Outbreak Investigation, District Health Profile Description and Others Outputs Those Constituted in This Document
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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: Ababu Fayisa Aboma (RN, BSc Nurse) Submitted to the School of Graduate Studies of the Addis Ababa University in Partial Fulfillment for the Degree of Master of Public Health in Field Epidemiology March 2021 Addis Ababa, Ethiopia 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: - Ababu Fayisa Aboma (RN, BSc Nurse) 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 Mentors 1. Prof. Ahmed Ali 2. Mr. Sefonias Getachew March 2021 Addis Ababa, Ethiopia ADDIS ABABA UNIVERSITY, SCHOOL OF GRADUATE STUDIES Compiled Body of Works in Field Epidemiology By- Ababu Fayisa Aboma 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 ___________________________ ________________ Advisor ___________________________ ________________ Examiner ___________________________ ________________ Examiner Acknowledgements In this document, I would like to acknowledge individuals and institutions that have great contribution in all my field base residencies and projects. First, I would like to thank my Mentor, Prof. Ahmed Ali, who provided me with continuous guidance and excellent constructive comments on my outputs and encourages me to finalize this document on time. These provisions of guidance and comments help me to improve my work’s quality and might help me in my future career. Next, my gratitude goes to Mr Sefonias Getachew and Ms Abadit Niguse for their guidance, comments and suggestions in my accomplishments. Also, my Resident Advisor Mr Abdulnasir Abagero for his constructive inputs during my field base residencies and academic studies. Also, I would like to thank my colleagues, Southern Nations, Nationalities and Peoples Regional Public Health Emergency Management staffs and cohort X Field Epidemiology Training Program Residents, for their kindness to share their knowledge during my residencies and presentations of my output. My gratitude also goes to different institutions like Southern Nations, Nationalities and Peoples Regional Health Bureaus, Zonal Health Departments, District Health Offices and health facilities those who participated during investigations and assessments for their unreserved assistance and guidance. I would like to thank all study participants for their cooperation, patience and hospitality for providing epidemiological information for outbreak investigation, District health Profile description and others outputs those constituted in this document. Lastly, but not the least, I would like to extend my acknowledgement to my lovely family for their continuous psychological support. In addition, the Oromia Regional Health Bureau, Ethiopian Ministry of Health, Ethiopian Public Health Institute (EPHI), Ethiopian Public Health Association (EPHA) and CDC for their technical and operational costs used to conduct all outputs indicated in this document. ABABU_COMPILED BODY OF WORKS_MARCH 2021 [email protected] I Table of Content Acknowledgements .......................................................................................................................... I Table of Content .............................................................................................................................. II List of table ................................................................................................................................... IV List of figure .................................................................................................................................. VI List of Annexes .......................................................................................................................... VIII Abbreviations and Acronyms ........................................................................................................ IX Executive summary ...................................................................................................................... XII Chapter One- Outbreak Investigation ............................................................................................. 1 1.1. Outbreak one-Scabies Outbreak Investigation at Kenna District in Konso Zone, SNNP Regional State, 2019 ................................................................................................................................................ 1 1.2. Outbreak two-Measles Outbreak Investigation at Mareko District in Gurage Zone, SNNP Regional State, 2020 .............................................................................................................................................. 18 Chapter Two-Surveillance Data Analysis report .......................................................................... 39 2.1. Surveillance Data Analysis on Dysentery in Southern Nations, Nationalities and People’s Regional Health Bureau, Public Health Emergency Management Department, 2019 .......................................... 39 Chapter Three- Surveillance System Evaluation .......................................................................... 51 3.1. Surveillance System Evaluation on Neonatal Tetanus in Hawassa City, SNNP Regional State, 2019 ................................................................................................................................................................ 51 Chapter Four- Health Profile Assessment ..................................................................................... 75 4.1. Health Profile Assessment in Gorche District, Sidama Zone Southern Nations, Nationalities and People’s Regional State, 2019 ................................................................................................................. 75 Chapter Five-Scientific Manuscripts for Peer reviewed Journals ............................................... 107 5.1. Measles Outbreak Investigation at Mareko District in Gurage Zone, SNNP Regional State ......... 107 Chapter Six- Abstracts for Scientific Presentation ...................................................................... 121 6.1. Surveillance Data Analysis on Dysentery in Southern Nations, Nationalities and People’s Regional Health Bureau, Public Health Emergency Management Department 2019 ......................................... 121 ABABU_COMPILED BODY OF WORKS_MARCH 2021 [email protected] II 6.2. Scabies outbreak investigation in Kenna District Konso Zone in Southern Nations, Nationalities and People’s Region, 2019 .................................................................................................................... 122 6.3. Narrative Summary of Disaster Situation (land slide) Visited at Konta Special District, SNNP Regional State, 2019 ............................................................................................................................. 123 Chapter Seven-Narrative Summary of Disaster Situation Visited .............................................. 124 7.1. Flooding and land sliding at Konta Special District, SNNP Regional State, 2019 ........................... 124 Chapter Eight- Protocol/Proposal for Epidemiologic Research Project ..................................... 136 8.1. Study of the Magnitude of Hypertension and its Associated Factors among Adults in Burayu Town Oromia Regional State of Ethiopia, 2020 .............................................................................................. 136 8.4.5. Data Analysis ............................................................................................................................... 142 Chapter Nine- Other Additional Output Reports ........................................................................ 161 9.1. Bulletin of Weekly Surveillance Report at Southern Nations, Nationalities and People's Regional State Health Bureau, Public Health Emergency Management, 2019 ................................................... 161 9.1. Supportive Supervision on Malaria Epidemic at Wolayita and Hadiya Zones of Southern Nations, Nationalities and People’s Regional State, 2019 .................................................................................. 170 9.3. COVID-19 Pandemic Response in Kirkos Sub-city of Addis Ababa Ethiopia, 2020 ........................ 176 ABABU_COMPILED BODY OF WORKS_MARCH 2021 [email protected] III List of table Table1:-Attack rate of scabies cases in affected villages of Kenna District of Konso Zone in SNNPR 2019 ................................................................................................................................... 7 Table 2:- Socio-demographic characteristics of the cases and controls, Kenna District, Konso Zone, SNNP Regional State of Ethiopia, 2019 ............................................................................. 10 Table 3: Summary of Bivariate and Multivariate analysis of independent variables of Scabies outbreak in Kenna District of Konso Zone SNNPR, 2019 ........................................................... 12 Table 4:-Attack rate of Measles cases in the affected villages of the Mareko District of Gurage