Public Health and Field Epidemiology

2023 ◽  
pp. 249-270
Author(s):  
Lucas A. Johnson ◽  
Andrew Isaac Geller ◽  
Ellen Yard ◽  
Juan I. Ubiera
Keyword(s):  
Public Health ◽  
Field Epidemiology

Evaluation of a New Field Epidemiology Training Program Intermediate Course to Strengthen Public Health Workforce Capacity in Tanzania

2021 ◽  
pp. 003335492097466
Author(s):  
Kate Wilson ◽  
Amir Juya ◽  
Ahmed Abade ◽  
Senga Sembuche ◽  
Devotha Leonard ◽  
...  
Keyword(s):  
Public Health ◽  
Training Program ◽  
Health Workforce ◽  
Outcome Evaluation ◽  
Exit Interviews ◽  
Field Epidemiology ◽  
Health Threats ◽  
Before And After ◽  
Workforce Capacity ◽  
Field Epidemiology Training Program

Objectives Sub-Saharan Africa faces a shortage of skilled epidemiologists to prevent, detect, and respond to health threats. Tanzania has implemented one of the first Centers for Disease Control and Prevention Field Epidemiology Training Program (FETP) Intermediate courses in Africa. This course aims to strengthen health workforce capacity in surveillance system assessment, outbreak investigation, and evaluation, prioritizing HIV control. We conducted an outcome evaluation of this new course. Methods We used a pre/post evaluation design using data from 4 cohorts of trainees who took the FETP Intermediate course from 2017 to 2020. We conducted knowledge assessments before and after each cohort and combined those results. Outcomes included knowledge and self-rated competency and trends in integrated disease surveillance and response (IDSR) data. We collected data through tests, field assignments, exit interviews, and data audits. We compared the mean change in pre-/posttest scores using linear regression and 95% CIs. We used content analysis to summarize exit interviews. Results Fifty-three FETP trainees from 10 regions enrolled in the FETP Intermediate course, and 52 (99.0%) completed the course. We found substantial increases in mean knowledge (44.0 to 68.0 points) and self-rated competency (4.14 to 4.43) scores before and after the course. Trainees evaluated 52 surveillance systems and 52 district HIV care programs, and 39 (75.0%) trainees participated in outbreak investigations. From before to after cohort 1, timeliness and completeness of IDSR reports increased from 4.2% to 52.1% and from 27.4% to 76.5%, respectively. Course strengths were quality of instruction, individualized mentoring, and practical skills gained. Challenges were mentor availability, limited time for data analysis practice, and balancing work and field assignments. Conclusions The Tanzania FETP Intermediate course substantially improved trainee knowledge and helped to improve local data quality and reporting. This course is a promising model to strengthen subnational capacity to prevent, detect, and respond to public health threats in Africa.

scholarly journals Seventeen years of intervention epidemiology training at Veyrier-du-Lac, 1984-2000

2001 ◽  
Vol 6 (3) ◽  
pp. 36-37 ◽  
Author(s):  
P Malfait ◽  
B Helynck
Keyword(s):  
Public Health ◽  
Public Health Practice ◽  
Epidemiological Data ◽  
Health Practice ◽  
Field Epidemiology ◽  
Increasing Demand

Early in the 1980s, those involved in public health held symposiums to assess the training of epidemiologists in France showed inadequacies in the teaching of field epidemiology. Hitherto epidemiology in France had been largely confined to research. Evolution of public health practice, with an increasing demand to base decisions on epidemiological data, made it necessary to develop a network of intervention epidemiologists trained to work with standardised methods.

scholarly journals Field Epidemiology and Public Health Research Priorities in the Eastern Mediterranean Region: Delphi Technique

2021 ◽  
Vol 9 ◽  
Author(s):  
Mohannad Al Nsour ◽  
Tala Chahien ◽  
Yousef Khader ◽  
Mirwais Amiri ◽  
Hana Taha
Keyword(s):  
Public Health ◽  
Health Research ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Research Priorities ◽  
Public Health Research ◽  
Communicable Diseases ◽  
Field Epidemiology ◽  
Public Health Professionals ◽  
Epidemiology And Public Health

