Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP)

Sori, Birhanu Kenate (2014) Ethiopian Field Epidemiology and Laboratory Training Program (EFELTP). Masters thesis, Addis Ababa University.

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Abstract

In order to cope up with the challenges of recurrent and emerging public health threats, the Federal Ministry of Health of Ethiopia adopted Field Epidemiology Training programme for early detection of unusual health events, prevention and control of diseases through multifaceted approach. From the beginning of second week of October 2013 up to the end of May 2014 I have been stayed in Field Epidemiology Training Program, School of Public Health- AAU and at Oromia Regional Health Bureau field base. I carried out two outbreak investigations, one surveillance data analysis, one evaluation of surveillance system, and one Woreda health profile description, two abstracts for scientific conference, one maher assessment, one research proposals and training as outputs. Chapter I: Epidemiological investigations of two outbreaks were conducted. Descriptive and Analytic Epidemiology was used during investigations. We identified several factors that contributed to rubella outbreak. We investigated rubella outbreak in arid- pastoralist society of Borena zone of Miyo Woreda. It is found that recent travel to an areas where cases of rubella was reported, attending a school where the cases present and the housing condition with poor ventilation were significantly associated with rubella outbreak. We confirmed Measles outbreak in remote area of Gelana woreda of Borena zone. This investigation revealed that the outbreak was likely contributed due to accumulation of a large number of susceptible individuals in the community exacerbated by contact among cases, unventilated households and low immunization activity which was highly significantly associated with the cases. We recommend improved routine and supplementary immunization activities, strong ongoing active case surveillance for the Woreda. Chapter II: - Five years (2008 to 2012) West Shewa zone malaria data was used for analysis to describe malaria cases by person, place and time. Malaria still continued to be a major cause of public health in west shoa zone despite that different malaria control strategies were implemented. Chapter III: - Evaluation of surveillance system was conducted from June 6 – 21, 2013 in East Wellega Zone. The data revealed that despite the public health surveillance system is young , the way of reporting, case detection , supportive supervision and feedback delivery system, communicating both in horizontal and vertical direction like outbreak investigation , monitoring and evaluation of the surveillance system framework is well established. However, still there is a long gap between their achievement and their final goal. In general terms the overall surveillance system currently underway in the zone was not satisfactory. Chapter VI: - Health profile is a system of collecting and summarizing health and other health related events, demographic, socio-economic, political and cultural aspect of a particular Woreda. Health profile description of Adea Woreda of East Shewa Zone of Oromia region was collected, analyzed and interpreted accordingly from February 3-9/2013. Chapter V:-Scientific Manuscript for Peer Reviewed Journals was done on Rubella outbreak in Miyo, Borena Zone Oromia, and Ethiopia in December 2013. Chapter VI:-two abstracts were submitted for scientific .This includes: 1. Rubella Outbreak Investigation and response in pastoralist community of the Ethio- Kenyan Boarder of Miyo Woreda-Borena zone, Oromia, Ethiopia, December 2013 2. Measles Outbreak Investigation and Response in remote area of Gelana Woreda of Borena Zone; Oromia-Ethiopia, January 2014 Chapter VII:-Narrative summary of disaster situation. Meher assessment was conducted in three zone of Oromia region. These include North, West and East Shewa zones. It was conducted from November 25 to December 14. Its aim was to identify to assess the outcome of 2013 meher crop and potential risk factors for the anticipation of occurrence of Health Problems and food insecurity for ensuring appropriate and effective humanitarian planning and responses for reducing morbidity and mortality in the zone. No diseases outbreak was reported in zones witin the past six month. The food insecurity problem Chapter VIII: - Protocol/proposal for Epidemiologic Research Project was prepared. The main purpose of study is to assess the proportion of LLITNs ownership by householders, utilization among the household members and factors affecting utilization in Bako Woreda, West Shewa zone, Oromia Region. Cross-sectional study designed will be implemented. Sample size required for this study is 1,320 households. The sample size was calculated using the standard formula for estimating a single population proportion

Item Type:	Thesis (Masters)
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	06 Jul 2018 08:31
Last Modified:	06 Jul 2018 08:31
URI:	http://thesisbank.jhia.ac.ke/id/eprint/6680

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