Abstract Detail

Abstract

Introduction: Measles is a public health problem due to its resurgence worldwide. In Côte d'Ivoire, 7132 confirmed cases of measles have been reported out of a total of 161 271 cases reported from 2016 to 2021. Faced with this public health emergency, several control strategies have been adopted in Côte d'Ivoire, including epidemiological surveillance. The lack of visibility of the impact of this strategy leads us to evaluate the measles surveillance system in the Abidjan-1 health region in order to assess its performance and usefulness.
Method: A descriptive study adapted from the evaluation guides of a WHO and CDC surveillance system was conducted from April to May 2024. The following attributes: simplicity, acceptability, flexibility, sensitivity, data quality and usefulness were evaluated. The information was collected using a questionnaire and an observation grid of surveillance tools from 33 actors involved in the measles surveillance system. The data were analysed using Epi-Info 7. The calculated proportions were compared to the 80% threshold.
Results: A total of 33 surveillance actors were interviewed in four (04) surveillance structures. 21.2% of the respondents were midwives, 24.2% were doctors and 30.3% were nurses. System performance was: simplicity (85%), data quality (75%), flexibility (70%), acceptability (60%), sensitivity (50%). The utility was 68%.
Conclusion: The measles surveillance system in the Abidjan region1 is moderately useful, simple, flexible, moderately acceptable and not very sensitive. The main weaknesses of the measles surveillance system were the quality of measles surveillance data and sensitivity. It would be good to raise awareness among providers about data management and system improvement.

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