Browsing by Author "Zeben,Eshetu"

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    Compiled Body of Works in Field Epidemiology
    (Addis Ababa University, 2024-10) Zeben,Eshetu; Deyessa,Negussie((MD, PhD- ); Seid,Yimer(MPH, Ass.Prof.); Abebe, Yonas (BSc, MPH)
    Despite numerous interventions aimed at combating infectious diseases, they continue to pose a significant global health challenge. Prevention is a fundamental component of the Ethiopian government's policy agenda, which includes initiatives to bolster immune system strength. The Ethiopia Field Epidemiology Training Program, overseen by the U.S. Centers for Disease Control and Prevention (CDC) Epidemic Intelligence Service (EIS), endeavors to enhance the diagnostic and preventive capacities of public health professionals in relation to critical diseases. During my tenure at Addis Ababa University School of Public Health and the Oromia Regional Health Field Base (Bale Zone Health Office) from January 2023 to September 12, 2024, several notable activities were undertaken. These encompassed the analysis of severe acute malnutrition (SAM) survey data from January 3 to January 25, 2023, scrutiny of Woreda health profile data from February 13 to February 30, 2023, investigation of a cholera outbreak from January 19 to February 2023, monitoring of a measles outbreak from June 19 to September 17, 2023, and the production of a research paper on type 2 diabetes self-care practices and associated factors among patients attending public hospitals in the Bale Zone from February 5 to March 22, 2024. Additionally, we conducted various training sessions and composed essays and articles that were published in reputable journals. However, this document only includes detailed information from one weekly report, with access to others provided through hyperlinks. The measles investigation, conducted between June 27 and September 17, 2023, identified 48 cases and 2 deaths in Agarfa Woreda, Bale zone, Oromia Region. To address these issues, we suggest intensifying the utilization of the second measles vaccine and raising public awareness about its significance. Between January 2023 and February 2023, there were cholera outbreak 25 cases of Vibrio cholera, with no fatalities. The causes of cholera include security concerns, inadequate infrastructure, insufficient healthcare services, and lack of clean water. To combat this, we propose providing clean and adequate water, avoiding contact with infected individuals, actively identifying affected individuals, delivering emergency treatment, and developing cholera vaccines. Surveillance data analysis of severe acute malnutrition (SAM) in the Bale one health office demonstrated a gradual increase in cases over the years, particularly in 2020 G.C.; However, deaths resulting from SAM decreased during this period. The Serveillance Evaluation System on weekly disease and surveillance (WDSS) and Maternal and perinatal death (MPDSR) also assessed the comprehensiveness, reason-ability, flexibility, and effectiveness of the analysis and data management processes, although timeliness, consistency, and Representativeness were not always ensured. Maternal health services were generally commendable, but respiratory issues, diarrhea, and inadequate healthcare services were prevalent. XIV The findings of all these studies are incorporated in academic reports prepared for submission to peer-reviewed journals. A research discussion was also developed, focusing on malnutrition (SAM) data analysis in the Bale zone , Oromia Region. In July 2023, a disaster assessment was undertaken to address the cholera outbreak affecting five villages in the Bale Zone district's of Oromia Region, aiming to identify people's needs and implement public health measures. The primary health concerns identified were diarrhea, malaria, and other infectious diseases. Our research study concentrates on type 2 diabetic patients admitted to public hospitals in the Bale Districts, Oromia Region, and their personal experiences with diabetes. We conduct our final thesis research on self-care practices and associated factors among type 2 diabetes mellitus patients attending public hospitals in Bale zone, Oromia region, Ethiopia. We selected 411 patients for a cross-sectional study using systematic random sampling and collected information regarding social factors, medical records, diabetes self- management, medication adherence, and self-care via the KoBotool database. The findings indicated that 59.4% of Type 2 Diabetes Mellitus patients demonstrated good self-care level, while 40.6% exhibited poor self-care behavior. Enhanced self-care was positively associated with higher income, self-employment, diabetes education, membership in a diabetes organization, knowledge about care, positive self-esteem, and absence of diabetes complications. Furthermore, We present the weekly epidemiological bulletin from the Public health emergency management (PHEM) reports of the Bale zone health office and Oromia Regional Health Directorates for weeks 1-4, 28- 41, and 42-49 of 2023.