Ethiopian Field Epidemiology Training Program(efeltp) Compiled Body Of Works In Field Epidemiology

The Ethiopian field epidemiology training (EFETP) is a two year an in-service training program inrnfield epidemiology adapted from the US centers for disease control and prevention epidemic rnintelligence service given to multidisciplinary health professionals in Ethiopia. It was started in AddisrnAbaba University in 2001 and expanded to other eight universities to increase trained manpower inrnfield epidemiology in our country to control emergency and reemerging health and health relatedrnsituations. The program was designed to assist Ministry of health in building health system by trainingrnand build the capacity of the professionals. The program is 75% at field base practical attachment inrninvestigating disease occurrence, surveillance evaluation and survey, and 25% class room teachingrnand learning to share experience from tutors /instructors to award a master of degree (MPH) in fieldrnepidemiology. We residents have the opportunity to practice public health in the real place where wernhave assigned. During the two years’ residency stay, we are expected to do the following output, forrnthe partial fulfilment of master’s degree in field epidemiology, two diseases outbreak investigation,rnsurveillance secondary data analysis, surveillance system evaluation, woreda health profile descriptionrnreport, summary of disaster situation report, manuscript, abstract, epi project proposal and additionalrnoutputs. During two years’ residency at Addis Ababa university school of public health and TigrayrnRHB PHEM and Alamata field base I have done and conducted the following activities and outputsrnChapter 1: outbreak investigationrn1.1 Epidemiological linked measles outbreak investigation in Alamata town, January 2019rnThe outbreak was started on January 14-2019. 31 under 15 year’s old children were the victims withrnone above 15 years old child. We investigate the outbreak, as epidemiologically confirmed since therernwas an outbreak of measles in woreda Ofla with confirmed cases where it is adjacent woreda the townrnof Alamata. The main risk factor of the outbreak was history of contact with measles case and beingrnunvaccinated.rn1.2 Scabies outbreak investigation among ‘Yekolo temari’ in Korem town, Tigray, Ethiopia Aprilrn2019. The outbreak of this scabies was in ‘Yekolo temari’ in three churches of korem town, the riskrnfactors identified in this outbreak was contact scabies cases, sharing of coats among the ‘Yekolorntemari’. The students were living in a small room crowdedly with a maximum of 20 ‘Yekolo temari’rnin a single room. We have given education ho how to prevent and control the disease. Wernrecommended to provide water access near the residential area for hand washing.rnChapter 2: Surveillance data analysis rnSecondary data analysis on under five pneumonias a three-year data from 2015-2017, Tigray, region,rnJanuary 2017. Within three years 316821 children under five were affected by pneumonia. Thernincidence and mortality rate was 140/1000 and 10.8/ 1000 children. This figure shows large amountrnof children suffer from a vaccine preventable disease. We recommend to TRHB and woredea healthrnoffices to inspect vaccine cold chain management at health facilities as the immunization coverage isrn89% for pneumococcal vaccinernChapter 3: Surveillance system evaluation rnSurveillance system evaluation in Raya Azebo Woreda, southern Tigray, Ethiopia December 2018.rnWe have conducted surveillance system evaluation in south zone of Tigray, Raya Azebo woreda. Allrnrespondents (11) of the agreed that the surveillance system is useful and sensitive to prevent andrncontrol disease outbreaks. And it was also representative in which all health facilities report the diseasernunder surveillance, the people under surveillance have good health seeking behaviors towards diseasernoccurrence and report new disease events. There was a gap of training among the health care providersrni.e. only 80% of them have got training about surveillance. We recommend to the woreda; they havernto be trained.rnChapter 4: Woreda health profile descriptionrnHealth profiles description in Ganta Afeshum woreda, eastern zone of Tigray, Ethiopia, February,rn2017. We have conducted health profile assessment in woreda Ganta Afeshum to assess health andrnhealth related issues and to assess basic health service in the woreda. Diarrhea none bloody was thernfirst five top morbidity in under five and plasmodium vivax malaria was the first ten top disease amongrnadults. We also found low contraceptive prevalence rate (32.9%) and low immunization coverage forrnall antigens. We recommend the woreda to assess why and what are the factors to be low coverage inrnthe in the identified gaps.rnChapter 5: Scientific manuscript for peer reviewed journalsrn5.1 Epidemiological linked measles outbreak in Alamata town, Januarys, 2019rn5.2 Scabies outbreak investigation in Korem town, south Tigray, Ethiopia, April 2019rnChapter 6: Abstract for scientific conferencernTwo abstracts were prepared on two outbreaks rnChapter 7: Narratives summary of disaster situation reportrn‘Meher’ risk assessment in Ofla woreda, south Tigray, Ethiopia November 2019. In this emergencyrnneed assessment, the proxy GAM for children under five was 9.3% in which it shows high prevalence rnof malnutrition in under five children which is equivalent with the national prevalence studied inrnEDHS 2016. We recommend to the woreda to assess the nutrition enhanced for action.rnChapter 8: Epi project proposalrnEpi project tittle was selected on Prevalence of malnutrition among 6-59 months children in Oflarnworeda, south Tigray, Ethiopia 2019. This will be done after graduation on August 10-20-2019. Thisrnproposal aimed at the assessment of malnutrition status in 6-59months children and to assess the riskrnfactors contributing to malnutrition so as to identify root cause and to take action in the area where thernmalnutrition prevalence is high.rnChapter 9: Additional output on Weekly epidemiological bulletin in Tigray regional healthrnbureaurnThis weekly bulletin is very important to forecast the possibility of disease outbreak and to know therndisease burden from which the report is received. This is done in weekly base to identify early and torntake action for control.

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