Compiled Body of Works in Field Epidemiology
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ADDIS ABABA UNIVERSITY COLLEGE OF HEALTH SCIENCE SCHOOL OF PUBLIC HEALTH ETHIOPIAN FIELD EPIDEMIOLOGY AND LABORATORY TRAINING PROGRAM (EFELTP) Compiled Body of Works in Field Epidemiology By: Daniel Bekele January 2021 Addis Ababa Addis Ababa University, College of Health Sciences, School of Public Health, Ethiopian Field Epidemiology Training Program (EFELTP) Compiled Body of Works in Field Epidemiology By: Daniel Bekele A Compiled Body of Work Submitted to the School of Public Health Addis Ababa University in Partial Fulfilment for the Degree of Master of Public Health in Field Epidemiology Advisors: Dr. Wakgari Deressa (Professor) Mr. Abdulnasir Abagero (MPH, PhD fellow) January 2021 Addis Ababa, Ethiopia AAU CHS SPH-2021 Page i ADDIS ABABA UNIVERSITY COLLEGE OF HEALTH SCIENCES SCHOOL OF PUBLIC HEALTH ETIOPIAN FIELD EPIDEMIOLOGY AND LABORATORY TRAINING PROGRAM (EFELTP) Compiled Body of Work in Field Epidemiology By: Daniel Bekele Approval by Examining Board _____________________________________________ Chairman, School Graduate Committee _____________________________________________ Advisor _____________________________________________ Examiner _____________________________________________ Examiner ______________________________________________ AAU CHS SPH-2021 Page ii Acknowledgments Firstly, my sincere gratitude goes to my mentors Dr.Wakgari Deressa (Professor) and Mr. Abdulnasir Abegaro for their assistance and relevant guidance. Secondly, I would like to acknowledge Addis Ababa University School of Public Health (AAU SPH) Field Epidemiology Training Program Academic Coordinators Dr. Adamu Addissie for his guidance and support during development of this body of work Thirdly, I would like to thanks my field supervisors and mentors Mr. Gemechu Shume and Mr., Bokona Daba for their unreserved support and guidance through my residence time for developing this body of work. Lastly, I would like to thanks Ethiopian Federal Ministry of Health, EPHI, Oromia region Health Bureau for supporting with financial and giving me the chance to join field epidemiology and laboratory training program. In addition, I would like to thanks my family and friends those stand with me by supporting and advice during development of this body of work. AAU CHS SPH-2021 Page iii Table of contents Table of contents .......................................................................................................................................... iv List of Abbreviation and Acronyms.............................................................................................................. x Chapter One: Outbreak investigation ............................................................................................................ 3 1.1 Measles outbreak investigation and response in Robe Town Oromia region, Ethiopia, in March 2019 3 1.1.1 Introduction .......................................................................................................................... 4 1.1.2 Objective ............................................................................................................................... 7 1.1.3 Methodology and materials ................................................................................................... 8 1.1.3 Results ................................................................................................................................. 12 1.1.4 Discussion ........................................................................................................................... 20 1.1.5 Limitation ............................................................................................................................ 22 1.1.6 Conclusion .......................................................................................................................... 22 1.1.7 Recommendation ................................................................................................................ 22 1.2 Descriptive epidemiology of cholera outbreak in West Arsi zone, Oromia Region, Ethiopia 2019 25 1.2.1 Introduction ......................................................................................................................... 26 1.2.2 Objective ............................................................................................................................. 29 1.2.3 Method and materials .......................................................................................................... 30 1.2.4 Results ................................................................................................................................. 33 1.2.8 Discussion ........................................................................................................................... 37 1.2.9 Limitation ............................................................................................................................ 38 1.2.10 Conclusion .......................................................................................................................... 39 1.2.11 Recommendation ................................................................................................................ 39 2. East Shewa zone five years retrospective malaria data analysis, Oromia region, Ethiopia, in 2019 41 2.1 Introduction ............................................................................................................................ 42 2.2 Objectives ............................................................................................................................... 44 2.3 Method and materials .............................................................................................................. 45 2.4 Results ..................................................................................................................................... 48 2.5 Discussion ............................................................................................................................... 61 AAU CHS SPH-2021 Page iv 2.6 Limitation ................................................................................................................................ 63 2.7 Conclusion .............................................................................................................................. 63 2.8 Recommendation .................................................................................................................... 64 Chapter Three: Evaluation of surveillance system...................................................................................... 66 3. Evaluation of Surveillance System of Measles disease, West Arsi Oromia region, southern Ethiopia, November, 2019 ...................................................................................................................... 66 3.1 Introduction ................................................................................................................................. 67 3.3 Objective ..................................................................................................................................... 72 3.4 Methods and materials ................................................................................................................ 73 3.5 Results ......................................................................................................................................... 78 3.6 Discussion ................................................................................................................................... 89 3.7 Conclusion .................................................................................................................................. 91 3.8 Recommendation ........................................................................................................................ 92 Chapter Four: Health Profile Description Report ........................................................................................ 95 4. Health Profile Description of Ada’a district, East Shewa zone Oromia region, Ethiopia, 2019..... 95 4.1 Introduction ................................................................................................................................. 96 4.2 Objective ..................................................................................................................................... 98 4.3 Methodology ............................................................................................................................... 99 4.4 Results ....................................................................................................................................... 101 4.5 Discussion ................................................................................................................................. 117 4.6 Conclusion ................................................................................................................................ 119 4.7 Recommendation ...................................................................................................................... 119 Chapter Five: Scientific Manuscripts for Peer reviewed Journals ............................................................ 121 5.1 “Measles outbreak investigation and response in Robe town, South-East Oromia region, Ethiopia, March, 2019” ......................................................................................................................... 121 5.2