Browsing by Author "Deyessa, Negussie(Dr.)"

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    Developing an Enterprise Framework for Mental Health Information System in Addis Ababa
    (Addis Abeba University, 2021) Dejene, Hilina; Abebe, Ermias; Deyessa, Negussie(Dr.)
    Background: “Mental health information system is a system for collecting, processing,analyzing, disseminating and using information about a mental health service and mental health desires of the population”. All types of mental health organizations should have a clearly defined set of quality information that is gathered and consolidated in to meaning full indicators for clinicians, managers and the executive. Objective: The general objective of this project was todevelop an enterprise framework for mental health information system in hospitals that provides mental health care in Addis Ababa. Methodology: For data collection interview, observation, document and literatures review was done. For the framework development the Zachman and the open group architectural frameworks were used. Iterative system development methodology was used for over all framework development. Discussion of Results: By using the perspectives of the Zachman framework and the open group architecture template different business, data and information architecture works were done. Taking the mental health organization mission, strategy and objectives in to consideration the investigator identified the architecture mission, business and information principles, information flow between different departments and different stakeholders that have impact on mental health information systems. Conclusion:Information is a critical component of mental health institutions for many purposes like patient care, decision making, and monitoring of outcomes. As a result of this proper and standardized way of information flow can improve communications among the business organizations and different stakeholders. This mental health information system architecture framework will serve as a base for developing more complete architecture framework of mental health institutions in the future.
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    Ethiopia Field Epidemiology Training Program (EFELTP) Compiled Body of Works in Field Epidemiology By: Natnael Teferi Dejene
    (Addis Abeba University, 2019-06) Teferi, Natnael; Deyessa, Negussie(Dr.); Taye, Girma(Dr.)
    Field Epidemiology Training Program (FETP) program in field epidemiology adapted from the United States Centers for Disease Control and Prevention (CDC) Epidemic Intelligence Service (EIS) program and designed to assist the Ministry of Health in building or strengthening health systems and improve leadership within Public Health Emergency Management. The EFELTP provides residents a Master of Public Health in Field Epidemiology after complete two years ofsupervised work in applied or field epidemiology. The program has two main components:Classroom-teaching component (25%) and practical attachment or field placement component(75%). The role of public health practitioners includes ensuring effective health promotion, disease prevention and control activities by conducting surveillance on emerging public health threats and providing continues information to policy makers and public health officials.From October, 2017 to up today, I have stayed in Field Epidemiology Training Program, School of Public Health-AAU and at both EPHI and Oromia Regional Health Bureau field base. I learned a lot of public health activities during my stay. This document is compiled body of works accomplished during the two years stay at field base of the field epidemiology training program in Addis Ababa University- School of Public Health. Chapter I: We conducted two epidemiological investigation of outbreak (Malaria and Measles). We used both descriptive and Analytical epidemiology for both outbreaks to describe the pattern and magnitude of the diseases and identify associated risk factors with the outbreak. A total of 348 confirmed malaria cases with no death was identified during February to March 2018 in Darimu Woreda of Iluababora zone, Oromia region. We identify Presence of mosquito’s vector/breeding sites, unprotected dam for irrigation, and similar sick patient in the house hold as independent risk factors for malaria outbreak in the woreda. Poor in detection, notification of the outbreak and implementation of larva control measures are a toll for this outbreak. we recommend strengthen malaria surveillance system, identifying potential vector breeding site, Proactive vector control,redistribution of the ITN prior to malaria season and address utilization gaps on bed net through healtheducation. Measles outbreak in Liben woreda of Guji zone, Oromia region. we investigate from December 12 to 20, 2018. A total of 15 measles cases were identified and 3/5 tested were confirmed by measles specific IgM antibody test. Traveling history to adjacent Woreda, presence of measles cases in the house and being unvaccinated are found to be independent risk factor for this outbreak. Religious exemption is identified as major factor