Evaluation of the Yemen Field Epidemiology Training Program

  • Program Monitoring and Evaluation
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Background
Evaluation of training programs is crucial to gain knowledge about whether they have achieved objectives and to improve outcomes. Purpose: Ascertain how far Y-FETP has achieved its objectives and how to improve outcomes.

Methods
The evaluation depended on Kirkpatrick’s model and concentrated on levels 3 and 4. Data were collected using desk review; qualitative methods (including Focus Group Discussion with Y-FETP staff, and 20 Individual In-depth interviews with key ministry, organization and program staff (response rate of 87.5%); and online survey for the 43 Y-FETP graduates (response rate 70%). Qualitative data transcribed/analyzed using explanatory quotations and survey data were analyzed using descriptive methods.

Results
Desk review showed that Y-FETP covered 18(81.8%) out of the 22 governorates. Graduates conducted >171 outbreaks investigation, 138 surveillance system’ analyses/ evaluations and 53planned studies. Qualitative findings showed that Y-FETP has helped building capacities to respond to outbreaks thus reducing morbidity/mortality; providing evidence-based data for decision-making; and increased awareness about public health issues through publishing >50 articles and 155conference’ abstracts. Eighty percent of graduates reported that Y-FETP helped them much to perform outbreaks investigations, surveillance analysis/evaluation, public health communication and basic statistical methods. Furthermore, 70 to 90% of graduates rated their skills in the above domains as good. After graduation, nearly all graduates are participating in outbreak investigation e.g., for COVID-19, cholera, and diphtheria. However, the evaluation revealed that Y-FETP is depend solely on donors thus, sustainability is uncertain. Moreover, few Y- FETP graduates are engaged in policy/strategy development, managerial/administrative issues and using laboratory and advance statistical methods to support public health.

Conclusion
Although Y-FETP has achieved its objectives, finding ways to ensure sustainability through partnership, self-sponsorship, and service provision/consultancies should be considered. Finally, Y-FETP should revisit its curriculum to strengthen residents’ capacities in policy/strategy development, managerial/administrative issues and using laboratory and advance statistical methods to support public health.

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