Ahmad A, Khan A, Khan S, et al. Knowledge, attitudes and practices regarding rabies prevention and management among healthcare professionals: a cross-sectional study. Healthcare (Basel). 2024;12(11):1102.
9. Bariya B, Patel M, Mahyavanshi D, Nayak S. Continuing medical education about post-exposure prophylaxis of rabies in a tribal area medical college hospital of Gujarat, India: one step towards rabies elimination. J Family Med Prim Care. 2022;11(6):3095-3099.
10. Dutta S, Ghosh S, Dutta S, et al. Multipurpose health workers’ knowledge, attitude and practices regarding rabies prevention and management in West Bengal, India: a cross-sectional study. J Family Med Prim Care. 2020;9(7):3456-62.
11. Vikas J. Stray dog bites and rabies in India: a silent epidemic. Med Leg J. 2026;94(1):28-31.
12. World Health Organization. Rabies [Internet]. World Health Organization. 2024 [cited 2026 May 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/rabies
13. CDC. Rabies Post-exposure Prophylaxis Guidance [Internet]. Rabies. 2025 [cited 2026 May 20]. Available from: https://www.cdc.gov/rabies/hcp/clinical-care/post-exposure-prophylaxis.html
14. WHO. Vaccinations and immunization [Internet]. www.who.int. [cited 2026 May 20]. Available from: https://www.who.int/teams/control-of-neglected-tropical-diseases/rabies/vaccinations-and-immunization
15. Pardeshi G, Sharma P, Ittiel A. Rabies post-exposure prophylaxis in India: a SWOT analysis. Therapeutic Advances in Vaccines and Immunotherapy. 2026 Jan;14.
16. GARG I, VYAS N, SRAJANA KOTEKAR, TELES M, SULTANA N, SUDHEESH N, et al. Assessing Health System preparedness for dog mediated rabies in South-East Asia Region. Journal of Preventive Medicine and Hygiene [Internet]. 2026 Feb 28 [cited 2026 Jun 15];66(4):E479. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC13235400/
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