Four years into the Indian ocean field epidemiology training programme

Halm Ariane, Seyler Thomas, Mohamed Sainda, Mbaé Saindou Ben Ali, Randrianarivo-Solofoniaina Armand Eugène, Ratsitorahina Maherisoa, Nundlall Ram, Aboobakar Shahina, Bibi Jastin, Filleul Laurent, Piola Patrice, Razafimandimby harimahefa, Rasamoelina Harentsoaniaina, Valenciano Marta, Moren Alain, Cardinale Eric, Lepec Richard, Flachet Loïc. 2017. Four years into the Indian ocean field epidemiology training programme. Pan African Medical Journal, 26:e195, 11 p.

Résumé : Introduction: 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. Methods: 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. Results: 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. Conclusion: 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.

Mots-clés Agrovoc : santé publique, formation, épidémiologie, surveillance épidémiologique, maladie de l'homme, maladie des animaux, maladie infectieuse, zoonose, évaluation de projet

Mots-clés géographiques Agrovoc : Maurice, Comores, Madagascar, La Réunion, Seychelles, France

Mots-clés libres : FETP, Regional surveillance, Epidemiology training, Public Health preparedness

Classification Agris : L73 - Maladies des animaux
S50 - Santé humaine

Champ stratégique Cirad : Axe 4 (2014-2018) - Santé des animaux et des plantes

Auteurs et affiliations

• Halm Ariane, COI [Commission de l'Océan Indien] (MUS)
• Seyler Thomas, EpiConcept (FRA)
• Mohamed Sainda, World Health Organization (COM)
• Mbaé Saindou Ben Ali, Ministère de la santé (Comores) (COM)
• Randrianarivo-Solofoniaina Armand Eugène, Ministère de la santé publique (Madagascar) (MDG)
• Ratsitorahina Maherisoa, Institut Pasteur de Madagascar (MDG)
• Nundlall Ram, Institut Pasteur de Madagascar (MDG)
• Aboobakar Shahina, Institut Pasteur de Madagascar (MDG)
• Bibi Jastin, Public Health Authority (SYC)
• Filleul Laurent, Regional Unit of Indian Ocean (REU)
• Piola Patrice, Ministry of Health and Quality of Life (Maurice) (MUS)
• Razafimandimby harimahefa, COI [Commission de l'Océan Indien] (MUS)
• Rasamoelina Harentsoaniaina, COI [Commission de l'Océan Indien] (MUS)
• Valenciano Marta, EpiConcept (FRA)
• Moren Alain, EpiConcept (FRA)
• Cardinale Eric, CIRAD-BIOS-UMR ASTRE (REU) ORCID: 0000-0002-3434-3541
• Lepec Richard, COI [Commission de l'Océan Indien] (MUS)
• Flachet Loïc, COI [Commission de l'Océan Indien] (MUS)

Source : Cirad-Agritrop (https://agritrop.cirad.fr/587225/)

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