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Epidemiological surveillance of measles in Morocco, 2024: Knowledge, attitudes and practices of health professionals in the province of Essaouira Cover

Epidemiological surveillance of measles in Morocco, 2024: Knowledge, attitudes and practices of health professionals in the province of Essaouira

Open Access
|Aug 2025

Figures & Tables

Table 1

Sociodemographic and socio-professional characteristics of participants

CharacteristicN(%) or average(SD)Test of Sig.P-value
Age (years)35,07 ± 11,46t= 19,6010,0001**
Gender:
female21 (51,2 %)χ²= 8,0130,432
Male20 (48,8 %)
Framework :
Doctor4 (9,8 %)χ²= 34,6750,004**
Nurse35 (85,4 %)
Midwife2 (4,9 %)
Establishment :
RHC120 (48,8 %)χ²= 46,342
RHC27 (17,1 %)0,049*
UHC18 (19,5 %)
UHC24 (9,8 %)
RD2 (4,9 %)
Years of experience:11,25 ± 8,10
≤ 5 years old15 (36,5 %)t= 6,6710,0001**
Between 6 and 15 years old >17 (41,5 %)
> 15 years old9 (22 %)

SD: the standard deviation, RHC: Rural health center, UHC: Urban health center, RD: Regional Directorate

* . The correlation is significant at the 0.05 level.

** . The correlation is significant at the 0.01 level.

Table 2

Knowledge of participants regarding epidemiological surveillance of measles

Variables* (the correct answer)Frequency (n=41)Percentage %P-value
Do you know how measles is transmitted? (Yes)3995,12 %0,835
What is the order in which the lesions appear?
(Descending)
2458,5 %0,351
What are the clinical manifestations of measles that you know?
a- Prodrome
b- Enanthems
c- Köplik sign
d- Catarrh
e- Maculopapular rash
f- Non-pruritic lesions

13
16
32
18
31
21

31,7 %
39 %
78 %
43,9 %
75,6 %
51,2 %
0,004**
Is the immunity resulting from the illness lifelong? (Yes)3585,4 %0,082
Have you learned the 2023 vaccination schedule? (Yes)3895,1 %0,911

* . The correlation is significant at the 0.05 level.

** . The correlation is significant at the 0.01 level.

Table 3

Practice of participants regarding epidemiological surveillance of measles

VariablesResponseFrequency (n=41)Percentage %P-value
Are measles notifiable disease?Yes4090,2-----
Do you think that biological diagnostic confirmation is essential before declaration?Yes2765,90,112
Do you know the sample delivery circuit?Yes1024,40,387
Do you receive feedback on the results of the samples?Yes16390,913
When is measles reported?Suspected case
Confirmed case
Severe case
No answer
14
23
1
3
34,1
56,1
2,4
7,3
0,957
What support do you use for the notification?Notification sheet
Analysis sheet
No answer
29
2
10
70,7
4,9
24,4
0,774
What to do in case of a suspected case:Report only
Report and treat
Refer to hospital
18
15
17
36
30
34
0,165
Have you already reported cases of measles to the epidemiological surveillance system?Yes1229,30,012*
How often do you use existing epidemiological surveillance tools to track measles?Daily
Weekly
Monthly
Never
No answer
2
1
5
18
4
4,9
2,4
12,2
43,9
9,8
0,008**
Have you already participated in training on epidemiological surveillance of measles?Yes37,30,387
Is there a measles epidemiological surveillance guide at your establishment?Yes24,90,0001**

N.A: No answer.

* . The correlation is significant at the 0.05 level.

** . The correlation is significant at the 0.01 level

Figure 1

Difficulties related to epidemiological surveillance of measles

Language: English
Page range: 13 - 22
Submitted on: Jan 29, 2025
Accepted on: Apr 28, 2025
Published on: Aug 29, 2025
Published by: Global Health Institute at William Carey International University
In partnership with: Paradigm Publishing Services

© 2025 Hicham Mejdouli, Sana El Fadeli, Yassir Barkouch, published by Global Health Institute at William Carey International University
This work is licensed under the Creative Commons Attribution 4.0 License.