Negari, Kiflu Itefa (2017) Ethiopia Field Epidemiology Training Program (EFETP): Compiled Body of Works in Field Epidemiology. Masters thesis, Addis Ababa University.
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Abstract
This compiled body of works in field epidemiology has nine chapters. Each chapter contains an output expected from EFETP resident during these two years training program (2016 and 2017 G.C) especially during field base attachments at Oromia regional health bearau, though the training in class room was 25% and contributed base for the field residency. As the field epidemiology training program is unique and competency based and hand on practice learning, all of the outputs are produced depending on real and challenges of public health problems. Chapter one deals with the outbreak investigation. In this chapter two outbreak investigation reports were included; AWD and Measles. They were conducted in Bale zone. AWD outbreak investigation was conducted in Goro district with the aim of identifying possible source or risk factor associated with the occurrence of the outbreak and to guide public health interventions. Accordingly, presence of AWD sick person in the same village was an independent risk factor identified by logistic regression analysis whereas washing hand greater than three times in a day was proved to be protective by this study. The other outbreak investigation report was Measles outbreak in Harena Bulluq district of Bale zone. Factors responsible for spread and transmission of the measles virus was contact history with measles like symptom 2-3 weeks before onset of sign and symptom while being vaccinated against measles was found to be protective. Through investigation and analysis of this outbreak the use of involving the community in surveillance, recent weakness of measles immunization program in some pocket areas such as Kumbi Kebele were some important topics learned. In chapter two, surveillance data analysis of suspected meningococcal meningitis was presented. In this chapter, five years data reported weekly during 2011-2015 in Horro Guduru Wollega zone were described by time, place, person, incidence, mean and median. Consequently, the incidence of the disease was found to be high in females, 5-14 age group populations, during 2013 epidemic year and reports were limited to half of woredas in zone. So, conducting surveillance system evaluation of the disease in zone and improving the data archival system of health facilities were some major recommendations forwarded using this study.Chapter three is about evaluation of public health surveillance system in West Wollega zone focusing on malaria and measles diseases as they are major public health problems in the study area and in our country. The overall report completeness of West Wollega zone from WHO week 41/2016 to week 14, 2017 was 92.8%. A total of 5578 confirmed malaria cases (4166 (75%) P. falciparum and 1412 (25%) P. vivax) with one death (CFR of 0.02%) were reported in the same time through routine surveillance in West Wollega zone accounting 9.5% of oromia region. Kondala, Babo Gambel,Mana Sibu woredas were the top three malarias areas in zone during this time which need special attention. 14 measles cases were also reported during the same time from Lata sibu district, Aira and Begi hospitals. So the surveillance system of malaria and measles in West wollega zone is helpful in determining magnitude, trend, distribution and effectiveness of control program. But the system needs improvements in detecting and identification of outbreaks, completeness of report of some districts, hospitals and health posts. Chapter four presents about health profile description of Gimbichu woreda of East shoa zone. This is also another important feature of field epidemiology where the general health status and health related data which affect the human health were described. Consequently, the woreda has an effective functioning health system and other sectors for the wellbeing of its communities. Chapter five is where application of some scientific writing system of Manuscript for Peer review journal was presented. AWD outbreak investigation in Goro district was written as Manuscript. Chapter six also deals with scientific writing of Abstracts for conference presentations. Chapter seven is about the disaster assessment conducted in East and West Harerghe zones. Health and nutrition Meher Assessment was presented to show magnitude, severity and priorities for humanitarian crisis attributed to the priority epidemic diseases, drought and man- made disasters. As a result epidemic of AWD/Cholera and malnutrition were the major public health problems in both zones due to insufficient/absent rainfall, water shortage, and low latrine coverage and drought conditions. So multi sectoral, local and international NGO collaborations were immediate recommendations forwarded to the affected community by using the assessment.In chapter eight, epidemiologic research proposal/project is presented to conduct a research on identified priority health problems encountered during field residency. Accordingly a research proposal was written on the title of Prevalence and determinants of under nutrition among children 6-59 months in Chiro Rural district of West Harerghe zone. Chapter nine: Additional out puts such as training and bulletin preparation examples were presented.
| 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: | 05 Oct 2018 13:33 |
| Last Modified: | 05 Oct 2018 13:33 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6778 |
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