Abstract:

Dengue fever is one of the leading public health problems of tropical and subtropical countries across the world. Transmission dynamics of dengue fever is largely affected by meteorological and environmental factors, and its temporal pattern generally peaks in hot-wet periods of the year. The aim of this study was to fill this research gap by utilizing epidemiological and earth observation data in Kailalai district, one of the frequent dengue outbreak areas of Nepal. This article evaluates the dengue case notification, surveillance, laboratory facilities, collaboration, and how federal government, province government and local government responded to the outbreak. Methods: Qualitative data collections tools are in-depth interview were used to analyze the dengue outbreak response. Participants were sampled purposively, with deliberate selection regarding their experience, to help ensure involvement of the key stakeholders in the dengue surveillance and outbreak response in Kailali district including federal government policy-makers, officials Results: There was a variation in the proportion of cases confirmed by the laboratory, with participants noting that between (10-50) % of dengue cases were confirmed. The study findings demonstrate the extensive limitations existing in a fragile state that need to be addressed before and during a dengue outbreak. Conclusions: Surveillance system of disease is difficult due to geographical access and lack awareness on community people. But dengue is recently emerged in this province and along the country. The political context can affect the financial and trained human resources available to combat dengue. Three level government systems must be engaged to prevent and control of outbreak.

Keywords: Seasonal mosquito induced viral Fever, Dengue fever, Dengue Hemorrhagic Fever, Shock syndrome, preventable.

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