Conference Abstract | Volume 9, Abstract 037 (ConfProc7) | Published: 04 May 2026
Roger Kpexor1,2,&, George Akowuah2, Magdalene Akos Odikro2, Joseph Asamoah Frimpong2, Samuel Sackey2, Ernest Kenu2
1Environmental Health and Sanitation Department, Juaboso, Western North Region, Ghana, 2Ghana Field Epidemiology and Laboratory Training Programme, University of Ghana, School of Public Health, Accra, Ghana
&Corresponding author: Roger Kpexor, Environmental Health and Sanitation Department, Juaboso, Western North Region, Ghana. Email: kpexorroger@gmail.com ORCID: https://orcid.org/0009-0007-0596-6639
Received: 22 Jul 2025, Accepted: 28 Oct 2025, Published: 04 May 2026
Domain: Environmental Health
Keywords: Market Sanitation, Inspection, Surveillance, Nuisances, Abatement
©Roger Kpexor et al. Journal of Interventional Epidemiology and Public Health (ISSN: 2664-2824). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Roger Kpexor et al. Evaluation of market sanitation surveillance system, Juaboso District, Ghana 2021-2024. Journal of Interventional Epidemiology and Public Health. 2026;9(ConfProc7):037. https://doi.org/10.37432/JIEPH-CONFPRO7-0037
Poor waste management practices in marketplaces create an enabling environment for the spread of sanitation-related diseases globally. Environmental Health Officers (EHOs) conduct routine inspections in markets to identified sanitation nuisances and ensure their abatement. With sanitation related diseases such as diarrhea and typhoid on the rise in the districts, we assessed whether the market sanitation surveillance system in Juaboso District is meeting its objectives, evaluated its attributes, and determined its usefulness.
A cross-sectional study was conducted in Juaboso District. Key stakeholders were selected for interviews using Center for Disease Control and Prevention (CDC) Updated Guidelines for Evaluating Public Health Surveillance Systems. Surveillance data were reviewed from 2021 to 2024. Microsoft excel 2016 was used for descriptive analysis and results were presented as tables, map, chart. Thematic analysis was used for qualitative data as texts.
The surveillance system covered four (4) market centers in Juaboso District. Nuisances detected for the four area councils were 1,920 over the period. Abatement notices were served to 100% (1,920). Out of these, proportion 96.6% (1855/1920) were abated by offenders. All the reporting forms were completely filled 100% (80/80) with no missing field. Reports from operational areas were on time. Data was kept on computers and paper files were used as backups. System data was used by the district assembly and EHOs to do periodic clean-up exercises.
Market sanitation surveillance system(MSSS) in Juaboso District is meeting its objectives through nuisance detection. It was found to be sensitive and timely with good data quality. The system was useful as it is used to improve sanitation periodic clean-up exercise programs. EHOs should intensify health education to market traders and users to improve sanitation practices in the markets.
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