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Addis Ababa University, College of Health Sciences, School of Public Health, 2017 Addis Ababa University, College of Health Sciences, School of Public Health, 2017 Addis Ababa University, College of Health Sciences, School of Public Health Ethiopia Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By: Tarekegn Disasa Gutema 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 June, 2017 Addis Ababa, Ethiopia 1 | P a g e Addis Ababa University, College of Health Sciences, School of Public Health, 2017 Addis Ababa University, College of Health Sciences, School of Public Health Ethiopia Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By: Tarekegn Disasa Gutema 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. Ayele Belachew Mr. Dagnachew Alemu June, 2017 Addis Ababa, Ethiopia 2 | P a g e Addis Ababa University, College of Health Sciences, School of Public Health, 2017 ADDIS ABABA UNIVERSITY School of Graduate Studies Compiled Body of Works in Field Epidemiology By: Tarekegn Disasa Gutema Ethiopia Field Epidemiology Training Program (EFETP) School of Public Health, College of Health Sciences Addis Ababa University Approval by Examining Board ______________________________ ______________ Chairman, School Graduate Committee _____________________________ ______________ Advisor _____________________________ _____________ Examiner ____________________________ _____________ Examine ____________________________ ______________ 3 | P a g e Addis Ababa University, College of Health Sciences, School of Public Health, 2017 Acknowledgement I would like to thank my mentor Mr. Dagnachew Alemu and Dr. Ayele Belachew, and also my Residents Advisor Mr. Abdulnasir Abbagaro for their constructive and valuable suggestions and comments on my body of work in addition to outputs separately. My gratitude goes to dedicated AAU, Academic Coordinator of Field Epidemiology Training Program Dr. Adamu Addissie and Mrs. Abigia W for their continuous mentoring, advice and guidance. I would like to thank all instructors of the School of Public Health-AAU for their efforts in sharing their knowledge. My thanks also go to Ethiopian Public Health Institute (EPHI) and Oromia Regional Health Bureau Public Health Emergency Management and Health Research core process staffs for their unreserved support during the residency period (Specially Mr. Gemechu Shume and Mr. Tesema Debela for his professional comments for every output). I would also like to thank my colleagues and classmate cohort VII Field Epidemiology Training Program Residents, for their input during my presentations for parts of this document. I would like to thank all study participants for their patience and hospitality to provide epidemiological information for outbreak investigation part of this document. My gratitude goes to different regional health bureaus, zonal health departments, health facilities those were participated during investigation and assessment for their kind assistance and guidance. I would like to express my utmost gratitude to the organizations: Addis Ababa University, School of Public Health, Federal Ministry of Health, CDC/Ethiopia, Ethiopian Public Health Association, Oromia Regional Health Bureau, for giving me this opportunity to study and all other sectors who gave me all support and for their cooperation during my outputs work. At last but not the least my gratitude goes to my beloved Wife Sr. Senait Shiferaw ―Kiyya‖ and my delightful son ―Milki‖ for their encouragement and all sides support for this document, my beloved wife this was not successful without your support and encourage, you are really my backbone ―keep it up!‖. I | P a g e Addis Ababa University, College of Health Sciences, School of Public Health, 2017 Table of contents Acknowledgement ........................................................................................................................... I Table of contents ............................................................................................................................. II List of tables .................................................................................................................................. IV List of figures ............................................................................................................................... VII List of annexes .............................................................................................................................. XI List of abbreviations and acronym ............................................................................................. XIII Executive Summary ................................................................................................................... XVI Chapter–I Outbreak Investigations ................................................................................................. 1 1.1 AWD Outbreak Investigation, Limmu Woreda, East Wollega Zone, Oromia, Ethiopia, November 2016. .......................................................................................................................... 2 1.2 Measles Outbreak Investigation, Limmu Seka Woreda, Jimma Zone, Oromia, Ethiopia, February 2017 G.C .................................................................................................................... 25 Chapter-II Surveillance Data Analysis ......................................................................................... 53 2.1 Measles Surveillance Data Analysis, Guji Zone, Oromia Region, Ethiopia, 2011 to 2015. ................................................................................................................................................... 54 Chapter –III Public Health Surveillance System Evaluation ........................................................ 75 3.1 Evaluation of Public Health Surveillance System, South West Shoa Zone, Oromia, Ethiopia February 2017 G.C ..................................................................................................... 76 Chapter-IV Health Profile Description ....................................................................................... 116 4.1 Health profile description of Tiyo Woreda, Arsi Zone, Oromia Region, Ethiopia, January 2016 G.C ..................................................................................................................................... 117 Chapter–V Scientific manuscript for peer reviewed Journals .................................................... 145 5.1 Measles Outbreak Investigation -Limmu Seka Woreda, Jimma Zone, Oromia, Ethiopia, February 2016 G.C .................................................................................................................. 146 Chapter–VI Abstracts for Scientific Presentation ....................................................................... 167 II | P a g e Addis Ababa University, College of Health Sciences, School of Public Health, 2017 6.1 Measles Outbreak Investigation and Response, Limmu Seka Woreda, Jimma Zone, Oromia Region, Ethiopia, February 2017 G.C ..................................................................................... 168 6.2 Measles Surveillance Data Analysis, Guji Zone, Oromia Region, Ethiopia, 2011 to 2015 ................................................................................................................................................. 170 Chapter–VII Narrative Summary of Disaster Situation .............................................................. 171 7.1 Emergency Need Assessment Report of Health and Nutrition in South East Oromia Region, Ethiopia, November 2016 .......................................................................................... 172 Chapter-VIII Epidemiologic Research Project Protocol/Proposal ............................................. 197 8.1 Assessment of prevalence and determinant factors affecting childhood measles vaccination status in Limmu Seka Woreda, Jimma Zone, Oromia Region, Ethiopia 2017 ....................... 198 Chapter – IX Other Additional Outputs ...................................................................................... 218 9.1 Rapid need assessment and post malaria epidemic mitigation activity report, Abaya Woreda, Borena Zone, Oromia during June 2016. ................................................................. 219 9.2 Rapid needs assessment Pre AWD epidemic in Sebeta Town, Oromia, June 2016. ........ 231 9.3 AWD control and response activity report, Laga Tafo Town, Oromia, Ethiopia, during July –September 2016 ..................................................................................................................... 233 9.4 Oromia Region PHEM weekly Bulletin, WHO week 34/2016 ........................................ 241 III | P a g e Addis Ababa University, College of Health Sciences, School of Public Health, 2017 List of tables Table 1.1.1: Socio-demographic characteristics of AWD outbreak investigation, Limmu Woreda, East Wollega, Oromia, Ethiopia, November 2016 G.C ................................................................ 16 Table 1.1.2: Results of two by two for some variables, cholera outbreak investigation, Limmu Woreda, East Wollega, Oromia, Ethiopia, November 2016 G.C ................................................. 17 Table 1.1.3: Bivariate analysis for independent
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