Ethiopia Field Epidemiology Training Program (EFETP)Compiled Body of Works in Field Epidemiology

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2019-06

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Addis Abeba University

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This document contains all the work expected from Field Epidemiology trainee in Addis Ababa University School of Public Health for fulfillment of Master of Science Degree in Field Epidemiology. Starting from October 2017 to end of April 2019, I have been in Ethiopia Field Epidemiology Training Program, School of Public Health Addis Ababa University and Oromia Regional Health Bureau Field Base. We have carried out two outbreak investigation, One surveillance data analysis, one surveillance system evaluation, one district health profile description, two scientific manuscript for peer reviewed journals, two abstracts for scientific conferences, one Disaster Narration, one epidemiological research proposal and additional outputs like training for health professionals and weekly bulletin preparations. Chapter I: we conducted two measles outbreak investigations. We identified 82 measles cases with no deaths in Dawe Serer district of Bale Zone with overall attack rate of 0.49%. Only 7(8.5%) was vaccinated. Travel history to measles affected area and contact with measles cases were identified risk factor by case control study. Increasing routine vaccination and mass vaccination of less than 15 years of age was recommended. We identified 280 measles cases and 5 deaths in Hawi Gudina district of West Harerge zone with overall attack rate of 3.8 per 1000 populations and Case fatality rate of 1.8%. Majority 149(53.2%) was not vaccinated and district measles vaccination coverage was 67% in 2018. Low vaccination coverage was cause of outbreak and we recommend increasing routine vaccination and supplemental immunization activities for under 15 years age groups. Chapter II: we analyzed surveillance data of meningococcal meningitis of Oromia Region from 2013-2017. We identified 2665 cases and 74 deaths and incidence rate was 1.57 per 1000 population with case fatality rate of 2.78%. We recommend strengthening routine surveillance system and aligning the PHEM and monthly HMIS reports. Chapter III: we conducted malaria, measles and MDSR surveillance system evaluation in Oromia Special zone Surrounding Finfinne at 13 sites from December 06-21, 2018. The system was found to be useful, representative and flexible. Preparing Emergency Preparedness and Response Plan, conducting supportive supervision and Restoring function of committees are important to sustain the system on track.AAU, SPH, Compiled Body of Work, EFETP, Zinabu F, 2019 zinabu99@gmail.com XIII Chapter IV: we prepared health profile description of Berek district of Oromia Region from February 12-24, 2018. Leading cause of morbidity in all ages was Acute upper respiratory infection 2833 (26.12%) and in < 5 years children was Diarrhea (non bloody) 1383 (39.82%). Chapter V: we prepared scientific manuscripts for peer reviewed journals on meningococcal meningitis surveillance data analysis of Oromia Region, Ethiopia 2013-2017 Chapter VI: we prepared two abstracts for scientific conferences on measles outbreak investigation and response in Dawe Serer District of Bale Zone Oromia Region Ethiopia 2019 and meningococcal meningitis surveillance data analysis of Oromia Region, Ethiopia 2013-2017. Chapter VII: we conducted Internally Displaced Population health need assessment in Meda Welabu District of Bale zone Oromia Region Ethiopia from April 12 to 25, 2019. Chapter VIII: One epidemiologic research project proposal was prepared on LLIN utilization status and Malaria surveillance system evaluation in Sebeta Haws District, Oromia Region,Ethiopia 2019. We will conduct a community based cross sectional study on 616 households for LLIN utilization and institution based on system evaluation at 12 sites. It was estimated to cost 2978 USD. We have got award from Presidents Malaria Initiative to conduct study so we will start study as soon as fund was released by organization in the near future. Chapter IX: we gave training on basic PHEM for zonal, district and health facility level PHEM focal persons who came from two zones and two town health offices. We had prepared 5 Weekly epidemiologic bulletin of Oromia regional Health Bureau. The bulletin serves to summarize weekly surveillance data and performance of the region on epidemic prone diseases and other public health emergencies and to give feedback to the reporting agencies. We have attached weekly bulletin prepared on week 01, 2019 as a sample among others.

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Epidemiology

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