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. 2025 Apr 14;23:20. doi: 10.1186/s12960-025-00974-9
Audience Activity Enablers/barriers
Factors that support or hinder the development of anticipated outputs, outcomes and impacts
Outputs
Products, projects or activities which result from the training program
[Public health system: outputs that affect the public health system]
Outcomes
Short-term and medium-term effects of the training program outputs
[Public health system: short-term and medium-effects on the public health system]
Impact
Longer term positive and negative, primary and secondary long-term effects produced by the training program, directly or indirectly, intended or unintended
[Public health system: longer term effects of the program on the public health system]
Public Health System Health systems strengthening through application of field epidemiology skills

Enablers

• Support from alumni network

• Sustained mentorship and supervision

• Support from managers & other government stakeholders

• Adequate infrastructure, resources and supplies to deliver public health programs

• Graduates are in decision-making roles

Barriers

• Lack of or weak public health systems

• Lack of leadership in public health

• Complicated processes that restrict public health action

Graduates embedded across all levels of the public health system, conducting projects and activities that strengthen public health systems. Graduates become junior FETP staff

Field Epidemiology Workforce

• Number/percentage of graduates placed across different tiers of health system (e.g., district, provincial, national levels)

• Number/percentage of [districts / provinces] in country with graduates

• Number/percentage of graduates employed by a government institution

• Number/percentage of graduates employed by a non-governmental organization

• Number/percentage of graduates employed by an academic institution

• Number/percentage of graduates employed in epidemiology or applied public health related positions

• Number/percentage of graduates who are members of national, regional or international public health committees or working groups

Support for Surveillance and Outbreak Response

• Number of disease surveillance systems strengthened by fellows and graduates

• Number of outbreak response systems and practices strengthened by fellows and graduates

• Number/percentage of outbreaks detected from disease surveillance systems

• Number/percentage of communicable disease outbreaks where an investigation commenced within 24, 48 and 72 h

Support for Health Systems

• Number of evidence-based recommendations implemented by fellows and graduates [Number/percentage of fellows and graduates implementing evidence-based recommendations]

• Number of policy recommendations implemented by fellows and graduates [Number/percentage of fellows and graduates implementing policy recommendations]

• Number of health program recommendations implemented by fellows and graduates [Number/percentage of fellows and graduates implementing health program recommendations]

• Number of work-related processes or procedures implemented by fellows an graduates [Number/percentage of fellows and graduates implementing work-related processes or procedures]

FETP Support

• Number/percentage of FETP trainers and mentors who are graduates of the program

• Number/percentage of FETP staff (e.g., Director, Convenor) who are graduates of the program

• FETP is recognised in official governmental/institutional planning documents

• FETP steering committee is established and functional

• Number/percentage of FETP positions fully staffed

• Percentage of FETP activities funded by national government

• FETP accredited by TEPHINET

Field Epidemiology workforce contributes to strengthening the public health system through routine application of knowledge and skills. FETP graduates support FETP as trainers and mentors

Influential Field Epi workforce

• Established career pathway for graduates

• Graduates are in public health leadership roles in governmental departments and non-governmental organizations

• Key surveillance and disease control positions at all tiers of government are occupied by FETP graduates

• Skills of graduates are maintained and continually applied

• Decision makers confident in and engaged with FETP graduates and the services they provide

• Graduates develop and deliver field epidemiology related training activities to workplace colleagues

• Graduates are public health influencers in their workplace and the communities/populations they serve

Health Systems Strengthened

• Graduates routinely conduct field projects/operational research to understand and address key public health challenges

• Graduates routinely design and implement public health interventions to address public health challenges

• Graduates effectively engage with communities when planning and delivering public health programs

• Decision makers utilize the evidence generated by graduates to improve public health programming

• Graduates are routinely using evidence-based decision making to inform guidelines, policy & programmatic activities

• Graduates are driving innovation and service improvements

Stronger Surveillance and Outbreak Response

• Graduates contribute to improved surveillance resulting in improved public health programming

• Graduates contribute to improved surveillance resulting in improved outbreak detection and response

• Graduates provide a response-ready workforce for outbreak and public health emergency response activities nationally and/or internationally

• Graduates effectively engage with communities/general public when investigating outbreaks and responding to public health threats

Graduate Support for FETP(s)

• Established pathway for FETP graduates to become FETP trainers, mentors, and program staff

• Graduates contribute to the national FETP(s) as trainers, mentors, and program staff

Strong public health systems across PNG. Strong and Sustainable FETP is established

Strong Health Systems

• FETP faculty and graduates contribute to the generation of public health intelligence and evidence-based recommendations to improve public health

• FETP faculty and graduates contribute to an evidence-based decision-making culture that drives public health programming and practice

• FETP faculty and graduates contribute to the development of evidence based public health policies and practices that are accepted, resourced, and implemented

• FETP faculty and graduates contribute to strong disease surveillance systems that guide public health programming and consistently supports the early detection & response to public health threats

• FETP faculty and graduates are influential in advocating for political and financial support for public health at all levels of the health system

• FETP faculty and graduates contribute to a culture of respectful community engagement when designing and delivering public health programs and response activities

Sustainable FETP(s)

• FETP is institutionalized, adequately funded and nationally recognised as an important public health workforce development program

• FETP is run by national staff without the need for external support

• FETP program is influential across public health networks nationally and internationally