JMIR Publications

ABSTRACT

Background:

In 2014, Kenya’s field epidemiology and laboratory training program (FELTP) initiated a 3-month-long field-based frontline training (FETP-F) for local public health workers.

Objective:

The objective of our study was to measure the effect of FETP-F on participant workplace practices regarding quality and consistency of public health data, critical interaction with public health data, and improvements in complete and on time reporting.

Methods:

Between February and April 2017, FELTP conducted a mixed-methods evaluation to examine outcomes achieved among 2014 and 2015 graduates of the trainings. Data quality assessment (DQA) and data consistency assessment (DCA) scores, on-time-reporting (OTR) percentages, and ratings of the training experience were the quantitative measures tracked from baseline and then at 6-month intervals up to 18 months post-completion of the training. The qualitative component consisted of semi-structured face-to-face interviews and observations. Quantitative data were analyzed using one-way analysis of variance (ANOVA). Qualitative data were transcribed and analyzed to identify key themes and dimensions.

Results:

One hundred and three graduates were included. For the qualitative component, we reached saturation after 19 onsite interviews and observation exercises. ANOVA showed that the trainings had small but significant impacts on mean DQA and OTR scores. Results showed an insignificant increase in mean DCA scores. Qualitative analyses showed that 68% of respondents acquired new skills, 83% applied those skills to their day-to-day work, and 91% improved work methods.

Conclusions:

The findings show that FETP-F is effective in improving work methods, facilitating behavior change, and improving key public health competencies.