Supplement to: Evaluating the 2024 Dog Oral Rabies Vaccination Campaign in the Zambezi Region, Namibia Using GIS and Household Surveys

Supplementary material to a manuscript: The 2024 oral rabies vaccination (ORV) campaign in Namibia’s Zambezi region aimed to address persistent rabies transmission through a large-scale effort combining direct dog vaccination and owner-assisted distribution. A total of 9,393 baits were distributed, and the campaign demonstrated feasibility and operational efficiency, achieving an estimated vaccination coverage of 47.9% of dogs in just four days, increasing to 56.8% when accounting for prior parenteral vaccination efforts. Spatial analysis revealed an average vaccination coverage of 60% across 10x10 km grid cells, and encompassed 81% of the human population of the Zambezi region within the vaccination coverage area. Post-vaccination surveys indicated a rise in vaccination rates (54.5% of dogs vaccinated, up from 18.9%) and lower presence of rabies. Improved education and awareness campaigns, targeted interventions in low-coverage areas, and enhanced surveillance are recommended to further reduce rabies incidence. The findings highlight the promise and proficiency of ORV campaigns in resource-constrained settings and demonstrate that its application can be key for sustained rabies control efforts in Namibia. Evaluation of the 2024 Dog Oral Rabies Vaccination Campaign in the Zambezi Region: Coverage and Effectiveness measured by GIS and post-vaccination Household Survey