Paper long abstract:

Introduction: Epidemic prevention is a public health challenge in Burkina Faso. An early detection process through the surveillance system allows all suspected epidemics to be reported for a prompt response. However, this system is facing some challenges within the CSPS (Centre for Social Health Promotion), which is the first point of contact for the population in the health system. In fact, cases of epidemics such as measles are often not reported by these actors working in the basic structures. This study aims to understand the issues around the early detection and reporting of measles epidemics in the CSPS.

Method: The qualitative approach allowed us to collect data using semi-structured interview guides. The choice of respondents was based in a reasoned manner and 55 people made up our sample. The study was conducted in Kimini, Soumousso and Karangasso-Vigué.

Results: The reporting of epidemic cases leads to increased awareness activities, field visits for investigations and the production of daily reports, which increases the workload of the actors. In addition, reporting measles outbreaks is also considered by line managers as a failure to implement preventive measures such as vaccination. Finally, financial motivations have an impact on the quality of relations by causing conflicts of interest between actors.

Conclusion: Epidemic prevention is essential in surveillance. However, response actions are often impeded by the late or non-reporting of detected cases by front-line health workers. This situation makes a rapid response difficult and facilitates the spread of cases.