Objectives
This study aimed to evaluate the outputs, outcomes, and early impact of the One Health frontline field epidemiology training program (OH-fFETPNG) pilot in Papua New Guinea (PNG) on graduates, their workplaces, and the broader health system and assess its contribution to cross-sectoral collaboration.
Methods
This retrospective concurrent mixed-methods impact evaluation was conducted from June to December 2023 across four pilot provinces in PNG. Data were collected via a desktop review of program documents, an online survey of 61 OH-fFETPNG graduates (67 % response rate), and semi-structured interviews, with a purposive sample of graduates, line managers, and provincial senior executives. Qualitative data were thematically analyzed.
Results
Of 76 enrolled fellows, 80 % (n = 61) graduated, producing 61 surveillance and 61 field investigation reports. Graduates self-reported improvements in epidemiologic knowledge, data management, outbreak detection, and analytical reporting, with high confidence in conducting descriptive data analyses (73 %), investigating One Health alerts (65 %), and community engagement (63 %). The program fostered stronger cross-sectoral collaboration, evidenced by increased joint investigations and use of provincial One Health WhatsApp groups. It also strengthened health system elements such as data collection (59 %) and reporting (52 %) and contributed to program sustainability, with three provinces including future cohorts in their budgets.
Conclusions
The OH-fFETPNG is a scalable, multisectoral model that effectively builds field epidemiology capacity and promotes cross-sectoral collaboration in PNG. Its success highlights the importance of co-designed curricula, mentorship, and integrating training outputs into existing systems for sustainable health security.
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