Abstract
Indonesia, which is part of the region, contributes 25 provinces including areas that have not been free from the endemic of rabies. One of the provinces that ranked top in the cases of rabies was North Sulawesi. Therefore, this study aims to find correlations between factors related to the prevalence of rabies deaths in North Sulawesi Province in 2015 - 2017. This study used a mixed ecological study design by applying the principle of total sampling to 15 districts/citiesin North Sulawesi. The results of the study found that there was a negative and weak strength correlation on the anti rabiesvaccine coverage factor (r = 0.279), moderate strength correlation on the ratio of health care workers (r = 0.345), and the ratio of health care facilities (r = 0.320) to the mortality of rabies. While the sex ratio factor is positive and has moderate strength (r = 0.365) against the mortality of rabies. The new findings of health care facility and health care workers that have a moderate strength correlation need to be included in the prevention of rabies approach because it can help to facilitate washing wounds treatment.
Highlights
One common but deadly zoonotic disease is rabies
The number of cases is dominated by 3 provinces that contribute to the most of the Transmitted Rabies Animal Bites (TRAB), namely Bali, NTT, and North Sulawesi (Kementerian Kesehatan RI, 2018)
In 2013-2017, North Sulawesi has always been ranked in the top of 25 provinces that have not been free of rabies in Indonesia (Kementerian Kesehatan RI, 2018)
Summary
One common but deadly zoonotic disease is rabies. Rabies or mad dog disease is an acute infectious disease that attacks the central nervous system (Kementerian Kesehatan RI, 2017). Indonesia has 25 provinces with high cases of Transmitted Rabies Animal Bites (TRAB) (Kementerian Kesehatan RI, 2016). The number of cases is dominated by 3 provinces that contribute to the most of the TRAB, namely Bali, NTT, and North Sulawesi (Kementerian Kesehatan RI, 2018). In 2013-2017, North Sulawesi has always been ranked in the top of 25 provinces that have not been free of rabies in Indonesia (Kementerian Kesehatan RI, 2018). Method This study was an observational study with time and group comparative ecological design (mixed study) It took place in North Sulawesi which consisted of 15 regencies/cities within a period of three years (2015-2017). The dependent variable in the study was the incidence of death due to rabies in North Sulawesi Province in 2017. The results of univariate analysis is described in table 1
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