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. 2026 Jan 30;8(5):113–124. doi: 10.46234/ccdcw2026.019

Table 2. Attitude rates from Baseline, SHEPG, and RHEG; ARR, RRR, RR, and 1/RR between SHEPG and RHEG after the 12-month follow-up, 2023–2024.

Question Response Baseline
[% (n/N)]
SHEPG
[% (n/N)]
CHEG
[% (n/N)]
ARR RRR RR 1/RR
95% CI P 95% CI P 95% CI P 95% CI P
Note: Chi-square tests were applied for all comparisons; however, Fisher's exact test was employed when the expected frequency of any cell fell below 5. Blank cells indicate “not calculated (with no need for calculation)”.
Abbreviation: ARR=absolute risk reduction; RR=relative risk; RRR=relative risk reduction; 1/RR=protective efficacy; CI=confidence interval; SHEPG=smart health education pillbox group; RHEG=routine health education group; N/A=not applicable.
* N=2,700 at baseline. At the one-year follow-up, SHEPG (N=1,021) and RHEG (N=930). Valid response counts in RHEG for Q2 and Q4 totaled 837. For Q5, valid response counts among households raising livestock were 1,888,863, and 852 across the three groups, respectively; for Q6, among households raising sheep, counts were 1,316,576, and 637, respectively; for Q7, among households raising livestock, counts were 1,545,699, and 781, respectively.
** The attitude survey regarding SHEP usage was administered exclusively in the SHEPG.
Q1. Would you like to wash your hands before meals? Yes 97.30 (2, 627/2,700) 98.33 (1, 004/1,021) 97.74 (909/930) 0.59 (−0.49, 1.67) 0.288 25.93 (−21.67, 73.52) 0.288
No 2.70 (73/2,700) 1.67 (17/1,021) 2.26 (21/930) 0.59 (−0.49, 1.67) 0.288 26.11 (−21.74, 73.96) 0.288 0.74 (0.40, 1.37) 0.336 1.35 (0.73, 2.50) 0.336
Q2. Would you agree to tether all your dogs? Yes 95.63 (2, 582/2,700) 97.16 (992/1,021) 95.94 (803/837)* 1.22 (−0.40, 2.84) 0.137 29.76 (−9.76, 69.29) 0.137
No 4.37 (118/2,700) 2.84 (29/1,021) 4.06 (34/837)* 1.22 (−0.40, 2.84) 0.137 30.05 (−9.85, 69.95) 0.137 0.70 (0.44, 1.12) 0.139 1.43 (0.89, 2.27) 0.139
Q3. Would you agree to free regular dog deworming? Yes 97.22 (2, 625/2,700) 98.82 (1, 009/1,021) 98.17 (913/930)* 0.65 (−0.47, 1.77) 0.208 35.71 (−25.81, 97.22) 0.208
No 2.78 (75/2,700) 1.18 (12/1,021) 1.83 (17/930) 0.65 (−0.47, 1.77) 0.208 35.52 (−25.81, 97.22) 0.208 0.64 (0.32, 1.30) 0.218 1.56 (0.77, 3.13) 0.218
Q4. Would you agree to bury dog waste deeply after deworming? Yes 92.70 (2, 503/2,700) 96.38 (984/1,021) 92.95 (778/837)* 3.43 (1.37, 5.49) <0.001 48.57 (19.42, 77.72) <0.001  
No 7.30 (197/2,700) 3.62 (37/1,021) 7.05 (59/837)* 3.43 (1.37, 5.49) <0.001 48.65 (19.42, 77.72) <0.001 0.51 (0.35, 0.75) <0.001 1.96 (1.33, 2.86) <0.001
Q5. Would you support centralized slaughter? Yes 49.74 (939/1, 888)* 61.76 (533/863)* 50.32 (419/852)* 11.44 (6.30, 16.58) <0.001 22.73 (12.52, 32.94) <0.001    
No 50.26 (949/1, 888)* 38.24 (330/863)* 49.68 (433/852)* 11.44 (6.30, 16.58) <0.001 23.03 (12.68, 33.33) <0.001 0.77 (0.69, 0.86) <0.001 1.30 (1.16, 1.45) <0.001
Q6. Would you agree to free lamb vaccination? Yes 87.16 (1, 147/1, 316)* 88.02 (507/576)* 86.81 (553/637)* 1.21 (−2.78, 5.20) 0.490 8.75 (−20.08, 37.58) 0.490
No 12.84 (169/1, 316)* 11.98 (69/576)* 13.19 (84/637)* 1.21 (−2.78, 5.20) 0.490 9.17 (−21.08, 39.42) 0.490 0.91 (0.68, 1.21) 0.509 1.10 (0.83, 1.47) 0.509
Q7. Would you avoid feeding dogs raw livestock organs? Yes 86.86 (1, 342/1, 545)* 90.70 (634/699)* 85.53 (668/781)* 5.17 (1.66, 8.68) 0.001 35.71 (11.46, 59.96) 0.001
No 13.14 (203/1, 545)* 9.30 (65/699)* 14.47 (113/781)* 5.17 (1.66, 8.68) 0.001 35.73 (11.46, 59.96) 0.001 0.64 (0.49, 0.84) 0.001 1.56 (1.19, 2.04) 0.001
Q8. Would you agree to free regular check-ups (screening)? Yes 98.26 (2, 653/2,700) 98.33 (1, 004/1,021) 98.28 (914/930) 0.05 (−0.91, 1.01) 0.901 2.78 (−50.00, 55.56) 0.901
No 1.74 (47/2,700) 1.67 (17/1,021) 1.72 (16/930) 0.05 (−0.91, 1.01) 0.901 2.91 (−55.56, 55.56) 0.901 0.97 (0.50, 1.88) 0.929 1.03 (0.53, 1.99) 0.929
Q9. Would you use our Smart Health Education Pillbox? Yes N/A 89.72 (916/1,021)** N/A N/A N/A N/A N/A
No N/A 10.28 (105/1,021)** N/A N/A N/A N/A N/A
Total (Q1-8) Yes 89.97 (16, 418/18, 249) 91.76 (7, 583/8, 264) 88.46 (5, 957/6, 734) 3.30 (2.28, 4.32) <0.001 28.57 (19.76, 37.38) <0.001
No 10.03 (1, 831/18, 249) 8.24 (681/8, 264) 11.54 (777/6, 734) 3.30 (2.28, 4.32) <0.001 28.60 (19.76, 37.38) <0.001 0.71 (0.65, 0.78) <0.001 1.40 (1.28, 1.54) <0.001