ArticlePLoS neglected tropical diseases2022
Development, feasibility and potential effectiveness of community-based continuous mass dog vaccination delivery strategies: Lessons for optimization and replication.
Article in PLoS neglected tropical diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Participatory Communication and Mass Dog Vaccination for Effective Rabies Management in Mitooma District, Western Uganda: An Exploratory Study.Public health challenges · 2026Article
- Implementing mass dog rabies vaccination through a community-based continuous approach: A socio-anthropological process evaluation.PLoS neglected tropical diseases · 2026Article
- Rabies control via co-creation: A model for sustainable one health interventions.PLoS neglected tropical diseases · 2025Article
- Improved effectiveness of vaccination campaigns against rabies by reducing spatial heterogeneity in coverage.PLoS biology · 2025Article
- Comparing vaccination coverage and dog population demographics among four pilot dog rabies vaccination strategies in Uganda.Frontiers in veterinary science · 2025Article
- Outcomes of a Short-Duration, Large-Scale Canine Rabies Vaccination Campaign in Central Cambodia.Animals : an open access journal from MDPI · 2024Article
- Integrating a community-based continuous mass dog vaccination delivery strategy into the veterinary system of Tanzania: A process evaluation using normalization process theory.One health (Amsterdam, Netherlands) · 2023Article
- Saving the Devils Is in the Details: Tasmanian Devil Facial Tumor Disease Can Be Eliminated with Interventions.Letters in biomathematics · 2022Article
- Participation in mass dog vaccination campaigns in Tanzania: Benefits of community engagement.Frontiers in public health · 2022Article
- Spatial and Behavioural Determinants of Low Rabies Vaccination Coverage Among Dogs in a Rural Zimbabwean Ward: A Mixed-Methods Study.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
8 authors at 6 institutions in 3 countries.
Funding
Abstract
objectivesDog vaccination can eliminate rabies in dogs, but annual delivery strategies do not sustain vaccination coverage between campaigns. We describe the development of a community-based continuous mass dog vaccination (CBC-MDV) approach designed to improve and maintain vaccination coverage in Tanzania and examine the feasibility of delivering this approach as well as lessons for its optimization.
methodsWe developed three delivery strategies of CBC-MDV and tested them against the current annual vaccination strategy following the UK Medical Research Council's guidance: i) developing an evidence-based theoretical framework of intervention pathways and ii) piloting to test feasibility and inform optimization. For our process evaluation of CBC-MDV we collected data using non-participant observations, meeting reports and implementation audits and in-depth interviews, as well as household surveys of vaccination coverage to assess potential effectiveness. We analyzed qualitative data thematically and quantitative data descriptively.
resultsThe final design included delivery by veterinary teams supported by village-level one health champions. In terms of feasibility, we found that less than half of CBC-MDV's components were implemented as planned. Fidelity of delivery was influenced by the strategy design, implementer availability and appreciation of value intervention components, and local environmental and socioeconomic events (e.g. elections, funerals, school cycles). CBC-MDV activities decreased sharply after initial campaigns, partly due to lack of supervision. Community engagement and involvement was not strong. Nonetheless, the CBC-MDV approaches achieved vaccination coverage above the critical threshold (40%) all-year-round. CBC-MDV components such as identifying vaccinated dogs, which village members work as one health champions and how provision of continuous vaccination is implemented need further optimization prior to scale up.
interpretationCBC-MDV is feasible to deliver and can achieve good vaccination coverage. Community involvement in the development of CBC-MDV, to better tailor components to contextual situations, and improved supervision of activities are likely to improve vaccination coverage in future.
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