Ethiopia Field Epidemiology Training Program (EFELTP) Compiled Body of Works in Field Epidemiology By: Natnael Teferi Dejene
Creators: name: Teferi, Natnael
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2019

description: Field Epidemiology Training Program (FETP) program in field epidemiology adapted from the United States Centers for Disease Control and Prevention (CDC) Epidemic Intelligence Service (EIS) program and designed to assist the Ministry of Health in building or strengthening health systems and improve leadership within Public Health Emergency Management. The EFELTP provides residents a Master of Public Health in Field Epidemiology after complete two years of supervised work in applied or field epidemiology. The program has two main components: Classroom-teaching component (25%) and practical attachment or field placement component (75%). The role of public health practitioners includes ensuring effective health promotion, disease prevention and control activities by conducting surveillance on emerging public health threats and providing continues information to policy makers and public health officials. From October, 2017 to up today, I have stayed in Field Epidemiology Training Program, School of Public Health-AAU and at both EPHI and Oromia Regional Health Bureau field base. I learned a lot of public health activities during my stay. This document is compiled body of works accomplished during the two years stay at field base of the field epidemiology training program in Addis Ababa University- School of Public Health. Chapter I: We conducted two epidemiological investigation of outbreak (Malaria and Measles). We used both descriptive and Analytical epidemiology for both outbreaks to describe the pattern and magnitude of the diseases and identify associated risk factors with the outbreak. A total of 348 confirmed malaria cases with no death was identified during February to March 2018 in Darimu Woreda of Iluababora zone, Oromia region. We identify Presence of mosquito's vector/breeding sites, unprotected dam for irrigation, and similar sick patient in the house hold as independent risk factors for malaria outbreak in the woreda. Poor in detection, notification of the outbreak and implementation of larva control measures are a toll for this outbreak. we recommend strengthen malaria surveillance system, identifying potential vector breeding site, Proactive vector control, redistribution of the ITN prior to malaria season and address utilization gaps on bed net through health education. Measles outbreak in Liben woreda of Guji zone, Oromia region. we investigate from December 12 to 20, 2018. A total of 15 measles cases were identified and 3/5 tested were confirmed by measles specific IgM antibody test. Traveling history to adjacent Woreda, presence of measles cases in the house and being unvaccinated are found to be independent risk factor for this outbreak. Religious exemption is identified as major factor for being not vaccinated, which is opposed the &gt;100% vaccine coverage report of the woreda. Target measles vaccination with vitamin A supplementation amongst under five, Suspension of public collection from suspected measles cases rumour reported, health education on religious area, strengthen cold chain management and furthers study on vaccine acceptance and associated factor with sufficient sample size were recomended. Chapter II: We conduct Five-year (2013-2017) malaria data analysis at south west shoa zone and describe by person, place and time. Malaria cases in the zone were decreased by 80.5 percent by 2017 compared to the baseline year of 2013. The zone was in line with achieve high level National malaria strategy plan. Burden of malaria cases was still high among three Woredas. Peak malaria case between September and December. We recommend ITN's distribution and IRS for respective high malaria endemic woreda and scale up of malaria prevention and control intervention prior to the respective period and harmonizing HMIS and PHEM system at all reporting level in order to generating reliable and quality data. Chapter III: We conducted Evaluation of surveillance system from February 01-18, 2019 in Bale zone. (N=43): Measles surveillance was selected and assessed. The system in place found to be simple, flexible and stable in operating well without interruption and helpful in case detection but not useful (fail) to meet objectives of surveillance for action and low in representativeness and acceptable. We recommend widen the surveillance chain among private health facilities, upgrading data management to electronic at all level. Chapter IV: We conducted description of Health profile in Gindeberet Woreda, West Shoa Zone, Oromia region February 10 to 30, 2018. we found Acute febrile illness, pneumonia and acute upper respiratory tract infection were leading causes of adult morbidity and very low TB and HIV case detection. We recommend, targeted HIV counseling and testing. Chapter V: We prepared scientific manuscript for peer reviewed journals on Malaria outbreak investigation in Darimu woreda, Iluababora Zone 2018. The manuscript was prepared according to Ethiopian journal of health development authors guideline. Chapter VI: We prepared two abstracts for submission to scientific conference: - 1. Measles Outbreak Investigation in pocket area of Liben Woreda, Guji Zone, Oromia Region, Ethiopia- December, 2018. 2. Malaria Outbreak Investigation Darimu Woreda of Iluababora Zone, Oromia Region, Ethiopia, March 2018. Chapter VII: We conduct Narrative Summary of Disaster situation report (Meher Assessment) at three Zone of Agro pastoral zone of Oromia Region (Guji, West Guji and Borana) from November 22 to December 12, 2019. There were increased malnutrition case, because of double burden effect of high influx of IDPs and drought in all accessed zones. With this junction, there is emergency nutrition intervention/supply stock out in West Guji and Borana Zone. We recommended the RHB and FMOH should fill the gaps/shortage of nutrition supplies, emergency drug and ensure capacity for timely response. Chapter VIII: Epidemiological research project was prepared on ITNS Utilization and associated factors among settler's population in Darimu woreda of Iluababora Zone, Oromia Region 2019. Community based cross sectional study will be conducted from April to May/2019. Multi-stage sampling technique will be used to get study subjects. Sample size will be determined by using Epi info by using 80% ITNs utilization from pervious study. Total 541 house hold will be assessed in this study and 37,966.96 ETB estimated budget requiring. Chapter IX: Training was given for 59 Health professionals working at Woreda and Health facilities of two zones from December 22-25, 2018. The training was organized by Oromia regional health bureau with collaboration of WHO at Ambo Town. The training was addressed overview of PHEM System, Public Health Emergency Preparedness, Epidemiology of 20 Notifiable Diseases, Early Warning Prevention, Health Emergency Response and Recovery. The training was supported by practical demonstration and group work presentation. Lack of printed training manual is a challenge, so we recommend training preparation should de include all necessary format and manual for trainers. Also I participate in different trainings and conferences in different places, namely: - I have attended AFENET Scientific conference at Addis Ababa June 2018. I have attended the training of Disaster Medical Assistance Team as central DMAT member at Bishoftu town from January 21-27,2019. I participate on Regional semi-annual PHEM review at Adama from February 1114/2019 and Public Health emergency preparedness and response on public mass-gathering at Kulib-Gebril Celebration December 2018. Other additional output: I conduct Six Regional public health emergency Weekly bulletin. I including only one of weekly bulletin in this document. Weekly bulletin results were disseminated for all Zones, Administrative Towns, Regional PHEM staff and different stakeholders including governmental and non-governmental organization on weekly bases.