Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014

Details for Mechanism ID: 14530
Country/Region: Botswana
Year: 2013
Main Partner: African Field Epidemiology Network
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $20,000

The African Field Epidemiology Network (AFENET), created in 1975, is a non-profit organization and networking alliance dedicated to helping Ministries of Health (MOHs) in Africa build strong, effective, sustainable programs and capacity to improve public health systems on the African continent. The AFENET secretariat, which oversees the organization's day-to-day activities, is located in Kampala, Uganda. AFENET works with MOHs and other public health institutions to strengthen their countries epidemiology workforce through Field Epidemiology Training Programs (FETPs) and Field Epidemiology and Laboratory Training Programs (FELTPs), which are residency-based programs in applied epidemiology and laboratory practice. A combination of classroom-based instruction and mentored practical work allows residents to receive hands-on multi-disciplinary training in public health surveillance, outbreak investigation, laboratory management, program evaluation, and other aspects of epidemiology research and methods.

AFENETs objectives are: 1) to strengthen field epidemiology capacity in Africa, 2) Enhance public health laboratory capacity in Africa, 3) Strengthen surveillance systems for priority communicable and non-communicable diseases (including maternal and child health, HIV/AIDS, tuberculosis, malaria), and 4) Advance the sharing of regional expertise in field epidemiology and laboratories.

AFENET will help Botswana develop an FELTP by providing logistical and technical support.

Funding for Health Systems Strengthening (OHSS): $20,000

The Botswana Ministry of Health (MOH) does not have a trained public health workforce or surveillance and response system that can respond to routine public health work or public health emergencies. While there are trained personnel in the country, they are not being used optimally in disease surveillance and response and the MOH has not developed a career path for this cadre within the health workforce. MOH is implementing a multi-disease surveillance and response strategy through the Integrated Disease Surveillance Report without a trained public health workforce in place at all levels of service delivery. Since 1975, CDC has collaborated with Ministries of Health around the world to enhance international public health capacity through FELTPs. The FETP was modeled after the Epidemic Intelligence Service (EIS) and has since evolved to include the laboratory component. FELTPs nurture a culture of evidence-based decision-making as program graduates investigate disease outbreaks, strengthen surveillance and laboratory systems, and serve as mentors for future public health officers in their country. FELTPs are tailored to strengthen public health capacity in accordance with each countrys culture, national priorities, established relationships, and existing public health infrastructure. AFENET is the CDC partner that implements FELTPs and provides technical assistance. There is considerable interest in starting an FELTP in Botswana, particularly in the joint training of field epidemiologists and public health laboratorians. The MOH and the U.S. Centers for Disease Control and Prevention (CDC) are collaborating to develop a public health laboratory which will need a trained workforce. There is a desire to match both the two-year and the short course FELTP training components to actual public health positions (existing and new) that will improve public health surveillance and response systems in Botswana. The University of Botswana (UB) and the MOH are developing a School of Public Health that could be a suitable venue for the two-year FELTP. There will need to be alignment between the FELTP and the existing postgraduate public health programs at UB. The UB School of Medicine is also a recipient of the Medical Education Partnership Initiative and will also have a role to play in FELTP. In addition, the diploma-level health training institutes have a rich history of training nurses, medical laboratory technologists, and other cadres that are currently providing public health service. These institutes could be involved in the short course component of the FELTP. A FELTP pre-assessment was conducted in Botswana in February 2011. This will be followed by a more rigorous assessment in February 2012. It the interim conducting short course trainings will help fill the gap by training health care professionals at the district level and providing some of the basics of field epidemiology until the FELTP is developed. In 2012, 30 health workers will be strategically selected to undergo the training. Short courses are generally two weeks in length followed by a three month project and covers: Outbreak Investigation, Surveillance Evaluation, Quality Laboratory Management, and Public Health Laboratory for Epidemiologists.

This is a focused HSS intervention with linkages to all other technical areas and will benefit PMTCT which is experiencing challenges with periodic diarrhea outbreaks and high infant morbidity and mortality.

Cross Cutting Budget Categories and Known Amounts Total: $20,000
Human Resources for Health $20,000