Ethiopia

Assessment date
March 10-16 2021

Risk Matrix
Critical

- - - 1-
Important

- - - - 2- - - - - - -
IMPACT
Moderate

- - - - - - - - -
Minor

- - - - - - - - - - - - - - - - - - - - - -
Negligible

- - - -

Very unlikely Unlikely Likely Very likely Almost certain

Likelihood
NumérNiveauRisque identifié
1 5. Very1 - epidamic prone disease => Chalorea
2 4. High2 - => Measles
3 5. Very3 - =>
4 5. Very4 - =>
5 3. Mod5 - =>
6 5. Very6 - =>
7 5. Very7 - =>
8 4. High8 - =>
9 4. High9 - =>
10 3. Mod10 - =>
11 1. Very11 - =>
12 3. Mod12 - =>
13 3. Mod13 - =>
14 2. Low 14 - =>
15 3. Mod15 - =>
16 4. High16 - =>
 906542306.xlsx

How to fill the Risk Assessment Table

I. Hazards
- Identify events or endemic factors that may have a negative effect on the health status of populations or risk groups.
- Brainstorm with the participants and try to cover every type of threat. Help yourself with the table below. However, it is not
necessary to group the threats by category in the risk assessment table.

CATEGORY HAZARD TYPE EXAMPLES OF ASSOCIATED RISKS

Biological Emerging diseases e.g. Dengue, Chikungunya, MERS-CoV, new
influenza subtypes, etc.
Epidemic prone diseases e.g. Cholera, meningitis, measles, legionellosis,
avian influenza, etc.
Zoonoses e.g. Avian influenza, rabies, Nipah virus,
Hantavirus, Hendra virus, leptospirosis,
brucellosis, leishmaniasis, etc.

Foodborne and water borne diseases e.g. Salmonellosis, shigellosis, typhoid, cholera,
E. coli O157:H7 etc.

Insect infestations e.g. vector borne diseases, malnutrition and

famine due to crop destruction, etc.

etc…
Geological Earthquake, etc. e.g. Mass casualties, crush and trauma,
malnutrition due to food insecurity
Tsunami e.g. Mass casualties, malnutrition due to food
insecurity, temporary health centres, etc.

Volcanic activity e.g. Mass casualties, pulmonary infections and

respiratory distress, etc.

NATURAL etc…
Hydro-meteorological Avalanches, landslides, etc. Inadequate access to healthcare services,
hypothermia or hyperthermia, malnutrition,
physical injury or trauma, etc

Flooding Water borne diseases (Cholera), vector borne

diseases (malaria, dengue), infection of open
wounds (Vibrio vulnificus), malnutrition from
crop damage or livestock loss, drowning,
electrical shock, mould exposure, etc.

Storms Carbon monoxide poisoning, electrical shock,

food and water borne diseases, lack of
healthcare access, malnutrition, dehydration,
etc.

Extreme hot/cold weather events Malnutrition, dehydration, hypothermia,

hyperthermia, etc.
Drought Dehydration, malnutrition/ famine due to crop
damage and livestock losses, etc.

Wildfires Respiratory distress, etc.

etc…

Page 2 of 162
 906542306.xlsx

Societal Armed conflict Trauma, epidemic prone diseases, vaccine

preventable diseases, etc.
Civil unrest Trauma, mass casualty events, etc.

Terrorism Trauma, mental health/public fear, CBRN risks,

alternate standard of care, inadequate access to
healthcare and emergency services due to
surge, environmental contamination, radiation
exposure, worried-well strain on healthcare
system, etc.

MAN- MADE etc…

Technological Industrial disasters e.g. Chemical intoxications, chronic diseases,
radioactive waste, etc.
Structural failures (bridges, buildings) e.g. Trauma, crush, respiratory distress, etc.

Explosions or fires e.g. Burns, trauma, respiratory distress, mass

casualties, etc.
Air contamination (pollution or other) e.g. Respiratory diseases, acute asthmatic
attacks, acute cardiovascular disease, etc.
Food or drug contamination e.g. chemical intoxications, E. coli, Salmonella,
etc.

II. Seasonality
- Specify if the identified hazard is of seasonal nature and identify the time of the year where the hazard is the most critical.

III. Periodicity
- Set for each identified threat what might be the frequency of this event. This assessment will be based on historical data of the
country in terms of humanitarian crisis and / or according to the country's epidemiological profile.
- The Periodicity should be classified as below:

- Annual Event happening every year with regular or seasonal pics during the year
- Recurring Punctual event which occurs every 1 to 2 years

- Frequent Punctual event which occurs every 3 to 5 years

- Exceptional Punctual event which occurs every 6 to 10 years
- Random unpredictable event that can take place at any time

IV. Health Risk

- For each identified hazard, identify potential health consequences to populations or risk groups
- You can find some examples in the hazard categories table (see above in section I.)

V. Likelihood
- The Likelihood is determined by reference to the Periodicity and the Seasonality of the Menace. The following scale is used to
classified the Likelihood:

- 1 Very unlikely
- 2 Unlikely
- 3 Likely
- 4 Very likely
- 5 Almost certain

Page 3 of 162
 906542306.xlsx

VI. Severity
- To assess the severity of the illness or health consequences on the populations or risk groups, use the following decision
algorithm:

- Based on the algorithm, severity will be classified on the following scale:

- 1 Very low severity

- 2 Low severity
- 3 Moderate severity
- 4 High severity
- 5 Very high severity

Page 4 of 162
 906542306.xlsx

VII. Potential scale of the event

Describe in a very succinct way the most likely scenario of the crisis / health emergency (using retrospective data on in-country
crisis when available). This description should have the following elements:

1. Number of people potentially at risk:

- From 0 to 1,000 people

- From 1,000 to 10,000 people
- From 10,000 to 50,000 people
- From 50,000 to 100,000 people
- More than 100,000 people

2. Identify the geographical areas which are potentially the most exposed to the health risk.

Use a classification which is adapted to your country and will allow all participants and users to easily understand which area
we are referring to
e.g.: West part of the country, the arid lands, city of…, province of…, … highlands, etc.

3. Describe the type of environment in which live population potentially affected

Four type of environment are suggested:

- Rural with low density population
- Rural with very high density population (camps and temporary settlements - closed setting)
- Urban with low density population (open setting)
- Urban with very high density population (camps and temporary settlements - closed setting)

Once these 3 elements have been analysed, summarize them in a very short sentence which describe the most likely crisis
scenario.
e.g.: 30,000 people, in the Southern part of the country, rural low density population

VIII. Capacities
For each health risk identified, assess the country's health system capacity to respond to the scale of the event by classifying (in
term of strengths and weaknesses) the following elements:
- Do the material resources / equipment to deal with the event exist?
- Do we have qualified in-country human resources (identified and trained)?
- Do we have the possibility to mobilise rapidly financial resources to deal with the event?
- Do we have the possibility to dispatch rapidly resources and staff in the affected area (logistic and security challenges?)
- What is the response capacity / resilience level in the affected area (regional level and within the community)
- is there any partner with rapid response capacity in the country? Which ones?

Summarize very briefly your findings in the <strengths> and <weaknesses> columns

Page 5 of 162
 906542306.xlsx

Then, classify the capacities level on the following scale. Remember to assess the capacities proportionally to the scale of the
event.

value
Capacities level
Very high 1

High 2 Thresholds
partial 3 ###
weak 4 ###
Very weak 5 ###
###

IX. Impact
The Impact will be automatically estimated by linking the severity of the event and the capacities level (which is itself linked to
the scale of the event).

Impact Impact
Severity x capacity Value
from 1 to 3 Negligible 1
from 4 to 6 Minor 2 Thresholds
from 7 to 11 Moderate 3 ###
from 12 to 16 Important 4 ###
from 17 to 25 Critical 5 ###

X. Risk level
Finally, the risk level is automatically calculated by multiplying the likelihood by the impact. The preparedness and readiness
actions which are recommended for each risk are also calculated automatically.

Operational response
Risk = Risk level Minimum preparedness Additional preparedness capacity and risk
Likelihood X impact mitigation measures
from 1 to 3 1. Very low
from 4 to 6 2. Low
from 7 to 11 3. Moderate
from 12 to 16 4. High
from 17 to 25 5. Very high

XI. Assessment results

(a) The worksheet <Risk Matrix> provides a automated graphical representation of the risk levels according to the likelihood and
the impact.

(b) In the worksheet <risk summary>, risks are presented in a table and sorted by risk levels. For each risk, preparedness and
readiness actions are mentioned.

Note: The table needs to be "refreshed" each time you change information in the assessment. Explanation on how to refresh the
table is provide on top of the "risk summary" table.

