Cost Analysis of Post Exposure Prophylaxis of Rabies and factors associated with delay in Antirabies vaccination in a Tertiary Care Centre of Patna, Bihar

Dr. Rajesh Ranjan Sinha; Dr. Ajay Krishna; Dr. Khalid Anwar; Dr. Dhananjay Kumar; Dr Rashmi Singh

Volume : VIII, Issue : III, March - 2019

Cost Analysis of Post Exposure Prophylaxis of Rabies and factors associated with delay in Antirabies vaccination in a Tertiary Care Centre of Patna, Bihar

Dr. Rajesh Ranjan Sinha, Dr. Ajay Krishna, Dr. Khalid Anwar, Dr. Dhananjay Kumar, Dr Rashmi Singh

Abstract :

Objectives: The present study was conducted to analyse the direct and indirect cost of the post exposure prophylaxis of rabies vaccine using intramuscular route and Intradermal route and to find the factors associated with delay in taking anti rabies vaccine. Material and Methods: We conducted a retrospective analysis of case records of a period from January 2016 to June 2018 at Immunization and Preventive clinic (IPC) of Patna Medical College Hospital (PMCH). The benefit in terms of expenditure to the Government and indirect cost of patient was calculated if ID regimen had been used in all these cases. Results: Total 55026 cases of animal bite registered which include 52309 vials consumed during study period. By using Intradermal regimen less than 1 vial/patient is needed as compared to 5 vials /patient that receive PEP using IM route. Indirect costs involved in terms of man hour cost, travel time and expenses for that visit, can also be reduced. Rural locality and lower socio–economic class were main factors responsible for delayed antirabies vaccination in animal bite victims. Conclusion: ID route reduces the cost of vaccination by about 30% and hence is ideal in terms of economic benefits, safety and efficacy.