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Addis Ababa University, College of Health Sciences, School of Public Health Addis Ababa University, College of Health Sciences, School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Ibrahim Hussein Ali (BSC) Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the degree of Master of Public Health in Field Epidemiology May, 2016 Addis Ababa 1 Addis Ababa University College of Health Sciences School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Ibrahim Hussein Ali (BSC) Submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment for the degree of Master of Public Health in Field Epidemiology Advisors Dr. Negussei Dayiesa (MD, MPH, PhD) Dr. Lucy Boulanger (MD, MPH) May, 2016 Addis Ababa Addis Ababa University School of Graduate Studies Compiled Body of Works in Field Epidemiology By Ibrahim Hussein Ali (BSC) Ethiopian Field Epidemiology Training Program (EFETP) School of Public Health, College of Health Sciences Addis Ababa University Approval by Examining Board _________________________ ___________________ Chairman, School Graduate Committee _________________________ ___________________ Advisors Dr. Negussie Dayissa (MPH,PhD) ______________ Dr. Lucy Blounger (MD, MPH) ______________ Examiner Prof. Ahmed Ali _______________ Examiner Dr.Takale Menna (MPH,PhD) _____________ I Acknowledgment On behalf of my works, my gratitude goes to my mentors (Dr Negussie D and Dr Lucy B), who achieved their successful mentorship responsibility. I would like to thank MOH, AAU, EPHA and CDC who may able me to have a knowledge and skill with their successful coordination and scientific management of the program. My specials thank goes to the Afar regional state, which made me a candidate for this special program. Finally, I would like to thank to all TRHB, PHEM staffs for their kindly supports and sharing their experience. I Table of Contents Acknowledgment ........................................................................................................................................... I Lists of Tables .............................................................................................................................................. III Lists of Figures ............................................................................................................................................ IV List of Acronyms and Abbreviation .............................................................................................................. V Executive Summery ....................................................................................................................................... 1 Chapter I- Outbreak/Epidemic Investigation ................................................................................................ 3 1.1 Louse Born Relapsing Fever Outbreak Investigation in Mekele-City, Mekele Zone, Tigray Regional State, 2016 ................................................................................................................................................ 3 Annex I – Louse Born Relapsing Fever Outbreak Investigation Questionnaire of Mekele-city, Tigray, Ethiopia 2016 .......................................................................................................................................... 14 1.2. Investigation of Scabies Outbreak South- East Zone, Tigray Regional State, Ethiopia-2016 ......... 17 Annex II –Scabies Outbreak Investigation Questionnaire for Doga- Tembien District, South-East Tigray Zone, Ethiopia February 25-March 12, 2015 .............................................................................................. 31 Questionnaire for scabies outbreak investigation ................................................................................... 31 Chapter II- Surveillance Data Analysis Report ........................................................................................... 36 Two Year Kalazar Surveillance Data Analysis in Tigray, 2012 – 2014 ................................................. 36 Chapter III – Evaluation of Surveillance System ........................................................................................ 46 Evaluation of Surveillance System for Malaria of Wekro Tigray Ethiopia, 2016 .................................. 46 Annex III – Surveillance Evaluation Questionnaire for Malaria ................................................................ 64 Chapter 4 - Health Profile Description Report ............................................................................................ 94 Dubti District Awsa Zone, Health Profile Assessment Report 2014/2015 ............................................. 94 Annex IV – Health profile data description of Dubti District Afar Regional State, Ethiopia, April 2015 110 Chapter V- Scientific Manuscripts for Peer reviewed Journals ................................................................ 153 LOUSE BORN RELAPSING FEVER OUTBREAK INVESTIGATION IN MEKELE-CITY, TIGRAY REGIONAL STATE, 2016 ................................................................................................... 153 Chapter VI – Abstracts for Scientific Presentation ................................................................................... 164 6.1Louse Born Relapsing Fever Outbreak Investigation in Mekele-city, Tigray Ethiopia ................... 164 6.2 Scabies Outbreak Investigation in Doga-temben District, South East Zone, Tigray Region, Ethiopia-March, 2016 ........................................................................................................................... 165 Chapter VII – Narrative Summery of Disaster Situation Visited ............................................................. 168 7.1 Health Bulge Report of Selected Eight districts of Afar, Ethiopia, 2015 ....................................... 168 Annex V – Rapid Belg assessment- Health & Nutrition Sector: Woreda level Questionnaire 2015 ........ 183 II Chapter VIII – Protocol/Proposal for Epidemiologic Research Project ................................................... 187 8.1 Owner ship and Utilization of Insecticide-treated Nets (ITNs) for Malaria control in Dubti Afar National Regional State, Eastern Ethiopia ............................................................................................ 187 Annex VI – Owner Ship and Utilization of ITNs questionnaire for house hold Dubti Afar in Ethiopia, 2016 ...................................................................................................................................................... 202 Chapter IX- Other Additional Output Reports .......................................................................................... 206 9.1 Epidemiological Bulletin of WHO week 21, 25 &27 Tigary, 2016 ............................................... 206 Lists of Tables Table1.1.1 socio demographic and educational level of study participants Mekele Tigray February, 2016 9 Table1.1. 2 Factors associated with LBRF identified by univariate analysis of participants February, 2016 .................................................................................................................................................................... 10 Table 1.1. 3 Factors significantly associated with LBRF identified by multivariate analysis, February 2016 ............................................................................................................................................................ 10 Table 1.1. 4 Factors associated with scabies identified by univariate analysis Doga-temben Tigray march, 2016 ............................................................................................................................................................ 24 Table 1.1.5 Factors associated with scabies identified by Multivariate analysis Doga-temben Tigray march, 2016................................................................................................................................................. 25 Table 1.2, 1 Kalazar cases and case fatality rate by hospitals in Tigre region, from 2012 -2014 ............... 41 Table 1.2.3 Incidence of kalazars Zones in Tigray Region, 2012 to June, 2014 ........................................ 43 Table 1.2.4 Distribution of vital statistics in Dubti District, Ethiopia, 2014/15 ....................................... 101 Table 1.2. 5 Immunization status of Dubti District, Ethiopia, 2014/15 .................................................. 102 Table 1.2.6 Top ten causes of morbidity in adult and under 5 OPD in Dubti District, Ethiopia, 2014/15 103 Table 2.1 Human resources working in Dubti District health system, Ethiopia, 2014/15 ........................ 105 Table 2. 2 Factors associated with LBRF cases identified by univariate analysis, Mekele-city, February 2016 .......................................................................................................................................................... 159 Table 2. 3. Factors significantly associated with LBRF identified by multivariate analysis Mekele-city, February 2016 ........................................................................................................................................... 160 Table 2. 4 List of assessed wereda and their Emergency FSN level, Afar, May 2015 ............................. 171 Table 2.5 General Health facility and population profile of assessed woredas
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