Research is essential for evidence-based decision making. This study aimed to identify research priorities in the areas of field epidemiology and public health in the Eastern Mediterranean Region (EMR) from the perspectives of public health professionals. A Delphi technique, using online survey, was employed to reach 168 public health professionals who have experience in the EMR countries. The study took place between November 2019 and January 2020. Consensus on the research priorities was reached after two-round online questionnaires. A list of top 10 field epidemiology and public health research priorities in the EMR was developed. Of those priorities, four fell under health in emergency, war and armed conflict, two under communicable diseases, two under immunization, one under digital health, and one under sexual, reproductive, and adolescent health. Availability, adequacy, and quality of health services in crisis settings were scored as a top priority (mean = 4.4, rank 1), followed by use of technology to improve the collection, documentation, and analysis of health data (mean = 4.28, rank 2), and capacity of countries in the region to respond to emergencies (mean = 4.25, rank 3). This study was conducted prior to COVID-19 pandemic and, thus, it did not capture COVID-19 research as a priority area. Nevertheless, identified priorities under communicable diseases including outbreak investigation of infectious diseases, epidemics and challenges related to communicable diseases in the EMR were still notable. In conclusion, the field epidemiology and public health research priorities identified in this study through a systematic inclusive process could be useful to make informed decisions and gear the research efforts to improve the health of people in the EMR.

scholarly journals Impact Evaluation of the Kenya Frontline Field Epidemiology Training Program: Repeated-Measures Study

10.2196/18956 ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. e18956
Author(s):  
Zeinab Gura Roka ◽  
Elvis Omondi Oyugi ◽  
Jane Njoki Githuku ◽  
Evalyne Kanyina ◽  
Mark Obonyo ◽  
...  
Keyword(s):  
Public Health ◽  
Data Quality ◽  
Training Program ◽  
Repeated Measures ◽  
Online Survey ◽  
Health Data ◽  
Data Consistency ◽  
Field Epidemiology ◽  
Public Health Data ◽  
Field Epidemiology Training Program

Background In 2014, Kenya’s Field Epidemiology and Laboratory Training Program (FELTP) initiated a 3-month field-based frontline training, Field Epidemiology Training Program (FETP-F), for local public health workers. Objective This study aimed to measure the effect of FETP-F on participant workplace practices regarding quality and consistency of public health data, critical interaction with public health data, and improvements in on-time reporting (OTR). Methods Between February and April 2017, FELTP conducted a mixed methods evaluation via online survey to examine outcomes achieved among all 215 graduates from 2014 and 2015. Data quality assessment (DQA) and data consistency assessment (DCA) scores, OTR percentages, and ratings of the training experience were the quantitative measures tracked from baseline and then at 6-month intervals up to 18 months postcompletion of the training. The qualitative component consisted of semistructured face-to-face interviews and observations. Quantitative data were analyzed using descriptive statistics and one-way analysis of variance (ANOVA). Qualitative data were transcribed and analyzed to identify key themes and dimensions. Results In total, 103 (47%) graduates responded to the survey. Quantitative analyses showed that the training significantly increased the mean DQA and OTR scores but there was a nonsignificant increase in mean DCA scores. Qualitative analyses found that 68% of respondents acquired new skills, 83% applied those skills to their day-to-day work, and 91% improved work methods. Conclusions FETP-F improved overall data quality and OTR at the agency level but had minimal impact on data consistency between local, county, and national public health agencies. Participants reported that they acquired practical skills that improved data collation and analysis and OTR.

scholarly journals Jordan Field Epidemiology Training Program: Critical Role in National and Regional Capacity Building (Preprint)

