Muchekeza M, Chimusoro A, Nomagugu Ncube and Kufakwanguzvarova W Pomerai
Introduction: The outpatient surveillance system in Kwekwe district reported 86 AEFI cases in 2009. No surveillance forms were completed for these cases. This study was therefore conducted to identify reasons for this anomaly. Methods: Interviewer administered questionnaires were used to collect data on knowledge, usefulness and system attributes from health workers and caregivers of under-fives who were found at 18/33 health facilities in the district. Results: None of 61 nurses interviewed could correctly define an AEFI. AEFI notification and investigation forms were available at 6/18 health facilities. None of the health facilities had AEFI case definitions displayed. Reasons for failure to notify cases included lack of training on the system 56(91.8%), unavailability of stationary 43(70.5%) and mothers not knowledgeable on AEFIs 21(34.6%). The surveillance system was found to be acceptable. Conclusion: Lack of knowledge on AEFI surveillance procedures was the main challenge. As a result, 150(45%) nurses were trained in AEFI surveillance and surveillance forms were distributed to all health facilities.