Asnake, Mugzer (2017) Ethiopia Field Epidemiology Training Program (EFETP): Compiled Body of Work in Field Epidemiology. Masters thesis, Addis Ababa University.
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Abstract
This document contains a two year output of Field Epidemiology Training Program that to be submitted to the school of graduate studies of Addis Ababa University Partial fulfillment for the degree of master of Public Health in field Epidemiology. The majority of the program (75%) contains field works that known as residency. This document includes the two year outputs including diseases outbreak investigations, surveillance data analysis, surveillance system evaluation, narrative summary of disaster situation report, manuscripts, abstracts and proposal for epidemiologic research project. The two years activities are summarized in to nine chapters. Chapter One: We conducted two epidemiological investigations of two outbreaks. I conduct two outbreak investigations as principal and one out break as co-investigator.Both were investigated using case control study design based the outbreak investigation format (Abstract, background, methods and materials, results, and discussion). The first outbreak investigation was about measles outbreak in Wadera Woreda, Guji Zone, Oromia, Ethiopia in December 2016. The main factors contributing to this outbreak was the accumulation of large numbers of susceptible children over time in the Woreda. We recommend the Ministry of health, Regional health Bureau and Zonal health department to use the second opportunity of SIAs and have conducted a catch up and several follow up campaigns to increase measles immunity by keeping data records at all levels. The second is Rota Virus outbreak investigation in Nono wopreda of West Shoa Zone,Oromia February 2017.being vaccinated, being breast feed and having knowledge of exclusive breast feeding has a protective factor for developing the disease while contact history with similar complaints was a risk factor. Children less than five years of age were the most affected groups. The main cause of this outbreak was low vaccination coverage of Rota. We recommend the Woreda health Office, Health Center and health post at kebele level actively strengthen the immunization activities both at statics and outreach based. Chapter two: We used descriptive cross-sectional study design used Microsoft Excel to analyze the collected data. In the last five consecutive years 130,666 total case of malaria were diagnosed. Among these 41,125(31.5%) of the cases were diagnosed clinically and the rest 89,444(68.5%) confirmed.From the total confirmed malaria cases 18,376(78.9%), 4,358(18.7%) and 560(2.4%) of them were Plasmodium PF, PV and mixed of PF and PV respectively. The number of deaths seems unrelated to the number of cases in each reporting year, which has an average of six deaths in each reporting year of the study. Missing data value like malaria admissions by age and sex is the limitations identified. Analysis of malaria by person, place and time should be strengthened and the data reported through PHEM could be able to have age and sex characteristics Chapter three: Descriptive cross-sectional study was conducted in East Shoa Zone, Oromia region from October to November 2016. Zonal health office, 5 woredas, 10 health centers, 10 health posts and one Hospital were included in the study. Standard case definitions for all prioritized diseases are available at Zonal, Hospital, 8 (80%) health centers and 7(70%) Health Posts in the zone. At zonal level, the Public Health emergency management officers analyze surveillance data by time, person and place and send its feedback to the lower level in quarterly bases but not at Woreda and health facility level. During the past six months, East Shoa zonal department were not conduct supportive supervision because of time constraints and security issues in the region. Analysis of Surveillance data on time, place and person should be strengthening at all levels for prioritized diseases and Supportive Supervision also undertaken in routinely bases. Chapter four: We collected, analyzed and interpreted all required health and health related data from 03 -19/06/2008 E.C. of Wolmera Woreda. We conducted descriptive cross sectional study design using standardized checklist. We reviewed available hard and softcopies to generate different data. The Woreda had a coverage of Pentavalent 3, PCV3 and Measles 64.2%, 63.9% and 58.8.% respectively. Compared to the national the Woreda achieved very low immunization coverage due to Low Community awareness and low health coverage. Those Pregnant mothers who should gave their birth at health facility was only 17% and those that attend at least once for Antenatal Care in Health Facility accounts only 76.3% of eligible mothers and focused Antenatal Care of the Woreda was only 28%. Incomplete and inconsistency of some data (Latrine utilization, average income per year, yield agricultural product) is some of the limitations.Chapter Five: contains manuscript for peer reviewed journal on Rota virus outbreak in Nono Woreda of West Shoa zone. Chapter Six:-Two abstracts on measles outbreak investigation and Rota Virus outbreak investigation are included in the. Chapter Seven: indicates about the disaster narrative situation of the meher assessment of three Zones of Oromia Region. Health and health related like outbreaks, nutrition, Water, Sanitation and Hygiene as well as preparedness of the Zone was documented. Chapter Eight: one protocols/proposal for epidemiologic project was included. These protocols were about assessment of factors affecting the measles infection outbreak in Wadera Woreda of Guji Zone. Chapter Nine: This chapter includes reports of additional works done during residency.AWD outbreak response activities done in Oromia region and some of epidemiologic Bulletin done was included.
| 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: | 21 Nov 2018 08:58 |
| Last Modified: | 21 Nov 2018 08:58 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7605 |
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