“…The country has a well-functioning measles surveillance system embedded within the Integrated Disease Surveillance and Response (IDSR) system, and between 2019 and 2021 all 261 districts reported and investigated at least one suspected measles case for each year [Ghana Health Service, 2021 Annual Report, unpublished]. Despite the remarkable efforts, the country’s quest to eliminate measles by 2020 was not realized due to confirmation of 88 cases in 2020; 1,274 cases in 2021; and 395 cases in 2022 [12] , [13] . With measles being a tracer disease, outbreaks correlate with decline in population immunity from reasons including suboptimal immunization programme performance [14] .…”