Addis Ababa University, College of Health Sciences, School of Public Health Ethiopian Field Epidemiology and Laboratory Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Engdayehu Hailu 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 Fie E y T P AAU/SPH, ld pidemiolog raining rogram Page i Addis Ababa Addis Ababa University College of Health Sciences School of Public Health Ethiopian Field Epidemiology and Laboratory Training Program (EFETP) Compiled Body of Works in Field Epidemiology By Engdayehu Hailu 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 1. Dr. Adamu Addissie 2. Mr. Haftom Teame May 2015 Addis Ababa Fie E y T P AAU/SPH, ld pidemiolog raining rogram Page ii ADDIS ABABA UNIVERSITY School of Graduate Studies Compiled Body of Works in Field Epidemiology By Engdayehu Hailu May 2015 Ethiopian Field Epidemiology Training Program (EFETP) School of Public Health, College of Health Sciences Addis Ababa University Approval by Examining Board _________________________ ___________________ Chairman, School Graduate Committee _________________________ ___________________ Advisor _________________________ ___________________ Examiner _________________________ ___________________ Examiner Fie E y T P AAU/SPH, ld pidemiolog raining rogram Page iii Acknowledgment First of all I really forward my gratitude to my mentors Dr. Adamu Addissie (AAU academic coordinator of Field Epidemiology Training Program) and Mr. Haftom Teame for their guidance, encouragement and support in all my outputs during the two years academic period so as to finish this program successfully. Secondly I would like to extend my acknowledgment to my resident advisors and academic coordinators Dr. Lucy Boulanger, Mr. Alemayehu Bekele, Dr. Zegeye Hailemariam respectively for their kind and constructive inputs. My special thanks go to Southern Nation, Nationalities and People Region Health Bureau for giving me the chance to join the EFELTP. In addition I would also like to thank Ethiopian Public Health Institute (EPHI) Public Health Emergency Management staffs particularly Dr. Daddi Jimma and Mr. Abyot Bekele for all their support, leadership and supervision during my residency period at EPHI and all regional health bureaus, Woreda Health offices, health facilities and community members for their support and cooperation during all my works. More over I would like to thank Ethiopia Field Epidemiology Training programme, Addis Ababa University and Ethiopian Public Health Association for their efforts in making the programme successful. Fie E y T P AAU/SPH, ld pidemiolog raining rogram Page iv Table of Contents Acknowledgment .................................................................................................................................. iv List of Tables ........................................................................................................................................ vii List of Figures ......................................................................................................................................... x List of Abbreviations .............................................................................................................................xv Executive Summary .............................................................................................................................. xix Chapter I – Outbreak/Epidemic Investigations........................................................................................ 1 1.1. Investigation of Measles Outbreak, Melgano Doya Kebele of Bona Zuria Woreda-Southern Region, Ethiopia, 2014 ........................................................................................................................................ 2 1.2. Human Cutaneous Anthrax Outbreak Investigation among Pastoralists in Benna Tsemay Woreda of South Omo Zone, Southern Region, 2015 ............................................................................................. 21 Chapter II – Surveillance Data Analysis Report...................................................................................... 41 2.1. Malaria Surveillance Data Analysis from Data collected through PHEM (Public Health Emergency Management) and HMIS (Health Management Information System) Sections during 2011-2013, Halaba42 Chapter III- Evaluation of Surveillance System ...................................................................................... 64 3.1. Evaluation of Malaria Surveillance System in Halaba Special Woreda, Southern Nations, Nationalities and People Region................................................................................................................................ 65 Chapter IV- Health Profile Description Report ...................................................................................... 87 4.1. District Health Profile Description- Halaba Special Woreda, Southern Region, 2014 ....................... 88 Chapter V – Scientific Manuscripts for Peer reviewed Journals ........................................................... 125 5.1. Investigation of Measles Outbreak, Melgano Doya Kebele of Bona Zuria Woreda-Southern Region, Ethiopia, 2014 .................................................................................................................................... 126 Chapter VI – Abstracts for Scientific Presentation............................................................................... 139 6.1. Melgano Doya Measles Outbreak Investigation in Bona Zuria Woreda-Southern Region, Ethiopia, 2014 140 6.2. Malaria Surveillance Data Analysis from Data collected through PHEM (Public Health Emergency Management) and HMIS (Health Management Information System) Sections during 2011-2013, Halaba142 Chapter VII – Narrative Summary of Disaster Situation Visited ........................................................... 144 7.1. Report on Belg Emergency Needs Assessment of South Omo and Segen Area Population Zones in Southern Region, 2014 ....................................................................................................................... 145 Chapter VIII – Protocol/Proposal for Epidemiologic Research Project ................................................. 162 Assessment of Status of Health Service Related Factors Contributing for Measles Outbreak in a High Vaccination Coverage Reporting Setting: The Case of Halaba District; Ethiopia ................................... 163 Assessment of factors contributing for malaria surveillance data discrepancy at peripheral health facility level with emphasis on health workers knowledge, attitude and practice (KAP) about malaria surveillance and surveillance data importance in Halaba Special Woreda, Southern Ethiopia................................. 180 Chapter IX – Other Additional Output Reports ................................................................................... 195 9.1. Public Health Emergency Management Training Report from Yirgalem, Hosanna and Mizan-Tefery Clusters-Southern Region, Ethiopia, 2014 ........................................................................................... 196 Fie E y T P AAU/SPH, ld pidemiolog raining rogram Page v 9.2. Rapid Situational Assessment on Ebola Virus Disease (EVD) in Somali and Afar Region ................ 204 9.3. Ebola Virus Disease (EVD) Prevention Activity Fortnight Brief Report of Galafi International Port in Afar Region ................................................................................................................................................ 212 9.4. Proposal on Ebola Virus Disease (EVD) Awareness Assessment of Health Professionals in Ethiopia219 9.5. SNNPR Health Bureau PHEM Bulletin Prepared for Wk 21 and Wk 23, 2014 ................................. 233 Annexes ............................................................................................................................................. 244 Annex 1. Measles Outbreak Case Investigation Questionnaire ............................................................ 244 Annex 2. Questionnaire for Suspected Human Anthrax Outbreak Investigation .................................. 248 Annex 3. SURVEILLANCE SYSTEM EVALUATION QUESTIONNAIRE ....................................................... 254 Annex 4. Health Profile Questionnaires ............................................................................................. 266 Annex-5: Operational Definitions........................................................................................................ 275 Annex-6: Population distribution by Kebele, Sex and distance from town during 2012/2013, ............. 276 Annex 7: Belg Assessment .................................................................................................................. 279 Fie E y T P AAU/SPH, ld pidemiolog raining rogram Page vi List of Tables Table 1: Age group specific attack rate of measles cases-Melgano Doya Kebele, Bona Zuria, Sidama, 2014 ................................................................................................................................................ 9 Table 2: Cases and controls by vaccination status in age groups, Melgano Doya Kebele, Bona Zuria, Sidama, 2014. ...............................................................................................................................