Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology
Creators: name: Tesfa, Fasil
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2018

description: National health Policy of Ethiopia gives due attention to prevention and control of diseases which are epidemic prone, of international concern and diseases on eradication and elimination programs through surveillance activities. The role of public health practitioners include ensuring effective health promotion, disease prevention and control activities, conducting surveillance on emerging public health threats and providing pertinent information to policy makers and public health officials. From October, 2016, I have been staying in Field Epidemiology Training Program, School of Public Health-AAU and at Addis Ababa City Administration Health Bureau, Akaki Kality sub city field base. I carried out, Pertussis outbreak and Rubella outbreak investigation, surveillance data analysis, evaluation of surveillance system, health profile description of woreda 1, abstract and scientific manuscript for scientific conference, research proposal (Epi-Project) and weekly bulletin. Chapter 1: Outbreak investigation During my field residency, I carried out, Pertussis and Rubella outbreak investigation  Descriptive study was employed to investigate the pertussis outbreak in Abergelle district of Wag Himra zone of Amhara region. A total of 339 cases and one deaths were identified with an overall attack rate of 5.8 per 1000 population. The mean age of the cases was 4.84 years which was ranged from 3 months to 30 years. The more affected groups were male and age &lt;5 years with specific Attack Rate 6.9/1000 and 24.3/1000 population respectively.  Descriptive study was conducted to investigate the rubella outbreak in Akaki Kality sub city of woreda 9. A total of 17 cases and zero death (CFR=0) cases were line listed. The overall AR was 26 per 10, 000 population. The attack rate less than 5 year of age was 126 per 10,000. The median age was 6 years. 10 (58.8%) of cases were males. Sex specific AR was 31 per 10,000 populations and 20 per 10,000 for male and female respectively. The cases were reported from 2 Kebeles. 16 of the cases reported from Tulu Dimtu Kebele and the rest one from Fenta Kebele. Five samples were positive for Rubella IgM antibodies. 2 Chapter 2: Surveillance data analysis A retrospective descriptive secondary five year (2012 – 2016) malaria data analysis was conducted in Akaki Kality sub city; a total of 4939 clinical and confirmed malaria cases were identified during the five year period in the sub city. Among these, 4861 (98.42 %) were outpatient and 78 (1.58 %) were inpatient. Out of the total 4717 (95.51 %) confirmed malaria cases 3522(74.33%) and 1195(25.67%) were Plasmodium vivax and Plasmodium falciparum respectively. There was a significance increase in the incidence rate of confirmed malaria cases from 2012 – 2016 and the average incidence rate was 4.7/1000. The peak malaria report year was 2016 with 1139 (23.06%) of the total cases in the five year period. Over all case there were no death identified during the study year. Chapter 3: Surveillance system evaluation A descriptive cross-sectional study design was used to evaluate the surveillance system with selected diseases (measles and Malnutrition) of the Akaki Kality sub city of Addis Ababa City. In the year 2016/17, a total of 23 suspected measles cases were reported and Malnutrition cases a total of 61(46%) SAM and 71(54%) MAM cases were reported from sub city. Surveillance data of selected diseases were not analyzed and used for action at all level of the surveillance unit. We identified a lack of a written emergency preparedness and response plan that helps to strengthen capacity in recognizing and responding to public health emergencies. In addition, including sub city, all of the assessed woredas failed to have emergency drugs stock and specific budget line in the system. Absence of timely analysis and utilization of data made the existing surveillance system weak. Therefore, it is necessary to strengthen the surveillance system by capacitating health workers at all levels to analyze and utilize available data. Chapter 4: Health profile description Health Profile assessment is a systematic collection, organization and documentation of health and socio-demographic data from a specific area or district. We collected health and health related data from Akaki 01 woreda and Akaki Kality sub city, from February 21, 2017 to March 11, 2017. The population of the woreda in 2008 EFY was estimated to be 31,526; of whom 15,133 (48%) were males. In 2008 E.C the woredas full immunization coverage, contraceptive acceptance rate and all 3 form of TB case detection rate was 100%, 33.7% and 100 % respectively. The leading cause of adult outpatient (OPD) visit was ARTI, Acute febrile illness and trauma, whereas the leading causes of under-five OPD visit was ARTI, Diarrhea (Non-bloody) and pneumonia. HIV prevalence was 3.4%. One of the leading cause of adult OPD visit was trauma; hence health official's in collaboration with the woreda police should have to work hard on prevention and control of trauma. Chapter 5:- Scientific Manuscript for Peer Reviewed Journals Scientific Manuscript for Peer Reviewed Journals was conducted on 5 year malaria surveillance data analysis at Akaki Kality sub city, Addis Ababa. Chapter 6:- Scientific abstracts Two abstracts for scientific conference submission were prepared during residency time. These were:  Analysis of Malaria data – At Akaki Kality sub city, Addis Ababa: five years (2012-2016)  Evaluation of surveillance system- At Akaki Kality sub city, Addis Ababa: Chapter 7:- Protocol/proposal for Epidemiologic Research Project Protocol/proposal for Epidemiologic Research Project was prepared. The main objectives of this study to determine the burden, patterns and factors associated with injuries among patient visiting adult Emergency Departments of Yekatit 12 Hospital Medical College, Addis Ababa. Hospital based cross sectional study is designed. Chapter 8:- Other additional output report Other additional Output Report was conduct on weekly bulletin of PHEM Report for WHO Epidemiologic Week 10/2017, Akaki Kality sub city Health Office