2017 ◽  
Author(s):  
Mohannad Al Nsour ◽  
Ibrahim Iblan ◽  
Mohammed Rasoul Tarawneh
Keyword(s):  
Public Health ◽  
Health Workforce ◽  
Mediterranean Region ◽  
Training Programs ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Public Health Workforce ◽  
Surveillance Systems ◽  
Ministry Of Health ◽  
Field Epidemiology

UNSTRUCTURED Field Epidemiology Training Programs (FETPs) are 2-year training programs in applied epidemiology, established with the purpose of increasing a country’s capacity within the public health workforce to detect and respond to health threats and develop internal expertise in field epidemiology. The Jordan Ministry of Health, in partnership with the US Centers for Disease Control and Prevention, started the Jordan FETP (J-FETP) in 1998. Since then, it has achieved a high standard of success and has been established as a model for FETPs in the Eastern Mediterranean Region. Here we describe the J-FETP, its role in building the epidemiologic capacity of Jordan’s public health workforce, and its activities and achievements, which have grown the program to be self-sustaining within the Jordan Ministry of Health. Since its inception, the program’s residents and graduates have assisted the country to improve its surveillance systems, including revising the mortality surveillance policy, implementing the use of electronic data reporting, investigating outbreaks at national and regional levels, contributing to noncommunicable disease research and surveillance, and responding to regional emergencies and disasters. J-FETP’s structure and systems of support from the Jordan Ministry of Health and local, regional, and international partners have contributed to the success and sustainability of the J-FETP. The J-FETP has contributed significantly to improvements in surveillance systems, control of infectious diseases, outbreak investigations, and availability of reliable morbidity and mortality data in Jordan. Moreover, the program has supported public health and epidemiology in the Eastern Mediterranean Region. Best practices of the J-FETP can be applied to FETPs throughout the world.

scholarly journals Impact Evaluation of the Kenya Frontline Field Epidemiology Training Program: Repeated-Measures Study (Preprint)

2020 ◽  
Author(s):  
Zeinab Gura Roka ◽  
Elvis Omondi Oyugi ◽  
Jane Njoki Githuku ◽  
Evalyne Kanyina ◽  
Mark Obonyo ◽  
...  
Keyword(s):  
Public Health ◽  
Data Quality ◽  
Training Program ◽  
Repeated Measures ◽  
Online Survey ◽  
Health Data ◽  
Data Consistency ◽  
Field Epidemiology ◽  
Public Health Data ◽  
Field Epidemiology Training Program

BACKGROUND In 2014, Kenya’s Field Epidemiology and Laboratory Training Program (FELTP) initiated a 3-month field-based frontline training, Field Epidemiology Training Program (FETP-F), for local public health workers. OBJECTIVE This study aimed to measure the effect of FETP-F on participant workplace practices regarding quality and consistency of public health data, critical interaction with public health data, and improvements in on-time reporting (OTR). METHODS Between February and April 2017, FELTP conducted a mixed methods evaluation via online survey to examine outcomes achieved among all 215 graduates from 2014 and 2015. Data quality assessment (DQA) and data consistency assessment (DCA) scores, OTR percentages, and ratings of the training experience were the quantitative measures tracked from baseline and then at 6-month intervals up to 18 months postcompletion of the training. The qualitative component consisted of semistructured face-to-face interviews and observations. Quantitative data were analyzed using descriptive statistics and one-way analysis of variance (ANOVA). Qualitative data were transcribed and analyzed to identify key themes and dimensions. RESULTS In total, 103 (47%) graduates responded to the survey. Quantitative analyses showed that the training significantly increased the mean DQA and OTR scores but there was a nonsignificant increase in mean DCA scores. Qualitative analyses found that 68% of respondents acquired new skills, 83% applied those skills to their day-to-day work, and 91% improved work methods. CONCLUSIONS FETP-F improved overall data quality and OTR at the agency level but had minimal impact on data consistency between local, county, and national public health agencies. Participants reported that they acquired practical skills that improved data collation and analysis and OTR.

scholarly journals Field Epidemiology Training Program Response to COVID-19 During a Conflict: Experience From Yemen

