O-77 Implementation of the Caribbean regional field epidemiology and laboratory training programme, lessons learned 2014–2025

Methods: This programme adopted a collaborative, multistrategic approach engaging national and regional stakeholders in training curriculum design. Baseline assessments were conducted to determine the model of best fit for the Caribbean. Case studies and learning materials were developed focusing on priority health issues for the Region, while meeting core capacities as outlined under the International Health Regulations. Programme fellows are recruited based on nomination by Ministries of Health, and training is carried out by CARPHA and regional subject matter experts. Fellows are guided by mentors while undertaking the programme. Competencies are determined through assessment of theoretical knowledge, field work reports and post training monitoring and evaluation.

Results: The CR-FELTP has graduated 480 fellows over 11 years with a completion rate of 81.32% (n=590), meeting established training targets. Eighteen (18) CARPHA Member States have participated in the programme at both the basic and intermediate training tiers. Fellows come from a range of public health disciplines utilising a comprehensive, One Health network approach when addressing disease surveillance, outbreaks and natural disasters. The programme is well regarded in terms of training content, the quality of fellows produced and their ability to contribute to workplace activities. A noted barrier is long term retention of mentors.

Conclusion: FELTPs are holistic training programmes that build skills and competencies of public health workers. Their work contributes to national health systems strengthening and regional health security. After a decade-long implementation period, the CR-FELTP has demonstrated many successful outcomes, through the work of programme fellows and career progression. Sustainability always remains a challenge and CARPHA has adopted innovative measures to ensure the continued relevance of the training curriculum and ownership by Member States.