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Addis Ababa University, Collage of Health Science, School of Public Health Ethiopian Field Epidemiology Training Program (EFETP)

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Addis Ababa University, Collage of Health Science, School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) “[email protected]” AAU, Compiled Body of Work EFETP 2019 Addis Ababa University, Collage of Health Science, School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By: - Deribe Girma (BSc in MLT) Submitted to the School of Graduate Studies of Addis Ababa University College of Health Science and School of Public Health in Partial Fulfillment of the Degree of Master of Public Health in Field Epidemiology June, 2019 Addis Ababa, Ethiopia “[email protected]” AAU, Compiled Body of Work EFETP 2019 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:- Deribe Girma (BSc in MLT) Submitted to the School of Graduate Studies of Addis Ababa University College of Health science and School of Public health in Partial Fulfillment for the Degree of Master of Public Health in Field Epidemiology Advisors: - Dr. Ayele Belachew (MD, MSc) Mr. Abdulnasir Abagaro (BSc, MPH) June, 2019 Addis Ababa, Ethiopia i | P a g e “[email protected]” AAU, Compiled Body of Work EFETP 2019 Addis Ababa University, College of Health Science, School of Public Health Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology By: Deribe Girma Bedane 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 Approval by Examining Board ____________________________________________ Chairman, School Graduate Committee ____________________________________________ Advisors: ____________________________________________ _____________________________________________ Examiner ____________________________________________ Examine ____________________________________________ ii | P a g e “[email protected]” AAU, Compiled Body of Work EFETP 2019 Acknowledgements First of all my deepest gratitude goes to my mentors; Dr. Ayele Belachew and Mr. Abdulnasir Abagaro; at AAU-SPH and Mr. Gemechu Shumi, Mr. Bokona Daba and Melese Lemi as well as all Oromia Regional Health Bureau PHEM Directorate Staff for their constructive and most valuable comments and support given to me. My appreciation also goes to Dr.Adamu Addisie, and Ms. Abigiya Wondimagegnehu, Academic Coordinators of Field Epidemiology Training Program for their close follow, mentoring, advice and guidance for the completion of this field. On the other hands my gratitude goes to all Oromia region health facilities staffs and communities those who were participated during investigation and assessment for their guidance, and assistance. Finally, my deepest and gratitude thanks goes to my beloved Wife Ms. Mebrat Girma Tufa and my son Milkesa, my brother Getu with his family, and my Friend Mr.Teshome Shifara for their encouragement and moral support for completion of the program and this document in the study period. iii | P a g e “[email protected]” AAU, Compiled Body of Work EFETP 2019 TABLES OF CONTENTS ACKNOWLEDGEMENTS .......................................................................................................... III TABLES OF CONTENTS ........................................................................................................... IV LIST OF TABLES ........................................................................................................................ VI LIST OF FIGURES ...................................................................................................................... IX LIST OF ANNEXES ................................................................................................................. XIII LIST OF ABBREVIATIONS AND ACRONOMY .................................................................. XIV EXECUTIVE SUMMARY ...................................................................................................... XVII CHAPTER 1: OUTBREAK INVESTIGATION............................................................................ 1 1.1 Measles Outbreak investigation and response in Babile Woreda of East Hararge Zone, Oromia Region Ethiopia-February, 2019 ....................................................................................... 2 1.2 Measles Outbreak investigation in Ginnir Woreda, Bale Zone, Oromia Region, Ethiopia- February, 2019 .............................................................................................................................. 26 CHAPTER 2: SURVEILLANCE DATA ANALYSIS ................................................................ 46 2.1 Measles Surveillance Data Analysis, North Shewa Zone, Oromia Region, 2013-2017 G.C ............................................................................................................................................ 47 CHAPTER 3: EVALUATION OF SURVIELLANCE SYSTEM ............................................... 73 3.1 Evaluation of Public Health Surveillance System of Malaria and Measles in North Shewa Zone Oromia Region, 2018 G.C ................................................................................................... 74 CHAPTER 4: HEALTH PROFILE DESCRIPTION REPORT ................................................. 116 4.1 Health Profile Description of Yaya Gulale Woreda, North Shewa Zone of Oromia Region .......................................................................................................................................... 117 CHAPTER 5: SCIENTIFIC MANUSCRIPTS FOR PEER REVIEWED JOURNALS ............ 146 5.1 Manuscript of Measles Surveillance Data Analysis, North Shewa Zone, Oromia Region, 2018 G.C ..................................................................................................................................... 147 CHAPTER 6: ABSTRACTS FOR SCIENTIFIC PRESENTATION ........................................ 158 6.1 Measles Outbreak investigation in Babile Woreda, East Hararge Zone, Oromia Region, Ethiopia-February, 2019 ............................................................................................................. 159 6.2 Measles Surveillance Data Analysis, North Shewa Zone, Oromia Region ..................... 160 CHAPTER 7: NARRATIVE SUMMARY OF DISASTER SITUATION, 2018 ...................... 161 7.1 Disaster Management Report on Landslides in North Shewa Zone Oromia Region ...... 162 iv | P a g e “[email protected]” AAU, Compiled Body of Work EFETP 2019 CHAPTER 8: PROTOCOL FOR EPIDEMIOLOGIC RESEARCH PROJECT ....................... 176 8.1 Prevalence of MDR-TB and Treatment Outcome among Tuberculosis Patients Attending at Fitche General Hospital Oromia, Ethiopia .............................................................................. 177 CHAPTER 9: OTHER ADDITIONAL OUTPUT REPORTS ................................................... 192 9.1 Training Report Given to Health Facilities, Woredas and Zones of Oromia Regional States PHEM Focal Persons and PHEM officers ....................................................................... 193 9.2 Weekly Bulletin of ORHB PHEM, 2019 G.C. ................................................................ 200 v | P a g e “[email protected]” AAU, Compiled Body of Work EFETP 2019 List of Tables Table 1: Attack Rate and CFR of Measles cases by age groups and sex in Babile Woreda, East Hararge Zone, Oromia region, Ethiopia, January, 2019 ............................................................... 13 Table 2: Socio-demographic characteristics of cases and controls in Babile Woreda, East Hararge Zone, Oromia-January, 2019 .......................................................................................... 17 Table 3: Risk Factors assessment of Measles Outbreak Occurrence in Babile Woreda East Hararge Zone Oromia Region, Ethiopia-January, 2019 G.C. ....................................................... 20 Table 4:- Distribution of Measles by age groups in Ginnir Woreda Bale Zone of Oromia Region, Ethiopia- February, 2019 .............................................................................................................. 35 Table 5: Socio-demographic characteristics of cases and controls in Ginnir Woreda, Bale Zone, Oromia region Ethiopia-February, 2019 ....................................................................................... 39 Table 6: Multivariate analysis of measles Outbreak Occurrence in Ginnir Woreda, Bale Zone, Oromia region Ethiopia-February, 2019 ....................................................................................... 41 Table 7: Distribution of Measles incidence by Sex and Age in North Shewa Zone Oromia region Ethiopia-December, 2013-2017 .................................................................................................... 60 Table 8: Distribution of Measles cases and CFR by Sex in North Shewa Zone Oromia region Ethiopia-December, 2013-2017 .................................................................................................... 61 Table 9 : Distribution of Measles Deaths by Woreda in North Shewa Zone, Oromia Region Ethiopia-December, 2013-2017 .................................................................................................... 63 Table 10 : Vaccination coverage Vs. Number of cases reported in North Shewa Zone Oromia Ethiopia- December, 2013 -2017. ................................................................................................. 66 Table 11: - Name and types of Evaluated sites in North shewa Zone Oromia
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