Established in 2004, the Kenya Field Epidemiology and Laboratory Training Program (K-FELTP) is a Division within the Department of Preventive and Promotive Health (DPPH) in the Ministry of Health (MOH). It’s mandate is to increase epidemiologic capacity within Kenya. The program started as collaboration between the MoH and the U.S. Centers for Disease Control and Prevention (CDC) in recognition of need to have skilled public health workforce that support the surveillance systems, respond to public health emergencies and use data for decision making.
The program was accredited by The Task Force Of Global Health (TEPHINET) in 2017 and is one of the first two programs to be accredited in Africa. Trainings undertaken by the program.
1. Advanced Level Training
The Advanced level Field Epidemiology Training offered by the Kenya FELTP is a two-year training in Master’s Degree awarding programme in field and applied epidemiology and public health leading to an MSc in Field Epidemiology from Moi University. This training was designed in recognition of the need to strengthen the epidemiologic capacity to meet the challenges of the emerging infectious and non-infectious diseases and other public health problems in Kenya.
The training is offered by the Ministry Health in collaboration with Moi University, School of Public Health and the US Centers for Disease Control and Prevention. The FELTP Advance Level Training places emphasis on service, providing real results to the health sector as the residents complete their field competencies.
The program involves 25% classroom instruction and 75% field assignments. Residents spend 20 months of full-placement at various sections in the MOH or other institutions. They frequently travel to all parts of Kenya to conduct disease investigations, surveillance evaluations, surveys, and applied research on national health problems. In addition, residents undertake 4 months of intensive classroom instruction in Nairobi, with courses in epidemiology, communications, economics, and management.
The training is designed in a way that learning through discrete classroom based lectures and case studies must be applied during larger periods of field placement. The field epidemiology component is similar to programmes that have been established in over 25 other countries and is modeled after the U.S. Centers for Disease Control and Prevention’s (CDC) 2 year Epidemic Intelligence Service (EIS) training programme. Successful completion of the advance level training will require completion of academic requirements as well as field placement and competency requirements.
2. Basic Level Epidemiology Training
In recognition of the need to have the frontline health workers at the health facility, sub-county and county levels, who can use surveillance data for decision making, conduct data quality assessment as a routine and be able to detect, report and respond to unusual public health events, the program started two additional levels of epidemiology training in 2014.
- Three months basic epidemiology training
- Started in 2014
- Due to recognition of need to train frontline health workers
- Use of data for decision making and response to acute public health events
- Vet slotted in all training
- So far trained over 400 heath workers across the country
- Trainings on going
- Focused to cover all counties
3. Intermediate Level Epidemiology Training
- Six months on job training
- Graduates of basic are eligible
- The graduates of intermediate level training can;
- Undertake more advanced analysis,
- Undertake outbreak investigations
- Conduct DQA
- Conceive and implement operational research
- Work with graduates of basic to improve use of data and response to outbreaks
- Graduates( from various counties)
- Fourth cohort in session
4. Improving Public Health Management for Action (IMPACT)
Improving Public Health Management for Action (IMPACT) program is an experiential training modeled on the Field Epidemiology and Laboratory Training Program (FELTP). IMPACT is comprised of two components which are the 2 years’ master’s program and the 6 months’ short course. It was designed in response to the need to strengthen the management skills of Kenyan public health professionals and to meet the challenges of the public health issues in Kenya. The IMPACT Program training places emphasis on service, providing real results to the health sector as the Fellows complete their field competencies.
The IMPACT two-year training leads to an MSc in Public Health Systems Management and Application from Kenyatta University and is offered by the Kenya Ministry of Health in collaboration with Kenyatta University School of Public Health, and The U.S. Centers for Disease Control and Prevention (CDC).
The IMPACT short course, referred to as the Distinguished Fellows Program (DFP) is a six month’s program is designed to provide intensive, advanced training to senior managers from across the Kenya Ministry of Health. Through a combination of classroom, field, and project work, IMPACT ‘Distinguished Fellows’ enhance skills and applied knowledge in key public health management competency areas. The five training sessions, cover 1) Project Management 2) Strategic Collaboration and Communication, 3) Public Health Emergency Response and Preparedness, 4) Operations in Public Health, and 5) a Final Symposium: Group Case Study. The training classes are carried out in collaboration with the Kenya School of Government, the Ministry of Health and the Centers for Disease Control and Prevention.
IMPACT DFP :
We have successfully graduated 3 cohorts of the DFP course. The participants have been MOH senior level managers from both the national and county levels.
The first cohort started class on 20th June, 2016 immediately after the programme launch which was held at the Kenya School of Government. The class comprised fifteen (15) participants representing 6 counties and 9 participants from the national level.
The second cohort started class in November, 2017 with fifteen (15) participants representing 12 counties. This class graduated in April, 2018.
The third cohort also had 15 participants representing 11 counties and 1 participant was from national level. This class graduated in January 2019 after being in class from August, 2018.
