Ethiopian Field Epidemiology Training Program (EFETP)

Shibeshi, Abushet Asnake (2014) Ethiopian Field Epidemiology Training Program (EFETP). Masters thesis, Addis Ababa University.

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Abstract

Public Health Emergency Management (PHEM) is one of the core processes identified in Federal Ministry of Health. PHEM is the process of anticipating, preventing, preparing for, detecting, responding to, controlling, and recovering from the consequences of public health threats in order that health and economic impacts are minimized. PHEM is designed to ensure rapid detection of any public health threats, preparedness related to logistic and fund administration, and prompt response to and recovery from various public health emergencies, which range from recurrent epidemics, emerging infections, nutritional emergencies, chemical spills, and bioterrorism. The activities under this core process are to be implemented by appropriately trained and capable professionals. Since 2009 Ethiopia Field Epidemiology Training Program had been giving the program to contribute for trained and capable professionals. The Ethiopia Field Epidemiology Training Program is a two years and in service training program in the assigned field bases. The program is giving in collaboration. Addis Ababa University, School of public Health, Ethiopia Field Epidemiology Training Program, Federal Ministry of Health/Ethiopia Public Health Institute, Ethiopia Public Health Association with CDC Ethiopia and the Regional Health Bureau are executing the program. Field epidemiology Training Program has two components; a 25% class room teaching component and 75% practical or field placement component. During practical component residents assigned in the field base staying in the field base there are two residency out puts, which are residency I and residency II. During practical or field placement outbreak or epidemic investigation, desk review data analysis, description of health profile, writing a scientific manuscript for peer review journals, abstracts for scientific conferences, writing a protocol/proposal of epidemiologic research projects, narrative of a disaster situation or report on health and nutrition need assessment in visited woredas and also additional outputs like PHEM training are including in this document. In the Field base, the field supervisor is leading the whole activities throughout the academic years (two). The field base residency outputs are described in detail on the so called body of work. This body of work contains nine chapters. The first chapter reflects about outbreaks investigations. The outbreaks occurred in Guji and Horo Guduru Wollega zones and the affected districts were Liben and Abay Chomen, respectively. In both outbreak investigations being unvaccinated for measles was one of the risk factors for the occurrence of the outbreak. The second chapter contains measles data analysis. We reviewed five year data (2008 through 2012) to analyse the epidemiology of measles in Arsi Zone, Oromia Region. Based on the finding the administrative vaccine coverage and episode of disease were increased simultaneously in different woredas. This is due to accumulation of susceptible persons in the community and nonexistence of second opportunity for vaccination. The third chapter describes about the health surveillance system evaluation. The surveillance system evaluation (SSE) was done in West Shewa zone. A total of 14 PHEM focal persons were interviewed about their institution on core function of the surveillance system like case detection, registration, confirmation, reporting, data analysis and interpretation; we also used supportive functions and surveillance system attributes as a tool for the evaluation of the surveillance system. Under SSE we described Public health surveillance system is crucial for population wellbeing. According to the evaluation, the system is in place and help full for detection of the diseases and outbreaks. The main public health problem of the Zone was malaria. Measles was the second public health concern within the Zone and affected more than 180 people in one woreda. At zone and woreda level there was no preparedness plan in place but whenever an outbreak is emerged it is responded reactively. On the issue of completeness and timeliness report, the Zone and its Woredas did not perform well and below the target(80%). The fourth chapter is about description of health profile. The health profile was done in Lume woreda, East Shewa zone. According to the findings the three top leading diseases in the district, which attacked both adults and children under five years of age were acute upper respiratory tract infection, diarrhoea and acute febrile illness. Most of the diseases were affected the population due to lack of personal and environmental sanitation. The fifth chapter is describes a Scientific Manuscripts which prepared for submission for Peer reviewed Journals. Measles outbreak in Abay chomen woreda, Horo Guduru Wollega zone, Oromia, February, 2014 is an outbreak investigation which prepared for scientific manuscript. Compiled Body of Works in Field Epidemiology 2014 Abushet A, AAU-SPH-Ethiopian Field Epidemiology Training Program (EFETP) XV In chapter six, three abstracts are listed and prepared for submission for scientific presentations. The two abstracts were prepared on measles outbreak investigations done in two Zones (Guji and Horo Guduru Wollega) and one abstract was prepared on measles review data analysis of five years in Arsi zone. Chapter seven describes about narrative summary of health assessment during pre harvest term of two visited zones (Arsi and Bale) in November 2013. In the two zone totally six selected districts were visited. Based on the findings there were epidemic prone diseases and malnutrition which were risk of the population found in the visited districts. Chapter eight contains the protocol/proposal on epidemiologic research on selected topic, which is Assessment of ownership and utilization of insecticide treated nets at house hold level in malaria endemic kebeles, Lume Woreda, East Shewa zone, Oromia. It prepared based on the discrepancy between malaria morbidity and complete coverage of ITNs in the woreda. The study will be done in September 2014. A total of 57,812.25 estimated Eth Birr will be needed for the study. The final chapter contains an additional output report on the PHEM training for PHEM focal persons, who came from different Zone, Woreda and Town. The training was given at Shashemene from April 2-6/2014. The PHEM training needed for capacity building to enhance the quality of the surveillance system through knowledge and skill transfer. A total of 57 trainees had participated on the training in one class ‘A’. All trainees had taken pre and post-test to evaluate the gaps and to look that expected outcomes were achieved or not. Based on the finding during the pre-test the maximum test result was 96% and the minimum 40% with mean score 72.6%. During the post-test the maximum score was 100% and the minimum score was 60% with mean score of 88%. Based on the T test result there were a significant association between post and pre-test scores.

Item Type:	Thesis (Masters)
Subjects:	Q Science > Q Science (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	04 Oct 2018 11:17
Last Modified:	04 Oct 2018 11:17
URI:	http://thesisbank.jhia.ac.ke/id/eprint/5926

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