Surveillance of Measles and Rubella in Bagmati Province, Nepal: An Analysis of Facilitators and Challenges Through Mixed Methods Research - Report - DentalSpire

Surveillance of Measles and Rubella in Bagmati Province, Nepal: An Analysis of Facilitators and Challenges Through Mixed Methods Research

  • By

  • Bipsana Shrestha

  • Surakshya Kunwar

  • Alina Upreti

  • Kshitij Karki

  • Paras Pangeni

  • Poonam Subedi

  • Leela Khanal

  • Rajeev Shrestha

  • Dipesh Tamrakar

  • Bhim Singh Tinkari

  • Shyam Raj Upreti

  • February 24, 2026

  • 0 min

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Surveillance of Measles and Rubella in Bagmati Province, Nepal

Overview

This report analyzes the facilitators and challenges of measles and rubella surveillance in Bagmati Province, Nepal. Despite achieving national surveillance performance indicators, significant challenges remain in timely specimen collection and transportation, impacting outbreak response.

Background

Incorporate statistics on vaccination gaps and their impact on measles and rubella cases.

Data Highlights

No specific numerical data provided in the article.

Key Findings

  • In 2023, Nepal recorded 962 confirmed measles cases and 14 outbreaks.
  • National coverage for the first and second doses of measles-rubella vaccine was 97% and 95%, respectively.
  • Only 71% of IgM results were reported within 4 days, below the target of 80%.
  • Challenges in sample transportation from remote areas hinder timely outbreak response.
  • High-quality laboratory testing is essential for effective measles and rubella control.

Clinical Implications

Healthcare providers must prioritize timely specimen collection and transportation to improve outbreak response. Enhanced surveillance systems are crucial for achieving vaccination targets and controlling measles and rubella in Nepal.

Conclusion

Addressing the challenges in surveillance and vaccination will be vital for Nepal to meet its revised elimination targets for measles and rubella by 2026.

References

  1. WHO, WHO South-East Asia Region sets new target for measles and rubella elimination, 2024 -- WHO South-East Asia Region sets new target for measles and rubella elimination
  2. WHO, WHO Surveillance Standards for Vaccine-Preventable Diseases, 2018 -- WHO Surveillance Standards for Vaccine-Preventable Diseases
  3. Open Forum Infectious Diseases — Analysis of Rubella Virus Epidemiology in a Conflict-affected Region: A Retrospective Review of 11 Years of Case Data from South Sudan
  4. Infection — Prevalence of Immunoglobulin G Antibodies Against Measles and Rubella Among Individuals Aged 1 to 30 in England in 2018: Insights for Predicting Future Outbreaks
  5. The Journal of Infectious Diseases — How to Prevent Rubella Epidemics and Congenital Rubella Syndrome: Lessons From 42 Years of Longitudinal Epidemiology in Osaka Prefecture, Japan (1982–2023)
  6. Open Forum Infectious Diseases — Demographic and Epidemiological Factors Linked to Measles Cases During the 2021 Outbreak in Afghanistan: A Multivariable Study
  7. Measles Measles Last updated: October 15, 2018 1 W
  8. A systematic review and modelling insights of factors impacting measles vaccine effectiveness, efficacy and immunogenicity - PMC
  9. WHO South-East Asia Region sets new target for measles and rubella elimination

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