title: Strengthening Indonesia's Field Epidemiology Training Programme to address International Health Regulations requirements.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Ministry of Health, Jl. Percetakan Negara no. 29, Salemba, Jakarta, 10560, Indonesia. n_kandun@yahoo.com
authors.forename: I Nyoman
authors.initials: IN
authors.lastname: Kandun
authors.forename: Gina
authors.initials: G
authors.lastname: Samaan
authors.forename: Hari
authors.initials: H
authors.lastname: Santoso
authors.forename: Haripurnomo
authors.initials: H
authors.lastname: Kushadiwijaya
authors.forename: Ratna
authors.initials: R
authors.lastname: Juwita
authors.forename: Andi
authors.initials: A
authors.lastname: Mohadir
authors.forename: Tjandra
authors.initials: T
authors.lastname: Aditama
mesh_terms: D004813:Epidemiology / Q000193:education*; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D007214:Indonesia; D007318:Inservice Training / Q000266:history / Q000592:standards*; D038622:Internationality; D011159:Population Surveillance