Impact Evaluation of the Kenya Frontline Field Epidemiology Training Program

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