for being not vaccinated, which is opposed the>100% vaccine coverage report of the woreda. Target measles vaccination with vitamin A supplementation amongst under five, Suspension of public collection from suspected measles cases rumour reported, health education on religious area, strengthen cold chain management and furthers study on vaccine acceptance and associated factor with sufficient sample size were recomended. Chapter II: We conduct Five-year (2013-2017) malaria data analysis at south west shoa zone and describe by person, place and time. Malaria cases in the zone were decreased by 80.5 percent by 2017 compared to the baseline year of 2013. The zone was in line with achieve high level National malaria strategy plan. Burden of malaria cases was still high among three Woredas. Peak malaria case between September and December. We recommend ITN’s distribution and IRS for respective high malaria endemic woreda and scale up of malaria prevention and control intervention prior to the respective period and harmonizing HMIS and PHEM system at all reporting level in order to generating reliable and quality data. Chapter III: We conducted Evaluation of surveillance system from February 01-18, 2019 in Bale zone. (N=43): Measles surveillance was selected and assessed. The system in place found to be simple, flexible and stable in operating well without interruption and helpful in case detection but not useful (fail) to meet objectives of surveillance for action and low in representativeness andacceptable. We recommend widen the surveillance chain among private health facilities, upgrading data management to electronic at all level. Chapter IV: We conducted description of Health profile in Gindeberet Woreda, West Shoa Zone, Oromia region February 10 to 30, 2018. we found Acute febrile illness, pneumonia and acute upper respiratory tract infection were leading causes of adult morbidity and very low TB and HIV case detection. We recommend, targeted HIV counseling and testing. Chapter V: We prepared scientific manuscript for peer reviewed journals on Malaria outbreak investigation in Darimu woreda, Iluababora Zone 2018. The manuscript was prepared according to Ethiopian journal of health development authors guideline. Chapter VI: We prepared two abstracts for submission to scientific conference: - 1. Measles Outbreak Investigation in pocket area of Liben Woreda, Guji Zone, Oromia Region, Ethiopia- December, 2018. 2. Malaria Outbreak Investigation Darimu Woreda of Iluababora Zone, Oromia Region, Ethiopia, March 2018. Chapter VII: We conduct Narrative Summary of Disaster situation report (Meher Assessment) at three Zone of Agro pastoral zone of Oromia Region (Guji, West Guji and Borana) from November 22 to December 12, 2019. There were increased malnutrition case, because of double burden effect of high influx of IDPs and drought in all accessed zones. With this junction, there is emergency nutrition intervention/supply stock out in West Guji and Borana Zone. We recommended the RHB and FMOH should fill the gaps/shortage of nutrition supplies, emergency drug and ensure capacity for timely response. Chapter VIII: Epidemiological research project was prepared on ITNS Utilization and associated factors among settler’s population in Darimu woreda of Iluababora Zone, Oromia Region 2019. Community based cross sectional study will be conducted from April to May/2019. Multi-stage sampling technique will be used to get study subjects. Sample size will be determined by using Epi info by using 80% ITNs utilization from pervious study. Total 541 house hold will be assessed in this study and 37,966.96 ETB estimated budget requiring. Chapter IX: Training was given for 59 Health professionals working at Woreda and Health facilities of two zones from December 22-25, 2018. The training was organized by Oromia regional health bureau with collaboration of WHO at Ambo Town. The training was addressed overview of PHEM System, Public Health Emergency Preparedness, Epidemiology of 20 Notifiable Diseases, Early Warning Prevention, Health Emergency Response and Recovery. The training was supported by practical demonstration and group work presentation. Lack of printed training manual is a challenge, so we recommend training preparation should de include all necessary format and manual for trainers. Also I participate in different trainings and conferences in different places, namely: - I have attended AFENET Scientific conference at Addis Ababa June 2018. I have attended the training of Disaster Medical Assistance Team as central DMAT member at Bishoftu town from January 21-27,2019. I participate on Regional semi-annual PHEM review at Adama from February 1114/2019 and Public Health emergency preparedness and response on public mass-gathering at Kulib-Gebril Celebration December 2018.Other additional output: I conduct Six Regional public health emergency Weekly bulletin. I including only one of weekly bulletin in this document. Weekly bulletin results were disseminated for all Zones, Administrative Towns, Regional PHEM staff and different stakeholders including governmental and non-governmental organization on weekly bases.