Page 6 of 162
 How to fill the Risk Assessment T
I. Hazard Type
- Identify events or endemic factors that may have a negative effect on the health status of populations or risk groups.
- Brainstorm with the participants and try to cover every type of threat. Help yourself with the table below. However, it

CATEGORY HAZARD TYPE

Biological Emerging diseases

Epidemic prone diseases
Zoonoses
Foodborne and water borne diseases
Insect infestations
etc…
Geological Earthquake, etc.
Tsunami
NATURAL Volcanic activity
etc…
Hydro-meteorological Avalanches, landslides, etc.
Flooding
Storms
Extreme hot/cold weather events
Drought
Wildfires
etc…
Societal Armed conflict
Civil unrest
Terrorism
etc…
MAN- MADE Technological Industrial disasters
Structural failures (bridges, buildings)
Explosions or fires
Air contamination (pollution or other)
Food or drug contamination

II. Seasonality
- Specify if the identified hazard is of seasonal nature and identify the time of the year where the hazard is the most criti

For each hazard, and as appropriate, identify the months of the year during which the
is most likely to occur. For instance, for a hazard that may occur every year between
 Process to fill in the seasonality cells:
To colour a cell in green: Enter figure 1 Then click on enter or any The tool will automaticaly generate a
direction button
To colour a cell in yellow: Enter figure 2 Then click on enter or any The tool will automaticaly generate a
direction button
To colour a cell in fire brick: Enter figure 3 Then click on enter or any The tool will automaticaly generate a
direction button
To colour a cell in red: Enter figure 4 Then click on enter or any The tool will automaticaly generate a
direction button

Data encoding: 1 1 2 3 4 3 2 1 1 1 1 1

1 1 2 3 4 3 2 1 1 1 1 1
Result:

III. Periodicity
- Set for each identified threat what might be the frequency of this event. This assessment will be based on historical da
-country's epidemiological
The Periodicity should beprofile.
classified as below:

- Annual Event happening every year with regular or seasonal pics d

- Recurring Punctual event which occurs e 1
- Frequent Punctual event which occurs e 3
- Exceptional Punctual event which occurs e 6
- Random unpredictable event that can take place at any time

IV. Health Risk (Diseases/Conditions)

- For each identified hazard Type, identify potential health consequences to populations or risk groups
- You can find some examples in the hazard categories table (see above in section I (Hazard Type))

V. Likelihood
- The Likelihood is determined by reference to the Periodicity and the Seasonality of the Menace. The following scale is

Scale for determining the likelihood of potential hazard

1 Very unlikely
2 Unlikely
 3 Likely
4 Very likely
5 Almost certain

VI. Severity
- To assess the severity of the illness or health consequences on the populations or risk groups, use the following decisi

- Based on the algorithm, severity will be classified on the following scale:

 - 1 Very low severity
- 2 Low severity
- 3 Moderate severity
- 4 High severity
- 5 Very high severity

VII. Potential scale of the event

Describe in a very succinct way the most likely scenario of the crisis / health emergency (using retrospective data on in-c
elements:

1. Number of people potentially at risk:

- From 0 to 1,000 people

- From 1,000 to 10,000 people
- From 10,000 to 50,000 people
- From 50,000 to 100,000 people
- More than 100,000 people

2. Identify the geographical areas which are potentially the most exposed to the health risk.

Use a classification which is adapted to your country and will allow all participants and users to easily understand wh

e.g.: West part of the country, the arid lands, city of…, province of…, … highlands, etc.
3. Describe the type of environment in which live population potentially affected

Four type of environment are suggested:

- Rural with low density population
- Rural with very high density population (camps and temporary settlements - closed setting)
- Urban with low density population (open setting)
- Urban with very high density population (camps and temporary settlements - closed setting)

Once these 3 elements have been analysed, summarize them in a very short sentence which describe the most likely cri

e.g.: 30,000 people, in the Southern part of the country, rural low density population

VIII. Capacities
For each health risk identified, assess the country's health system capacity to respond to the scale of the event by classi
- Do the material resources / equipment to deal with the event exist?
- Do we have qualified in-country human resources (identified and trained)?
- Do we have the possibility to mobilise rapidly financial resources to deal with the event?
 - Do we have the possibility to dispatch rapidly resources and staff in the affected area (logistic and security challeng
- What is the response capacity / resilience level in the affected area (regional level and within the community)
- is there any partner with rapid response capacity in the country? Which ones?

Summarize very briefly your findings in the <strengths> and <weaknesses> columns

Then, classify the capacities level on the following scale. Remember to assess the capacities proportionally to the scale

Capacities level value

Very high 1
High 2
partial 3
weak 4
Very weak 5

IX. Impact
The Impact will be automatically estimated by linking the severity of the event and the capacities level (which is itself lin

Impact
Severity x capacity Impact Value
1
from 1 to 3 Negligible
2
from 4 to 6 Minor
3
from 7 to 11 Moderate
4
from 12 to 16 Important
5
from 17 to 25 Critical

X. Risk level
Finally, the risk level is automatically calculated by multiplying the likelihood by the impact. The preparedness and read
automatically.

Risk = Risk level Minimum preparedness

Likelihood X impact
from 1 to 3 1. Very low
from 4 to 6 2. Low
from 7 to 11 3. Moderate
 from 12 to 16 4. High
from 17 to 25 5. Very high

XI. Assessment results

(a) The worksheet <Risk Matrix> provides a automated graphical representation of the risk levels according to the likelih

(b) In the worksheet <risk summary>, risks are presented in a table and sorted by risk levels. For each risk, preparednes

Note: The table needs to be "refreshed" each time you change information in the assessment. Explanation o
Risk Assessment Table

populations or risk groups.

the table below. However, it is not necessary to group the threats by category in the risk assessment table.

EXAMPLES OF ASSOCIATED RISKS(Health Risk (Diseases/Conditions))

e.g. Dengue, Chikungunya, MERS-CoV, new influenza subtypes, etc.

e.g. Cholera, meningitis, measles, legionellosis, avian influenza, etc.
e.g. Avian influenza, rabies, Nipah virus, Hantavirus, Hendra virus, leptospirosis,
diseases brucellosis, leishmaniasis,
e.g. Salmonellosis, etc. typhoid, cholera, E. coli O157:H7 etc.
shigellosis,
e.g. vector borne diseases, malnutrition and famine due to crop destruction,
etc.
e.g. Mass casualties, crush and trauma, malnutrition due to food insecurity
e.g. Mass casualties, malnutrition due to food insecurity, temporary health
centres,
e.g. Massetc.
casualties, pulmonary infections and respiratory distress, etc.

Inadequate access to healthcare services, hypothermia or hyperthermia,

malnutrition, physical injury
Water borne diseases or trauma,
(Cholera), etc diseases (malaria, dengue),
vector borne
infection of open wounds
Carbon monoxide (Vibrio
poisoning, vulnificus),
electrical shock,malnutrition fromborne
food and water crop diseases,
damage or
lack of healthcare access, malnutrition, dehydration, etc.
ents Malnutrition, dehydration, hypothermia, hyperthermia, etc.
Dehydration, malnutrition/ famine due to crop damage and livestock losses,
etc.
Respiratory distress, etc.

Trauma, epidemic prone diseases, vaccine preventable diseases, etc.

Trauma, mass casualty events, etc.
Trauma, mental health/public fear, CBRN risks, alternate standard of care,
inadequate access to healthcare and emergency services due to surge,
e.g. Chemical intoxications, chronic diseases, radioactive waste, etc.
uildings) e.g. Trauma, crush, respiratory distress, etc.
e.g. Burns, trauma, respiratory distress, mass casualties, etc.
or other) e.g. Respiratory diseases, acute asthmatic attacks, acute cardiovascular disease,
etc.
e.g. chemical intoxications, E. coli, Salmonella, etc.

re the hazard is the most critical.

 will automaticaly generate a green cell: Lowest Seasonality
will automaticaly generate a yellow cell: Moderate Seasonality
will automaticaly generate a fire brick cell: High Seasonality
will automaticaly generate a red cell: Peack Seasonality

1 1 1 1 1

1 1 1 1

will be based on historical data of the country in terms of humanitarian crisis and / or according to the

ith regular or seasonal pics during the year

to 2 years
to 5 years
to 10 years
take place at any time

risk groups
d Type))

enace. The following scale is used to classified the Likelihood:

ups, use the following decision algorithm:
ing retrospective data on in-country crisis when available). This description should have the following

users to easily understand which area we are referring to

ments - closed setting)

ements - closed setting)

h describe the most likely crisis scenario.

he scale of the event by classifying (in term of strengths and weaknesses) the following elements:

t?
logistic and security challenges?)
within the community)

s proportionally to the scale of the event.

acities level (which is itself linked to the scale of the event).

The preparedness and readiness actions which are recommended for each risk are also calculated

Operational response
Additional preparedness capacity and risk mitigation
measures
levels according to the likelihood and the impact.

s. For each risk, preparedness and readiness actions are mentioned.

n the assessment. Explanation on how to refresh the table is provide on top of the "risk summary" table.
Risk Assessment Ethiopia Assessment date March 10-16 2021

Capacities
Seasonality Health Risk Potential scale
Hazard Type Periodicity (Diseases/Conditions) Likelihood Severity of the event Weaknesse Capacities Impact Risk Level
Strengths s level
J F M A M J J A S O N D

1 epidamic prone disease 3 4 5 2 1 1 1 1 1 1 1 1 Annual Chalorea 5 Very high severity weak Critical 5. Very high
2 3 4 3 1 1 1 1 1 1 1 1 1 Annual Measles 4 High severity partial Important 4. High
3 Annual 5 High severity partial Important 5. Very high
4 Annual 4 Very high severity weak Critical 5. Very high
5 Frequent 2 High severity weak Important 3. Moderate
6 Annual 5 High severity weak Important 5. Very high
7 Annual 5 High severity weak Important 5. Very high
partial
8 Annual 4 High severity Important 4. High
9 Annual 4 High severity partial Important 4. High
10 Annual 4 Moderate severity High Minor 3. Moderate
11 Annual 1 Low severity High Minor 1. Very low
12 Annual 4 Low severity partial Minor 3. Moderate
13 Annual 3 Very high severity High Moderate 3. Moderate
14 Random 5 Low severity Very high Negligible 2. Low
15 Random 2 Very high severity partial Important 3. Moderate
16 Random 3 Very high severity partial Important 4. High
17 Random 2 Low severity partial Minor 2. Low
18 Random 2 Very high severity weak Critical 3. Moderate
19 Random 1 Moderate severity partial Moderate 1. Very low
20 Random 1 Moderate severity High Minor 1. Very low
21 Random 4 Low severity High Minor 3. Moderate
22 Random 3 Low severity partial Minor 2. Low
23 Frequent 4 Low severity High Minor 3. Moderate
24 Frequent 3 Moderate severity High Minor 2. Low
25 Random 2 Very high severity weak Critical 3. Moderate
26 Recurring 4 Low severity High Minor 3. Moderate
27 Random 3 Low severity partial Minor 2. Low
28 Random 2 Low severity partial Minor 2. Low
29 Exceptional 1 Very low severity weak Minor 1. Very low
30 Random 3 Moderate severity Very high Negligible 1. Very low
S.N Criteria’s Minimum value (high capacity)
1 Do the material resources / equipment to deal with the Availability of lum-sum resources for
public health emergency or the event exist? (2 point) 0. response of at least for the minimum number
No 1. Partial 2. Yes cases occured in the woreda (which is the
minimum consequence) lasts for 1-month

