Bilal, Meseret Mengesha (2016) Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP Compiled Body of Works in Field Epidemiology. Masters thesis, Addis Ababa University.
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Abstract
The Ethiopian Field Epidemiology training program started in 2009. Field Epidemiology and Laboratory Training Program is an in-service training program in field epidemiology adapted from United States Center for Disease Control and Prevention (CDC) Epidemic Intelligence Service (EIS) program. It is a two years field base masters program. The School of Public Health/Addis Ababa University, the Federal Ministry of Health of Ethiopia /Ethiopian Public Health Institute(EPHI),and the Ethiopian Public Health Association(EPHA)/CDC Ethiopia are running the program together. During the field placement component I was engaged on outbreak investigation, surveillance data analysis, surveillance system evaluation, district health profile development, participating in disaster situation analysis, project proposal development, abstract writing for scientific conference, giving training for zone and district level PHEM officers. This compiled body of works has nine main chapters which all of them were done during the residency time of the program. Outbreak investigationI-1:Measles outbreak occurred in Hulla district , despite vaccination coverage of the district 99% in 2013,105% in 2014 and 96% six month coverage of 2015.Investigation was conducted and majority of the cases, 184 (60%), were between 5-14years of children. The attack rate was 452 per 100,000 populations with zero case fatality rate. The vaccination statuses from the whole cases were, 44 (14%) were unknown case, 14(5%) were two dose, 53(17%) one dose and 196(64%) zero dose. Contact history with sick and travel history two weeks prior to the onset of symptoms were significantly associated with Odds ratio of 126(15.8, 1002), 16(3.5, 73) respectively. Outbreak investigationI-2:Frequent measles outbreaks in the Aroresa district with measles vaccination coverage of more than 95% for the last three years. An attack rate and case fatality rate for the 293 measles suspected cases were 372.7 and 2.53 per 100,000 populations respectively. Travel history two weeks prior to the onset of symptoms came out to be important factors to increase the number of measles cases in the study area 2-3 week with odds ratio of 5.4(2.3,12.7). Number of rooms for living below four per a house hold also have a significant association with the measles disease with odds ratio of 4.57(1.0,20.7). Number of family size less than or equal to five per a one house hold have a protective effect with measles case with odds ratio of 0.45( 0.21 ,0.97).Being educated of mother and father is protective from measles infection with odds ratio of 0.26(0.08,0.79) and 0.23(0.11,0.47), respectively .Being vaccinated is protective with odds ratio of 0.15(0.06,0.38) . Surveillance Data Analysis Report II: A 5 years (2011-2015) malaria confirmed secondary data of SNNPR region were collected and analyzed. The prevalence of malaria confirmed cases was increasingsince 2011 up to 2012. High malaria confirmed cases were reported in 2012 and that account 11656 per 10000 malaria confirmed cases. However, starting from mid 2012, the prevalence was decreasing tremendously until 2015 and it reduced by 4 times compared to the 2012 data. Between 2011 and 2015, case fatality rate of the SNNPR have decreased. High case fatality rate 0.06% reported in 2011 in Gamgofa zone and Segen people zone , in 2012 high case fatality rate reported from South Omo zone and Basketo special district 0.128 % and 0.119% respectively. Evaluation of surveillance system III: Hulla district is one of the district on priority three emergency nutrition together with frequent measles outbreaks, we carried out surveillance evaluation. Except the zonal level major problems was observed in district, health center and health post levels on different surveillance system. Such as limited data analysis or null was identified, both health centers and health posts did not know health posts to Federal level expected weekly surveillance data report schedule and timely report from health post to health center was very weak. Health profile description report IV: Boricha district is one of the districts of Sidama Zone in SNNPR.The total population of a district in 2014 was estimated to be 314309.From the total population 157689 male and 156620 female. Among the total population, 94.3% (296,478) reside in rural areas and 5.7% (17,920) reside in urban kebeles. The leading cause of adult outpatient visit in the district was AFI which accounts 18% of the total causes of visits. Trauma and intestinal parasites were also other leading causes of adult outpatient visits next to AFI. Pneumonia was the leading cause of under-five outpatient visit in the district. Even though, an increased coverage of ITN in the district, malaria was remaining to be the community problem. Scientific manuscript journal V: A peer review journal was prepared on a disease entitled Spatial distribution of Malaria from 2011 - 2015 in SNNPR , Ethiopia. Abstracts for scientific Presentation VI: Two abstracts were prepared and one submitted for scientific conference .The abstract were prepared on an event/disease entitled Epidemiological a retrospective Analysis of injuries following the Hawassa Earthquake, Hawassa ,Sidama Zone, SNNPR, in January 2016 and Measles outbreak investigation in older children in Hull District, Sidama Zone, SNNPR February 8, 2015. Disaster situation visited VII: I conducted Epidemiological a retrospective Analysis of injuries following the Hawassa Earthquake, Hawassa ,Sidama Zone, SNNPR, in January 2016.Additionally I was participated in Belg Assessment (Seasonal Health and Nutrition Assessment) in Gurage and SilteZone from 23 ,June to 7 July 2015. and Rapid Nutrition Assessment In Southern, Nations and Nationality people Region (SNNPR) on Gedio Zone 13/12/2007- 5/13/2007 Proposal development for epidemiologic research VIII: An epidemiologic research project proposal was done on title; Assessment of the Utilization and Associated Factors of Insecticide-Treated Net (ITNs) In Boricha District ,Sidama Zone, SNNPR, Ethopia. Other additional outputs IX: Under additional outputs part a research project proposal on Road traffic injury submitted for Pre-TEPHINET GLOBAL Conference NCD Training Workshop. Other activities like weekly SNNPR bulletin, provision of training on acute watery diarrhea(AWD) in different zone and districts
| 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: | 01 Nov 2018 09:56 |
| Last Modified: | 01 Nov 2018 09:56 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7260 |
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