Prospective Foodborne Disease Epidemiology Studies in Ethiopia: Cross-Sectional Healthcare Worker Study

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Kowalcyk, Barbara; Alonso, Silvia; Gazu, Lina; LaPolt, Devin; Azmeraye, Binyam; Teshale, Amete; Ngwili, Nicholas; Angaw, Dessie; Ayana, Galana; Beczkiewicz, Aaron; Garsow, Ariel; Barkley, James; Degefaw, Desalegne; Yimer, Getnet; Scharff, Robert, 2023, "Prospective Foodborne Disease Epidemiology Studies in Ethiopia: Cross-Sectional Healthcare Worker Study", https://hdl.handle.net/20.500.11766.1/FK2/OWHQLW, MELDATA, V2

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Description	This is a working package under a bigger project named “Estimating the public health burden of Salmonella, Shiga toxin-producing E. coli, and Campylobacter in Ethiopia (TARTARE) funded by the Bill and Melinda Gates Foundation and the United Kingdom Department for International Development. The overarching goal of TARTARE is to reduce morbidity and mortality from foodborne disease by developing a risk-based framework for making decisions and allocating resources around food safety across the food systems of low- and middle-income countries using Ethiopia as a model. The primary objective of this specific work is to estimate the burden of nontyphoidal Salmonella, Shiga toxin-producing Escherichia coli and Campylobacter in Ethiopia. The project consists of three cross-sectional epidemiological studies: 1) Cross-Sectional Laboratory Study; 2) Cross-Sectional Healthcare Worker Study and 3) Cross-Sectional Community Study. A cross-sectional healthcare worker survey was conducted in the catchment areas served by Yekatit 12, University of Gondar and Hiwot Fana hospitals to estimate multipliers needed to scale up the incidence rates estimates. Healthcare facilities were randomly selected from each geographical stratum using a pre-identified sampling frame. Healthcare facility administrator and healthcare workers were randomly selected from each selected facility and surveyed through a face-to-face interview about their diagnostic and treatment practices for diarrheal illness. The specific aims of this study were to characterize preventive, diagnostic, and treatment practices for diarrhea illness employed by healthcare workers in Ethiopia, estimate patient costs incurred for healthcare procurement and delivery and Develop Burden of Disease (BOD) multipliers to adjust Foodborne Disease incidence estimates for healthcare worker diagnostic and clinical care practices.
Subject	Medicine, Health and Life Sciences
Keyword	ethiopia, healthcare facility, healthcare workers, diarrheal patients, proportion, healthcare management
Related Publication	Gazu, L., LaPolt, D., Azmeraye, B.M., Miheret, A., Ngwili, N., Degefaw, D., Ayana, G.M., Angaw, D.A., Scharff, R., Yimer, G., Kowalcyk, B. and Alonso, S. 2023. Diarrhoea illness management and associated costs in healthcare facilities in Ethiopia. Presented at the 2023 Annual Meeting of the International Association for Food Protection (IAFP 2023), Toronto, Canada, 16–19 July 2023. Nairobi, Kenya: ILRI. handle: 139120
Notes	Type: Dataset; Sub-type(s): Survey Data
License/Data Use Agreement	CC-BY-4.0