2 Do we have qualified human resources (identified and If there are trained health care worker on the
trained) in the woreda? (2 point) 0. No 1. Partial 2. case management, surveillance of the specific
Yes hazard, existence of trained RRT

3 Do we have the possibility to mobilise rapidly financial If the woreda has allocated budget for any
resources to deal with the event? ( 2 point) 0. No 1. potential hazard (Public health emergency) from
Partial 2. Yes its own government budget (at least 5% of the
total health budget of the woreda)

4 Do we have the possibility to dispatch rapidly resources Available infrastructure including road access,
and staff to the affected area (logistic and security stability (no security problem), transportation
challenges?) (2 point) 0. No 1. Partial 2. yes (vehicle).

5 What is the coping capacity / resilience level in the Performance of HEP, If the community has
affected area (woredal level and within the community) practiced preventive and control approach,
( 1point) 0 . No 1. Partial 2. Yes If partial or awareness of the community on the specific
Yes= give score 1 point hazards, latrine and water coverage status,
leadership and good governance (political
commitment), woreda level nutritional status
and additionally If the above criteria’s exist,

6 Is there any partner with rapid response capacity in the At least one partner working on the
woreda? (1 point) 0. No 1. Yes humanitarian sector

Capacity level Score

Very High 9-10
High 7-8
Partial 5-6
Weak 3-4
Very weak 0-2
Strength Weakness Score
Strong system in place, logistics system in Distribution of materials is not on emergency
place, availability of warehouses for food mood/late, inadequate resources to cover
and public health, availability of good many areas, resources are donor dependant,
coldchain system diagnostics supplies and infrastructure not
enough/available
1
Trained staff down to district level, RRT Limited trained lab and other staffs for across
availability upto district level, system for the country, basic level staff not enough at
producing trained HR including FELTP, lot zonal and woreda levels, high staff turnover
of universities/colleges giving health
trainings/nursing, etc/

1
Availability of some emergency funds, Donor dependancy, inadequate allocation of
strong partnerning like WHO, CDC, funds from the govt, inadequate budget at
UNICEF, etc, streamlined access to district level
emergecy funds for response

0
Availability of possibilities for quick hard to reach to some areas due to road
dispatch of logistics, RRTs, immediate problem and security, and lack of
public health interventions transporation

1
Increasing response capacity No adequate resilience capacity across the
country, limited recovery capacity

1
Availability of partners supporting rapid Weak coordination with partners and limited
response like UN agencies, NGOs, commitment
availability of coordination mechanism
0
4
Value
Very High
High
Partial
Weak
Very Weak
 Ethiopia As
M

Risk Matrix

Critical
- - -

Important
- - - - 2- - -
IMPACT
Moderate

- - - - - - - - -

- - - - - - - - -
Minor

- - - - - - - - - - - -
-
Negligible

- - -

Very unlikely Unlikely Likely Very likely A

Likelihood
ATTENTION: Always refresh data in the pivot table after any change in the Risk Assessment table
(1) Put your cursor anywhere in the table below, (2) do a right-click, (3) Select "refresh" in the menu which appears near you

Étiquettes de lignes
5. Very high
3 - =>
4 - =>
6 - =>
7 - =>
50 - =>
1 - epidamic prone disease => measle
4. High
2 - =>
8 - =>
9 - =>
16 - =>
39 - =>
41 - =>
3. Moderate
 5 - =>
10 - =>
12 - =>
13 - =>
15 - =>
18 - =>
21 - =>
23 - =>
25 - =>
26 - =>
34 - =>
37 - =>
38 - =>
40 - =>
45 - =>
47 - =>
2. Low
14 - =>
17 - =>
22 - =>
24 - =>
27 - =>
28 - =>
31 - =>
32 - =>
33 - =>
35 - =>
36 - =>
42 - =>
44 - =>
46 - =>
48 - =>
1. Very low
11 - =>
19 - =>
20 - =>
29 - =>
30 - =>
43 - =>
49 - =>
 Risk summary

Ethiopia Assessment date

March 10-16 2021
Risk Preparedness actions required
Values
Operational response
Minimum Additional
Likelihood Impact Risk capacity and risk
preparedness preparedness
Risk mitigation measures
5. Very high
19 17 80 4 4 4
epidamic prone disease => measle 5 4 20 1 1 1

4. High
15 16 60 4 4 4

3. Moderate
31 31 85 10 10 0

2. Low
18 11 31 6 0 0

1. Very low
7 10 12 5 0 0

Page 27 of 162
S.No Hazard Type Hazard Index
1
2
Capacity Ind
3
12
4
10
5
6 8

Hazard index
7 6

8 4
9 2
10
0
11
12
13
14
15
 Capacity Index of ---------Woreda, --Region, Ethiopia, 202X
12

10

8
Hazard index

0
Identified Hazard
 RISK CALENDAR

February
January
Health Risk
Hazard Type (Diseases/Conditions) risk level

Chalorea

4
epidamic prone disease 5. Very high
Measles

4
0 4. High
0

0
0 5. Very high
0

0
0 5. Very high
0

0
0 3. Moderate
0

0
0 5. Very high
0

0
0 5. Very high
0

0
0 4. High
0

0
0 4. High
0

0
0 3. Moderate
0

0
0 1. Very low
0

0
0 3. Moderate
0

0
0 3. Moderate
0

0
0 2. Low
0

0
0 3. Moderate
0

0
0 4. High
0

0
0 2. Low
0
0

0
0 3. Moderate
0 0

0
0 1. Very low
0
0

0
0 1. Very low
0
0

0
0 3. Moderate
0
0

0 2. Low
0
0

0 3. Moderate
0
0

0 2. Low
0
0

0 3. Moderate
0
0

0 3. Moderate
0
0

0 2. Low
0
0

0 2. Low
0
0

0 1. Very low
0
0

0 1. Very low
0
0

0 2. Low
 0

0
0 2. Low
0

0
0 2. Low
0

0
0 3. Moderate
0

0
0 2. Low
0

0
0 2. Low
0

0
0 3. Moderate
0

0
0 3. Moderate
0

0
0 4. High
0

0
0 3. Moderate
0

0
0 4. High
0

0
0 2. Low
0

0
0 1. Very low
0

0
0 2. Low
0

0
0 3. Moderate
0

0
0 2. Low
0

0
0 3. Moderate
0

0
0 2. Low
0

0
0 1. Very low
0

0
0 5. Very high
0

0
0 0
0

0
0 0
0

0
0 0
0
0

0
0 0
0 0

0
0 0
0
0

0
0 0
0
0

0
0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0

0 0
 0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0

0
0 0
0
0

0
0 0
0 0

0
0 0
0
0

0
0 0
0
0

0
0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0

0 0
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 5
March
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2
April
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
May
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
June
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
July
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
August
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
September
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
October
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
November
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
December
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 1. identify the
Serial Hazard 2. Select the
Number parameter

Covid-19

Health System (Health

service)

Health workforce

Access to essential supp

Governance and leadesh

Health information
 Health information

Financing

Scabies

Health workforce

Service delivery

Access to essential med

2 Governance and leadesh

Health information

Financing

Acute
malnutrition
Health workforce

Service delivery

3
 Service delivery

Access to essential
medicine

Governance and leadesh

Health information

Financing

Cholera
Health workforce

Access to essential
medicine

Governance and leadesh

4

Health information

Financing
 Measles

Health workforce

Service delivery

Access to essential
5
medicine

Governance and leadesh

Health information

Financing

Malaria

Health workforce

Service delivery

Access to essential
medicine

6
Governance and leadesh

Health information
 Financing

Yellow fever

Health workforce

Access to essential
medicine

Governance and leadeship

Health information

Financing

Dengue fever
Health workforce

Service delivery

Access to essential
medicine

8
8
Governance and leadeship

Health information

Financing

Chikungunya fever
Health workforce

Service delivery

Access to essential
medicine

9
Governance and leadeship

Health information

Financing

Rabies

Health workforce

Service delivery

Governance and leadeship

10
10

Access to essential
medicine

Health information

Financing

Meningitis

Health workforce

Service delivery

Access to essential
medicine

11 Governance and leadesh

Health sysytem

Health information

Financing

Influenza
Health workforce

Access to essential
medicine

Governance and leadesh

12
12

Health information

Financing

Flooding
Health workforce

Governance and
leadeship
13

Financing

IDP
Health workforce

Health delivery

Access to essential
medicine
14

Governance and leadeship

Financing
 polio

Health workforce

Health delivery

15 Access to essential
medicine

Governance and
leadeship

Health information

Financing

Anthrax

Health workforce

Heath service

Access to essential
medicine

16
16

Governance and leadeship

Health information

Financing

MDSR
Community level
coping capacities

Health system level capacities

17

Service delivery

Governance and leadeship

Access to essential
medicine

Health information

Financing
 Chemical Spills
Community level

Health workforce

Health service delivery

Access to essential
18 medicine

Governance and
leadeship

Financing

Health workforce

Access to essential
medicine
Relapsing fever
Governance and leadesh

Health information

Financing
 3. Identify Indicators to measure the parameter

Vaccination coverage

Proportion of health facilities have isolation room for suspected case

Availability of Covid-19 treatment center

Availability of oxgen cylider at woreda level .

