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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 Brhanu Adhana(Bsc) Cohort IX Submitted to School of Graduate Studies of Addis AbabUniversity in Partial Fulfilment for the Degree of Master Public Health in Field Epidemiology June 2019 Addis Ababa Ethiopia ADDIS ABABA UNIVERSITY COLLEGE OF HEALTHS CIENCES SCHOOL OF PUBLIC HEALTH Ethiopian Field Epidemology Trainning Program(EFETP) Compiled Body Of Work In Field Epidemiology By Brhanu Adhana(Bsc) Sumitted to the School of Graduate Studies Addis Ababa University in Parial Fifulment for the Degree of Master of Public Health in Field Epidemiology JUNE 2019 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 Brhanu Adhana 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 Mr. Yimer Seid (MPH in Epi and Bio) Mr. Muluken Gizaw (MPH) June 2019 Addis Ababa ethiopia ADDIS ABABA UNIVERSITY, COLLEGE OF HEALTH SCIENCE SCHOOL OF PUBLIC HEALTH Ethiopian Field Epidemiology Training Program (EFELP) Compiled Body of Work in Field Epidemiology By Brhanu Adhana(Bsc) Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfilment for the Degree of Master of Public Health in Field Epidemology Approval By Examiner Board --------------------------------- --------------------------- Chairman, School Graduate Committee ------------------------------------- ---------------------------- Advisor ----------------------------------- ----------------------------- Examiner ---------------------------------- ----------------------------- Examiner ------------------------------------------ ---------------------------------- Acknowledgement I would like to extend appreciation to my advisors Mr. Yimer Sied and Mr. Muluken Gizaw Addis Ababa university school of public health for their valuable comment to this compiled body of works and making ease of things in advance for the actual conduct of this study. My heartfelt gratitude also goes to FMOH and Addis Ababa University College of health sciences department of public health for supporting the program finanicially and giving this opportunity to do. I am also very grateful and would like to extend my thanks and appreciation to Tigray RHB, HMIS unit and PHEM for their full support from the beginning up to the completion of the field resident. Finally but not least, I would like to express my great gratitude to Mekelle University science field Epidemiology students and workmates, who gave me constructive comments in the field and thanks to all my close friends and brothers who supported me financially and encourage d me to work hard. Finally, I would like to thank my lovely wife for her full encouragement for two consecutive years to work hard my body of work. i Content of tables Acknowledgement ................................................................................................................................. i Content of tables ................................................................................................................................... ii List of tables ......................................................................................................................................... iii List of figures ........................................................................................................................................ v List of maps.......................................................................................................................................... vi List of annexes ................................................................................................................................... viii Lists of abbreviation/ Acronyms .......................................................................................................... ix Executive summary .............................................................................................................................. xi Chapter 1: Measles outbreak investigation ........................................................................................... 1 1.1 Epidemiological linked measles outbreak investigation in Alamata town, January 2019. ........ 1 Chapter 2: Surveillance data analysis ................................................................................................. 39 2.1 Surviellance data analysis on under five pneumonias in Tigray February 2018 ...................... 39 Chapter 3: Surveillance system evaluation ......................................................................................... 55 3.1 Malaria Surveillance system evaluation, Raya Azebo Woreda, December, 2018.................... 55 Chapter 4: Health profile description .................................................................................................. 75 Chapter 5: Scientific manuscript for peer reviewed journals........................................................... 100 5.1 Epidemiological linked measles outbreak investigation in Alamata town, February 2019. ... 100 5.2 Scabies outbreak investigation among ‘Yekolo temari’ in Korem town, April 2019 ............ 117 Chapter 6: Abstract for scientific conference presentation ............................................................... 131 6.1 Epidemiological confirmed Measles outbreak investigation in Alamata Town,2019. ........... 131 6.2 Scabies outbreak investigation imong ‘Yekolo temari’ in Korem town, April 2019 ............ 132 chapter 7: Narrative summary disaster situation report ................................................................ 133 7.1 ‘Meher’ health emergency need assessment report in Ofla Woreda, Novemer 2018 ............ 133 Chapter 8: Epi project proposal……………………………………………………......................156 8.1 Prevalence of Malnutrition and Associated Factors among 6-59 Children in Ofla Woreda,… 148 Chapter 9: Additional output-----------------------------------------------------------------------------------163 9.1 Weekly bulletine-----------------------------------------------------------------------------------------173 ii List of tables Table 1: Socio- demographic characteristics, Alamata town, south Tigray February 2019 ................. 8 Table 2: Knowledge and attitude assessment of respondents about Measles Alamata Town 2019 ..... 9 Table 3: Measles specific age attack rate, Alamata town, South, Tigray, February 2019. ................. 11 Table 4: Measles attack rate Alamata Town South Tigray 2019........................................................ 14 Table 5: Univariate analysis to identified risk factors of measles outbreak Alamata 2019. .............. 15 Table 6: Multivariate analysis to identified risk factors for measles outbreak Alamata 2019. .......... 17 Table 7: Age category of scabies cases, Korem town, South Tigray, Ethiopia, April 201 ................ 29 Table 8: Socio- demographic characteristics of respondents in Korem town, April 2019 ................. 29 Table 9: Shows age specific attack rate of scabies in Korem, churches, April 2019. ........................ 30 Table 10: Clinical presentation of scabies, Korem town, south Tigray April 2019 ........................... 30 Table 11: Attack rate of scabies Per 100 population by church, Korem town, April 2019 ............... 31 Table 12: Univariate Risk Factor Analysis of Scabies Outbreak, Korem Town, April 2019 ............. 32 Table 13: Multivariate risk factor analysis of scabies outbreak, Korem town April 2019 ................. 33 Table 14: Distribution proportion of under-five pneumonia cases by Sex Tigray 2015-2017 ........... 47 Table 15: Distribution of under-five pneumonia treated at OPD and IPD, Tigray, 2015-2017 ......... 47 Table 16: Incidence and mortality rate of under-five pneumonia from 2015-2017, in Tigray,. ........ 48 Table 17: CFR of pneumonia in Tigray, Ethiopia from 2015-2017 ................................................... 49 Table 18: Topography of Ganta Afeshum woreda, Tigray, Ethiopia, February 2018 ........................ 83 Table 19: Number of teachers by Sex in woreda Ganta Afeshum February 2017 ............................ 86 Table 20: Number of students in woreda Ganta Afeshum by Sex 2017, . ....................................... 86 Table 21: Budget allocation of Ganta Afeshum Woreda, Tigray region, 2007- 2010 EFY ............... 88 Table 22: Health professionals in Woreda Ganta Afeshum, Tigray, Ethiopia, January 2017 ........... 88 Table 23: Health professional and health facility to population ratio in Ganta Afeshum 2017 ........ 89 Table 24: Ten top leading cause of morbidity among adults in Ganta Afeshum, 2017 ..................... 89 Table 25: Five top leading cause of morbidity among pediatrics in Ganta Afeshum, 2017 .............. 90 Table 26: Maternal health coverage in Ganta Afeshum Woreda, Tigray, Ethiopia, February 2017 .. 90 Table 27: Treatment outcomes of all form of TB cases in Ganta Afeshum 2017, Tigray, Ethiopia .. 92 Table 28: Hygiene and sanitation of households in Ganta Afeshum Woreda, February 2017 ........... 93 Table 29: Action plan for problems identified in Ganta Afeshum Woreda, February 2018 .............. 96 Table 30: Problems identified and prioritized Ganta Afeshum Woreda , February 2018
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