Ministry of Health, Jl. Percetakan Negara no. 29, Salemba, Jakarta, 10560, Indonesia.
Bull World Health Organ. 2010 Mar;88(3):211-5. doi: 10.2471/BLT.09.065367.
According to the International Health Regulations (IHR), countries need to strengthen core capacity for disease surveillance and response systems. Many countries are establishing or enhancing their field epidemiology training programmes (FETPs) to meet human resource needs but face challenges in sustainability and training quality. Indonesia is facing these challenges, which include limited resources for field training and limited coordination in a newly decentralized health system.
A national FETP workplan was developed based on an evaluation of the existing programme and projected human resource needs. A Ministry of Health Secretariat linking universities, national and international partners was established to oversee revision and implementation of the FETP.
The FETP is integrated into the curriculum of Indonesian universities and field training is conducted in district and provincial health offices under the coordination of the universities and the FETP Secretariat.
The FETP was included in the Ministry of Health workforce development strategy through governmental decree. Curricula have been enhanced and field placements strengthened to provide trainees with better learning experiences. To improve sustainability of the FETP, links were established with the Indonesian Epidemiologists' Association, local governments and donors to cultivate future FETP champions and maintain funding. Courses, competitions and discussion forums were established for field supervisors and alumni. These changes have increased the geographic distribution of students, intersectoral and international participation and the quality of student performance.
The main lesson learnt is that linkages with universities, ministries and international agencies such as the World Health Organization are critical for building a sustainable high-quality programme. The most critical factors were development of trusting relationships and clear definitions of the responsibilities of each stakeholder.
根据《国际卫生条例（IHR）》，各国需要加强疾病监测和应对系统的核心能力。许多国家正在建立或加强其现场流行病学培训计划（FETP），以满足人力资源需求，但在可持续性和培训质量方面面临挑战。印度尼西亚面临着这些挑战，包括现场培训资源有限和新分散的卫生系统协调有限。
根据对现有计划和预计人力资源需求的评估，制定了国家 FETP 工作计划。成立了一个由卫生部秘书处牵头的、联系大学、国家和国际合作伙伴的机构，负责监督 FETP 的修订和实施。
FETP 已纳入印度尼西亚大学的课程，现场培训由大学和 FETP 秘书处协调在地区和省级卫生办公室进行。
FETP 通过政府法令被纳入卫生部人力资源发展战略。课程得到了加强，实地实习得到了加强，为学员提供了更好的学习体验。为了提高 FETP 的可持续性，与印度尼西亚流行病学家协会、地方政府和捐助者建立了联系，培养未来的 FETP 冠军并保持资金。为现场主管和校友建立了课程、竞赛和讨论论坛。这些变化增加了学生的地理分布、跨部门和国际参与以及学生表现的质量。
主要经验教训是，与大学、部委以及世界卫生组织等国际机构建立联系对于建立一个可持续的高质量计划至关重要。最关键的因素是发展信任关系和明确界定每个利益相关者的责任。
