Conclusion: Drought, malnutrition and low access to routine immunization were likely contributed to the outbreak that affecting mostly children without any vaccination. Also figured that the case-based surveillance lacks sensitivity and timely confirmation of the outbreak so that outbreak response was delayed.  Measles immunization and Vitamin ‘A’ supplementation were provided for 9075 children 6 month to 10 years and 6556 children 6-59 month respectively. Case management, active case search and health education was conducted to control out breaks.