Proportion of health facilities have RDT covid-19 test

Physicians (per 10,000 people),2010-17

Nurses and midwifes (2.3 per 1,000 people), 2020/21-2024/25

Hospital beds (per 10,000 people),2010-18

Proportion of health facilities have trained man power on Covid-19

surveillance and case management

woreda have trained Phem officer( FETP_ Training )

Availability of IPC supplies (Face masks, Handrub, Alcohol etc)

Functional woreda task force

The proportion Health facilities with functional RRTs,

Availability of Woreda emergency plan

Surveillance data completeness

Surveillance data timeliness

Allocated budget for emergency from the total health budget

Total

Proportion of health facilities have trained man power on scabies .

woreda have trained Phem officer( Basic_FETP_ Training )

Proportion of health facilities have scabies treatment service

Availability of medical supplies (ointment and ivermectine)

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness

Surveillance data timeliness
Allocated budget for emergency from the total health budget

Total

Proportion of health facilities have trained man power on

SAM/MAM .

Woreda have trained Phem officer( Basic_FETP_ Training )

Proportion of health facilities with OTP

PLW nutritional Screeing performance

Under 5 year nutritional Screeing performance

Proportion of health facilities with SCs

Availability of essential drugs and supplies

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness

Surveillance data timeliness

Allocated budget for emergency from the total health budget

Total

woreda have trained Phem officer( Basic_FETP_ Training )

Proportion of health facilities have trained man power on Cholera

case management and Surveillance

Woredas having cholera treatment center ( CTC)( the availiblity of CTC

kits in the store)

Availability of essential drugs and supplies ( ORS, cholera bed )

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness

Surveillance data timeliness

Allocated budget for emergency from the total health budget

Total
Proportion of health facilities have trained man power on measles
case management and surveillance

woreda have trained Phem officer( Basic_FETP_ Training )

Proportion of Health Facilities have specimen collection supplies and

transportation materials

Percentage of suspected cases with adequate specimens for detecting

acute measles or rubella
infection collected.

Vit-A supplement coverage

Availability of essential drugs and supplies
Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness

Surveillance data timeliness
Allocated budget for emergency from the total health budget

Total

Proportion of health facilities have trained man power on malaria

case management and surveillance
woreda have trained Phem officer( Basic_FETP_ Training )

Insecticied Treated bed net (ITN) coverage

Indoor residual spray (IRS) coverage

Availability of essential drugs and supplies

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness
Surveillance data timeliness
Allocated budget for emergency from the total health budget

Total

Proportion of health facilities have trained man power on Yellow fever

case management and surveillance
woreda have trained Phem officer( Basic_FETP_ Training )

Availability of trained workforce for sample collection and

transportation of cases at health facility level

Availability of information, education and communication materials

for informing / awarness creation of the community at district level

Insecticied Treated bed net (ITN) coverage

Indoor residual spray (IRS) coverage

Yellow fever vaccine campain conducted in the woreda on the past

years

Availability of essential drugs and supplies

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness
Surveillance data timeliness
Allocated budget for emergency from the total health budget

Total

Proportion of health facilities have trained man power on Dengue

fever case management and surveillance
woreda have trained Phem officer( Basic_FETP_ Training )

Insecticied Treated bed net (ITN) coverage

Indoor residual spray (IRS) coverage

Availability of essential drugs and supplies

Functional Woreda task force
Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness

Surveillance data timeliness
Allocated budget for emergency from the total health budget

Total

Proportion of health facilities have trained man power on

Chikungunya fever case management and surveillance
woreda have trained Phem officer( Basic_FETP_ Training )
Insecticied Treated bed net (ITN) coverage
Indoor residual spray (IRS) coverage

Availability of essential drugs and supplies

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness

Surveillance data timeliness
Allocated budget for emergency from the total health budget

Total

Proportion of health facilities have trained man power on Rabies case

management and surveillance
woreda have trained Phem officer( Basic_FETP_ Training )

Proportion of suspected rabies case received Post Exposure

Prophylaxis (PEP)

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Availability of essential drugs and supplies

Surveillance data completeness

Surveillance data timeliness
Allocated budget for emergency from the total health budget

Total

Proportion of health facilities have trained man power on Meningitis

fever case management and surveillance

woreda have trained Phem officer( Basic_FETP_ Training )

Case fatality rate

Availability of Meningitis laboratory testing(CSF, Gram stain)

Availability of essential drugs and supplies

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Availability of information, education and communication materials at

district level
Surveillance data completeness
Surveillance data timeliness
Allocated budget for emergency from the total health budget

Total

Proportion of health facilities have trained man power on influenza

case management and surveillance
woreda have trained Phem officer( Basic_FETP_ Training )
Availability of essential drugs and supplies
Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness

Surveillance data timeliness

Allocated budget for emergency from the total health budget

Total

Proportion of health facilites have trained man power on disaster

management and surveillance
Functional Woreda task force
Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Allocated budget for emergency from the total health budget

Total

Proportion of health facilites have trained man power on disaster

management and surveillance

Proportion of established temporary treatment center ( health facility

per population )

Proportion IDP host woreda Health facilities providing Mental and

Psychosocial support (MPHSS) Therapy

Availability of essential drugs and supplies

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Allocated budget for emergency from the total health budget

Total
Proportion of health facilities have trained man power on polio case
detection and management and surveillance

woreda have trained Phem officer( Basic_FETP_ Training )

Availability of information, education and communication materials

for informing / awarness creation of the community at district level

Stool adequacy rate

Polio vaccination coverage

Non- Polio detection rate

Availability of essential drugs and supplies

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness

Surveillance data timeliness
Open defication free kebelles in the district
Allocated budget for emergency from the total health budget

Total

Proportion of health facilities have trained man power on Anthrax

case detection and management and surveillance

Proportion of health facilies having trained personel on sample

collection and transportation

woreda have trained Phem officer( Basic_FETP_ Training )

Vaccincation coverage of the animal population

Availability of essential drugs and supplies

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Surveillance data completeness

Surveillance data timeliness

Allocated budget for emergency from the total health budget

Total

Proportion of pregnant women which are under normal nutritional

measurment
Proportion of pregnant women with anemia
Proportion of home delivery free kebelles in the district

woreda have trained Phem officer( Basic_FETP_ Training )

Avaialability of diagnostic and management capacity for complicated

delivery in the district( Ultrasound, MVA Sets, etc)

Availability of ambulance service working 24/7

Availability of Cemonc center in the expected diameter of catchment

HF for referal & management
Proportion of health facilities have functional maternity waiting home
in the district
Availability of information, education and communication materials
for informing / awarness creation of the community at district level
proportion of pregenat women give birth in health facility(Skilled Birth
Attendance)
Proportion health facilities with functional MPDSR commettee

Availability of Woreda emergency plan

Availability of essential drugs and supplies

Surveillance data completeness

Surveillance data timeliness
Allocated budget for emergency from the total health budget
 Total

woreda having kebeles at risk for Chemical spilling

Proportion of health facilites have trained man power on Chemical

spilling management and surveillance

proportion of health facilites have trained man power on sample

collection and transportation .

woreda having mobile health team( EMT)

Availability of essential drugs and supplies

Functional Woreda task force

Proportion health facilities with functional RRTs

Availability of Woreda emergency plan

Allocated budget for emergency from the total health budget

Total

woreda have trained Phem officer( Frontline_FETP_ Training )

Proportion of health facilities have trained man power on RF case
management and Surveillance

Availability of essential drugs and supplies (Doxycline, Erythromycin)

Functional Woreda task force
Proportion health facilities with functional RRTs
Availability of Woreda emergency plan
Surveillance data completeness
Surveillance data timeliness
Allocated budget for emergency from the total health budget
Total
 5. unit of
4. Source Actual data
measurement

woreda -report % 20

Woreda-report %

woreda- report YES/NO yes

woreda- report YES/NO

woreda- report %

proportion

woreda- report

proportion

woreda- report

proportion

woreda- report

woreda -report %

woreda -report YES/NO

woreda- report %

woreda- report %

woreda- report %

woreda -report YES/NO

woreda -report %
woreda -report %

woreda -financial eport %

Total

woreda-report %

woreda -report YES/NO

woreda -report %

woreda -report

woreda- report %

woreda- report %

woreda -report YES/NO

woreda- report %
woreda- report %

woreda -financial eport %

Total

woreda-report %

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -report %
woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %
woreda -report %

woreda -financial eport %

Total

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -financial eport %

Total
woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %
woreda -report %

woreda -financial eport %

Total

woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %
woreda -report %
woreda -financial eport %

Total

woreda -report %

woreda -report YES/NO

woreda -report YES/NO

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %
woreda -report %

woreda -financial eport %

Total

woreda -report %

woreda -report YES/NO

woreda -report %
woreda -report %

woreda -report %
woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %
woreda -report %

woreda -financial eport %

Total

woreda -report %

woreda -report YES/NO

woreda -report %
woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %
woreda -report %

woreda -financial eport %

Total

woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report %
woreda -report %
woreda -report YES/NO
woreda -report %

woreda -report %
woreda -report %

woreda -financial eport %

Total

woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report YES/NO

woreda -report %
woreda -report %

woreda -financial eport %

Total

woreda -report %
woreda -report YES/NO
woreda -report %

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -financial eport %

Total

woreda -report %
woreda -report %
woreda -report %

woreda -report YES/NO

woreda -financial eport %

Total

woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -financial eport %

Total
woreda -report %

woreda -report YES/NO

woreda -report YES/NO

woreda -report %

woreda -report %

%
woreda -report

woreda -report %

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %
woreda -report %
woreda -report %

woreda -financial eport %

Total

woreda -report %

woreda -report %

woreda -report YES/NO

woreda Agriculture office -report %

woreda -report %
woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -financial eport %

