Ethiopia Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology

Bejiga, Gemechu Shume (2014) Ethiopia Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology. Masters thesis, Addis Ababa University.

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Despite many intervention activities undertaking preventable communicable diseases are remain a public health problem globally. The Ethiopian government policy is more emphasis on prevention measures of communicable and non-communicable diseases. Also many strategies and programs were set to enhance disease prevention activities. Ethiopian Field Epidemiology Training Program that adapted from the United States Centers for Disease Control and Prevention (CDC) Epidemic Intelligence Service (EIS) is one of the program focusing on capacity building public health practitioners. The training enables trainers to conduct disease surveillance and implement prevention and control measures of prioritized diseases. I stayed from October 2012 to May 2014 in Addis Ababa University School of Public HealthField Epidemiology Training Program and at Oromiya Regional Health Bureau Field Base. During my stay, I carried out two outbreak investigations, one surveillance data analysis, one surveillance system evaluation, one district health profile description, submission of two abstracts, one scientific manuscript for peer reviewed journals, one belg assessment, one epidemiological research proposal, one training and one weekly epidemiologic bulletin for residency outputs. Even though I included only one weekly bulletin in this document, I totally produced 8 weekly bulletins during stay at field base. We investigated two outbreaks (Malaria and Measles) during field base residency. Descriptive and analytical epidemiology methods were used to describe magnitude of the diseases and identify risk factors associated with diseases. A total of 6042 confirmed malaria cases were reported from Ilu woreda of South West Shewa zone, Oromiya region in 2013. We identified that low ITNs utilization, stagnant water, uncovered plastic household water container and broken glass bottles were contributed for malaria outbreak in the woreda. We recommended proper ITNs utilization, strong environmental management and regular indoor chemical spray for malaria prevention. Additionally, there was measles outbreak in Dawe Kachen Woreda, Bale zone, Oromiya region that we had investigate in January 2014. During this outbreak, a total of 172 measles cases and 5 deaths were reported from December 2013 to January 2014. Low measles vaccination, poor ventilation, malnutrition and weak community’s awareness were attributed for measles in this woreda. We recommended, strengthen routine and supplemental immunization programs, good cold chain system and increase community awareness on measles prevention and control measures.Surveillance data analysis of Severe Acute Malnutrition (SAM) for consecutive three years (2002 – 2004 E.C) was conducted in East Hararghe zone of Oromiya region. The cases are increasing throughout these years with decreasing deaths. We identified that strong screening and case management were contributed for increased number of cases and declining deaths. I conducted surveillance system evaluation at Oromiya Regional Health Bureau (highlight) and in West Arsi zone of Oromiya region in 2013. During this evaluation, surveillance of selected diseases (malaria, measles and meningitis) was assessed. The system was satisfactory at regional level; whereas not satisfactory at West Arsi zone. Poor data management, infrequent supportive supervision, absence of well-organized feedback, poor utilization of manuals and guidelines were contributed for unsatisfactory of the system at the zone. Health profile description was carried in Welmara district, Special Zone Surrounding Finfinne, Oromiya region from March to April 2013. Low community awareness and less number of health centers were made low coverage of institutional delivery in the district. Enrolment of female students was increased in primary school during 2011/12. I prepared scientific manuscript for peer reviewed journals on measles outbreak investigation and response in Dawe Kachen woreda, Bale zone, Oromiya region. Two abstracts were done for scientific conference submission; Malaria Outbreak Investigation and Intervention in Ilu Woreda of South-Western Oromiya and Measles Outbreak Investigation and Response in Dawe Kachen Woreda, Bale zone, Oromiya Region. Belg assessment was conducted in selected woredas of Guji and Borena zones in Oromiya region during 2013 to identify humanitarian needs following emergency occurrence. Malnutrition is anticipated to be a major public health concern in Borena zone. There were measles and meningitis outbreaks in some districts of Guji zone. We identified shortage of drugs and medical equipment at both zonal level and many districts of these zones. Epidemiological research project proposal on assessment of magnitude and factors associated with childhood vaccination status in Dawe Kachen woreda, Bale zone, Oromiya region was prepared. Descriptive cross-sectional study will be used for this study. A total of 720 mothers/caretakers with 12-23 months age child will be selected by systematic random sampling from randomly selected five kebeles of the woreda. Socio-demographic status of mothers/caretakers,immunization status of mothers/caretakers and children, knowledge of mothers/caretakers on immunization service, place of delivery will be assessed using questionnaire adopted from EDHS and different similar studies. The overall activities of study will be expected to finish in three months (September-November 2014). The total estimated budget required for the study is 65,698 ETH Birr. Training was given to zonal and woreda PHEM focal persons from six zones and six towns of Oromiya region on PHEM overview, Early warning system, Public health emergency preparedness, Response, Recovery, Epidemiology and case-management of selected diseases. The training was success full in participation rate and increasing knowledge of participants as identified by post-test. I prepared weekly bulletin on PHEM report of Oromiya Regional Health Bureau for WHO Epidemiologic week 5 of 2014. The health facilities report completeness for that week was 83% and above the expected national level (80%). Suspected measles cases and confirmed malaria cases were kept increasing during week 5 of 2014.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 03 Jul 2018 10:39
Last Modified: 03 Jul 2018 10:39

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