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Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda
Background: Low-income countries with relatively weak-health systems are highly vulnerable to public health threats. Effective public health system with a workforce to investigate outbreaks can reduce disease impact on livelihoods and economic development. Building effective public health partnershi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534252/ https://www.ncbi.nlm.nih.gov/pubmed/31117889 http://dx.doi.org/10.1080/16549716.2019.1609825 |
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author | Ario, Alex Riolexus Bulage, Lilian Kadobera, Daniel Kwesiga, Benon Kabwama, Steven N. Tusiime, Patrick Wanyenze, Rhoda K. |
author_facet | Ario, Alex Riolexus Bulage, Lilian Kadobera, Daniel Kwesiga, Benon Kabwama, Steven N. Tusiime, Patrick Wanyenze, Rhoda K. |
author_sort | Ario, Alex Riolexus |
collection | PubMed |
description | Background: Low-income countries with relatively weak-health systems are highly vulnerable to public health threats. Effective public health system with a workforce to investigate outbreaks can reduce disease impact on livelihoods and economic development. Building effective public health partnerships is critical for sustainability of such a system. Uganda has made significant progress in responding to emergencies during the past quarter century, but its public health workforce is still inadequate in number and competency. Objectives: To reinforce implementation of priority public health programs in Uganda and cultivate core capacities for compliance with International Health Regulations. Methods: To develop a competent workforce to manage epidemics and improve disease surveillance, Uganda Ministry of Health (MoH) established an advanced-level Field Epidemiology Training Program, called Public Health Fellowship Program (PHFP); closely modelled after the US CDC’s Epidemic Intelligence Service. PHFP is a 2-year, full-time, non-degree granting program targeting mid-career public health professionals. Fellows spend 85% of their field time in MoH placements learning through service delivery and gaining competencies in major domains. Results: During 2015–2018, PHFP enrolled 41 fellows, and graduated 30. Fellows were placed in 19 priority areas at MoH and completed 235 projects (91 outbreaks, 12 refugee assessments, 50 surveillance, and 60 epidemiologic studies, 3 cost analysis and 18 quality improvement); made 194 conference presentations; prepared 63 manuscripts for peer-reviewed publications (27 published as of December 2018); produced MoH bulletins, and developed three case studies. Projects have resulted in public health interventions with improvements in surveillance systems and disease control. Conclusion: During the 4 years of existence, PHFP has contributed greatly to improving real-time disease surveillance and outbreak response core capacities. Enhanced focus on evidence-based targeted approaches has increased effectiveness in outbreak response and control, and integration of PHFP within MoH has contributed to building a resilient and sustainable health system in Uganda. |
format | Online Article Text |
id | pubmed-6534252 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-65342522019-05-31 Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda Ario, Alex Riolexus Bulage, Lilian Kadobera, Daniel Kwesiga, Benon Kabwama, Steven N. Tusiime, Patrick Wanyenze, Rhoda K. Glob Health Action Capacity Building Background: Low-income countries with relatively weak-health systems are highly vulnerable to public health threats. Effective public health system with a workforce to investigate outbreaks can reduce disease impact on livelihoods and economic development. Building effective public health partnerships is critical for sustainability of such a system. Uganda has made significant progress in responding to emergencies during the past quarter century, but its public health workforce is still inadequate in number and competency. Objectives: To reinforce implementation of priority public health programs in Uganda and cultivate core capacities for compliance with International Health Regulations. Methods: To develop a competent workforce to manage epidemics and improve disease surveillance, Uganda Ministry of Health (MoH) established an advanced-level Field Epidemiology Training Program, called Public Health Fellowship Program (PHFP); closely modelled after the US CDC’s Epidemic Intelligence Service. PHFP is a 2-year, full-time, non-degree granting program targeting mid-career public health professionals. Fellows spend 85% of their field time in MoH placements learning through service delivery and gaining competencies in major domains. Results: During 2015–2018, PHFP enrolled 41 fellows, and graduated 30. Fellows were placed in 19 priority areas at MoH and completed 235 projects (91 outbreaks, 12 refugee assessments, 50 surveillance, and 60 epidemiologic studies, 3 cost analysis and 18 quality improvement); made 194 conference presentations; prepared 63 manuscripts for peer-reviewed publications (27 published as of December 2018); produced MoH bulletins, and developed three case studies. Projects have resulted in public health interventions with improvements in surveillance systems and disease control. Conclusion: During the 4 years of existence, PHFP has contributed greatly to improving real-time disease surveillance and outbreak response core capacities. Enhanced focus on evidence-based targeted approaches has increased effectiveness in outbreak response and control, and integration of PHFP within MoH has contributed to building a resilient and sustainable health system in Uganda. Taylor & Francis 2019-05-23 /pmc/articles/PMC6534252/ /pubmed/31117889 http://dx.doi.org/10.1080/16549716.2019.1609825 Text en © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Capacity Building Ario, Alex Riolexus Bulage, Lilian Kadobera, Daniel Kwesiga, Benon Kabwama, Steven N. Tusiime, Patrick Wanyenze, Rhoda K. Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda |
title | Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda |
title_full | Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda |
title_fullStr | Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda |
title_full_unstemmed | Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda |
title_short | Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda |
title_sort | uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in uganda |
topic | Capacity Building |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534252/ https://www.ncbi.nlm.nih.gov/pubmed/31117889 http://dx.doi.org/10.1080/16549716.2019.1609825 |
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