Total

woreda -report
%
woreda -report %
woreda -report %

woreda -report YES/NO

woreda -report YES/NO

woreda -report YES/NO

woreda -report YES/NO

woreda -report
%
woreda -report YES/NO

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report %
woreda -report %

woreda -financial eport %

 Total

woreda -report YES/NO

woreda -report %

woreda -report %

woreda -report YES/NO

woreda -report %

woreda -report %
woreda -report %

woreda -report YES/NO

woreda -financial eport %

Total

woreda -report YES/NO

woreda -report %

woreda -report %
woreda -report %
woreda -report %
woreda -report YES/NO
woreda -report %
woreda -report %
woreda -financial eport %
Total
 7.Scale Score Maximum Minimum

> 20 %=3, 10-20=2,<10 =1 2 3 1

>80=4,
50-79.9=3,
4 1
20-49.9=2
0-19.9=1
Yes=1,No=0 1 1 0

Yes=1,No=0 1 0
<60=1
60-80=2 3 1
>80=3
4 0
>30.4=4
16.5-30.4=3
7.3-16.4=2
2.1-7.2=1
<=2=0

4 0
>80=4
~30-80=3
17-30=2
8-16.9=1
<8=0

3 1
>5=3
2-5=2
<2=1

>80%=3,80-50%=2, <50%=1 3 1

Yes=1, No=0 1 0

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

3 46 11

≥85%=3,60-84.9%=2,<60%=1 3 1

Yes=1,No=0 1 0

≥85%=3,65-84%=2,≤65%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 26 8

≥85%=3,60-84.9%=2,≤59.9%=1 3 1

Yes=1,No=0 1 0

≥85%=3,60-84.9%=2,≤59.9%=1 3 1

≥90%=3,80-89%=2,≤80%=1 3 1

≥90%=3,80-89%=2,≤80%=1 3 1
≥85%=3,60-84.9%=2,≤59.9%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 35 11

Yes=1,No=0 1 0

≥85%=3,60-84.9%=2,≤59.9%=1 3 1

≥95%=3,80-94.9%=2,≤79.9%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

≥80%=3,60-79.9%=2,≤59.9%=1 3 1

≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 26 8
≥85%=3,60-84.9%=2,≤59.9%=1 3 1

Yes=1,No=0 1 0

≥80%=3,60-79%=2,≤59%=1
3 1

≥80%=3,60-79%=2,≤59%=1
3 1

≥90%=3,80-89%=2,≤80%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0
≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 32 10

≥85%=3,60-84.9%=2,≤59.9%=1 3 1

Yes=1,No=0 1 0

>90%=3,80-90%=2, <80%=1 3 1

>90%=3,80-90%=2, <80%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0
≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1
>5%=3,3-5%=2,≤3%=1 3 1

0 29 9

≥85%=3,60-84.9%=2,≤59.9%=1 3 1

Yes=1,No=0 1 0

Yes=1,No=0 1 0

Yes=1,No=0 1 0

>90%=3,80-90%=2, <80%=1 3 1

>90%=3,80-90%=2, <80%=1 3 1

Yes=1, No=0 1 0

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0
≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 32 9

≥85%=3,60-84.9%=2,≤59.9%=1 3 1

Yes=1,No=0 1 0
>90%=3,80-90%=2, <80%=1 3 1
>90%=3,80-90%=2, <80%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1
>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 29 9

≥85%=3,60-84.9%=2,≤59.9%=1 3 1

Yes=1,No=0 1 0
>90%=3,80-90%=2, <80%=1 3 1
>90%=3,80-90%=2, <80%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 29 9

≥85%=3,60-84.9%=2,≤59.9%=1 3 1

Yes=1,No=0 1 0

>90%=3,75-90%=2,< 75%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1
>80%=3,50-80%=2,< 50%=1 3 1
Yes=1,No=0 1 0
>80%=3,50-80%=2,<50%=1 3 1

≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 26 8

≥85%=3,60-84.9%=2,≤59.9%=1 3 1

Yes=1,No=0 1 0

>25%=1,15-25%=2,<15%=3 3 1
1 0
Yes=1,No=0

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

Yes=1,No=0 1 0

≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 28 8

≥85%=3,60-84.9%=2,≤59.9%=1 3 1
Yes=1,No=0 1 0
>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 23 7

≥85%=3,75-84.9%=2,≤ 74.9%=1 3 1
>90%=3,80-90%=2,<80%=1 3 1
>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

>5%=3,3-5%=2,≤3%=1 3 1

0 13 4

≥85%=3,75-84.9%=2,≤ 74.9%=1 3 1

≥85%=3,40-84.9%=2,≤ 39.9%=1 3 1

≥75%=3,40-74.9%=2,≤ 39.9%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

>5%=3,3-5%=2,≤3%=1 3 1

0 22 7
≥85%=3,75-84.9%=2,≤ 74.9%=1 3 1

Yes=1,No=0 1 0

Yes=1,No=0 1 0

≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>90%=3,75-90%=2,< 75%=1 3 1

≥2%=3,1-1.9%=2,<1%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1

>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1
>90%=3,80-90%=2,<80%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 36 11

≥85%=3,75-84.9%=2,≤ 74.9%=1 3 1

≥85%=3,75-84.9%=2,≤ 74.9%=1 3 1

Yes=1,No=0 1 0

≥85%=3,75-84.9%=2,≤ 74.9%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1
>90%=3,80-90%=2,<80%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

≥80%=3,60-79.9%=2,≤59.9%=1 3 1

≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1

0 29 9

>20=1,10-20=2,<10=3 3 1
>20=1,10-20=2,<10=3 3 1
>90=3,75-89.9=2,<74.9=1 3 1

Yes=1,No=0
1 0
Yes=1,No=0
1 0

Yes=1,No=0
1 0

Yes=1,No=0
1 0

>90=3,75-89.9=2,<53=1 3 1
Yes=1,No=0
1 0

≥89%=3,75-88.9%=2,≤ 74.9%=1 3 1

>80%=3,50-80%=2,< 50%=1 3 1

Yes=1,No=0 1 0

>80%=3,50-80%=2,<50%=1 3 1

≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1

>5%=3,3-5%=2,≤3%=1 3 1
 0 36 10

Yes=0,No=1
1 0

≥85%=3,75-84.9%=2,≤ 74.9%=1
3 1

≥85%=3,75-84.9%=2,≤ 74.9%=1
3 1
Yes=1,No=0 1 0

>80%=3,50-80%=2,<50%=1
3 1
>90%=3,80-90%=2,<80%=1 3 1
>80%=3,50-80%=2,< 50%=1
3 1

Yes=1,No=0
1 0

>5%=3,3-5%=2,≤3%=1
3 1

0 21 6

Yes=1,No=0 1 0
≥85%=3, 60-84.9%=2,≤59.9%=1 3 1

>80%=3,50-80%=2,<50%=1 3 1
>90%=3,80-90%=2,<80%=1 3 1
>80%=3,50-80%=2,< 50%=1 3 1
Yes=1,No=0 1 0
≥80%=3,60-79.9%=2,≤59.9%=1 3 1
≥80%=3,60-79.9%=2,≤59.9%=1 3 1
>5%=3,3-5%=2,≤3%=1 3 1
0 23 7
C_Index Value
-0.44

-0.46
-0.46

-0.44
-0.45

-0.45
-0.39

-0.45
-0.45

-0.45

-0.44
-0.44

-0.40

-0.44
-0.44

-0.44

-0.47
-0.44

-0.45
-0.45

-0.38
-0.40

-0.44
Performance (Assumption )

based on nation vacciantion plan (20% of population )

Health susyetem-UN report on 2020-Human development capacity

HSTP-II of ethiopia

HSTP-II of ethiopia

number trained PHEM Officer FETP graduated (enrolled in for second workshop )
MOH health and health related indicator 2011 EFY (2018/19) 74

Functional- having a meeting atlist once per month , Time frame depend on the occurance of outbreak

Functional- having a meeting atlist once per month

Because COVID is new emerging disease we are treated like other reported disease.
Because COVID is new emerging disease we are treated like other reported disease.

