Determinants of Rabies Prophylaxis Involvement based on Children’s Experiences and Perspectives in An Endemic Area of Indonesia

Abstract

Rabies studies involving children are still rare despite their vulnerability. As the critical preventive measure,
understanding factors associated with their involvement in rabies post-exposure prophylaxis (PEP) is
needed. A storytelling interview was conducted for 23 dog-bite and non-bite child-victims, aged 7-15 years,
in an endemic area in Indonesia. Content analysis was carried with the help of Atlas ti.7. Unreported wounds
and PEP delays were occurred. Children’s capabilities, motivations, and opportunities can be critical to
prevent it. Knowing the source of rabies, its visible features and consequences, and the first aid technique
are needed. Children’s willingness to report and follow PEP seem to be regulated by their attitude towards
vaccine, familiarity of dog ownership, perceptions of wound type, and emotions around rabies consequences,
parental punishment, and injection. Mother, peers, neighbours and dog owners need to be empowered in PEP
measure. In conclusion, rabies PEP program should attentive to factors influencing children’s behaviour to
support PEP uptake.