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Addis Ababa University, College of Health Sciences, School of Public 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: Gebeyehu Dumessa Bekele 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 May 2015 Addis Ababa I | P a g e 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: Gebeyehu Dumessa Bekele 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 Abigail Greenleaf June 2015 Addis Ababa II | P a g e ADDIS ABABA UNIVERSITY School of Graduate Studies Compiled Body of Works in Field Epidemiology By: Gebeyehu Dumessa Bekele Ethiopia Field Epidemiology Training Program (EFETP) College of Health Sciences, School of Public Health Addis Ababa University Approval by Examining Board ___________________ ___________________ Chairman, School Graduate Committee ___________________ ___________________ Advisor ___________________ ___________________ Examiner ___________________ ___________________ Examiner III | P a g e Table of Content Table of Figures ........................................................................................................................................ VI Table of tables ........................................................................................................................................... VI Acknowledgement ................................................................................................................................. XIV List of abbreviations ................................................................................................................................ XV Executive summery ..................................................................................................................................... 1 Chapter – I: Outbreak Investigations .......................................................................................................... 4 1.1. Measles Outbreak Investigation and Response in Beko Jimma Kebele, East Wollega Zone of Oromia, Ethiopia, 2014 ........................................................................................................................... 5 1.2. Measles Outbreak Investigation and Response in Refugee camps at Tselemty District, North West Tigray, Ethiopia, 2015 ................................................................................................................. 38 Chapter II- Surveillance data analysis ...................................................................................................... 67 2.1. Epidemiology of Suspected Meningococcal meningitis in Oromia Region, Ethiopia, 2009 – 2013. ............................................................................................................................................................... 68 Chapter –III: Evaluation of Surveillance system ...................................................................................... 92 3.1. Surveillance System Evaluation in East Harerge zone, Oromiya, Ethiopia, 2014..................... 93 Chapter-IV: Health profile description ................................................................................................... 172 4.1. Health Profile Description of Tullo District, West Harerge Zone Oromia, Ethiopia, 2013/14 173 Chapter –V: Scientific Manuscripts for Peer reviewed Journals ............................................................ 212 5.1.1. Measles Outbreak Investigation and Response in Beko Jimma Kebele of Sibu Sire District, East Wollega Zone, Oromia, Ethiopia May 2014. ............................................................. 213 Chapter –VI: Abstracts for Scientific Presentation ................................................................................. 229 6.1. Epidemiology of Suspected Meningococcal meningitis in Oromia Region, Ethiopia, 2009 – 2013. 230 6.2. Measles Outbreak Investigation and Response in Beko Jimma Kebele of Sibu Sire District, East Wollega Zone, Oromia, Ethiopia May 2014 ............................................................................. 231 IV | P a g e Chapter – VII: Narrative Summary of Disaster Situation ....................................................................... 233 7.1. Narrative Summary Report on Meher need Assessment in Kelem Wollega, East Wollega, Horo Guduru and Jimma zones, Oromiya, Ethiopia, 2014 ............................................................. 234 Chapter – VIII: Protocol/Proposal for Epidemiologic Research Project ................................................ 266 8.1. Assessment of Knowledge, Utilization and Associated factors affecting ITN use in Ziway Dugda District, Oromia, Ethiopia 2015 .......................................................................................................... 267 Chapter- IX: Additional Output Reports................................................................................................. 288 9.1. Weekly PHEM Bulletin of Reports for WHO Epidemiologic Week 11/2014, Oromiya Regional Health Bureau. ........................................................................................................................................ 294 V | P a g e List of tables Chapter – I: Outbreak investigation…………………………………………………………………………….. 4 Table 1 Distribution of measles cases by age group and sex in Beko Jimma Kebele, Sibu, East Wollega Zone, Oromia Region, Ethiopia, 2014 ....................................................................................................... 17 Table 2: Distribution of measles attack rate and case fatality rate by age group and sex in Beko Jimma Kebele, East Wollega Zone, Oromia Region, Ethiopia, 2014 .................................................................... 19 Table 3: Five years measles vaccination coverage of kebeles found in Sibu Sire District, East Wollega Zone, Oromia Region, Ethiopia, 2014. ...................................................................................................... 21 Table 4 : List of risk factors for contracting measles in Beko Jimma Kebele of Sibu Sire District,East Wollega Zone, Oromia Ethiopia, 2014 ...................................................................................................... 23 Table 5: Independent risk factors associated with contracting measles illness in Beko Jimma Kebele Sibu Sire District, Oromia Region. ............................................................................................................. 24 Table 6: Distribution of measles cases by age group and sex in refugee camps found at Tselemty District, North West Tigray. ...................................................................................................................... 48 Table 7: Measles attack rate by age group, sex and places at Tselemty District refugee camps, North West Tigray, Ethiopia. ............................................................................................................................... 52 Table 8: Bi- variate analysis of risk factors for contracting measles in Adi-Harush and Mai-Ayni refugee camps at Tselemty District, North West Tigray, Ethiopia. ........................................................................ 54 Table 9: Independent factors associated with contracting measles illness in Adi-Harush and Mai-Ayni refugee camps at Tselemty District, North West Tigray, Ethiopia. .......................................................... 55 Table 10: Meningococcal Meningitis suspected cases and deaths in Oromia Region Ethiopia 2009 - 2013G.C. .................................................................................................................................................... 78 Table 11: Incidence per 100,000 death rates per 100,000 and case fatality rates of suspected meningococcal meningitis by years and zones in Oromia region, Ethiopia ............................................. 86 Table 12: List of reportable diseases/ conditions in Ethiopia ................................................................ 107 VI | P a g e Table 13: Number of health facilities found in East Harerge Zone and Selected districts and health service coverage, Oromia, Ethiopia 2014. .............................................................................................. 109 Table 14: Number of districts and their emergency preparedness status, East Harerge Zone, Oromia, Ethiopia 2014. ......................................................................................................................................... 113 Table 15: Availability of resource needed for surveillance activities, East Harerge Zone, Oromia, Ethiopia 2014.. ........................................................................................................................................ 113 Table 16: List of selected facilities and their number of staff trained on basic surveillance system at East Harerge Zone, Oromia, Ethiopia 2014. ................................................................................................... 115 Table 17: Last three month Weekly report completeness of health facility at East Harerge Zone, Oromia, Ethiopia 2014. ..........................................................................................................................
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