Reference, Availability of essential medicines and pharmaceutical inventory management practice at he

14.02% of EPHI budget is allocated for PHEM (2012) PHEM(22107120)/ EPHI 155,539,873) governments
pledged
to allocate at least 15% of their total budget to health(State of Health financing in the Africa 2013)

no data

All health facilities expected to provide the service . 21 215( Health post )+ 3674( health center )+ 379
(Hospital ) source :- health and health realted indicator -2019
All health facilities expected to provide the service .21 215( Health post )+ 3674( health center )+ 379
(Hospital ) source :- health and health realted indicator -2019

the availiblity of CTC kits in the store

Target 90% from HSTP 2

Target 90% from HSTP 2

for response purpose (67 % ) Coverage , For prevention 0
post-exposure p
one health center for 25,000 population ,

we used the total number of health facilities at returned and IDP Host woreda VS number of health facilities
start providing MHPSS srevice
refernce greater than 85 %on polio Gudeline
UNFPA Supported Maternity Waiting Homes in Ethiopia, 201 (53% waiting room in ethiopia at facility level)
 Plan

42 % Attack rate
Plan scenario III
and
Influenza( SARS)
attack rate

Annual report
Average Target for 2019 on HSTP I ( 94 %)
ement practice at health centers of Adama town, Ethiopia and Availability of Tracer Drugs and Implementation of T
atlist Region , zone and woreda officer trained on the line
Comprehensive Multi –Year plan 2016-2020 April 2015 MOH ( 75 %)
at facility level)
Implementation of Their Logistic Management Information System in Public Health Facilities of Dessie, North-Ea
Facilities of Dessie, North-East Ethiopia
 Serial 1. identify the
Number Hazard 2. Select the parameter

General Community
Velnurability (applicable for
all disease conditions)

COVID-19
1

General Community Health

Status Vulnerabilities
 General Community Health
Status Vulnerabilities

Health Service Vulnarability

2 Scabies

General Community Health

Status Vulnerabilities

General Community Health

status
Vulnerabilities
Acute
3
malnutrition
 Acute
3
malnutrition

General Community Health

Status Vulnerabilities

4 Cholera

Health System Vulnerabilities

General Community health

status
 General Community health
status
Vulnerabilities
5 Measels

General Community Health

Status Vulnerabilities

Health System Vulnarability

6 Malaria
7 yellow fever

Health Service delivery

General community vulnarability

8 Dengue fever

General community vulnarability

Chikungunya
9
fever
 Chikungunya
9
fever

Community Health status vulnarability

10 Rabies

General Community
Velnurability

11 Meningitis
11 Meningitis

Community Health status vulnarability

Influenza General community health

(pandemic status vulnarability
12 influenza or
seasonal
influenza)

General Community health

status

13 MDSR

General community vulnarability

 General community vulnarability

General community
vulnarability

14 Flooding

General community vulnarability

15 IDPs

General Community Health

Status Vulnerabilities
 General Community Health
Status Vulnerabilities

16 Polio
Health service delivery

Health system

General community

17 Anthrax
Community level vulnarability

General community level

18 Chemical Spills
 General Community Health
Status Vulnerabilities

Rilapsing Fever

Health System Vulnerabilities

 3. Identify Indicators to measure 5. Unit of Actual
the parameter 4. Source measurement data
Prevalene of ARI in the woreda on the
past 1 year Woreda report % 30%

Incidence of COVID-19 in the area on Woreda report %

past 1 years
Proportion of older persons over 65 years Woreda report %
old
Availability of People living in closed Woreda report Yes/No
facilities (e.g. refugees, prisons)
%
Woreda report
Hand washing practice
%
Overall prevalence of chronic medical Woreda report
conditions(Diabetes)
Cross bordering area where there is high Woreda report Scale
population movement
Household size Scale
Woreda report

Population living in a slum area %

Woreda report

Proportion of population living in urban %

areas
Woreda report

Safe water supply coverage in the %

woreda. Woreda report
Scale
Distribution factor (like movement of Woreda report
peoples from regions and cities, at point
of entries is high)
Scale
Community gathering factor (like at Woreda report
church, Markets, transportation etc)

Scale

Population density (per km2) Woreda report

Primary heath care coverage of the %
woreda
Woreda report
Community based health insurance %
enrollment rate (Per capital expenditure
on health)
Woreda report

Total

Reported Scabies case (case load) on the Woreda report #

past one year

Primary heath care coverage of the %

woreda Woreda report
Population under risk condition (Prision, Scale
refugee camps, street boys/girls) Experts opinion

Population density (per km2) Scale

%
Aduquet water supply coverage Woreda report

%
Woreda report
Hand washing practice
%
Woreda report
Proportion of uneducated population
Prevalence of undernutrition in the
woreda(SAM and MAM for Under five
and PLW)

Total

Woreda report %
Vitamin A and deworming coverage
Woreda report %
Proportion of Drought risk population
with high level of malnutrition

Proportion of health facilities with SCs woreda -report %

SAM Treatment cure rate woreda -report %

SAM death Rate woreda -report %

Total

Latrine Coverage Woreda report 95%

case fatality rate Woreda report 15%

Latrine utilization rate Woreda report 45%

Proportion of Rubbish/Wast disposal Woreda report 56%

Safe water supply coverage 20%

Woreda report

Hand washing practice EDHS 60%

Primary heath care coverage of the 50%

woreda Woreda report

Reported Cholera case (case load) in the 412

past one year
Woreda report

Total

95
Woreda report
Routine measles vaccination coverage
Proportion of children susceptible for 5
Woreda report
measles
95
Woreda report
SIA coverage of the woreda
Scale
Presence of special populations (like Woreda report
displaced population, refugees....)
5
Proportion of Drought risk kebeles with Woreda report
high level of malnutrition
2
Woreda report
​Non-measles feverish rate​
 3
Dropout rate of MCV1 from first dose of Woreda report
diphtheria, pertussis, and tetanus vaccine
(DPT1 or Penta1) to MCV2
30
Prevalence of under nutrition (SAM and
Woreda report
MAM of Under five and PLW)
Incidence of measles in past one year 123
Woreda report

Woreda report

Population density (per km2) Scale

95
Woreda report
OPD attendance per capita (total OPD
visit /total population)
Measles detection rate (Surveillance 25
quality) the proportion of cases with
adequate specimen collection (within 28 Woreda report
days of rash onset)

Total

Woreda report %
Community based health insurance
enrollment rate (Per capital expenditure
on health)
Proportion of at risk population %

Woreda report
Woreda report Scale

OPD attendance per capita (total OPD

visit /total population)
The slide positivity rate (SPR) %

Woreda report
Reported malaria case (case load) EPHI/PHEM data #
base
 Total

Reported Yellow fever case (case load) EPHI/PHEM data #

base

Yellow fever detection rate Woreda report %

Proportion of Health facilities having Woreda report %
trained on Yellow Fever prevention and
control

Total

Incidence of Dengue fever in the past one Woreda report %

year

Proportion of Population at risk for Woreda report %

Dengue fever

Reported Dengue fever case (case load) Woreda report Scale

Proportion of population suitable for Woreda report %

intervention (IRS )

Total

presence of Vector breeding site Woreda report Scale

case burden of Chikunguniya fever in the Woreda report %

past one year
Proportion of Population at risk for Woreda report %
Chikungunya fever

Total

Stray dogs movement in the community Woreda report Scale

Unvacinated dog in the woreda Woreda report %

Proportion of health facilities have Woreda report %

designated site for Rabies case
management

Reported Rabies case (Case load) Woreda report Scale

availabolity of health facility for providing Woreda Yes/No

PEP

Woreda report Scale

OPD attendance per capita (total OPD

visit /total population)

Total

Environemntal condition of the locality Woreda report Scale

(Dry, hot season and dust storms climatic
conditions (windy areas))
Incidence of ARI Woreda report %
Presence of special populations (like Scale
Woreda report
displaced population, refugees....)
Proportion population living in Drought %
Woreda report
risk in the Woreda
Reported Meningitis case (Case load) Scale

Woreda report

Average person per household Woreda report %

Total

Average person per household %

Woreda report
Reported Influenza case (case load) Woreda report Scale

Woreda report
Influenza detection rate (surveillance
%
quality)

OPD attendance per capita (total OPD Woreda report Scale

visit /total population)
Primary heath care coverage of the Woreda report
%
woreda

Total

Woreda report
Cultural practices which prevents to
receive health service for normal and Scale
complicated labor and delivery

Cultural birth attendance parctivce in the

woreda

Cultural practice which promots ealry Woreda report

marrage and preganancy in the Scale
community
Availability of hard to reach / bad Woreda report
topograph area with limited Scale
transportation facility
Transportation system availability for Woreda report
Yes/No
referal
Maternal Mortality rate Woreda report %
The proportion of maternal death Woreda report %
reported by case-based reporting
format

Total

Proportion of population displaced %

Woreda report
Proportion of community having latrine %
facilities Woreda report
Proportion of kebele at risk for flooding Scale

Woreda report
improved water supply coverage %
Woreda report

Total

Proportion of population displaced %

Woreda report

Proportion of community having latrine %

facilities Woreda report

Improved water supply coverage %

Woreda report

Potential to drought and floods Scale

Woreda report

Political and resource-based conflict Scale

Woreda report

Reported number of displaced population Woreda report Scale

in the past one year

Total

Yes/No
Conflict prone areas which can potentially
disrupt the health system structure in the Woreda report
area

Presence of cross bordering population Scale

Woreda report
movement
Outbreak in the neighboring districts Woreda report Yes/No
Proportion of health facilities regularly Woreda report %
monitor vaccine cold chain

Reported suspect AFP cases in the past Woreda report Scale

one year

Polio detection rate (Surveillance quality) Woreda report %

the proportion of cases with adequate
specimen collection

Total

Housing condition (Living with animals in Woreda report

the same house) Scale
Knowledge of local community about Woreda report Scale
antrax
practice of raw drinking milk and eating Woreda report
meat Scale
practice of eating sick animals Woreda report Scale
skinning and processing of hides from Woreda report
dead animals Scale
Availability of infrustructures or
population groups which have
occupational exposure (butchers, meat
inspectors; hide, skin and wool
processers)
Woreda report Scale

Total

Importation,storage, transportation and

utilization of illegal chemicals in the
community
Woreda report Scale
Availability of infrustructures to prepare,
transport, store and utilize chemical Woreda report Scale
agents in the area

Availability / proportion of population

groups who have exposure to chemical
agents in the area (workers and
population groups living around the area)
Woreda report Scale
Is there chemical/ Industrial wast disposal
system Yes/No
 Total