IMPACT Master’s course :
The master’s course has also had three cohorts so far with one cohort having successfully graduated from IMPACT in January, 2019.
The course was launched on 8th February, 2017. For 2-year course, the training is designed in a way that learning takes place through discrete, classroom-based lectures and case studies, as well as service-based training that occurs during periods of field placement. The students are placed at field sites that are different from their previous work sites. This is so as to enable them get new field experience as well as to ensure that they are able to complete the for IMPACT core activities for learning (CALs). At their field site, they each have a mentor and a supervisor who supervises them and guides them to ensure that they complete all the expected deliverables. All the mentors and supervisors are graduates from the IMPACT DFP and/or FELTP.
Cohort 1 had eight (8) fellows who were previously stationed at the national and county level. The class had a cadre mix of Medical officers, clinical officers, lab techs. This cohort graduated from IMPACT in January, 2019 and will be graduating from Kenyatta University in July 2019.
Cohort 2 fellows joined the programme in February, 2018. The eight (8) fellows were previously stationed at national and county levels and the cadres represented in this class are Medical officers, nurses, lab techs, and public health officer. They are expected to graduate from Kenyatta University in December, 2019.
Cohort 3 fellows joined in November 2018. These eight fellows were also previously stationed at national and county levels. They also represent various cadres from medical officers, pharmacist, nurses, clinical officers, public health officers, and nurses. They are expected to graduate from Kenyatta University in December, 2020.
IMPACT symposium :
The cohort 1 master’s class travelled to Atlanta, USA in January 2018 to present at the annual IMPACT symposium.
The cohort 2 class presented at the Africa Health Agenda International Conference (AHAIC) 2019 which was held in Kigali Rwanda in March 2019.
5. Birth Defects Training
Birth defects are a leading cause of morbidity and mortality worldwide, especially in low and middle income countries. This project funded through the CDC National Centre on Birth Defects and Developmental Disabilities aims to advance birth defect monitoring and prevention efforts in Kenya by enhancing the existing birth defects surveillance in Pumwani Maternity Hospital, Kilifi County referral Hospital and Nyamira County Referral Hospital and establishing new surveillance systems in at least one high volume birthing hospital in Nakuru County.
Until the establishment of the Birth defects surveillance project at Pumwani Maternity Hospital, the Ministry of Health did not have a mechanism of capturing case based data on birth defects or evaluating the effectiveness of the country's fortification intervention strategies.
Moi University-College of Health Sciences/School of Public Health
The College of Health Sciences, Moi University is located in Eldoret town next to and within the Moi Teaching and Referral Hospital. It was established as the first College campus of Moi University on 20th September 2011 during the inauguration of the first Principal. The establishment of the College of health Sciences is in line with the Moi university strategic plan of 2005-2015.
The College started as a Faculty of Health Sciences in 1989 and the first cohort of 40 students was admitted in 1990. The College has experienced phenomenal growth from its initial one faculty to a total of four Schools (Schools of Medicine, Public Health, Dentistry and Nursing). It has a student population of about 2,000 with a staff complement of over 500 of whom about 170 are academic staff. The College offers both undergraduate and postgraduate programs including doctorate degrees
The School of Public Health (SPH) was established in 1998 in recognition of the need for human resource development in public health at undergraduate and postgraduate level. The academic programmes of the School are tailored to not only meet the Country’s Vision 2030 and University's mission but also demands by employers for health professionals with adequate knowledge, practical skills and appropriate attitude to address priority public health problems and policy issues in Kenya and beyond.
The vision of the School is to become a regional and international centre for excellence in the training, research, practice and consultancy in Public Health
The US Centers for Disease Control and Prevention (CDC) is recognized as the lead U.S. agency for protecting the health and safety of people, providing credible information to enhance health decisions, and promoting health through strong partnerships. CDC serves as the national focus for developing and applying disease prevention and control, environmental health, and health promotion and education activities designed to improve the health of the people of the United States.
CDC’s international activities include assistance with system design, outbreak response, capacity building, and assistance with priority health problems such as malaria, HIV/AIDS, diabetes or injuries.
AFENET is a non-profit networking and service alliance of Field Epidemiology (and Laboratory) Training Programs (FELTPs), and other applied epidemiology training programs. AFENET has operations in over 31 countries in Sub-Saharan Africa or the World Health Organisation Africa Region (WHO – AFRO). Established in 2005, AFENET is dedicated to helping Ministries of Health in Africa build strong, effective, sustainable programs and capacity to improve public health systems on the African continent.
The network’s goal is to strengthen field epidemiology and public health laboratory capacity to contribute effectively to addressing epidemics and other major public health problems in Africa.
Instruction is provided by accomplished experts in the field, including the resident advisors for epidemiology and laboratory management, CDC-Kenya staff, CDC-Atlanta consultants, MOH experts, invited guest lecturers from other institutions, and selected second-year residents.