Assessing the Impact of Public Health Interventions on Measles Prevention and Control in Juba County, South Sudan

Measles remains a significant public health challenge in Juba County, South Sudan, despite global vaccination efforts. Frequent outbreaks highlight ongoing gaps in immunization, public awareness, and access to healthcare services. This study evaluates the impact of public health interventions—including vaccination campaigns, risk communication, community engagement (RCCE), and case management—on measles prevention and control. A cross-sectional study was conducted among 243 households with children under 18 years. Findings revealed that 86.25% of children received at least one dose of the measles vaccine, but only 16.25% completed the full two-dose schedule. Alarmingly, 13.75% remained unvaccinated due to misinformation (40.83%), cultural and religious beliefs (18.18%), and lack of access to healthcare facilities (12.92%). Encouragingly, 82.5% of respondents participated in public health education initiatives, with community health volunteers playing a key role (63.33%). While vaccination campaigns and RCCE strategies have improved immunization rates and awareness, challenges persist. Misinformation, logistical barriers, and cultural resistance continue to hinder full immunization coverage. Strengthening healthcare infrastructure, increasing vaccine accessibility, and expanding grassroots health education programs are essential steps toward sustainable measles control. Additionally, collaboration between public health officials, community leaders, and healthcare workers is crucial for overcoming vaccine hesitancy and ensuring widespread immunization. By addressing these persistent challenges, Juba County can move closer to preventing future outbreaks and securing better health outcomes for children.