撒哈拉以南非洲现场流行病学能力建设:非洲传染病现场流行病学和生物统计学研究金方案的研究结果。

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Advances in Medical Education and Practice Pub Date : 2025-07-19 eCollection Date: 2025-01-01 DOI:10.2147/AMEP.S523703
Jimmy Patrick Alunyo, George Paasi, Alex Riolexus Ario, Peter Olupot-Olupot
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引用次数: 0

摘要

背景:新发和再发传染病(EREIDs)仍然是全球主要的公共卫生威胁,特别是在撒哈拉以南非洲(SSA),那里脆弱的卫生系统、不足的基础设施和有限的劳动力培训加剧了脆弱性。乌干达是公认的疫情热点,由于人为因素和环境因素,它面临着越来越大的风险。为了解决严重的能力差距,乌干达启动了非洲传染病流行病学和生物统计学研究金,这是乌干达在传染病领域流行病学领域的第一个硕士项目。该项目由Busitema大学牵头,与国内和国际合作伙伴合作,由EDCTP-II (CSA2020E)资助。方法:IDEA奖学金将理论指导与针对国家卫生重点的实地考察和研究相结合。在非洲疾病预防控制中心、乌干达卫生部和英国机构的支持下,活动包括疫情调查、疾病建模和监测。对SSA的202名公共卫生专业人员进行了基于redcap的调查,以评估培训需求、技能差距和障碍。数据分析采用描述性统计和专题分析。结果:该方案培训了15名硕士级研究员,加强了乌干达监测、早期发现和疫情应对方面的能力。调查结果显示,55.4%的专业人员需要进一步培训,在人畜共患疾病管理(64.4%)、疫情防范(64.9%)和数据管理(59.4%)方面存在技能缺口。主要障碍包括诊断能力有限(73.8%)和合作薄弱(49.5%)。定性研究结果强调了不一致的指导、有限的数据访问和有限的实地工作资金。受访者支持结构化指导、较长的培训时间(≥3-6个月)和混合交付模式(42.3%)。结论:IDEA奖学金为SSA的传染病能力建设提供了一个可扩展的模式。在当地背景下培训非洲科学家可以促进相关性、留任和成本效益。区域扩张、跨部门合作和系统投资对于可持续的流行病防范和全球卫生安全至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Capacity Building in Field Epidemiology in Sub Saharan Africa: Findings from Infectious Disease Field Epidemiology and Biostatistics in Africa (IDEA) Fellowship Program.

Capacity Building in Field Epidemiology in Sub Saharan Africa: Findings from Infectious Disease Field Epidemiology and Biostatistics in Africa (IDEA) Fellowship Program.

Background: Emerging and re-emerging infectious diseases (EREIDs) remain a major public health threat globally, particularly in sub-Saharan Africa (SSA), where fragile health systems, inadequate infrastructure, and limited workforce training exacerbate vulnerabilities. Uganda, a recognised hotspot for outbreaks, faces increasing risk due to anthropogenic and environmental drivers. To address critical capacity gaps, the Infectious Disease Epidemiology and Biostatistics in Africa (IDEA) Fellowship was launched as Uganda's first master's-level programme in infectious disease field epidemiology. Led by Busitema University, in collaboration with national and international partners, the programme was funded through EDCTP-II (CSA2020E).

Methods: The IDEA Fellowship combined theoretical instruction with fieldwork and research tailored to national health priorities. Activities included outbreak investigations, disease modelling, and surveillance, supported by Africa CDC, Uganda's Ministry of Health, and UK institutions. A REDCap-based survey was administered to 202 public health professionals across SSA to assess training needs, skill gaps, and barriers. Data were analysed using descriptive statistics and thematic analysis.

Results: The programme trained 15 master 's-level fellows, strengthening Uganda's capacity in surveillance, early detection, and outbreak response. Survey results showed that 55.4% of professionals required further training, with skill gaps in zoonotic disease management (64.4%), outbreak preparedness (64.9%), and data management (59.4%). Key barriers included limited diagnostic capacity (73.8%) and weak collaboration (49.5%). Qualitative findings highlighted inconsistent mentorship, restricted data access, and limited funding for fieldwork. Respondents advocated for structured mentorship, longer training durations (≥3-6 months), and hybrid delivery models (42.3%).

Conclusion: The IDEA Fellowship demonstrates a scalable model for infectious disease capacity building in SSA. Training African scientists in local contexts promotes relevance, retention, and cost-effectiveness. Regional expansion, cross-sector collaboration, and systemic investment are essential for sustainable epidemic preparedness and global health security.

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来源期刊
Advances in Medical Education and Practice
Advances in Medical Education and Practice EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.10
自引率
10.00%
发文量
189
审稿时长
16 weeks
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