Four years into the Indian ocean field epidemiology training programme

• Published in: The Pan African medical journal Vol. 26; no. 195; p. 195
• Main Authors: Halm, Ariane, Seyler, Thomas, Mohamed, Sainda, Ali Mbaé, Saindou Ben, Randrianarivo-Solofoniaina, Armand Eugène, Ratsitorahina, Maherisoa, Nundlall, Ram, Aboobakar, Shahina, Bibi, Jastin, Filleul, Laurent, Piola, Patrice, Razafimandimby, Harimahefa, Rasamoelina, Harena, Valenciano, Marta, Moren, Alain, Cardinale, Eric, Lepec, Richard, Flachet, Loïc
• Format: Journal Article
• Language: English
• Published: Uganda African Field Epidemiology Network 2017; Pan African Medical Center for Public Health Research and Information; The African Field Epidemiology Network; The Pan African Medical Journal
• Subjects: Chikungunya Fever - epidemiology; Disease Outbreaks - prevention & control; Epidemiology; Epidemiology - education; epidemiology training; fetp; Humans; Indian Ocean; Life Sciences; Population Surveillance; Program Development; Program Evaluation; Public health; Public Health - education; public health preparedness; regional surveillance; epidemiology training; FETP; Public Health preparedness; regional surveillance; problème de santé publique; maurice; seychelles; épidémiologie; chikungunya; comores; madagascar; réseau de surveillance; public health preparedness; la réunion
• ISSN: 1937-8688; 1937-8688
• DOI: 10.11604/pamj.2017.26.195.10358

Following the 2005-6 chikungunya outbreak, a project to strengthen regional Public Health preparedness in the Indian Ocean was implemented. It includes the Comoros, Madagascar, Mauritius, Reunion (France) and Seychelles. A Field Epidemiology Training Programme (FETP-OI) was started in 2011 to develop a pool of well-trained intervention epidemiologists. The FETP-OI consists of two years of supervised, learning-by-doing, on-the-job training at national sites involved in disease surveillance and response. It includes work placements at the Madagascar Pasteur Institute and the French regional epidemiology unit in Reunion and up to three training courses per year. Training objectives include epidemiological surveillance, outbreak investigations, research studies, scientific communication and transfer of competencies. In four years, two cohorts of in total 15 fellows originating from four countries followed the FETP-OI. They led 42 surveillance projects (71% routine management, 14% evaluations, 12% setup, 3% other) and investigated 36 outbreak alerts, 58% of them in Madagascar; most investigations (72%) concerned foodborne pathogens, plague or malaria. Fellows performed 18 studies (44% descriptive analyses, 22% disease risk factors, and 34% on other subjects), and presented results during regional and international conferences through 26 oral and 15 poster presentations. Four articles were published in regional Public Health bulletins and several scientific manuscripts are in process. The FETP-OI has created a regional force of intervention consisting of field epidemiologists and trained supervisors using the same technical language and epidemiological methods. The third cohort is now ongoing. Technically and financially sustainable FETP-OI projects help addressing public health priorities of the Indian Ocean.