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Addis Ababa University, College of Health Sciences, School of Public Health Addis Ababa University, College of Health Sciences, School of Public Health Ethiopia Field Epidemiology Training Program (EFELTP) Compiled Body of Works in Field Epidemiology By: Natnael Teferi Dejene 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, 2019 Addis Ababa | P a g e 1.Page Addis Ababa University, College of Health Sciences, School of Public Health Ethiopia Field Epidemiology Training Program (EFELTP) Compiled Body of Works in Field Epidemiology By: Natnael Teferi Dejene 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. Negussie Deyessa Dr. Girma Taye ii | P a g e [email protected] AAU/SPH_EFE L TP ADDIS ABABA UNIVERSITY School of Graduate Studies Compiled Body of Works in Field Epidemiology By: Natnael Teferi Dejene Ethiopia Field Epidemiology Training Program (EFELTP) School of Public Health, College of Health Sciences Addis Ababa University Approval by Examining Board ___________________ ___________________ Chairman, School Graduate Committee ___________________ ___________________ Advisor ___________________ ___________________ Examiner ___________________ ___________________ Examiner iii | P a g e [email protected] AAU/SPH_EFE L TP Acknowledgement I would like to express my deepest gratitude to Almighty God for his invaluable and never-ending support and beneficent me all the way of life. There are many contributors those were directly or indirectly participated in the fruitfulness of this document starting from individuals to institutions and organizations. First I want to thank Dr. Negussie Deyessa and Dr Girma Taye for their constant support and wealth of helpful suggestions and advice. I’m very grateful for Oromia Region PHEM directorate of research case team coordinator Mr. Birhanu Kenate for the unreserved technical and administrative support. My gratitude goes to dedicated Residents Advisor Mr. Abdulnasir Abagaro Progrma coordinator Ms. Abigiya Wondimagegnehu 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 and experiences. Second I will take the opportunity to thank Oromiya Regional Health Bureau for giving me this kind of chance, Regional Health Bureau PHEM directorate Public Health Emergency Management staff, Senior Residents, My Colleagues of cohort 9 residents and all my family members for being with me all the time for their technical assistance, intellectual, moral and material support during my stay at field base. At last but not list, I like to thank immensely different zonal health departments, woreda Health offices, health facilities, community members and other related sector for their support coordination, collaboration participation on this study and contribution during all my works. iv | P a g e [email protected] AAU/SPH_EFE L TP Table of Content Contents Page No Acknowledgement .................................................................................................................... iv Table of Content .........................................................................................................................v List of Tables ............................................................................................................................ vi List of Figures ........................................................................................................................... ix List of Annex ............................................................................................................................ xi List of Map ............................................................................................................................... xi List of Abbrivations and Acronyms .......................................................................................... xii Executive summary ..................................................................................................................xvi 1 Chapter–I Outbreak Investigations ....................................................................................1 1.1 Malaria Outbreak Investigation in Darimu Woreda of Iluababora Zone, Oromia, Ethiopia, March 2018 .............................................................................................................................1 1.2 Measles Outbreak Investigation in pocket area of Liben Woreda, Guji Zone, Oromia Region, Ethiopia, December, 2018......................................................................................... 31 2 Chapter–II Surveillance Data Analysis Report ................................................................ 61 2.1 Malaria surveillance data analysis, South West Shawa Zone, Oromia Region, Ethiopia, (2013-2017) March 2018 ....................................................................................................... 61 3 Chapter –III Evaluation of Surveillance System .............................................................. 89 3.1 Public Health Surveillance System Evaluation in Bale Zone, Oromia Region, February 2019. 89 4 Chapter-IV Health Profile Description Report .............................................................. 139 4.1 Health Profile description of Gindeberet Woreda, West Shoa Zone, Oromia Region, February, 2018 .................................................................................................................... 139 5 Chapter-V: Scientific Manuscripts for Peer reviewed Journals ...................................... 174 5.1 Malaria Outbreak Investigation Darimu Woreda of Iluababora Zone, Oromia Region, Ethiopia, March, 2018 ......................................................................................................... 174 6 Chapter-VI Abstracts for Scientific Presentation ........................................................... 189 6.1 Malaria Outbreak Investigation Darimu Woreda of Iluababora Zone, Oromia, Ethiopia, March, 2018 ........................................................................................................................ 189 6.2 Measles Outbreak Investigation in pocket area of Liben Woreda, Guji Zone, Oromia Region, Ethiopia- November 2018 ....................................................................................... 190 7 Chapter- VII Narrative Summary of Disaster Situation Visited ..................................... 191 7.1 Emergency Need Assessment Report of Health and Nutrition in Agro pastoral Zone (Guji, West Guji and Borana zones) of Oromia Region, Ethiopia, December, 2018 ............. 191 8 Chapter –VIII: Protocol/Proposal for Epidemiologic Research Project .......................... 222 8.1 Insecticide Treated Nets Utilization and Associated Factors Among Settlers Population in Darimu Woreda of Iluababora Zone, Oromia, Ethiopia, 2019 .......................................... 222 9 Chapter–IX Other Additional Output Reports ............................................................... 247 9.1 Narrative summary report of training given for Woreda and Health facilities PHEM focal persons from West Wollega and West Shawa zone December 2018 ..................................... 247 9.2 Oromia Regional Health Bureau PHEM Weekly Bulletin, WHO-Epidemiological Week- 12, 2019............................................................................................................................... 254 10 List of Annexes ............................................................................................................ 262 v | P a g e [email protected] AAU/SPH_EFE L TP List of Tables Table 1.1-1: Distribution of malaria cases by sex in Darimu Woreda, Oromia Region, Ethiopia, March, 2018 .........................................................................................................................9 Table 1.1-2: Malaria attack rate per 1,000 pop and Case fatality ratio by age group, Darimu Woreda, Iluababora Zone, March, 2018 ...............................................................................9 Table 1.1-3: Malaria attack rate by Kebeles and Age group Darimu Woreda, Iluabora Zone, Oromia Region, Ethiopia, March, 2018 .............................................................................. 10 Table 1.1-4: Distribution of malaria cases by Kebeles and plasmodium species Darimu Woreda, Iluabora Zone, Oromia Region, Ethiopia, March 2018 ....................................................... 10 Table 1.1-5: Summary of intervention taken during Malaria outbreak investigation Darimu Woreda, Iluababora Zone, Oromia Region, Ethiopia, March 2018. ..................................... 13 Table 1.1-6: Socio-demographic and parasitological characteristics of study participant’s Malaria outbreak of Darimu Woreda, Iluababora Zone, Oromia Region, March,2018. (N=224) ...... 14 Table 1.1-7: Clinical manifestations among Malaria cases in Darimu Woreda, Iluababora Zone, Oromia Region, Ethiopia, March, 2018. (N=112) ............................................................... 15 Table 1.1-8: Bi-variate analysis results of independent factors related to malaria outbreak, Darimu Woreda, Iluababora Zone, Oromia Region, Ethiopia, March, 2018.(N=224)....................... 16 Table 1.1-9: Bi-variate and
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