2021 ◽  
Vol 9 ◽  
Author(s):  
Abdulwahed Abduljabar Al Serouri ◽  
Yasser Ahmed Ghaleb ◽  
Labiba Anam Al Aghbari ◽  
Mohammad Abdullah Al Amad ◽  
Abdulhakem Sharaf Alkohlani ◽  
...  
Keyword(s):  
Public Health ◽  
Training Program ◽  
Health Workforce ◽  
Prevention And Control ◽  
Public Health Workforce ◽  
Infection Prevention And Control ◽  
Field Epidemiology ◽  
Effective Manner ◽  
And Control ◽  
Field Epidemiology Training Program

COVID-19 pandemic has underscored the need for a well-trained public health workforce to save lives through timely outbreaks detection and response. In Yemen, a country that is entering its seventh year of a protracted war, the ongoing conflict severely limited the country's capacity to implement effective preparedness and response measures to outbreaks including COVID-19. There are growing concerns that the virus may be circulating within communities undetected and unmitigated especially as underreporting continues in some areas of the country due to a lack of testing facilities, delays in seeking treatment, stigma, difficulty accessing treatment centers, the perceived risks of seeking care or for political issues. The Yemen Field Epidemiology Training Program (FETP) was launched in 2011 to address the shortage of a skilled public health workforce, with the objective of strengthening capacity in field epidemiology. Thus, events of public health importance can be detected and investigated in a timely and effective manner. During the COVID-19 pandemic, the Yemen FETP's response has been instrumental through participating in country-level coordination, planning, monitoring, and developing guidelines/standard operating procedures and strengthening surveillance capacities, outbreak investigations, contact tracing, case management, infection prevention, and control, risk communication, and research. As the third wave is circulating with a steeper upward curve than the previous ones with possible new variants, the country will not be able to deal with a surge of cases as secondary care is extremely crippled. Since COVID-19 prevention and control are the only option available to reduce its grave impact on morbidity and mortality, health partners should support the Yemen FETP to strengthen the health system's response to future epidemics. One important lesson learned from the COVID-19 pandemic, especially in the Yemen context and applicable to developing and war-torn countries, is that access to outside experts becomes limited, therefore, it is crucial to invest in building national expertise to provide timely, cost-effective, and sustainable services that are culturally appropriate. It is also essential to build such expertise at the governorate and district levels, as they are normally the first respondents, and to provide them with the necessary tools for immediate response in order to overcome the disastrous delays.

Cascade Model of Field Epidemiology Training Programme (FETP)

2018 ◽  
Vol 20 (2) ◽  
pp. 144-150
Author(s):  
Dhananjay Srivastava
Keyword(s):  
Public Health ◽  
Disease Surveillance ◽  
International Health ◽  
Training Programme ◽  
Public Health Workforce ◽  
Public Health Action ◽  
Health Security ◽  
Field Epidemiology ◽  
Health Action ◽  
Training Programmes

India has the responsibility to interpret and initiate appropriate public health action and notify those events that are of public health emergencies of international concern (PHEIC) as a signatory to International Health Regulation (IHR) (2005) and Global Health Security Agenda (GHSA). The aim of the human resource goal of GHSA is to ensure adequate numbers of trained personnel for response to a public health emergency. Epidemiologists are an essential component of the public health workforce, and in ‘ Delhi Declaration of Epidemiology’ capacity building in epidemiology was identified as an important and urgent issue. Field epidemiology training programmes (FETPs) are competency-based training and service programmes in applied epidemiology and public health for building capacity which enhances better health response in the country. The goal of FETP is to build public health and epidemiological capacity through training to create high-calibre field epidemiologists and to strengthen the disease surveillance. The proposed cascade FETP model for India in this article is to strengthen epidemiological skills and disease surveillance at every level of health system in India. Expansion of FETPs to several institutions while maintaining the quality was emphasized to meet the global requirement of public health cadre, that is, one epidemiologist per 200,000 population.

Sign in / Sign up

Export Citation Format

Share Document