Ethiopian Field Epidemiology Training Program (EFETP) Complied Body of Works

Mekonnen, Meklit (2016) Ethiopian Field Epidemiology Training Program (EFETP) Complied Body of Works. Masters thesis, Addis Ababa University.

PDF (Ethiopian Field Epidemiology Training Program (EFETP) Complied Body of Works) Meklit Mekonnen.pdf - Accepted Version Restricted to Repository staff only Download (4MB) | Request a copy

Abstract

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 programs focusing on capacity building public health practitioners. Ethiopian adopted the Field Epidemiology Training program in 2009 to help improve leadership within public Health Emergency Management. The EFETP provides residents a Master of public Health degree in Field Epidemiology after they complete two years of supervised work in applied or field epidemiology. The EFETP program has two main components, each of which contributes to the prize of Master degree; classroom-teaching component consist 25% and practical attachment or field placement component (75%), residents spending 75% of their time in the field, consisting of disease investigations, surveillance data analysis, surveillance evaluations and research on national health problems. Residents have the opportunity for public health practice in the real world. This document is compiled body of work accomplished during the two years stay in the field epidemiology and laboratory training program in Addis Ababa University School of Public Health Field Epidemiology Training Program and at Amhara 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 Meher assessment, one epidemiological research proposal, training . My first dysentery outbreak investigation was conducted in Dera Woreda, South Gonder Zone and second scabies outbreak investigation was conducted in Enarji Enawuga Woreda, East Gojjam zone. Descriptive and analytical epidemiology (unmatched case control studies) methods were used to describe magnitude of the diseases and identify risk factors associated with diseases. A total of 86 dysentery cases were reported from which 53 dysentery cases and 108 controls were enrolled in the study. I identified that common source of the epidemic was contamination of water; drinking untreated water; not practicing hand washing and no access latrine were contributed for malaria outbreak in the woreda. I recommended first treat contaminate water then stakeholders at all level should work on allover diarrheal diseases prevention and control activities such as the regional health offices, zonal health offices, woreda health offices in addition regional sanitation and water offices should conduct monitoring ofhygiene and availability of safe water for the local community and access to latrine. Additionally, there was Scabies outbreak investigation. During this outbreak, a total of 56,122 scabies cases and no deaths were reported. Certain environmental conditions such as overcrowding, poor personal hygiene, poverty, and lack of knowledge, which are favorable to the spread of scabies .We recommended, reducing overcrowding, and by improving health education, personal hygiene, treatment and surveillance among high-risk population sand lastly implement massive treatment campaign. Surveillance data analysis of magnitude of HIV infection for consecutive Five years (2010 – 2014) was conducted in Felege Hiwot Referral Hospital ART center, Bahir Dar, Amhara region, Ethiopian. HIV cases have decreased from year to years. Even if incidence rate of HIV was decreases the burden of HIV still increases. TB-HIV co infection is critical problem which need give attention in screening program; After starting of ART in the first 6 month of treatment strict follow up and registered ever follow up stage ; identify either they are improve or not.The reporting format should including important variable like Opportunistic infection. As we know nutritional intervention is the integrated part of HIV/AIDS management so we must registered and record properly patient weight and height to calculate BMI and follow up stage. I conducted surveillance system evaluation in East Gojjam zone of Amhara region in 2016. During this evaluation, surveillance of selected diseases (malaria and Sever acute malnutrition) was assessed. Poor data management, infrequent supportive supervision, absence of wellorganized feedback, poor utilization of manuals and guidelines were contributed for unsatisfactory of the system at the zone, District and, health facilities level. Health profile description was carried in Gonji Kolela district, West Gojjam Zone, Amhara region, 2015 I prepared scientific manuscript for peer reviewed journals on Scabies outbreak investigation and response in Enarji Enawuga woreda, East Gojjam zone, Amhara region. Two abstracts were done for scientific conference submission; Scabies Investigation and Surveillance data analysis on magnitude of HIV infection for consecutive Five years (2010 – 2014) was conducted in Felege Hiwot Referral Hospital ART center, Bahir Dar, Amhara region. Meher assessment was conducted in selected woredas of East Gojjam and South Shewa zones in Amhara region during 2015 to identify humanitarian needs following emergency occurrence. Malnutrition is anticipated to be a major public health concern in two zones because of EI-Nino. There were scabies andsevere acute malnutrition outbreaks in some districts of two zones. I identified shortage of drugs and medical equipment at both zonal level and many districts of these zones. Epidemiological research project proposal on prevalence of opportunistic infections and associated factors in HIV-positive patients on antiretroviral therapy in Felege Hiwot Referral Hospital, Bahir dar, Amhara region, Ethiopian was prepared. Descriptive cross-sectional study will be used for this study. Training was given to zonal and woreda PHEM focal persons from four zones and towns of 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. The trainings were organized by the Amhara regional health bureau, public health emergency core process.

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:	26 Oct 2018 14:30
Last Modified:	26 Oct 2018 14:30
URI:	http://thesisbank.jhia.ac.ke/id/eprint/7066

Actions (login required)

View Item