Incidence rate of RF in the past one year Woreda report %

Case fatality rate of RF Woreda report %
Latrine Coverage Woreda report %
Proportion of population displaced Woreda report %
Availability of people living in closed Woreda report Yes/No
setting(Prison, Military cump)
Availability of homless people(Living on Woreda report Yes/No
street)
Latrine utilization rate Woreda report %
Proportion of Rubbish/Wast disposal Woreda report %
Safe water supply coverage Woreda report %
Hand washing practice EDHS %
Primary heath care coverage of the %
woreda Woreda report
Reported RF case (case load) in the past #
one year
Woreda report

Total
 7.Scale Score Maximum Minimum V-Index

>10%=3, 5-10%=2, <5%=1 3 3 1

>0.3%=3, 0.1-0.3%=2, <0.1%=1 3 1

>7%=3, 5-7%=2, <5%=1 3 1

Yes=1, N0=0 1 0
>50%=1,30-50%=2,<30%=3
3 1

>7.5%=3, 5-7.5%=2, <5%=1 3 1

High=3, Moderate=2, Low=1

3 1
<4=1 3 1
4-6=2
>6=3
<20%=1 3 1
~20-30%=2
>35%=3

<30%=1 3 1
~40-50%=2 -0.38
>50%=3

>75%=1,50-75%=2,<50%=3 3 1

High=3 3 1
Medium=2
Low=1

High=3 3 1
Medium=2
Low=1

0-100= 1 4 1
101-500= 2
501-1000= 3
>1000= 4

>90%=1, 75-90%=2, <75%=3 3 1

 >50%=1 3 1
30-50%=2
<30%=3

3 47 15

<500 Scabies case reported in past year=1 3 1

500-1000 Scabies case reported in past
year=2
>1000 Scabies case reported in past
year=3

>90%=1, 75-90%=2, <75%=3 3 1

High=3 3 1
Medium=2
Low=1

0-100= 1
101-500= 2
501-1000= 3
>1000= 4 -0.39
4 1
>90%=1,75-89.99%=2,≤75%=3 3 1

>90%=1,75-89.99%=2,≤75%=3 3 1

>40%=3, 20-40%=2, <20%=1 3 1

>30%=3, 10-30%=2, <10%=1 3

0 25 7

>90%=1,75-89.99%=2,≤75%=3 3 1

<5%=1, 5-10%=2, >10%=3 3 1

≥85%=1,60-84.9%=2,≤59.9%=3 3 1

-0.50
>75=1, 60-75=2, <60=3 3 1
 -0.50

>10=3, 5-10=2, <5=1 3 1

0 15 5

3 1
>60%=1,40-60%=2,<40%=3 1
3 1
<1%=1,1-2%=2,>3%=3 3
3 1
>60%=1,40-60%=2,<40%=3 3

>60%=1,40-60%=2,<40%=3 3 1

>75%=1,50-75%=2,<50%=3 3 1
3

>50%=1,30-50%=2,<30%=3 3 1
0.59
1

>90%=1, 75-90%=2, <75%=3 3 1

3

No case reported=1 4 1
1-1000 Cholera s case reported=2
1001-5000 Cholera case reported=3
≥5000 Cholera case reported=4 2

18 25 8

>95%=1, 85-95%=2, <85%=3 3 1

1

>10%=3, 5-10%=2, <5%=1 3 1

2
>95%=1, 85-95%=2, <85%=3 3 1
1
High=3, Moderate=2, Low=1 3 1
2

<5%=1, 5-10%=2, >10%=3 3 1

2

≥2/100,000pop=1, 1-1.99/100,000pop=2, 3 1
<1/100,000po=3
1
 >10%=3, 5-10%=2, <5%=1 3 1
2

3 1
3 0.52
>30%=3, 10-30%=2, <10%=1
<1/100000pop=1, 1-5 3 1
cases/100000pop=2, >5 3
cases/100000pop=3
0-100= 1 4 1
101-500= 2
501-1000= 3 4
>1000= 4

>75=1, 60-75=2, <60=3 3 1

1

>90%=1,80-89.99%=2,≤79.9%=3 3 1

25 37 12

>75%=1 3 1
50-75%=2
<50=3

<50%=1,50-59.9%=2,>60%=3 3 1

>75=1, 60-75=2, <60=3 3 1

>90%=3,55-89.99%=2 ,<55%=1 3 1
-0.36

No case reported=0 3 0
<1000 Malaria case reported in past year
=1
1000-2000 Malaria case reported in past
year=2
>2000 Malaria case reported in past
year =3
 0 15 4

No case reported=0 3 0
<74.9 Yellow fever case reported in past
year =1
~ 75-99.9 Yellow fever case reported in
past year=2
≥100 Yellow fever case reported in past
year =3

>90%=1,80-89.99%=2,≤79.9%=3 3 1
>90%=1,80-89.99%=2,≤79.9%=3 3 1

0 9 2

>90%=3,80-89.99%=2,≤79.9%=1 3 1

≤5%=1,5.1-9.9%=2,>=10%=3 3 1

No case reported=0 3 0
<1000 Dengue fevercase reported in past
year =1
1000-2000 Dengue fever case reported in
past year=2 -0.33
≥2000Dengue fever case reported in past
year =3

>=80%= 3, 50-80=2,<50=1 3 1

0 12 3

High=3 3 1
Moderate=2
Low=1

No case reported=0 3 0
<500 Chikungunya fever case reported in
past year =1
500-1000 Chikungunya fever case
reported in past year=2
>1000 Chikungunya fever case reported in
past -0.29
year =3
 -0.29

≤5%=1, 3 1
5.1-9.9%=2,
≤10%=3

0 9 2

High=3 3 1
Moderate=2
Low=1

>60%= 3, 30-60%=2,<30=1 3 1

>75%=1,50-74.9%=2,≤50%=3 3 1

No case reported=0 3 0
<50Rabiescase reported in past year =1
~50-100 Rabies case reported in past
year=2
>100 Rabies case reported in past year =3
-0.33

Yes=0, N0=1 1 0

>75=1, 60-75=2, <60=3 3 1

0 16 4

High=3 3 1
Moderate=2
Low=1
>10%=3, 5-10%=2, <5%=1 3 1
High=3, Moderate=2, Low=1 3 1

<5%=1, 5-10%=2, >10%=3 3 1

-0.50
<500 Meningitis case reported in past 3 1
year=1
~500-1000 Meningitis case reported in -0.50
past year=2
>1000 Meningitis case reported in past
year =3

<4%=1,4.1-5.99%=2,≥6%=3 3 1

0 18 6

<4%=1,4.1-5.99%=2,≥6%=3 3 1

<500 Influenza case reported in past 3 1

year=1
~500-1000 Influenza case reported in past
year=2
>1000 Influenza case reported in past
year =3

>90%=1,80-89.99%=2,≤79.9%=3 -0.50
3 1

>75=1, 60-75=2, <60=3

3 1
>90%=1, 75-90%=2, <75%=3
3 1

0 15 5

High=3
Moderate=2
Low=1 3 1

High=3
Moderate=2 3 1
Low=1
High=3
Moderate=2 -0.45
3 1
Low=1
No-1, Yes=0
1 0
>1%=3, 0.5-1%=2,<0.5%=1 3 1
 >90%=1, 75-90%=2, <75%=3 3 1

0 16 5

<15%=1,15-24.99%=2,>25%=3 3 1

>90%=1,75-89.99%=2,≤75%=3 3 1

Flood affecting <1 kebele=1 3 1

Flood affecting 1-3 kebeles=2
Flood affecting >3 kebeles=3
-0.50
>90%=1,75-89.99%=2,≤75%=3
3 1

0 12 4

<1%=1,1.1-3%=2,>3%=3
3 1

>90%=1,75-89.99%=2,≤75%=3
3 1

>90%=1,75-89.99%=2,≤75%=3
3 1

High=3
Moderate=2
Low=1 3 1
-0.50
High=3
Moderate=2
Low=1 3 1

<500 population=1, 500-1000Pop=2,

>1000 population=3 3 1

0 18 6

Yes=1, N0=0
1 0

High=3, Moderate=2, Low=2

3 1
Yes=1, N0=0 1 0
>90%=1,75-89.99%=2,≤75%=3 3 1

No case reported=0 3 0
≥1 polio case reported in past -0.27
year =1;
≥2 Polio case reported=2
≥3 polio case reported =3

>90%=1, 80-89.99%=2, ≤79.9%=3 3 1

0 14 3

High=3, Moderate=2, Low=1 3 1

High=3, Moderate=2, Low=1
3 1

High=3, Moderate=2, Low=1 3 1

High=3, Moderate=2, Low=1 3 1

High=3, Moderate=2, Low=1 3 1 -0.50

High=3, Moderate=2, Low=1 3 1

0 18 6

High=3, Moderate=2, Low=1 3 1

High=1 Moderate=2, Low=3

3 1

-0.43

High=3, Moderate=2, Low=1 3 1

Yes=0, N0=1 1 0
 0 10 3

<2.5%=1, 2.5-5%=2, >5%=3 3 1

<2%=1, 2-4%=2, >4%=3 3 1
>60%=1,40-60%=2,<40%=3 3 1
<1%=1,1.1-3%=2,>3%=3 3 1
No=0 Yes=1 1 0

No=0 Yes=1 1 0

>60%=1,40-60%=2,<40%=3 3 1
>60%=1,40-60%=2,<40%=3 3 1 -0.43
>75%=1,50-75%=2,<50%=3 3 1
>50%=1,30-50%=2,<30%=3 3 1
>90%=1, 75-90%=2, <75%=3 3 1

No case reported=1 4 1
1-100 RF s case reported=2
101-500 RF case reported=3
≥500 Cholera case reported=4

