Ethiopia Field Epidemiology Training Program (efeltp) Compiled Body Of Works In Field Epidemiology By Natnael Teferi Dejene

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Field Epidemiology Training Program (FETP) program in field epidemiology adapted from thernUnited States Centers for Disease Control and Prevention (CDC) Epidemic Intelligence Servicern(EIS) program and designed to assist the Ministry of Health in building or strengthening healthrnsystems and improve leadership within Public Health Emergency Management. The EFELTPrnprovides residents a Master of Public Health in Field Epidemiology after complete two years ofrnsupervised work in applied or field epidemiology. The program has two main components:rnClassroom-teaching component (25%) and practical attachment or field placement componentrn(75%). The role of public health practitioners includes ensuring effective health promotion, diseasernprevention and control activities by conducting surveillance on emerging public health threats andrnproviding continues information to policy makers and public health officials.rnFrom October, 2017 to up today, I have stayed in Field Epidemiology Training Program, Schoolrnof Public Health-AAU and at both EPHI and Oromia Regional Health Bureau field base. I learnedrna lot of public health activities during my stay. This document is compiled body of worksrnaccomplished during the two years stay at field base of the field epidemiology training program inrnAddis Ababa University- School of Public Health. rnChapter I: We conducted two epidemiological investigation of outbreak (Malaria and Measles).rnWe used both descriptive and Analytical epidemiology for both outbreaks to describe the pattern rnand magnitude of the diseases and identify associated risk factors with the outbreak. A total of 348rnconfirmed malaria cases with no death was identified during February to March 2018 in DarimurnWoreda of Iluababora zone, Oromia region. We identify Presence of mosquito’s vector/breedingrnsites, unprotected dam for irrigation, and similar sick patient in the house hold as independent riskrnfactors for malaria outbreak in the woreda. Poor in detection, notification of the outbreak andrnimplementation of larva control measures are a toll for this outbreak. we recommend strengthenrnmalaria surveillance system, identifying potential vector breeding site, Proactive vector control,rnredistribution of the ITN prior to malaria season and address utilization gaps on bed net throughrnhealth education.rnMeasles outbreak in Liben woreda of Guji zone, Oromia region. we investigate from Decemberrn12 to 20, 2018. A total of 15 measles cases were identified and 3/5 tested were confirmed byrnmeasles specific IgM antibody test. Traveling history to adjacent Woreda, presence of measlesrncases in the house and being unvaccinated are found to be independent risk factor for this outbreak.rnReligious exemption is identified as major factor for being not vaccinated, which is opposed thern>100% vaccine coverage report of the woreda. Target measles vaccination with vitamin Arnsupplementation amongst under five, Suspension of public collection from suspected measlesrncases rumour reported, health education on religious area, strengthen cold chain management andrnfurthers study on vaccine acceptance and associated factor with sufficient sample size werernrecomended. rnrnChapter II: We conduct Five-year (2013-2017) malaria data analysis at south west shoa zone and rndescribe by person, place and time. Malaria cases in the zone were decreased by 80.5 percent byrn2017 compared to the baseline year of 2013. The zone was in line with achieve high level National rnmalaria strategy plan. Burden of malaria cases was still high among three Woredas. Peak malariarncase between September and December. We recommend ITN’s distribution and IRS for respectivernhigh malaria endemic woreda and scale up of malaria prevention and control intervention prior tornthe respective period and harmonizing HMIS and PHEM system at all reporting level in order torngenerating reliable and quality data.rnChapter III: We conducted Evaluation of surveillance system from February 01-18, 2019 in Balernzone. (N=43): Measles surveillance was selected and assessed. The system in place found to bernsimple, flexible and stable in operating well without interruption and helpful in case detection butrnnot useful (fail) to meet objectives of surveillance for action and low in representativeness andrnacceptable. We recommend widen the surveillance chain among private health facilities, upgradingrndata management to electronic at all level.rnChapter IV: We conducted description of Health profile in Gindeberet Woreda, West Shoa Zone,rnOromia region February 10 to 30, 2018. we found Acute febrile illness, pneumonia and acute upperrnrespiratory tract infection were leading causes of adult morbidity and very low TB and HIV caserndetection. We recommend, targeted HIV counseling and testing.rnChapter V: We prepared scientific manuscript for peer reviewed journals on Malaria outbreakrninvestigation in Darimu woreda, Iluababora Zone 2018. The manuscript was prepared accordingrnto Ethiopian journal of health development authors guideline. rnChapter VI: We prepared two abstracts for submission to scientific conference: - 1. MeaslesrnOutbreak Investigation in pocket area of Liben Woreda, Guji Zone, Oromia Region, Ethiopia-rnDecember, 2018. 2. Malaria Outbreak Investigation Darimu Woreda of Iluababora Zone, Oromia rnRegion, Ethiopia, March 2018.rnChapter VII: We conduct Narrative Summary of Disaster situation report (Meher Assessment)rnat three Zone of Agro pastoral zone of Oromia Region (Guji, West Guji and Borana) fromrnNovember 22 to December 12, 2019. There were increased malnutrition case, because of doublernburden effect of high influx of IDPs and drought in all accessed zones. With this junction, there isrnemergency nutrition intervention/supply stock out in West Guji and Borana Zone. Wernrecommended the RHB and FMOH should fill the gaps/shortage of nutrition supplies, emergencyrndrug and ensure capacity for timely response.rnChapter VIII: Epidemiological research project was prepared on ITNS Utilization and associatedrnfactors among settler’s population in Darimu woreda of Iluababora Zone, Oromia Region 2019.rnCommunity based cross sectional study will be conducted from April to May/2019. Multi-stagernsampling technique will be used to get study subjects. Sample size will be determined by usingrnEpi info by using 80% ITNs utilization from pervious study. Total 541 house hold will be assessedrnin this study and 37,966.96 ETB estimated budget requiring.rnChapter IX: Training was given for 59 Health professionals working at Woreda and Healthrnfacilities of two zones from December 22-25, 2018. The training was organized by Oromiarnregional health bureau with collaboration of WHO at Ambo Town. The training was addressedrnoverview of PHEM System, Public Health Emergency Preparedness, Epidemiology of 20rnNotifiable Diseases, Early Warning Prevention, Health Emergency Response and Recovery. Therntraining was supported by practical demonstration and group work presentation. Lack of printed rntraining manual is a challenge, so we recommend training preparation should de include allrnnecessary format and manual for trainers. rnAlso I participate in different trainings and conferences in different places, namely: - I havernattended AFENET Scientific conference at Addis Ababa June 2018. I have attended the trainingrnof Disaster Medical Assistance Team as central DMAT member at Bishoftu town from Januaryrn21-27,2019. I participate on Regional semi-annual PHEM review at Adama from February 1114/2019rnrnand Public Health emergency preparedness and response on public mass-gathering atrnKulib-Gebril Celebration December 2018.rnOther additional output: I conduct Six Regional public health emergency Weekly bulletin. Irnincluding only one of weekly bulletin in this document. Weekly bulletin results were disseminatedrnfor all Zones, Administrative Towns, Regional PHEM staff and different stakeholders includingrngovernmental and non-governmental organization on weekly bases.

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Ethiopia Field Epidemiology Training  Program (efeltp)    Compiled Body Of Works In Field Epidemiology   By Natnael Teferi Dejene

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