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Bohol Rabies Prevention & Elimination Program  //  Bohol Rabies


Bohol Rabies Prevention & Elimination Program







The Bohol Rabies Prevention and Elimination Program (BRPEP) was initiated by the Provincial Government of Bohol in 2007 aiming to eliminate Rabies in the island by 2010. Covering the 1,109 barangays of the 47 municipalities and 1 city, it intended to protect its 1.2 Million human population as well as its dog population. A provincial ordinance was passed to institutionalize the program and created the implementing councils at the provincial down to the municipal and the barangay levels.

 

The program has 2 major components:

1. Dog Rabies Prevention and Elimination

Involves the compulsory registration of dogs to establish dog ownership and accountability, mass vaccination to establish dog herd immunity, dog population management and movement control and Responsible Pet Ownership.

2. Human Rabies Prevention

Focus is on the provision of post exposure prophylaxis for animal bite victims and pre-exposure treatment of program personnel and personnel considered at “risk”.

In the implementation of the program, innovative strategies were applied to beat the problems on high cost and magnitude of scope.

  • Community One Health approach thru inter-sectoral program implementation was adopted integrating the resources and expertise of the health, education, legislative, local government, tourism and environment and agricultural sectors. More importantly community participation was harnessed
  • Mobilization of various program stakeholders through: conduct of program orientation, provision of operations manuals, defining roles and functions and holding of specialized skills trainings for technical staff of the Veterinary, Agriculture and Health Offices. 
  • Engaging Citizenship Support & People Empowerment was also a vital factor in comprehensively covering the entire province including its islands and islets through:
    • Community- based advocacy campaigns
    • Institutionalizaton of Paralegal System in every barangays providing for the community’s internal procedures for speedy and simplified enforcement of the Anti-Rabies Laws.
    • School- based rabies awareness and responsible pet ownership advocacies through school curriculum integration in five subjects on all 926 public elementary schools.
  • Improved access and timely Post Exposure Treatment by establishing additional 4 animal bite treatment centers in strategic locations, 3 of which re privately operated. For indigents and bite victims of dogs of compliant owners, the government is also providing subsidy on the post exposure vaccination.
  • Establishment of the Provincial Animal Health Care Unit and Laboratory (PAHCUL) for the scientific requirements on disease confirmation and diagnosis as well as for epidemiological studies.

Program Milestones:

  • Dramatic reduction in human & canine rabies cases by 50% in year 2008, from 10 to 5 human death to zero confirmed rabies cases both in human and dogs.
  • Increased number of animal bite victims administered with Rabies Post Exposure Vaccine by our Animal Bite Treatment Centers, from 80% in 2007 to as high as 99% in 2010.
  • Reduction in the Vulnerability of children against rabies. About 182,039 school children were educated on rabies prevention and the on PRO.
  • Improved access to justice with the installation of the Barangay Paralegal System 127 notices of violations have been filed and settled in the barangays in 9 municipalities.
  • Significant increase of Community Participation in program implementation from 124 purely government workers to more than 15,000 including the participating local officials, volunteers and school teachers.
  • Generation of fund counter-parting through Public Private Partnership of the provincial, municipal and barangay LGU’s and the community as well as by external partners from the Department of Agriculture (DA), Bureau of Animal Industry (BAI), Department of Health(DOH), Global Alliance for Rabies Control (GARC), World Health Organization (WHO), Gift of Life Foundation, IP Foundation, World Society for the Protection of Animals (WSPA and Humane Society International (HSI).
  • Institutionalized strategies by Sustainability.
  • Community engagement  and shared program ownership
  • Responsible Pet Ownership through rabies integration in the elementary curriculum;
  • Disease diagnosis and surveillance to prevent Rabies Disease Re-introduction;
  • Dog Registry System with collection of fees for program use;
  • Awards and Recognition for Best Performing Municipal and Barangay Rabies Councils.

 

Replicability:

The program has been presented during regional, national and ASEAN Veterinary Medical Association Conferences as well as during international rabies conferences in Vietnam, Mexico and in Korea. It was also discussed by Governor Chatto during the 2010 World Rabies Day Webinar.

When Bali, Indonesia had its Rabies outbreak in 2010, the Bohol Experience was also shared during the INDOVET planning workshop. Two (2) International Fora, the ASEAN plus 3 Rabies Study Tour in 2009 and International Meeting of Rabies Experts last July 2011 were held in Bohol for the participants to learn and gain experience about the program.

Using the Bohol Model, the Global Alliance for Rabies Control, our partner in the Bohol Rabies Program, has successfully accessed funding, for program replication in 4 geographic areas in Nias, Indonesia, Chad City and Morogoro, Tanzania, Africa as well as Ilocos Norte and Sorsogon, Philippines.

The program is featured in international magazine like the UBS Optimus World published by UBS Optimus Foundation and the publication of the article “Implementation of an Intersectoral Program to Eliminate Human and Canine Rabies: The Bohol Rabies Prevention and Elimination Project” in Public Library of Science (PLOS) Neglected Diseases, can be viewed in http://www.plosntds.org/article/info:doi/10.1371/journal.pntd.0001891and in the OIE Publication.

The BRPEP is cited recently, as one of the 10 Outstanding Local Governance Programs by the most coveted GALING POOK Awards. This was given by no less than His Excellency Pres. Benigno Simeon C. Aquino in a ceremony held at Malacañang Palace on January 30, 2012.