Ethiopia Field Epidemiology Training Program (EFETP)

Hurissa, Dagnachew Alemu (2015) Ethiopia Field Epidemiology Training Program (EFETP). Masters thesis, Addis Ababa University.

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Abstract

Ethiopia has been giving special attention to the control of epidemic prone diseases, of international concern and diseases on eradication and elimination programs, through surveillance activities. The role of public health practitioners include ensuring effective health promotion, disease prevention and control activities, conducting surveillance on emerging public health threats and providing pertinent information to policy makers and public health officials. From October, 2012 to end of May, 2014 I have stayed in Field Epidemiology Training Program, School of Public Health-AAU and at both EPHI and Oromia Regional Health Bureau field base. We carried out two outbreak investigations, one surveillance data analysis, one evaluation of surveillance system, one woreda health profile description, three abstracts for scientific conference, one Maher assessment, one research proposal and training as outputs. Chapter I: We conducted epidemiological investigations of two outbreaks. We used descriptive and analytic epidemiology during investigations. We identified several factors that contributed to malaria outbreak in Saba Boru Woreda and found that poor ITN utilization and presence of stagnant water were attributed for the outbreak. We recommended proper utilization of ITN and environmental management through optimized community participation. We also confirmed measles outbreak in Didesa Woreda. Being unvaccinated and having poor awareness on the mode of transmission for measles infection were found to be risk factors for developing the disease. We recommended improved routine and campaign measles immunization targeting less than 15 years, and also health education on means of transmissions, treatment and prevention of measles infection has to be enhanced. Chapter II: We did measles surveillance data analysis of five years (2009-2013 G.C) of Borena Zone to describe by person, place and time. Less than five children was the most affected age group followed by 5-14 years. Enhancing improved routine and campaign measles immunization targeting less than 15 years of age would prevent future risk. Chapter III: We conducted evaluation of surveillance system in Ilu Aba Bora Zone from June 10-30, 2013. The overall surveillance system of the zone was weak. Regular monitoring of program specific supportive supervision and continuous feedback system should be strengthened for more improvement of the completeness and timeliness and/or surveillance system as whole. Chapter VI: We did health profile, health and health related data, of Arsi Negele Woreda during January 10-18, 2014. Acute Febrile Illness, Pneumonia and Acute Upper Respiratory Tract Infection were leading causes of adult morbidity in the woreda. While Pneumonia, Diarrhea and Acute Febrile Illness were the leading causes of morbidity in under-five children. Chapter V: We did scientific manuscript for peer reviewed journals on malaria outbreak in Saba Boru, Guji Zone. Chapter VI: We prepared three abstracts for submission to scientific conference during residency time. These are;  Outbreak of malaria-Seba Boru, Guji Zone Oromia Region, Ethiopia, 2014.  Measles Outbreak-Didesa Woreda, Ilu Aba Bora Zone, Oromia Region, Ethiopia, 2013.  Five years (2009-2013G.C) measles surveillance data analysis-Borena Zone, Oromia Region, Ethiopia, 2013. Chapter VII: We conducted Meher assessment (Narrative summary of disaster situation) in Oromia Region to identify humanitarian needs in drought affected areas from November 22 to December 19, 2014 in selected woredas of East and West Harerghe Zones. Measles outbreaks were occurred in both zones. Malaria and measles are the most anticipated risk in the zones. Malnutrition was a major problem in all visited woredas. Chapter VIII: We prepared one proposal for research project. The objective of this study is to characterize the pattern of, and assess factors related to LLIN distribution and uses in gold mining kebeles of Seba Boru Woreda. We designed retrospective cross-sectional community and facility study. The sample size will be calculated using the standard formula for multistage cluster sampling, n= DEFF*Z2pq/D2. Chapter IX: We conducted training for Woredas and zonal Public health Emergency management focal persons of two regions. The training was given to them in order to achieve effective disease surveillance system, improve case management and strengthen the surveillance of maternal death (MDSR) and Ebola in addition to the 20 priory diseases in both regions. A total of 65 trainees were participated in this training from the two regions. Of the total, 42(64.6%) males and 23 (35.5%) females were participated and majority of them 48 (73.8%) were from zones of Oromia Region and the rest from woredas of Addis Ababa Region. The training was completed with good discipline, full attendance and active participation of the participant as well as effective in addressing the objective. Based on the daily evaluation from the trainee, we recommended the EPHI and regional health bureaus have to prepare and share the standard reporting formats for the improvement of the reporting system, allocate some budget for cascading the training for the other health professionals and also try to select convenient training venue for the future or prepare common transport service instead. In addition, we also did weekly PHEM bulletin and malaria trend analysis of Oromia Region from January to August 2014.

Item Type:	Thesis (Masters)
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	05 Oct 2018 13:39
Last Modified:	05 Oct 2018 13:39
URI:	http://thesisbank.jhia.ac.ke/id/eprint/6773

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