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Training and Service in Public Health Nigeria Field Epidemiology and Laboratory Training 2008 – 2014

机译:2008 – 2014年尼日利亚公共卫生方面的培训和服务现场流行病学和实验室培训

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摘要

The health workforce is one of the key building blocks for strengthening health systems. There is an alarming shortage of curative and preventive health care workers in developing countries many of which are in Africa. Africa resultantly records appalling health indices as a consequence of endemic and emerging health issues that are exacerbated by a lack of a public health workforce. In low-income countries, efforts to build public health surveillance and response systems have stalled, due in part, to the lack of epidemiologists and well-trained laboratorians. To strengthen public health systems in Africa, especially for disease surveillance and response, a number of countries have adopted a competency-based approach of training - Field Epidemiology and Laboratory Training Program (FELTP). The Nigeria FELTP was established in October 2008 as an inservice training program in field epidemiology, veterinary epidemiology and public health laboratory epidemiology and management. The first cohort of NFELTP residents began their training on 20th October 2008 and completed their training in December 2010. The program was scaled up in 2011 and it admitted 39 residents in its third cohort. The program has admitted residents in six annual cohorts since its inception admitting a total of 207 residents as of 2014 covering all the States. In addition the program has trained 595 health care workers in short courses. Since its inception, the program has responded to 133 suspected outbreaks ranging from environmental related outbreaks, vaccine preventable diseases, water and food borne, zoonoses, (including suspected viral hemorrhagic fevers) as well as neglected tropical diseases. With its emphasis on one health approach of solving public health issues the program has recruited physicians, veterinarians and laboratorians to work jointly on human, animal and environmental health issues. Residents have worked to identify risk factors of disease at the human animal interface for influenza, brucellosis, tick-borne relapsing fever, rabies, leptospirosis and zoonotic helminthic infections. The program has been involved in polio eradication efforts through its National Stop Transmission of Polio (NSTOP). The commencement of NFELTP was a novel approach to building sustainable epidemiological capacity to strengthen public health systems especially surveillance and response systems in Nigeria. Training and capacity building efforts should be tied to specific system strengthening and not viewed as an end to them. The approach of linking training and service provision may be an innovative approach towards addressing the numerous health challenges.
机译:卫生人力是加强卫生系统的关键组成部分之一。在发展中国家,其中许多在非洲,缺乏治疗和预防保健人员,这令人震惊。因此,由于地方性和新出现的健康问题,非洲的健康指数令人吃惊,由于缺乏公共卫生队伍而加剧了健康指数。在低收入国家,由于缺乏流行病学家和训练有素的实验室医师,建立公共卫生监测和应对系统的努力已停止。为了加强非洲的公共卫生系统,特别是在疾病监测和应对方面,许多国家采用了基于能力的培训方法-现场流行病学和实验室培训计划(FELTP)。尼日利亚FELTP成立于2008年10月,是针对现场流行病学,兽医流行病学以及公共卫生实验室流行病学和管理的在职培训计划。第一批NFELTP居民于2008年10月20日开始接受培训,并于2010年12月完成培训。该计划于2011年扩大规模,其第三批成员接纳了39名居民。自计划启动以来,该计划已招收了六个年度队列的居民,截至2014年,该计划共接纳207个居民,覆盖所有州。此外,该计划还对595名卫生保健工作者进行了短期培训。自成立以来,该计划已对133起可疑疫情做出了反应,包括与环境有关的疫情,可预防疫苗的疾病,水和食源性疾病,人畜共患病(包括疑似病毒性出血热)以及被忽视的热带病。该计划着重于解决公共卫生问题的一种健康方法,已招募了医师,兽医和实验室医师,共同致力于人类,动物和环境卫生问题。居民们努力确定人类动物界面上的流行性感冒,布鲁氏菌病,壁虱传播的复发性发热,狂犬病,钩端螺旋体病和人畜共患性蠕虫感染的危险因素。该计划通过其全国小儿麻痹症传播计划(NSTOP)参与了根除脊髓灰质炎的工作。 NFELTP的启动是一种建立可持续流行病学能力的新颖方法,可用来加强尼日利亚的公共卫生系统,尤其是监视和响应系统。培训和能力建设工作应与特定系统的加强联系在一起,而不应视为它们的目的。将培训和服务提供联系起来的方法可能是应对众多健康挑战的创新方法。

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