Challenges related to resources mobilization for measles outbreak response: Madagascar experience during the 2018-2019 measles outbreak

Abstract

Introduction: on October 4^th, 2018, a measles outbreak was declared in Madagascar. This study describes challenges related to resources mobilization for the outbreak response.

Methods: data were collected using minutes of coordination committee meetings, activities reports, operational action plans and situation reports.

Results: the total cost of the outbreak response was estimated to US$ 11,281,381. Operational cost was the leading cost driver (42.45%) followed by vaccine cost (33.74%). Cases management, epidemiological surveillance, communication and social mobilization and routine immunization strengthening represented 23.81% of the total cost. The main funder of the outbreak response was the measles and rubella initiative.

Conclusion: good coordination, open dialogue, good use of financial resources and accountability of government and partners have enabled to gain the confidence of national and international donors.