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Addis Ababa University, College of Health Sciences, School of Public Health, 2015 Addis Ababa University, College of Health Sciences, School of Public Health, 2015 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: Dagnachew Alemu Hurissa 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, 2015 Addis Ababa AAU/SPH Page i Addis Ababa University, College of Health Sciences, School of Public Health, 2015 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: Dagnachew Alemu Hurissa 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. Wakgari Deressa Ms. Abigail Greanleaf June, 2014 Addis Ababa AAU/SPH Page ii Addis Ababa University, College of Health Sciences, School of Public Health, 2015 ADDIS ABABA UNIVERSITY School of Graduate Studies Compiled Body of Works in Field Epidemiology by: Dagnachew Alemu Hurissa 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 _____________________________ _____________ AAU/SPH Page iii Addis Ababa University, College of Health Sciences, School of Public Health, 2015 Acknowledgement I would like to thank my mentor Ms. Abigail Greenleaf (CDC/CGH/DGHP) (CTR) and Mr. Alemayehu Bekele for the constructive and valuable suggestions and comments given to me. I highly acknowledge Centers for Disease Control and Prevention (CDC) and Ethiopian Public Health Association (EPHA) for providing technical and financial support. My gratitude goes to dedicated Residents Advisor Dr. Lucy Boulanger and Academic Coordinator of Field Epidemiology Training Program Dr. Adamu Adissie 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. AAU/SPH Page i Addis Ababa University, College of Health Sciences, School of Public Health, 2015 Table of contents Acknowledgement ........................................................................................................................... i List of tables ................................................................................................................................... iv List of figures ................................................................................................................................ vii List of annexes ................................................................................................................................ x List of abbreviations and acronym ................................................................................................. xi Executive Summary ..................................................................................................................... xiv Chapter–I Outbreak Investigations ............................................................................................ 1 1.1 Measles Outbreak Investigation in Didesa Woreda of Ilu Aba Bora Zone, Oromia, Ethiopia, March 2014 .................................................................................................................. 2 1.2 Malaria Outbreak Investigation in Saba Boru and Melka Soda Woredas, Guji and Borena Zones, Oromia, Ethiopia, September 2014 ............................................................................... 23 Chapter–II Surveillance data analysis ...................................................................................... 44 2.1 Measles Surveillance Data Analysis, Borena Zone, Oromia Region, Ethiopia, 2009 to 2013 G.C……. ................................................................................................................................... 45 Chapter-III Evaluation of Public Health Surveillance System............................................... 63 3.1 Evaluation of public health surveillance system in Ilu Aba Bora Zone, 2014 .................... 64 Chapter–IV Health Profile Description .................................................................................... 97 4.1 Health profile description of Arsi Negele Woreda, West Arsi Zone, Oromia Region, Ethiopia, 2014…… ................................................................................................................... 98 Chapter–V Scientific manuscript for peer reviewed journals .............................................. 126 5.1 Malaria Outbreak Investigation-Saba Boru and Melka Soda Woredas, Guji and Borena Zones, Oromia Region, Ethiopia, September 2014 ................................................................. 127 Chapter–VI Abstracts for Scientific Presentation ................................................................. 140 6.1 Measles Outbreak Investigation-Didesa Woreda, Ilu Aba Bora Zone, Oromia, Ethiopia, March 2014…… ..................................................................................................................... 141 AAU/SPH Page ii Addis Ababa University, College of Health Sciences, School of Public Health, 2015 6.2 Malaria Outbreak Investigation-Saba Boru and Melka Soda Woredas, Guji and Borena Zones, Oromia Region, Ethiopia, September 2014 ................................................................. 142 6.3 Measles Surveillance Data Analysis, Borena Zone, Oromia Region, Ethiopia, 2009 to 2013… ..................................................................................................................................... 143 Chapter-VII Narrative Summary of Disaster Situation........................................................ 144 7.1 Emergency Need Assessment Report of Health and Nutrition in Eastern Oromia Region, Ethiopia, 2014 ......................................................................................................................... 145 Chapter-VIII Protocol/Proposal for Epidemiologic Research Project .............................. 167 8.1 Assessment of factors associated with ITN distribution and utilization in gold mining area, Saba Boru Woreda, Giji Zone, Oromia, Ethiopia, 2015 ......................................................... 168 Chapter – IX Other Additional Outputs ................................................................................ 182 9.1 Narrative summary of training given to woredas, zones and region of Addis Ababa and Oromia Regions....................................................................................................................... 183 9.2 Oromia Region weekly PHEM bulletin and malaria trend analysis ................................ 191 9.3 Surveillance of Ebola Viral Disease (EVD) ..................................................................... 194 AAU/SPH Page iii Addis Ababa University, College of Health Sciences, School of Public Health, 2015 List of tables 1. Table 1.1.1: Demographic characteristics of measles case and controls in Didesa Woreda, Oromia Region, Ilu Aba Bora Zone, Ethiopia, from 12/2/-17/3/2014 .............................. 15 2. Table 1.1.2: Bivariate analysis of measles outbreaks in Didesa Woreda, Ilu Aba Bora Zone, Oromia Region, Ethiopia from 12/2/-17/3/2014 .................................................... 16 3. Table 1.1.3: Bivariate vs multivariate analysis of independent factor associated with measles outbreak among cases and controls of Didesa Woreda, Oromia Region, from 12/2/-17/3/2014 ................................................................................................................. 17 4. Table 1.2.1: Distribution of suspected malaria cases tested by RDT and microscopy by age and sex in Seba Boru and Melka Soda Woredas, Guji and Borena Zones, September 1st to 26th, 2014 .................................................................................................................. 31 5. Table 1.2.2: Distribution of malaria cases by age, sex and plasmodium species in Seba Boru and Melka Soda Woredas, Guji and Borena Zones, September 1st to 26th, 2014.... 32 6. Table 1.2.3: Malaria Attack Rate per 1000 and Case Fatality Ratio by age and sex, Seba Boru and Melka Soda Woredas, Guji and Borena Zones, September 1st to 26th, 2014 .... 33 7. Table 1.2.4: Distribution of malaria cases by woreda and plasmodium species in Seba Boru and Melka Soda Woredas, Guji and Borena Zones, September 1st to 26th, 2014 .... 34 8. Table 1.2.5: Distribution of malaria cases by kebele and plasmodium species in Seba Boru and Melka Soda Woredas, Guji and Borena Zones, September 1st to 26th, 2014 .... 34 9. Table 1.2.6: Malaria attack rate by kebeles, Seba Boru and Melka Soda Woredas, Guji and Borena Zone, September 1st to 26th, 2014 .................................................................. 35 10. Table 1.2.7: Bi-variate analysis of independent factors related
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