Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology
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Date
2018-06
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Addis Ababa Universty
Abstract
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
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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.
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Epidemiology,Nifas Silk Lafto sub city of Addis Ababa.