Where and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaign

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dc.contributor.authorFasina, Folorunso O.
dc.contributor.authorMtui-Malamshaa, Niwael
dc.contributor.authorMahiti, Gladys R.
dc.contributor.authorSallu, Raphael
dc.contributor.authorOleNeselle, Moses
dc.contributor.authorRubegwa, Bachana
dc.contributor.authorMakonnen, Yilma J.
dc.contributor.authorKafeero, Fred
dc.contributor.authorRuheta, Martin
dc.contributor.authorNonga, Hezron E.
dc.contributor.authorSwai, Emmanuel
dc.contributor.authorMakungu, Selemani
dc.contributor.authorKillewo, Japhet
dc.contributor.authorOtieno, Edward G.
dc.contributor.authorLupindu, Athumani M.
dc.contributor.authorKomba, Erick
dc.contributor.authorMdegela, Robinson
dc.contributor.authorAssenga, Justine K.
dc.contributor.authorBernard, Jubilate
dc.contributor.authorHussein, Mohamed
dc.contributor.authorMarandu, Walter
dc.contributor.authorWarioba, James
dc.contributor.authorKaaya, Eliona
dc.contributor.authorMasanja, Pius
dc.contributor.authorFrancis, Gundelinda
dc.contributor.authorKessy, Violet M.
dc.contributor.authorSavy, Janique
dc.contributor.authorChoyo, Hija
dc.contributor.authorOchieng, Justus
dc.contributor.authorHoogesteijn, Almira L.
dc.contributor.authorFasina, Margaret M.
dc.contributor.authorRivas, Ariel L.
dc.date.accessioned2025-11-05T08:57:22Z
dc.date.available2025-11-05T08:57:22Z
dc.date.issued2020
dc.descriptionJournal article
dc.description.abstractObjectives: Hoping to improve health-related effectiveness, a two-phase vaccination against rabies was designed and executed in northern Tanzania in 2018, which included geo-epidemiological and economic perspectives. Methods: Considering the local bio-geography and attempting to rapidly establish a protective ring around a city at risk, the first phase intervened on sites surrounding that city, where the population density was lower than in the city at risk. The second phase vaccinated a rural area. Results: No rabies-related case has been reported in the vaccinated areas for over a year post- immunisation; hence, the campaign is viewed as highly cost-effective. Other metrics included: rapid implementation (concluded in half the time spent on other campaigns) and the estimated cost per protected life, which was 3.28 times lower than in similar vaccinations. Conclusions: The adopted design emphasised local bio-geographical dynamics: it prevented the occurrence of an epidemic in a city with a higher demographic density than its surrounding area and it also achieved greater effectiveness than average interventions. These interdisciplinary, policy-oriented experiences have broad and immediate applications in settings of limited and/or time-sensitive (expertise, personnel, and time available to intervene) resources and conditions.
dc.description.sponsorshipUSAID funded project –OSRO/GLO/507/USA on Global Health Security Agenda for the control of zoonosis in Africa
dc.identifier.citationhttps://doi.org/10.1016/j.ijid.2020.03.037
dc.identifier.urihttps://www.suaire.sua.ac.tz/handle/20.500.14820/7116
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofseriesF.O. Fasina et al. / International Journal of Infectious Diseases 95 (2020) 352–360
dc.subjectRabies
dc.subjectVaccination
dc.subjectOne health
dc.subjectGeo-epidemiology
dc.subjectDog
dc.subjectHuman health
dc.subjectHealth economics
dc.titleWhere and when to vaccinate? Interdisciplinary design and evaluation of the 2018 Tanzanian anti-rabies campaign
dc.typeArticle

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