0 33 10
World Health Organization, Community-Based Management of Severe Acute Malnutrition, World Health Organization, Gen
re Acute Malnutrition, World Health Organization, Geneva, Switzerland, 2007.
S.No Hazard Type Capacity_index
1 chelorea 0.59 Capacity Index o
Eth
2 Measles 0.59
0.7
3 0.6
4 0.5

Capacity Index
5 0.4

6 0.3
0.2
7 0.1
8 0
chelorea Measles
 Capacity Index of ---------Woreda, --Region,
Ethiopia, 202X
.7
.6
.5
.4
.3
.2
.1
0
chelorea Measles
Identified Hazards
S.No Hazard Type Vulnarability_Index
1
2
3
4
5
6
7
8
 Vulnarability Index of ---------Woreda, --Region, Ethiopia,
202X

12

10

V_Index
6

0
Identified Hazards
on, Ethiopia,
S.No Hazard Type H_Index V_Index C_Index
1
2
3
4
5
6
7
8

S.No Hazrd Type Risk Index

1 0 #DIV/0!
2 0 #DIV/0!
3 0 #DIV/0!
4 0 #DIV/0!
5 0 #DIV/0!
6 0 #DIV/0!
7 0 #DIV/0!
8 0 #DIV/0!
Risk Index
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

Risk Index of ---------Woreda, --Region, Ethiopia, 202X

1
0.9
0.8
0.7
Risk Index

0.6
0.5
0.4
0.3
0.2
0.1
0
0 0 0 0 0 0 0 0
Identified Hazards
 2011_ETH _FY

Number of
Number of Number of Number of kebele population
X woreda cases death affected
X Disease / Event 60 4500
Y Disease / Event
Z Disease / Event
M Disease / Event
N Disease / Event

2011_ETH _FY
Number of
Number of Number of Number of kebele population
X woreda cases death affected
X Disease / Event 60 6500

2011_ETH _FY
Number of Number of Number of kebele Number of
X woreda cases death affected population
Y Disease / Event 60 6500

2011_ETH _FY
Number of Number of Number of kebele Number of
X woreda cases death affected population
Z Disease / Event 60 6500

2011_ETH _FY
Number of Number of Number of kebele Number of
X woreda cases death affected population
M Disease / Event 60 6500
 2012_ETH _FY

Number of
Atack Number of Number of Number of kebele population Number of
rate cases death affected Atack rate cases
1.3333 400 7000 5.7 75
#DIV/0! 0 0 #DIV/0! 0
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!

2012_ETH _FY
Number of
Atack Number of Number of Number of kebele population Number of
rate cases death affected Atack rate cases
0.9 400 7000 5.7 75

2012_ETH _FY
Atack Number of Number of Number of kebele Number of Number of
rate cases death affected population Atack rate cases
0.9 400 7000 5.7 75

2012_ETH _FY
Atack Number of Number of Number of kebele Number of Number of
rate cases death affected population Atack rate cases
0.9 400 7000 5.7 75

2012_ETH _FY
Atack Number of Number of Number of kebele Number of Number of
rate cases death affected population Atack rate cases
0.9 400 7000 5.7 75
 2013_ETH _FY

Number of
Number of Number of kebele population
death affected Atack rate
7000 1.1
0 #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

2013_ETH _FY
Number of
Number of Number of kebele population
death affected Atack rate
7000 1.1

2013_ETH _FY
Number of Number of kebele Number of
death affected population Atack rate
7000 1.1

2013_ETH _FY
Number of Number of kebele Number of
death affected population Atack rate
7000 1.1

2013_ETH _FY
Number of Number of kebele Number of
death affected population Atack rate
7000 1.1
 Assumption One (Priority one)

Estimated Pop
Number of
kebele

AR
Woreda X

X Disease / Event 0.9

Y Disease / Event #DIV/0!
Z Disease / Event #DIV/0!
M Disease / Event #DIV/0!
N Disease / Event #DIV/0!

Assumption One (Priority one)

Number of

Estimated
kebele

Pop

AR
Woreda X
X-Disease /Event 0.9

Assumption One (Priority one)

Number of

Estimated
kebele

Pop

AR

Woreda X
Y-Disease /Event 0.9

Assumption One (Priority one)

 Number of

Estimated
kebele

Pop

AR
Woreda X
Z-Disease /Event 0.9

Assumption One (Priority one)

Number of

Estimated
kebele

Pop

AR
Woreda X
M-Disease /Event 0.9
 Expected Expected

Priority one)
Priority one)
Priority one)
Priority one)
Expected Cases
Cases Cases

Severe Severe
Severe Cases
Cases Cases

Number of Number of Number of

Kebele Kebele Kebele

Estimated Estimated
Estimated Pop
Pop Pop

AR AR AR

2.6
2.6
2.6

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

Expected Expected

Assumption Two(P1+P2) AR
Assumption Two(P1+P2) AR
Assumption Two(P1+P2) AR
Assumption Two(P1+P2) AR

Expected Cases
Cases Cases

severe severe
severe cases
cases cases
 Expected Expected

Priority one)
Cases Cases

Severe
Severe Cases
Cases

Number of Number of
Kebele Kebele

Estimated Estimated
Pop Pop

AR AR
2.6
2.6

Expected Expected
Assumption Two(P1+P2) AR

Cases Cases

severe
severe cases
cases
 Number of Number of Number of
Kebeles Kebeles Kebeles

Estimated Estimated
Estimated Pop
Pop Pop

AR AR AR

5.7
5.7
5.7

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Expected Expected
Expected Cases
Cases Cases

Assumption Three (P1+P2+P3) AR

Assumption Three (P1+P2+P3) AR
Assumption Three (P1+P2+P3) AR
Assumption Three (P1+P2+P3) AR

severe severe
severe cases
cases cases
 Number of Number of
Kebeles Kebeles

Estimated Estimated
Pop Pop

AR AR

5.7
5.7

Expected Expected
Cases Cases
Assumption Three (P1+P2+P3) AR

severe
severe cases
cases
 X_Disease/ event Y_Disease/ event
Number of case Number of case Number of case
Weeks Years 2013 Year 2012 Year Weeks Years 2013 Year
W1 1 2 W1
W2 2 2 W2
W3 2 2 W3
W4 2 2 W4
W5 2 2 W5
W6 2 2 W6
W7 3 2 W7
W8 4 2 W8
W9 56 2 W9
W10 7 0 W10
W11 0 0 W11
W12 0 0 W12
W13 0 0 W13
W14 0 0 W14
W15 0 0 W15
W16 0 0 W16
W17 0 0 W17
W18 0 1 W18
W19 0 2 W19
W20 0 2 W20
W21 0 2 W21
W22 0 2 W22
W23 4 2 W23
W24 3 W24
W25 5 4 W25
W26 2 56 W26
W27 3 7 W27
W28 2 0 W28
W29 3 0 W29
W30 2 0 W30
W31 3 0 W31
W32 23 0 W32
W33 2 0 W33
W34 32 0 W34
W35 3 0 W35
W36 23 0 W36
W37 23 0 W37
W38 23 0 W38
W39 2 0 W39
W40 0 4 W40
W41 2 0 W41
 W42 2 5 W42
W43 2 2 W43
W44 2 0 W44
W45 2 0 W45
W46 2 0 W46
W47 2 0 W47
W48 2 0 W48
W49 2 0 W49
W50 2 0 W50
W51 0 2 W51
W52 0 2 W52

Disease X Disease Y
60 12

50 10

8
40
6
30
4
20
2
10
0
1 4 7 0 3 6 9 2 5 8 1 4 7 0 3
0 W W W W1 W1 W1 W1 W2 W2 W2 W3 W3 W3 W4 W4 W4
1 4 7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2
W W W W1 W1 W1 W1 W2 W2 W2 W3 W3 W3 W4 W4 W4 W4 W5
Number of case 2013 Year
Number of case 2013 Year Number of case 2012 Year Number of case 2012 Year
ease/ event Z_Disease/ event N_Disease/ event
Number of
Number of case Number of case case 2012
2012 Year Weeks Years 2013 Year Year Weeks Years
W1 W1
W2 W2
W3 W3
W4 W4
W5 W5
W6 W6
W7 W7
W8 W8
W9 W9
W10 W10
W11 W11
W12 W12
W13 W13
W14 W14
W15 W15
W16 W16
W17 W17
W18 W18
W19 W19
W20 W20
W21 W21
W22 W22
W23 W23
W24 W24
W25 W25
W26 W26
W27 W27
W28 W28
W29 W29
W30 W30
W31 W31
W32 W32
W33 W33
W34 W34
W35 W35
W36 W36
W37 W37
W38 W38
W39 W39
W40 W40
W41 W41
 W42 W42
W43 W43
W44 W44
W45 W45
W46 W46
W47 W47
W48 W48
W49 W49
W50 W50
W51 W51
W52 W52

sease Y Disease Z Disease N

12
12
10 10
8 8

6 6

4 4

2 2

0
0 1 4 7 0 3 6 9 2 5 8 1 4
25 28 31 34 37 40 43 46 49 52 1 4 7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2 W W W W1 W1 W1 W1 W2 W2 W2 W3 W3 W
W W W W W W W W W W W W W W1 W1 W1 W1 W2 W2 W2 W3 W3 W3 W4 W4 W4 W4 W5
Number of case 2013 Y
er of case 2013 Year Number of case 2013 Year
Number of case 2012 Y
er of case 2012 Year Number of case 2012 Year
N_Disease/ event
Number
Number of case of case
2013 Year 2012 Year
 Disease N

7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2
W W1 W1 W1 W1 W2 W2 W2 W3 W3 W3 W4 W4 W4 W4 W5

Number of case 2013 Year

Number of case 2012 Year