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Integrated bite case management within a One Health framework for rabies elimination at the primary care level in Kerala, India: an implementation research protocol using a stepped-wedge cluster randomised design.

Integrated bite case management within a One Health framework for rabies elimination at the primary care level in Kerala, India: an implementation research protocol using a stepped-wedge cluster randomised design.

A study will be conducted in Kerala, India, to implement Integrated Bite Case Management (IBCM) as part of rabies elimination efforts. The research will involve a stepped-wedge cluster randomized trial in six areas, focusing on training stakeholders and enhancing dog vaccination and surveillance. Data will be collected on dog bites and healthcare responses, aiming to evaluate the feasibility and effectiveness of IBCM within the region’s Rabies Control Programme.

Source: BMJ open, https://doi.org/10.1136/bmjopen-2026-117497