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    Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology
    (Addis Ababa Universty, 2018-06) Dechasa, Dereje; Deyessa, Negussie(Dr.)
    This document contains two years Field Epidemiology Training Program outputs, to be submitted to school of public health for fulfillment of Master Degree in Field Epidemiology. This Compiled Body of Work has seven chapters. Two Reports of diseases outbreak investigations, public health surveillance data analysis, surveillance system evaluation, Health profile assessment, scientific manuscript, and scientific abstract and Epidemiological research project proposal. Chapter one: This chapter describes about two outbreak investigation reports. The first outbreak is measles outbreak investigation conducted in Kibebe-tsehay orphanage, Gulele sub city, Addis Ababa in 2017. The objective was to describe the magnitude of the outbreak and to identify risk factors associated with the outbreak. We used unmatched case control study design with the case to control ratio of 1:2.The outbreak affected 45 persons with the attack rate and case fatality rate of 20.6% and 8.9%, respectively. Contact history with measles cases was significantly associated with measles infection after adjusting all other factors. Addis Ababa health bureau, Gulele sub city and the affected woreda health offices need to achieve and maintain high measles vaccination coverage to increase population immunity and improve measles case management based on WHO recommendation. The second outbreak is rubella outbreak investigation conducted in woreda 03, Nifas Silk Lafto sub city, Addis Ababa in 2018. The objective was to describe the magnitude of the outbreak and take control and prevention measures. In this outbreak a total of 45 Rubella cases with crude attack rate of 0.1 and no deaths were reported. The age-specific attack rate was high (0.9) for age group 1-4 years. Sex specific attack rate was 0.2% for males and 0.1% for females. We recommended further study to describe the extent of the that Addis Ababa health bureau in collaboration with Federal ministry of health and partners need to consider the introduction of rubella vaccine. Chapter two: This chapter covers the malaria surveillance data analysis done in Addis Ababa from 2012-2016. The objective of the analysis was to describe the malaria cases in Addis Ababa. The incidence was ranged between 0.9/1000 in 2014 and 1.7/1000 in 2016. The five years average incidence was highest (4.2/1000) in Akaki. We recommended that Addis Ababa health 1 bureau and respective sub city health offices need to encourage the travelers to malaria endemic area to sleep under insecticide-treated mosquito net and apply mosquito replant lotions. Chapter three: This chapter contains the malaria surveillance system evaluation report conducted in Nifas Silk Lafto sub city of Addis Ababa. The objective of this chapter is to address the systematic aspect of the gap identified during the analysis of five years malaria surveillance data done in Addis Ababa which is presented in chapter three of this document. The analysis report indicated that many of the studied woredas and health centers had no multi-sectoral task force and malaria epidemic preparedness and response plan. The Flexibility, predictive value positive and acceptability of malaria surveillance system were 54.2%, 65.2% and 78.1%, in their respective order. The woreda health offices and health center need to establish emergency task force and prepare malaria epidemic preparedness and response plan. They also need to aware the community and all stakeholders to improve the acceptability of the surveillance system. Chapter four: This chapter describes the health profile of Yeka Sub city. The objective of the assessment was to describe health and health related information and identify the priority health problem of the sub city. The assessment identified low contraceptive acceptance rate, low delivery service attended by skilled person and low outpatient department attendance per capita. The sub city reported low (37%) contraceptive acceptance rate, low (64%) delivery service attended by skilled person and low (0.99) outpatient department attendance per capita. Therefore, the health facilities, woreda and sub city health offices need to identify and intervene on factors contributed for these low performances. Chapter five: This chapter presents a scientific manuscript on malaria surveillance data analysis done in Addis Ababa city administration. The contents of this manuscript were described in chapter two of this summary. Chapter six: This chapter contains the scientific abstract prepared on malaria surveillance data analysis done in Addis Ababa city administration. Chapter seven: This chapter describes the Epidemiological project proposal prepared on Prevalence of malaria and associated risk factors among residents of Akaki kality sub city, Addis Ababa in 2018. The objective of the proposal is to determine the prevalence of malaria and identify the risk factors associated with malaria in Akaki kaliti sub city in 2018.