Socio-spatial heterogeneity in participation in mass dog rabies vaccination campaigns, Arequipa, Peru

• Published in: PLoS neglected tropical diseases 2019-08, Vol.13 (8), p.e0007600-e0007600
• Main Authors: Castillo-Neyra, Ricardo, Toledo, Amparo M, Arevalo-Nieto, Claudia, MacDonald, Hannelore, De la Puente-León, Micaela, Naquira-Velarde, Cesar, Paz-Soldan, Valerie A, Buttenheim, Alison M, Levy, Michael Z
• Format: Article
• Language: English
• Subjects: Animals; Biology and Life Sciences; Child, Preschool; Clustering; Community involvement; Community participation; Control; Disease transmission; Dog Diseases - prevention & control; Dog Diseases - transmission; Dogs; Dosage and administration; Earth Sciences; Epidemics; Epidemiology; Family Characteristics; Funding; Health care access; Health services; Heterogeneity; Houses; Housing; Humans; Immunization Programs; Informatics; Lyssavirus; Mass Vaccination - veterinary; Medicine; Medicine and Health Sciences; Multivariate Analysis; Neighborhoods; Odds Ratio; Patchiness; People and places; Peru; Prevention; Public health; Rabies; Rabies - prevention & control; Rabies - transmission; Rabies Vaccines; Rabies virus - immunology; Regression Analysis; Residential areas; Social aspects; Social Sciences; Spatial heterogeneity; Surveying; Surveys and Questionnaires; Teams; Transmission; Tropical diseases; Urban areas; Urbanization; Vaccination; Vaccination Coverage; Viruses; Zoonoses
• ISSN: 1935-2735; 1935-2727; 1935-2735
• DOI: 10.1371/journal.pntd.0007600

To control and prevent rabies in Latin America, mass dog vaccination campaigns (MDVC) are implemented mainly through fixed-location vaccination points: owners have to bring their dogs to the vaccination points where they receive the vaccination free of charge. Dog rabies is still endemic in some Latin-American countries and high overall dog vaccination coverage and even distribution of vaccinated dogs are desired attributes of MDVC to halt rabies virus transmission. In Arequipa, Peru, we conducted a door-to-door post-campaign survey on >6,000 houses to assess the placement of vaccination points on these two attributes. We found that the odds of participating in the campaign decreased by 16% for every 100 m from the owner's house to the nearest vaccination point (p = 0.041) after controlling for potential covariates. We found social determinants associated with participating in the MDVC: for each child under 5 in the household, the odds of participating in the MDVC decreased by 13% (p = 0.032), and for each decade less lived in the area, the odds of participating in the MDVC decreased by 8% (p