The Frontline Field Epidemiology Training Program in Liberia, 2015-2018

Introduction: The Liberian Frontline Field Epidemiology Training Program (LFETP-F) was initiated by the Government of Liberia in 2015 in partnership with other organizations. Introduction of the program formed part of measures to improve integrated disease surveillance and response (IDSR) following...

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Main Authors: Maame Pokuah Amo-Addae, Peter Adebayo Adewuyi, Thomas Knue Nagbe
Format: Article
Language:English
Published: African Field Epidemiology Network 2021-01-01
Series:Journal of Interventional Epidemiology and Public Health
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Online Access:https://www.afenet-journal.net/content/series/4/1/2/full/
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author Maame Pokuah Amo-Addae
Peter Adebayo Adewuyi
Thomas Knue Nagbe
author_facet Maame Pokuah Amo-Addae
Peter Adebayo Adewuyi
Thomas Knue Nagbe
author_sort Maame Pokuah Amo-Addae
collection DOAJ
description Introduction: The Liberian Frontline Field Epidemiology Training Program (LFETP-F) was initiated by the Government of Liberia in 2015 in partnership with other organizations. Introduction of the program formed part of measures to improve integrated disease surveillance and response (IDSR) following the Ebola virus disease (EVD) outbreak in West Africa. We describe the establishment and implementation of the program, its outputs, and evaluated to determine whether it is meeting its objectives. Methods: We followed the logic model for the program to describe the inputs, activities, outputs, and evaluated the short term impact. We reviewed stakeholder meeting and training reports and interviewed a public health official to describe the establishment, implementation, and outputs of the training. We compared IDSR indicators before and after the inception of LFETP-F and described findings from a post-graduation assessment to determine the impact of the program. Results: Stakeholder discussions towards developing human resource capacity to meet Internal Health Regulations after the EVD outbreak led to the establishment of the LFETP-F in Liberia in 2015. From 2015 to 2018, 170 persons were trained in seven cohorts in Liberia. The district, county, and national level surveillance officers were trained in the basics of surveillance, outbreak investigation and scientific communication. Graduates are distributed all over the country, with at least one graduate in each of the 92 districts. Average post-test scores at the trainings showed improvement over pretest scores for each cohort. In 2018, among 20 outbreaks investigated and responded to by LFETP-F graduates, 90% were documented with investigation reports, compared to 53% in 2016; 78% were responded to within 48 hours compared to 37% in 2016. Conclusion: LFETP-F is fulfilling its mandate and meeting its objectives. Spread of diseases and deaths have likely been averted by the improved surveillance and response. A sustainability plan for funding and management of the program needs to be carefully developed by stakeholders to ensure that gains achieved over the first three years are not lost.
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spelling doaj-art-4cc0a25e31e44170a451610e39aff91e2025-08-20T03:47:32ZengAfrican Field Epidemiology NetworkJournal of Interventional Epidemiology and Public Health2664-28242021-01-0141https://doi.org/10.37432/jieph.supp.2021.4.1.01.2The Frontline Field Epidemiology Training Program in Liberia, 2015-2018Maame Pokuah Amo-Addae0Peter Adebayo Adewuyi1Thomas Knue Nagbe2Liberia Field Epidemiology Training Program, Liberia; African Field Epidemiology NetworkAfrican Field Epidemiology NetworkNational Public Health Institute of LiberiaIntroduction: The Liberian Frontline Field Epidemiology Training Program (LFETP-F) was initiated by the Government of Liberia in 2015 in partnership with other organizations. Introduction of the program formed part of measures to improve integrated disease surveillance and response (IDSR) following the Ebola virus disease (EVD) outbreak in West Africa. We describe the establishment and implementation of the program, its outputs, and evaluated to determine whether it is meeting its objectives. Methods: We followed the logic model for the program to describe the inputs, activities, outputs, and evaluated the short term impact. We reviewed stakeholder meeting and training reports and interviewed a public health official to describe the establishment, implementation, and outputs of the training. We compared IDSR indicators before and after the inception of LFETP-F and described findings from a post-graduation assessment to determine the impact of the program. Results: Stakeholder discussions towards developing human resource capacity to meet Internal Health Regulations after the EVD outbreak led to the establishment of the LFETP-F in Liberia in 2015. From 2015 to 2018, 170 persons were trained in seven cohorts in Liberia. The district, county, and national level surveillance officers were trained in the basics of surveillance, outbreak investigation and scientific communication. Graduates are distributed all over the country, with at least one graduate in each of the 92 districts. Average post-test scores at the trainings showed improvement over pretest scores for each cohort. In 2018, among 20 outbreaks investigated and responded to by LFETP-F graduates, 90% were documented with investigation reports, compared to 53% in 2016; 78% were responded to within 48 hours compared to 37% in 2016. Conclusion: LFETP-F is fulfilling its mandate and meeting its objectives. Spread of diseases and deaths have likely been averted by the improved surveillance and response. A sustainability plan for funding and management of the program needs to be carefully developed by stakeholders to ensure that gains achieved over the first three years are not lost.https://www.afenet-journal.net/content/series/4/1/2/full/liberiastrengtheningepidemiologysurveillance
spellingShingle Maame Pokuah Amo-Addae
Peter Adebayo Adewuyi
Thomas Knue Nagbe
The Frontline Field Epidemiology Training Program in Liberia, 2015-2018
Journal of Interventional Epidemiology and Public Health
liberia
strengthening
epidemiology
surveillance
title The Frontline Field Epidemiology Training Program in Liberia, 2015-2018
title_full The Frontline Field Epidemiology Training Program in Liberia, 2015-2018
title_fullStr The Frontline Field Epidemiology Training Program in Liberia, 2015-2018
title_full_unstemmed The Frontline Field Epidemiology Training Program in Liberia, 2015-2018
title_short The Frontline Field Epidemiology Training Program in Liberia, 2015-2018
title_sort frontline field epidemiology training program in liberia 2015 2018
topic liberia
strengthening
epidemiology
surveillance
url https://www.afenet-journal.net/content/series/4/1/2/full/
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