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Addis Ababa University College of Health Science School of Public Health Department of Field Epidemiology Training Program (EFETP)

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Addis Ababa University College of Health Science School of Public Health Department of Field Epidemiology Training Program (EFETP) Addis Ababa University College of Health Science School of Public Health Department of Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Neamin Tesfaye (BSc in public health officer) Thesis Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfilment for the Degree of Master of Public Health in Field Epidemiology April 2019 Addis Ababa, Ethiopia 1| P a g e Addis Ababa University, College of Health Science School of Public Health, Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Neamin Tesfaye (BSc in public health officer) Thesis Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfilment for the Degree of Master of Public Health in Field Epidemiology Mentors - 1. Ayele Belachew (MD, MPH) 2. Wondimu Ayele (BSc, MSc, Ph.D. fellow) 3. Negga Assamaw (BSc, MSc, MPH, Ph.D. fellow) April 2019 Addis Ababa, Ethiopia II | P a g e Addis Ababa University, College of Health Science School of Public Health, Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Neamin Tesfaye (BSc) Thesis Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfilment for the Degree of Master of Public Health in Field Epidemiology Approval by Examining Board ____________________________ / /_________________________ Chairman, Committee of School Graduate ____________________________ / /_________________________ Advisor ____________________________ / /_________________________ Internal Examiner ____________________________ / /_________________________ External Examiner III | P a g e Acknowledgment My sincere and deepest gratitude goes to my mentor’s Dr. Ayele Belachew and Mr. Wondimu Ayele for their assistance, timely and relevant guidance on every step of the development of this body of work. Many thanks also go to Ethiopian Public Health Institute (EPHI) specifically to my filed mentor Mr. Negga Asmamaw and to other staffs at the Public Health Emergency Unit (PHEM) for their technical assistance and support provided to access data used for the development of this body of work. IV | P a g e Table of Contents Acknowledgment .................................................................................................................. IV List of tables ......................................................................................................................... VII List of figures ....................................................................................................................... VII Acronyms and Abbreviation ............................................................................................. VII Preface ................................................................................................................................. XVII 1 Chapter One- Outbreak Investigation .......................................................................... 1 1.1 Outbreak investigation of Paederus dermatitis in three districts of Bole sub- city, Addis Ababa city Administration, Ethiopia, August 2018 ....................................... 1 1.2 Investigation of a measles outbreak in Mubarak district, Dawa zone, Somalia region, October 2018 ............................................................................................................. 32 2 Chapter Two – Surveillance Data Analysis ............................................................... 59 2.1 Retrospective Maternal death data analysis in Ethiopia, 2013 -2017 .............. 59 3 Chapter Three- Surveillance System Evaluation..................................................... 100 3.1 Maternal death surveillance system Evaluation in Gambella regional state, western Ethiopian, 2018 ..................................................................................................... 100 4 Chapter Four- Health Profile Description ................................................................ 143 4.1 Health Profile Description of Dilla zuria District, Geodea zone, SNNP Region, Ethiopia, November 2018 ................................................................................................... 143 5 CHAPTER FIVE- Scientific Manuscript ................................................................... 185 5.1 A five-year retrospective study on Magnitude and Causes of Maternal Death in Ethiopia, 2019 .................................................................................................................. 185 5.2 Outbreak investigation of Paederus dermatitis in three district of Ethiopian metropolitan city, case control study august 2018 ......................................................... 196 6 CHAPTER SIX- Scientific Abstract ........................................................................... 209 6.1 Improving Maternal Health services in Ethiopia: Evidence from MDSR Surveillance data analysis, 2016 - 2017 ............................................................................ 209 6.2 The first outbreak of Paederus dermatitis in three districts of Ethiopian metropolitan city, August 2018: a case-control study.................................................... 210 6.3 Measles outbreak investigation in remote part of Ethio- Somalia region: case control study, October 2018 ............................................................................................... 211 6.4 Evaluation of Maternal Death Surveillance and Response (MDSR) System in Gambella Region, western Ethiopia ................................................................................. 212 7 CHAPTER Seven- Narrative Description of Disaster Situation ........................... 213 7.1 Rapid Health Needs Assessment on Internally Displaced Population, Amhara Region, February 2019 ........................................................................................................ 213 8 CHAPTER Eight - Epidemiological Project Proposal .......................................... 228 8.1 Assessment on Level of preparedness in managing obstetrics complication in Ethiopia ,2019....................................................................................................................... 228 9 Chapter Eight: Additional Outputs .......................................................................... 248 9.1 Weekly epidemiological bulletin ....................................................................... 248 9.2 Training .................................................................................................................. 259 9.2.1 First round front line field epidemiology Training of for District Public health emergency management office, for selected district of Oromia region, 2018 259 Annex’s ................................................................................................................................. 264 V | P a g e 1.Annex: Questioner for Paederus Dermatitis outbreak investigation in district 10,11 & 15Bole sub city, Addis Ababa 2018............................................................................... 264 2.Annex: Questioner use for measles outbreak investigation in Mubarak district, Dawa Zone, Somalia region, Ethiopia ......................................................................................... 267 3.Annex; number of vaccinated individuals in different age group in Mubarak, from October to November 2018 ................................................................................................ 271 4.Annex: vaccine wastage and rate for measles and number of AEFI in Mubarak district, from October to November ,2018 ....................................................................... 272 5.Annex: Facility based ward notification form and Facility based abstraction form ................................................................................................................................................ 273 6.Annex: Action Plan Developed Based on Major Problems Identified on Health Profile Assessment of Dilla Zuria district........................................................................ 276 7.Annex: for questioner The Services availability and readiness assessment questioner for managing obstetrics complication .............................................................................. 279 8.Annex: Pre and post test result of the participants in frontline field epidemiology training for district PHEM officer located in Oromia region, 2018 ............................. 298 VI | P a g e List of Tables Table 1.1: Number and year of the reported outbreak in the different continent of the world in 2018 ........................................................................................................................... 3 Table 1.2. Social demographic characteristics of case and control in bole sub city, Addis Ababa, Ethiopia 2018 ................................................................................................ 15 Table 1.3. Distribution of knowledge status cases about paederus dermatitis disease in bole subsidy, Addis Ababa, August - 2018 ................................................................... 16 Table 1.4: Distribution of previous medical history among case in bole sub city, Addis Ababa, Ethiopia, August 2018 ............................................................................................. 17 Table 1.5: Distribution of cases by an incubation period, number of lesion and sign& symptom in bole sub
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