Evidence map›Paper›PMID 36526999›Full record

ArticleBMC health services research2022

Improving the effectiveness of Field Epidemiology Training Programs: characteristics that facilitated effective response to the COVID-19 pandemic in Uganda.

Julie R Harris, Daniel Kadobera, Benon Kwesiga, Steven N Kabwama, Lilian Bulage, Henry B Kyobe, Atek A Kagirita, Henry G Mwebesa, Rhoda K Wanyenze, Lisa J Nelson and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Julie R HarrisCenters for Disease Control and Prevention, Kampala, Uganda. ggt5@cdc.gov.
Daniel KadoberaUganda Public Health Fellowship Program, National Institute of Public Health, Kampala, Uganda.
Benon KwesigaUganda Public Health Fellowship Program, National Institute of Public Health, Kampala, Uganda.
Steven N KabwamaUganda Public Health Fellowship Program, National Institute of Public Health, Kampala, Uganda.
Lilian BulageUganda Public Health Fellowship Program, National Institute of Public Health, Kampala, Uganda.
Henry B KyobeUniversity of Oxford, Kellogg College, Oxford, UK.
Atek A KagiritaMinistry of Health, Kampala, Uganda.
Henry G MwebesaMinistry of Health, Kampala, Uganda.
Rhoda K WanyenzeCollege of Health Sciences, Makerere University School of Public Health, Kampala, Uganda.
Lisa J NelsonCenters for Disease Control and Prevention, Kampala, Uganda.
Amy L BooreCenters for Disease Control and Prevention, Kampala, Uganda.
Alex Riolexus ArioUganda Public Health Fellowship Program, National Institute of Public Health, Kampala, Uganda.
Ministry of Health · UGCenters for Disease Control and Prevention · UGMakerere University · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global need for well-trained field epidemiologists has been underscored in the last decade in multiple pandemics, the most recent being COVID-19. Field Epidemiology Training Programs (FETPs) are in-service training programs that improve country capacities to respond to public health emergencies across different levels of the health system. Best practices for FETP implementation have been described previously. The Uganda Public Health Fellowship Program (PHFP), or Advanced-FETP in Uganda, is a two-year fellowship in field epidemiology funded by the U.S. Centers for Disease Control and situated in the Uganda National Institute of Public Health (UNIPH). We describe how specific attributes of the Uganda PHFP that are aligned with best practices enabled substantial contributions to the COVID-19 response in Uganda.

methodsWe describe the PHFP in Uganda and review examples of how specific program characteristics facilitate integration with Ministry of Health needs and foster a strong response, using COVID-19 pandemic response activities as examples. We describe PHFP activities and outputs before and during the COVID-19 response and offer expert opinions about the impact of the program set-up on these outputs.

resultsUnlike nearly all other Advanced FETPs in Africa, PHFP is delinked from an academic degree-granting program and enrolls only post-Master's-degree fellows. This enables full-time, uninterrupted commitment of academically-trained fellows to public health response. Uganda's PHFP has strong partner support in country, sufficient technical support from program staff, Ministry of Health (MoH), CDC, and partners, and full-time dedicated directorship from a well-respected MoH staff member. The PHFP is physically co-located inside the UNIPH with the emergency operations center (EOC), which provides a direct path for health alerts to be investigated by fellows. It has recognized value within the MoH, which integrates graduates into key MoH and partner positions. During February 2020-September 2021, PHFP fellows and graduates completed 67 major COVID-related projects. PHFP activities during the COVID-19 response were specifically requested by the MoH or by partners, or generated de novo by the program, and were supervised by all partners.

conclusionSpecific attributes of the PHFP enable effective service to the Ministry of Health in Uganda. Among the most important is the enrollment of post-graduate fellows, which leads to a high level of utilization of the program fellows by the Ministry of Health to fulfill real-time needs. Strong leadership and sufficient technical support permitted meaningful program outputs during COVID-19 pandemic response. Ensuring the inclusion of similar characteristics when implementing FETPs elsewhere may allow them to achieve a high level of impact.

Indexed as

COVID-19PandemicsFellowships and ScholarshipsHumansPublic HealthUgandaCOVID-19EpidemiologyFieldImplementationTraining

Identifiers

PMID36526999
PMCPMC9756722
OpenAlexW4312066199

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.