Browsing by Author "Adhana, Brhanu"

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    Ethiopian Field Epidemiology Training Program(EFELTP) Compiled Body of Works in Field Epidemiology
    (Addis Abeba University, 2019-06) Adhana, Brhanu; Seid, Yimer(MPH ); Gizaw, Muluken(MPH)
    The Ethiopian field epidemiology training (EFETP) is a two year an in-service training program in field epidemiology adapted from the US centers for disease control and prevention epidemic intelligence service given to multidisciplinary health professionals in Ethiopia. It was started in Addis Ababa University in 2001 and expanded to other eight universities to increase trained manpower in field epidemiology in our country to control emergency and reemerging health and health related situations. The program was designed to assist Ministry of health in building health system by training and build the capacity of the professionals. The program is 75% at field base practical attachment in investigating disease occurrence, surveillance evaluation and survey, and 25% class room teaching and learning to share experience from tutors /instructors to award a master of degree (MPH) in field epidemiology. We residents have the opportunity to practice public health in the real place where we have assigned. During the two years’ residency stay, we are expected to do the following output, for the partial fulfilment of master’s degree in field epidemiology, two diseases outbreak investigation, surveillance secondary data analysis, surveillance system evaluation, woreda health profile description report, summary of disaster situation report, manuscript, abstract, epi project proposal and additional outputs. During two years’ residency at Addis Ababa university school of public health and Tigray RHB PHEM and Alamata field base I have done and conducted the following activities and outputs Chapter 1: outbreak investigation 1.1 Epidemiological linked measles outbreak investigation in Alamata town, January 2019 The outbreak was started on January 14-2019. 31 under 15 year’s old children were the victims with one above 15 years old child. We investigate the outbreak, as epidemiologically confirmed since there was an outbreak of measles in woreda Ofla with confirmed cases where it is adjacent woreda the town of Alamata. The main risk factor of the outbreak was history of contact with measles case and being unvaccinated. 1.2 Scabies outbreak investigation among ‘Yekolo temari’ in Korem town, Tigray, Ethiopia April 2019. The outbreak of this scabies was in ‘Yekolo temari’ in three churches of korem town, the risk factors identified in this outbreak was contact scabies cases, sharing of coats among the ‘Yekolo temari’. The students were living in a small room crowdedly with a maximum of 20 ‘Yekolo temari’ in a single room. We have given education ho how to prevent and control the disease. We recommended to provide water access near the residential area for hand washing. Chapter 2: Surveillance data analysis Secondary data analysis on under five pneumonias a three-year data from 2015-2017, Tigray, region, January 2017. Within three years 316821 children under five were affected by pneumonia. The incidence and mortality rate was 140/1000 and 10.8/ 1000 children. This figure shows large amount of children suffer from a vaccine preventable disease. We recommend to TRHB and woredea health offices to inspect vaccine cold chain management at health facilities as the immunization coverage is 89% for pneumococcal vaccine Chapter 3: Surveillance system evaluationSurveillance system evaluation in Raya Azebo Woreda, southern Tigray, Ethiopia December 2018. We have conducted surveillance system evaluation in south zone of Tigray, Raya Azebo woreda. All respondents (11) of the agreed that the surveillance system is useful and sensitive to prevent and control disease outbreaks. And it was also representative in which all health facilities report the disease under surveillance, the people under surveillance have good health seeking behaviors towards disease occurrence and report new disease events. There was a gap of training among the health care providers i.e. only 80% of them have got training about surveillance. We recommend to the woreda; they have to be trained. Chapter 4: Woreda health profile description Health profiles description in Ganta Afeshum woreda, eastern zone of Tigray, Ethiopia, February, 2017. We have conducted health profile assessment in woreda Ganta Afeshum to assess health and health related issues and to assess basic health service in the woreda. Diarrhea none bloody was the first five top morbidity in under five and plasmodium vivax malaria was the first ten top disease among adults. We also found low contraceptive prevalence rate (32.9%) and low immunization coverage for all antigens. We recommend the woreda to assess why and what are the factors to be low coverage in the in the identified gaps. Chapter 5: Scientific manuscript for peer reviewed journals 5.1 Epidemiological linked measles outbreak in Alamata town, Januarys, 2019 5.2 Scabies outbreak investigation in Korem town, south Tigray, Ethiopia, April 2019 Chapter 6: Abstract for scientific conference Two abstracts were prepared on two outbreaks Chapter 7: Narratives summary of disaster situation report ‘Meher’ risk assessment in Ofla woreda, south Tigray, Ethiopia November 2019. In this emergency need assessment, the proxy GAM for children under five was 9.3% in which it shows high prevalence of malnutrition in under five children which is equivalent with the national prevalence studied in EDHS 2016. We recommend to the woreda to assess the nutrition enhanced for action. Chapter 8: Epi project proposal Epi project tittle was selected on Prevalence of malnutrition among 6-59 months children in Ofla woreda, south Tigray, Ethiopia 2019. This will be done after graduation on August 10-20-2019. This proposal aimed at the assessment of malnutrition status in 6-59months children and to assess the risk factors contributing to malnutrition so as to identify root cause and to take action in the area where the malnutrition prevalence is high. Chapter 9: Additional output on Weekly epidemiological bulletin in Tigray regional health bureau This weekly bulletin is very important to forecast the possibility of disease outbreak and to know the disease burden from which the report is received. This is done in weekly base to identify early and to take action for control.