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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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“[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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    (as of 27 March 2013) ETHIOPIA:Administrative Map R E Legend E R I T R E A North D Western \( Erob \ Tahtay Laelay National Capital Mereb Ahferom Gulomekeda Adiyabo Adiyabo Leke Central Ganta S Dalul P Afeshum Saesie Tahtay Laelay Adwa E P Tahtay Tsaedaemba Regional Capital Kafta Maychew Maychew Koraro Humera Asgede Werei Eastern A Leke Hawzen Tsimbila Medebay Koneba Zana Kelete Berahle Western Atsbi International Boundary Welkait Awelallo Naeder Tigray Wenberta Tselemti Adet Kola Degua Tsegede Temben Mekele Temben P Zone 2 Undetermined Boundary Addi Tselemt Tanqua Afdera Abergele Enderta Arekay Ab Ala Tsegede Beyeda Mirab Armacho Debark Hintalo Abergele Saharti Erebti Regional Boundary Wejirat Tach Samre Megale Bidu Armacho Dabat Janamora Alaje Lay Sahla Zonal Boundary Armacho Wegera Southern Ziquala Metema Sekota Endamehoni Raya S U D A N North Wag Azebo Chilga Yalo Amhara East Ofla Teru Woreda Boundary Gonder West Belesa Himra Kurri Gonder Dehana Dembia Belesa Zuria Gaz Alamata Zone 4 Quara Gibla Elidar Takusa I Libo Ebenat Gulina Lake Kemkem Bugna Kobo Awra Afar T Lake Tana Lasta Gidan (Ayna) Zone 1 0 50 100 200 km Alfa Ewa U Fogera North Farta Lay Semera ¹ Meket Guba Lafto Semen Gayint Wollo P O Dubti Jawi Achefer Bahir Dar East Tach Wadla Habru Chifra B G U L F O F A D E N Delanta Aysaita Creation date:27 Mar.2013 P Dera Esite Gayint I Debub Bahirdar Ambasel Dawunt Worebabu Map Doc Name:21_ADM_000_ETH_032713_A0 Achefer Zuria West Thehulederie J Dangura Simada Tenta Sources:CSA (2007 population census purpose) and Field Pawe Mecha
  • Determinants of Perinatal Mortality Among Cohorts

    Determinants of Perinatal Mortality Among Cohorts

    Determinants of perinatal mortality among cohorts of pregnant women in three districts of North Showa zone, Oromia Region, Ethiopia: Community based nested case control study Elias Merdassa Roro, Wollega University Mitike Molla Sisay, Addis Ababa University Lynn M Sibley, Emory University Journal Title: BMC Public Health Volume: Volume 18, Number 888 Publisher: BMC (part of Springer Nature) | 2018-07-18 Type of Work: Article | Final Publisher PDF Publisher DOI: 10.1186/s12889-018-5757-2 Permanent URL: https://pid.emory.edu/ark:/25593/t5njb Final published version: http://dx.doi.org/10.1186/s12889-018-5757-2 Copyright information: © The Author(s). 2018 This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/). Accessed September 29, 2021 9:44 PM EDT Roro et al. BMC Public Health (2018) 18:888 https://doi.org/10.1186/s12889-018-5757-2 RESEARCH ARTICLE Open Access Determinants of perinatal mortality among cohorts of pregnant women in three districts of North Showa zone, Oromia Region, Ethiopia: Community based nested case control study Elias Merdassa Roro1* , Mitike Molla Sisay2,3 and Lynn M. Sibley4 Abstract Background: Statistics indicate that Ethiopia has made remarkable progress in reducing child mortality. It is however estimated that there is high rate of perinatal mortality although there is scarcity of data due to a lack of vital registration in the country. This study was conducted with the purpose of assessing the determinants and causes of perinatal mortality among babies born from cohorts of pregnant women in three selected districts of North Showa Zone, Oromia Region, Ethiopia.