Project Framework

Theory of Change: The Surveillance Loop

The PIONEER Project applies an integrated and iterative surveillance loop to generate timely, actionable evidence for food safety decision‑making. The approach links data collection, laboratory analysis, data integration, and policy feedback to improve foodborne disease prevention and control.

Theory of Change illustrating the integrated surveillance loop for foodborne disease in Ethiopia
Figure: Theory of Change outlining the surveillance loop connecting activities, outputs, outcomes, and long‑term impacts of the PIONEER Project.

Surveillance Sites

The PIONEER Project implements integrated sentinel foodborne disease surveillance at selected Health and Demographic Surveillance System (HDSS) sites across Ethiopia.

Arba Minch HDSS

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Hararghe  HDSS

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Butajira HDSS

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North Shoa  HDSS

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Map of Ethiopia showing PIONEER foodborne disease surveillance sites at Butajira, Arba Minch, and North Shoa HDSS locations
Figure: Location of PIONEER Project sentinel surveillance sites across Ethiopia.
1

Co-created integrated sentinel foodborne disease surveillance system in Ethiopia.

2

Reliable estimates of foodborne disease burden and key risk factors.

3

Identification of priority pathogens, sources and contamination routes.

4

Evidence to support implementation of Ethiopia’s National Food Safety Master Plan (2025–2029).

5

Strengthened laboratory, analytic, and surveillance capacity.

6

Improved outbreak preparedness and food safety decision-making.

Project Approach

The PIONEER Project applies an integrated, stepwise approach combining stakeholder engagement, capacity strengthening, active surveillance, and laboratory analysis to generate robust evidence for foodborne disease surveillance and food safety decision‑making.

Stakeholder Engagement

Stakeholder meetings to co‑design the surveillance system, strengthen multisectoral collaboration, and support long‑term sustainability.

Capacity Building

Training of field staff, laboratory personnel, data collectors, and senior professionals to support integrated surveillance and analysis.

Active Surveillance

Implementation of active foodborne disease surveillance at health facilities and community levels within selected HDSS sites.

Sample Collection

Collection of food, stool, animal faeces, and water samples to support pathogen detection and exposure assessment.

Microbiological Analysis

Laboratory analysis using culture, multiplex PCR, metagenomics, and whole‑genome sequencing to identify foodborne pathogens.

Chemical Analysis

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