Perceptions and Challenges of Health Personnel in Managing Animal Bite Cases at a Rural Health Training Centre (RHTC) of Medical College in Ahmedabad: A Qualitative Study

Introduction: Animal bite in human is a public health concern in India. Prompt reporting followed by wound care and vaccination are essential to avoid rabies. Perception of service provider towards treatment contributes an important role for prevention against rabies. Objectives: To explore the perception and challenges faced by health personnel in animal bite cases management Methods: A qualitative study was conducted at the RHTC of medical college in Ahmedabad. Data were collected through Focus Group Discussions of ASHAs and Key Informants Interviews (KII) with service providers (3 Medical Officers (MOs), 1 staff nurse, 1 pharmacist, and 2 support staff). Data were analysed thematically. Ethical approval and informed consent were obtained. Results: Service providers' KIIs showed that MOs were unclear about classification of animal bites due to lack of formal/updated training. Immunoglobulins were the only ARV-related logistics not available at facility. No system in place to monitor cases of animal bites. ASHA's FGD shared that community still continues to treat wounds with traditional remedies like chhikni, turmeric etc., and also take vow due to belief. The local authority isn't doing enough to address stray dog problem and recent surge in dog bite incidents reported. ASHAs knew importance of ARV, but having a partial knowledge of its schedule. They did not receive any formal training on managing animal bites, despite ASHA's were ready to learn more about it. Conclusion: The study highlighted inadequacies in the management of animal bites, such as lack of resources, misunderstandings in the community and insufficient staff training.