{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:18:57Z","timestamp":1790039937979,"version":"4.0.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T00:00:00Z","timestamp":1612396800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["NU2GGH001304-03-00"],"award-info":[{"award-number":["NU2GGH001304-03-00"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Sub-Saharan Africa faces a shortage of skilled epidemiologists to prevent, detect, and respond to health threats. Tanzania has implemented one of the first Centers for Disease Control and Prevention Field Epidemiology Training Program (FETP) Intermediate courses in Africa. This course aims to strengthen health workforce capacity in surveillance system assessment, outbreak investigation, and evaluation, prioritizing HIV control. We conducted an outcome evaluation of this new course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used a pre\/post evaluation design using data from 4 cohorts of trainees who took the FETP Intermediate course from 2017 to 2020. We conducted knowledge assessments before and after each cohort and combined those results. Outcomes included knowledge and self-rated competency and trends in integrated disease surveillance and response (IDSR) data. We collected data through tests, field assignments, exit interviews, and data audits. We compared the mean change in pre-\/posttest scores using linear regression and 95% CIs. We used content analysis to summarize exit interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-three FETP trainees from 10 regions enrolled in the FETP Intermediate course, and 52 (99.0%) completed the course. We found substantial increases in mean knowledge (44.0 to 68.0 points) and self-rated competency (4.14 to 4.43) scores before and after the course. Trainees evaluated 52 surveillance systems and 52 district HIV care programs, and 39 (75.0%) trainees participated in outbreak investigations. From before to after cohort 1, timeliness and completeness of IDSR reports increased from 4.2% to 52.1% and from 27.4% to 76.5%, respectively. Course strengths were quality of instruction, individualized mentoring, and practical skills gained. Challenges were mentor availability, limited time for data analysis practice, and balancing work and field assignments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Tanzania FETP Intermediate course substantially improved trainee knowledge and helped to improve local data quality and reporting. This course is a promising model to strengthen subnational capacity to prevent, detect, and respond to public health threats in Africa.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354920974663","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T03:07:30Z","timestamp":1612840050000},"page":"575-583","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Evaluation of a New Field Epidemiology Training Program Intermediate Course to Strengthen Public Health Workforce Capacity in Tanzania"],"prefix":"10.1177","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1233-5724","authenticated-orcid":false,"given":"Kate","family":"Wilson","sequence":"first","affiliation":[{"name":"Department of Global Health, International Training and Education Center for Health (I-TECH), University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Juya","sequence":"additional","affiliation":[{"name":"I-TECH Tanzania, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Abade","sequence":"additional","affiliation":[{"name":"Ministry of Health, Community Development, Gender, Elderly and Children\/Tanzania Field Epidemiology Training Program, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senga","family":"Sembuche","sequence":"additional","affiliation":[{"name":"Ministry of Health, Community Development, Gender, Elderly and Children\/Tanzania Field Epidemiology Training Program, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devotha","family":"Leonard","sequence":"additional","affiliation":[{"name":"I-TECH Tanzania, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Harris","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Perkins","sequence":"additional","affiliation":[{"name":"Division of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stella","family":"Chale","sequence":"additional","affiliation":[{"name":"I-TECH Tanzania, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Bakari","sequence":"additional","affiliation":[{"name":"Ministry of Health, Community Development, Gender, Elderly and Children\/Tanzania Field Epidemiology Training Program, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janneth","family":"Mghamba","sequence":"additional","affiliation":[{"name":"Ministry of Health, Community Development, Gender, Elderly and Children\/Tanzania Field Epidemiology Training Program, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Kohler","sequence":"additional","affiliation":[{"name":"Department of Global Health, International Training and Education Center for Health (I-TECH), University of Washington, Seattle, WA, USA"},{"name":"Department of Child, Family, and Population Health, School of Nursing, University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,2,4]]},"reference":[{"key":"bibr1-0033354920974663","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60858-3"},{"key":"bibr2-0033354920974663","doi-asserted-by":"publisher","DOI":"10.3201\/eid2313.170509"},{"key":"bibr3-0033354920974663","unstructured":"World Health Organization. Everybody\u2019s business\u2014strengthening health systems to improve health outcomes: WHO\u2019s framework for action. 2007. 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