| Summary: | Background : Rabies is an acute disease (zoonotic) attacking the central nervous
system caused by virus. A bite case of rabies animal transmitter (HPR) spreads in
21 regencies/city in Province of Aceh and the highest case has been in Regency of
Central Aceh for 4 (four) last years. In the year 2008 as many bites HPR 132
cases, year 2009 as many as 197 cases, as many as 205 cases year 2010, and year
2011 as many as 219 cases. Given the threat to the health, safety and peace of the
community due to adverse rabies are always terminated by death, disease control
efforts in the form of prevention, mitigation and management of bite cases HPR
had to be carried out as intensively as possible in order to free Central Aceh
District rabies. Various efforts has been conducted such as vaccination and
elimination of HPR, management of bite case and forming 7 rabies centers
spreading over 14 disctricts. In the end of 2012, Health Service added 1 rabies
center to improve rabies service to public in Regency of Central Aceh
Objective: To evaluate the implementation of rabies program through prevention,
control and management over a bite case on HPR in Regency of Central Aceh,
Province of Aceh.
Method: The study type was qualitative with case study design. The subject was
20 people from Health Service, Husbandry and Fishery Service, public health
center of rabies center, and animal health post. The data were obtained through in
depth interview, observation, and documentation. Data were analyzed with
following steps: data reduction, coding, categorization, synthesis, and data
interpretation.
Results: The implementation of rabies program had not been well coordinated yet
with cross � sectors since team of coordination either in district or regency had
not been formed. The prevention and control on bite case of HPR had not been
run well. There was no local commitment in conducting the liability and
development of rabies strategy program (vaccination, elimination, case
management, promotion, and public empowerment). Human resource as the
executor of rabies program in rabies center and animal health post had been in
accordance with number and education background, however it had not been
effective since there was a higher work liability for the officer of rabies program,
and it was necessary to improve Human Resource training and education
sustainability. The budget allocation was not sufficient in the implementation of
prevention, control and management over a bite case on HPR. Infrastructure in the
implementation of rabies program was highly limited.
Conclusion: The implementation of rabies program in Regency of Central Aceh
had not run well because there was a limitation of financial, infrastructure, human
resource, and weak coordination in the program implementation. Therefore, it is
recommended to improve joint commitment from related party.
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