Measles immunization and its effectiveness in the southern Highlands.

Measles immunization was introduced in the Southern Highlands Province in 1982. Since then immunization coverage of children aged under 1 year has increased from 12% in 1982 to 52% in 1986. The number of reported measles cases has declined, despite an increase in the number of health facilities reporting and an increase in maternal child clinic visits where most sick children are seen. The incidence of measles and the incidence of diarrhoea are compared with the cumulative measles immunizations given. Problems with the Expanded Programme on Immunization (EPI) campaign and means to improve measles vaccine coverage are discussed.