The Thai Red Cross protocol experience in Côte d'Ivoire

摘要: Rabies is a public health problem in the world especially Cote d'Ivoire. The epidemiological surveillance of rabies revealed 10,197 exposures with 17 deaths 2015 and 11,481 18 2016. management exposed people was based on WHO's intramuscular (IM) protocols (Essen Zagreb). usual results from these anti-rabies showed low compliance corresponding to 45-50% who did not complete Post Exposure Prophylaxis (PEP) schedule,mainly due cost vaccines. main objective project test feasibility free PEP Thai Red Cross (TRC) protocol used by intradermal route. study population (patients) vaccinated center Bouake San Pedro which were two departments selected for this study. TRC implemented y ear 2017. Patients have been according IM post exposure or schedule.This new administered charge their consent. schedule researched interviewed having reasons related non-completion. In 2017, 1625 registered including 1121 504 Pedro. Overall immunization 63%. received 829 (52%)With 70% Zagreb 67%%and Essen recorded 38% compliance. research has shown that effectively remains major limiting factor among protocols. But negligencewas cause non-completion accepted schedule. Introduction through found support. This experience successful better compliance, means safe protection rabies.This demonstrate vaccine ID route one best solutions improve d'Ivoire.Nevertheless, alternatives ways should be provided order minimize wastage rates receiving very few persons.Community engagementwould necessary more awareness raising improving bite victim's follow-up.