Measles surveillance assessment, Tominian Central Community Health Center, 2009 to 2018

Abstract

Introduction: Globally, the number of measles cases increased by 300% in the first three months of 2019 compared to the same period in 2018. Low immunization coverage in the Central Tominian Health Area, the reporting of suspected cases by the district in 2018 and recent measles outbreaks in the region are a local health concern. The purpose of this study is to evaluate the measles surveillance system in the Central Tominian Health Area. Methods: We conducted a cross-sectional study using measles surveillance data from 2009 to 2018 in the Central Tominian Health Area. We assessed the attributes of organization and functioning, usefulness, sensitivity, responsiveness, simplicity, sensitivity, representativeness and data quality. Measles surveillance officers were interviewed. Results: With the exception of the private health center, there was a system in place for reporting measles surveillance data, and evidence of transmission to the next level is verifiable. The CSCom and office staff responsible for reporting did not conduct any public health actions in measles surveillance. Only one suspected case of measles was notified by the Reference Health Centre. Conclusion: The measles surveillance system of Tominian Central appears to be functional, less useful, less sensitive, less representative, and less reactive. Additional efforts are needed to make it more dynamic.