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Kabupaten Agam merupakan daerah yang memberi sumbangan nomor 2 terbanyak dengan kasus campak di Provinsi Sumatera Barat dengan incident rate 70,02 per 100.000 penduduk. Tujuan penelitian ini menganalisis determinan kejadian penyakit campak di Kabupaten Agam.
Metode penelitian yang digunakan adalah mixed methode yaitu penelitian kuantitatif dan kualitatif. Sampel penelitian yaitu 63 orang kasus dan 63 orang kontrol. Informan penelitian sebanyak 14 orang. Penelitian ini dilakukan di 4 Puskesmas yang berada di wilayah kerja Dinas Kesehatan Kabupaten Agam.
Hasil penelitian kuantitatif yaitu adanya hubungan antara umur pemberian dan status imunisasi campak dengan kejadian penyakit campak (p-value = 0,000) dan tidak ada hubungan antara status gizi dan kepadatan hunian dengan kejadian penyakit campak di Kabupaten Agam (p-value = 1,000). Variabel yang paling berhubungan adalah status imunisasi campak (OR = 4,650) Pada hasil penelitian kualitatif didapatkan kekurangan pelaksanaan surveilans campak banyak pada komponen proses dan output terutama di tingkat puskesmas. Kegiatan surveilans telah terlaksana namun belum maksimal dalam pendokumentasiannya, belum semua suspect campak dilakukan pemeriksaan sampel darah, format CBMS tidak diisi dengan lengkap, hal ini meyebabkan kualitas data rendah.
Kesimpulan dan saran : Status imunisasi campak merupakan variable yang paling berhubungan dengan kejadian penyakit campak dan pelaksanaan surveilans campak belum maksimal. Selanjutnya perlu dilakukan penelitian lebih lanjut secara mendalam tentang variabel-variabel lain yang kemungkinan berkaitan dengan determinan kejadian kasus campak.

Agam District is the area that contributes the second most to measles cases in West Sumatra Province with an incident rate of 70.02 per 100,000 population. The purpose of this research is to analyze the determinants of measles incidence in Agam district.
The research method used is a mixed method, namely quantitative and qualitative research. The research sample is 63 cases and 63 controls. Research informants as many as 14 people. This research was conducted at 4 Community Health Centers in the working area of the Agam District Health Office.
The results of the quantitative study were that there was a relationship between age at administration and measles immunization status with the incidence of measles (p-value = 0.000) and there was no relationship between nutritional status and occupancy density with the incidence of measles in Agam District (p-value = 1.000). The most related variable is the status of measles immunization (OR = 4,650). The results of the qualitative research, it was found that there were many shortcomings in the implementation of measles surveillance in the process and output components, especially at the puskesmas level. Surveillance activities have been carried out but the documentation has not been maximized, not all suspects of measles have been examined for blood samples, the CBMS format has not been filled in completely, this has resulted in low data quality.
Conclusions and suggestion: measles immunization status is the variable that is most related to the incidence of measles and the implementation of measles surveillance is not optimal. Furthermore, it is necessary to carry out further in-depth research on other variables that may be related to the determinants of the incidence of measles cases.