Detailed Mechanism Funding and Narrative

Years of mechanism: 2009 2010 2011

Details for Mechanism ID: 12207
Country/Region: Tanzania
Year: 2009
Main Partner: African Field Epidemiology Network
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $1,035,000

Funding for Health Systems Strengthening (OHSS): $1,035,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

The Field Epidemiology and Laboratory Training Program (FELTP) was initiated in FY 2008 and was well

received by the public health community in Tanzania. The activities undertaken in FY 2008 concentrated on

building the foundation of the program. The major achievements for FY 2008 include approval of the Master

of Science course (MSc) by Muhimbili University School of Health and Allied Sciences (MUHAS);

enrollment of the first cohort of 11 Msc resident students; and the formation of a steering committee to

provide oversight on all matters related the goals and policies of the FELTP. The program has also begun

collaborating with the Tanzania Phones for Health program, a public-private partnership, to strengthen

better management of and timely reporting on disease outbreaks.

In FY 2009 the FELTP program will step up support for training and will greatly increase the intake of

students. The FELTP will support year two of training for the 11 students who enrolled in FY 2008. The

program will also support a second cohort of 10 new students (of whom five students will be epidemiology

students and five will be laboratory students). In addition, 60 students will participate in trainings provided

through short courses. Overall a toal of 81 students will receive training through the FELTP in FY 2009. In

FY 2009 the FELTP will continue to focus on provision of practical field-based training and on ensuring the

training provided by faculity is of the highest quality.

*END ACTIVITY MODIFICATION*

TITLE: Establishment of Tanzania Field Epidemiology and Laboratory Training Program (FELTP)

NEED and COMPARATIVE ADVANTAGE: The Tanzanian Ministry of Health and Social Welfare (MOHSW)

has identified a need at the national, regional, and district levels to develop a cadre of competent field

epidemiologists and public health laboratory managers who will help strengthen surveillance and the public

health response to priority communicable and non-communicable diseases particularly HIV/AIDS. To build

this capacity the MOHSW will establish a FELTP in Tanzania.

Tanzania Field Epidemiology and Laboratory Training Program (FELTP) is an applied epidemiology

program that helps countries develop and implement dynamic public health strategies to improve and

strengthen their public health system and their infrastructure. Currently South Africa and Kenya have

established programs. The Kenyan FELTP program, which will graduate four Tanzanians next year, is

unable to continue to accept Tanzanians into its program as the demand for space is so high.

The vision is to build a sustainable and independent program that will provide graduate training. The

program will be funded by PEPFAR, President's Malaria Initiative, and other bilateral partners. Graduates

of the program will be public health leaders in disease control and prevention and public health laboratory

management. They will be able to investigate disease outbreaks, strengthen surveillance and routine

program monitoring and laboratory systems, and serve as mentors to others. FELTP differs from traditional

trainings as students spend 75 percent of the second year undertaking practical fieldwork. The Tanzania

FELTP will be a degree granting program in collaborating with Muhimbili University of Health and Allied

Sciences (MUHAS).

ACCOMPLISHMENTS: This is a new activity for the MOHSW. However, in past years PEPFAR, through

the National Institute for Medical Research (NIMR), supported training for four Tanzanians at the Kenyan

FELTP program. Current students include: one who will return to strengthen the Zanzibar AIDS Control

Program in Zanzibar and one who will work in the Laboratory Diagnostic Unit of the MOHSW on Mainland.

These students, who will graduate in 2008, will pay a key role in the establishment of a Tanzania FELTP.

ACTIVITIES: FELTP is a two year, full-time training and service program, which involves classroom

instruction and field assignments. During the first year of the program short courses will be offered and a

cadre of ten students will be admitted. The first short course will be on routine program monitoring,

surveillance and outbreak investigation, laboratory quality assurance, as well as management. Participants

will include field epidemiologists, public health laboratory managers, and veterinary workers from various

regions working in HIV/AIDS and malaria.

Course participants will be required to conduct an applied learning project in Tanzania after which they will

present their work and receive degrees. The initial cohort of students will take classes in epidemiology,

communications, economics, management and will learn about quantitative and behavior-based strategies.

Field work will include: epidemiologic investigations and field surveys; evaluating surveillance systems; and

performing disease control and prevention measures.

FY 2008 funds will be used to support: a) ten students; b) provision of short courses; c) initial steering

committee and stakeholder meetings; d) travel cost related to FELTP seminars, outbreak, research and

surveillance evaluations, select conferences; and e) operations costs including stipends for fellows,

development and maintenance of field sites, accommodations for residents, tuition and honoraria.

An in country resident advisor for a number of years will be provided and funded through AFENET (African

Field Epidemiology Network) to help guide training and technical assistance. AFENET is a non-profit

network of organizations that share resources and best practices among FELTPs in Africa.

CDC Atlanta will provide technical assistance in the first year of the program in the form of physicians,

epidemiologists, public health advisors, instructional designers, and health communications specialists to

provide additional training and technical assistance.

LINKAGES: Developing partnerships is an important element of establishing, supporting, and sustaining the

program. Costs for establishing the Tanzanian FELTP program will be shared by African Field Epidemiology

Network (AFENET), the President's Malaria Initiative, MUHAS, NIMR, CDC Atlanta, and USAID

Washington.

Activity Narrative: SUSTAINAIBLITY: FELTP Tanzania will allow for key public health specialists to undertake training

incountry

rather than traveling abroad. FELTP graduates will be field trained epidemiologists and laboratory

managers who will be competent in practical applications of epidemiologic methods. This will lead to

sustainable improvements interventions, implementation, surveillance and epidemic investigation and

response and overall supervision of the HIV/AID epidemic.

M&E: In order to ensure that FELTP is effective in developing personal to meet the human resource

shortage in Tanzania and is a sustainable program, a system for periodic monitoring and evaluation of

outputs and outcomes is critical. The an evaluation workgroup, with input from Atlanta and field-based staff,

has developed programmatic indicators for this activity. This M&E plan will allow the MOHSW to document

program activities, monitor and evaluate the program, implement program improvements, adjust the

program to changing priorities, and ensure the program is meeting the long-term priorities. In addition, a

database has been developed to support program management and the tracking of programmatic

indicators. All PEPFAR indicators necessary will be also incorporated into the monitoring system.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16365

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16365 16365.08 HHS/Centers for The African Field 12089 12089.08 AFINET $625,000

Disease Control & Epidemiology

Prevention Network

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $1,125,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.18:

Cross Cutting Budget Categories and Known Amounts Total: $1,125,000
Human Resources for Health $1,125,000