Vision & mission

1. Vision & mission Vision Countries throughout the world have effective and equitable public health systems to protect communities and enable people to live healthy and productive lives Mission Working with Ministries of Health and public health partners, we are committed to strengthening public health systems and developing the workforce using solid science, innovative programs. We are also committed to building sustainable capacity to meet our partners’ national priorities Sustainable Partnerships in Global Workforce Developent

2. August 8, 2011 New Field Epidemiologist Training Program Resident Advisor Orientation

3. Basic Agenda for the Two Days • Two days of orientation • Focus on role of RA, address expectations and concerns, and coordinate support from colleagues in Atlanta and the field • Meet teams and partners • Social Dinner • Regional and country specific side meetings • MENA team will be meeting on August 10th • Egypt, Morocco and Iraq have set up side meetings with CDC partners • Basic Logistics

4. Purpose of the Orientation Prepare and Empower Resident Advisors True Partnership in MOH-lead programs Clarity on the Role of Resident Advisors Quality and Impact

5. Overarching FETP Goals • Increase the access and reach of FETP • All low income countries should have access to a FETP • Achieve 1 trained field epidemiologists per 200,000 people globally • Continually strive to maintain/improve FETP quality • Examine new areas for collaboration • Utilize the added value of FELTP to address current and emerging global health concerns including NCDs, MCH, malaria and others • Find sustainable regular funding for FELTP • Examine new possibilities of funding mechanisms and sources • Share lessons learned and best practices with global community • Regularly publish and document results (min 25 peer-reviewed articles a year)

6. Pyramid of Public Health System Preparedness from Public Health’s Infrastructure: A Status Report, CDC 2001

7. FE(L)TP Overview • Modeled after CDC’s Epidemic Intelligence Service • Two-year, full-time postgraduate training program • Supervised, on-the-job, competency-based training • About 25% class work, 75% field placement • Assigned to positions that provide epidemiologic service to MOH • Graduates may receive a certificate or degree

8. Critical Outcomes • A robust surveillance system is established and used effectively • Public health events are detected, investigated, and responded to quickly and effectively • Human capacity is developed in applied epidemiology and allied areas • Public health decisions are driven by the scientific data

9. Current FELTP

10. FE(L)TP • FETP that also trains laboratory scientists • Fosters linkage between epidemiologists & laboratory scientists • Enhance communication • Lab-based Surveillance • Build quality laboratory networks • Examples: Kenya, Central Asia, Pakistan, South Africa

11. Evolution of an FETP • In development (1 to 2 years) • Bangladesh • Botswana • Active support (2 to 7 years) • China • Pakistan • Independent • Philippines • Thailand • Zambia • Angola • Central America • Central Asia • Brazil • Zimbabwe

12. Country (MOH) Participation • Provide access to surveillance systems & data • Identify priority areas for planned investigations • Provide support for investigations • Clearly delineate trainee duties • Provide administrative facilitation • Provide counterpart with dedicated time • Develop career structure for graduates

13. CDC Contribution • Expertise in • Applied epidemiology program development & implementation • Curriculum development • Training • Evaluation • Technical assistance from a multidisciplinary team • Resident advisor placed in country for 4 to 6 years • Linkages to other CDC experts in country’s disease priority areas • Facilitate networking with other FETPs around the world

14. FE(L)TP Services to MOH • Detect & respond to PH emergencies (i.e., outbreaks, disasters, emerging infections) • Enhance disease surveillance systems • Analyze routinely collected data • Conduct surveys, field studies, & evaluations • Develop new or strengthen existing systems • Communicate PH findings & recommendations • Oral presentations & written publications • Publish epidemiologic bulletin • Conduct seminars & training for others

15. FE(L)TP Key Features • Country ownership of program • Program tailored to country needs & priorities • Resident advisor for first implementation phase • Plan for sustainability • Partnership enables additional collaborations with CDC & others

16. FE(L)TP Training Competencies & Curriculum

17. Core Competencies

18. Competency Development Process Achieving competency in field epidemiologyBlended learning & measurable results • OUTPUTS • Outbreak report • Surveillance evaluation report • Data analysis report • Study protocol • Thesis • Abstract • Conference presentation • Seminar • Bulletin article • Scientific manuscript • Dataset • Teaching summary report • Project statement & work plan - Epidemiologic methods - Biostatistics - Surveillance - Lab & biosafety - Communications - Computer technology - Management & leadership - Prevention effectiveness - Teaching mentoring - Epidemiology of disease & injury Field Activities Mentoring

19. Different Models • FE(L)TPs • Certificate or degree • Multi-country or regional programs • Laboratory Component • Other components • Short courses and/or DDM • Priority diseases - Infectious diseases - Chronic diseases • Emphasis on surveillance systems development

20. Central America FETPsMultilevel workforce development

21. Pyramid Model Selection and career path FETP Mentorship Cascade EPi Continue Education Intermediate Epi Program EEA Basic Epi Program CEAL 80% Field, 20% Classroom (modules) FETP: Field Epidemiology Training Program EEA: Specialization in Applied Epidemiology CEAL: Applied Epidemiology at Community Level

22. China FETPGrowing influence

23. 6 Division Director 7 Technical Lead 5 Vice Director CFETP Graduates Currently Hold Key Positions Throughout the China CDC System 1 Deputy Director of Emergency ResponseDivision 1 Section Chief of Respiratory Diseases 1 Section Chief of Zoonosis Diseases 8 China CDC 1 Section Chief of Disease of Unknown Causes 2 Health Education, HIV/AIDS Dept. 2 CFETP instructors 11 Emergency Division 34 Provincial CDC 6 Director 17 Disease Control and Prevention 4 Vice Director 5th cohort graduates not included 6 EPI or other areas

24. Branch Overview • Branch supports 28 FETP/FELTPs in 47 countries • 7 regional programs, 11 FELTPs • 55 Staff members • 29 Resident Advisors • 26 HQ Staff • 8 Epidemiologists/1EIS Officer • 9 PHAs • 4 Instructional Designers • 2 Program Analysts • 2 Heath Scientists

25. Regional Teams