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Citation Metadata

Persistent Identifier	hdl:20.500.11766.1/FK2/OWHQLW
Publication Date	2025-03-03
Title	Prospective Foodborne Disease Epidemiology Studies in Ethiopia: Cross-Sectional Healthcare Worker Study
Other Identifier	MEL: 47485
Author	Kowalcyk, Barbara (Center for Foodborne Illness Research and Prevention - CFI) Alonso, Silvia (International Livestock Research Institute - ILRI) Gazu, Lina (International Livestock Research Institute - ILRI) LaPolt, Devin (Center for Foodborne Illness Research and Prevention - CFI) Azmeraye, Binyam (Ohio State University) Teshale, Amete (National Clinical Bacteriology and Mycology Reference Laboratory, Ethiopian Public Health Institute, Addis Ababa, Ethiopia) Ngwili, Nicholas (International Livestock Research Institute - ILRI) Angaw, Dessie (Epidemiology and Biostatistics Department, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia) Ayana, Galana (Department of Epidemiology and Biostatistics, College of Health and Medical Science, Haramaya University, Haramaya, Ethiopia) Beczkiewicz, Aaron (Center for Foodborne Illness Research and Prevention - CFI) Garsow, Ariel (Center for Foodborne Illness Research and Prevention - CFI) Barkley, James (Center for Foodborne Illness Research and Prevention - CFI) Degefaw, Desalegne (Ohio State University) Yimer, Getnet (Department of Genetics and Penn Center for Global Genomics & Health Equity, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA) Scharff, Robert (Ohio State University)
Point of Contact	Use email button above to contact. Kowalcyk, Barbara (Center for Foodborne Illness Research and Prevention - CFI)
Description	This is a working package under a bigger project named “Estimating the public health burden of Salmonella, Shiga toxin-producing E. coli, and Campylobacter in Ethiopia (TARTARE) funded by the Bill and Melinda Gates Foundation and the United Kingdom Department for International Development. The overarching goal of TARTARE is to reduce morbidity and mortality from foodborne disease by developing a risk-based framework for making decisions and allocating resources around food safety across the food systems of low- and middle-income countries using Ethiopia as a model. The primary objective of this specific work is to estimate the burden of nontyphoidal Salmonella, Shiga toxin-producing Escherichia coli and Campylobacter in Ethiopia. The project consists of three cross-sectional epidemiological studies: 1) Cross-Sectional Laboratory Study; 2) Cross-Sectional Healthcare Worker Study and 3) Cross-Sectional Community Study. A cross-sectional healthcare worker survey was conducted in the catchment areas served by Yekatit 12, University of Gondar and Hiwot Fana hospitals to estimate multipliers needed to scale up the incidence rates estimates. Healthcare facilities were randomly selected from each geographical stratum using a pre-identified sampling frame. Healthcare facility administrator and healthcare workers were randomly selected from each selected facility and surveyed through a face-to-face interview about their diagnostic and treatment practices for diarrheal illness. The specific aims of this study were to characterize preventive, diagnostic, and treatment practices for diarrhea illness employed by healthcare workers in Ethiopia, estimate patient costs incurred for healthcare procurement and delivery and Develop Burden of Disease (BOD) multipliers to adjust Foodborne Disease incidence estimates for healthcare worker diagnostic and clinical care practices.
Subject	Medicine, Health and Life Sciences
Keyword	ethiopia (AGROVOC) http://aims.fao.org/aos/agrovoc/c_2676 healthcare facility healthcare workers diarrheal patients proportion healthcare management
Related Publication	Gazu, L., LaPolt, D., Azmeraye, B.M., Miheret, A., Ngwili, N., Degefaw, D., Ayana, G.M., Angaw, D.A., Scharff, R., Yimer, G., Kowalcyk, B. and Alonso, S. 2023. Diarrhoea illness management and associated costs in healthcare facilities in Ethiopia. Presented at the 2023 Annual Meeting of the International Association for Food Protection (IAFP 2023), Toronto, Canada, 16–19 July 2023. Nairobi, Kenya: ILRI. handle: 139120 https://hdl.handle.net/10568/139120 ILRI. 2023. TARTARE: The assessment and management of risk from non-typhoidal salmonella, diarrheagenic Escherichia coli and Campylobacter in raw beef and dairy in Ethiopia. Poster prepared for the Ethiopia One CGIAR Consultation Workshop and Launch: How Science Can Contribute to Food Systems Transformation, ILRI, Addis Ababa, 29–30 March 2023. Nairobi, Kenya: ILRI. handle: 130366 https://hdl.handle.net/10568/130366 Gazu, L., LaPolt, D. and Miheret, A. 2023. Estimating public health burden of Salmonella, Campylobacter and Shiga toxin-producing Escherichia coli in Ethiopia. Poster prepared for the 'Food safety in Ethiopia: Evidence and policy' workshop, Addis Ababa, Ethiopia, 26 October 2023. Nairobi, Kenya: ILRI handle: 139118 https://hdl.handle.net/10568/139118
Notes	Type: Dataset; Sub-type(s): Survey Data
Language	English
Producer	Center for Foodborne Illness Research and Prevention (CFI)
Production Date	2023-07-31
Contributor	Funder : Bill & Melinda Gates Foundation - BMGF Funder : UK Aid Direct Funder : UK’s Foreign, Commonwealth & Development Office (FCDO) - FCDO Project Manager : Barbara Kowalcyk (Center for Foodborne Illness Research and Prevention - CFI)
Deposit Date	2025-03-18
Time Period	Start Date: 2021-10-26 ; End Date: 2022-10-30
Date of Collection	Start Date: 2021-10-26 ; End Date: 2022-10-30
Data Type	Survey Data
Software	Redcap
Origin of Historical Sources	Field data collection

Geospatial Metadata

Geographic Coverage	Ethiopia, Addis Ababa Ethiopia, Amhara Ethiopia, Harari and Oromia regions
Geographic Unit	East Africa

Social Science and Humanities Metadata

Unit of Analysis	Health care facilities, health care workers, patients
Universe	The target population are healthcare facilities
Time Method	Cross-sectional
Sampling Procedure	A cross-sectional survey of healthcare facilities and healthcare workers in the catchment areas served by each of the three Hospital in the study: Yekatit 12 (Addis Ababa), Gondar University Hospital and Haramaya University Hospital was done. For each catchment area, a list of healthcare facilities operating within the area was obtained. These lists constitute the study sampling frames for each study site. 30 Healthcare facilities per season were randomly selected and Within each consenting facility, healthcare workers (i.e. professionals involved in patient care) were selected on the day of visit and invited to participate in the study.(See attached sampling protocol).

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