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Evidence-based Decision Making: Infectious Disease Modeling Training for Policymakers in East Africa Cover

Evidence-based Decision Making: Infectious Disease Modeling Training for Policymakers in East Africa

Open Access
|Mar 2024

Figures & Tables

Table 1

Comparing the IORT Course and the UGHE/Harvard Mathematical Modeling (MM) training.

AREAIORTMM TRAINING
ApproachDeliverable-driven approach to training with intensive mentorship during practicum and in-person sessions.Deliverable-driven approach to training with intensive mentorship during practicum and in-person sessions.
Target traineesProgram and clinical staffInfectious disease public health professionals
Frequency/length of trainingVaried, first cohort was 2-day modules, every 4–6 weeks to 3 6-day modules, every 2–5 months, with 3 milestones.2 2-week training of four weeks, occurring three months apart.
DeliverableA manuscript submitted to a peer-reviewed journal.A policy brief and an abstract for conferences.
Training advertisementAdvertised within the priority organizations and professional networks.Advertised within professional networks of the training team and the Training Advisory Committee (TAC), and on social media on LinkedIn, Facebook, and Twitter.
Trainee selection and numberApplicants applied in pairs and were selected based on the applications’ strengths and the strategic value of the research.Applicants applied as individuals or in pairs and were selected upon consultation with TAC based on country, gender, strength of application, and organizational priorities.
Training formatLectures, break-out writing sessions with mentorship, plenary sessions for group feedback and a practicum period to implement skills.Lectures, class activities to work on their models, presentations for peer and expert feedback, and practicum to implement skills.
Facilitation and Mentorship2 mentors, 4 project mentors, and 5 junior mentors for the first cohort. In-person mentorship was offered during training and practicums.3 core trainers for all four weeks of the training. Three technical experts- one for the 2 weeks of the first session, 1 for each week of the second session of the training. Two training advisors. In-person intensive mentorship offered during training and remote mentorship during practicum.
ProjectsSimple, descriptive projects, which could be completed within 8 months using routine program data. Trainees were mentored from peer review process to journal acceptance.Infectious disease program priority questions using parameter values identified from literature, which could be completed during the duration of the training.
Data analysisData was analyzed in STATA.Mathematical model was developed and analyzed in Berkeley Madonna, a beginner user friendly differential equation solving tool [17].
CostsFull scholarship provided to participants including tuition fees, travel, expenses and full accommodation, publication, and conference attendance support, and research fieldwork related costs.Full scholarship provided to participants including tuition fees, travel, expenses and full accommodation, conference attendance support, and stipend at the end of each session.
Monitoring and evaluationParticipants’ appraisal of the training workshop about their background, motivation, and structure of the course.Participants evaluated the structure and content of the training at the end of each week of training to inform subsequent sessions. Also, trainees provided overall evaluation of the course at the end of the training including training logistics.
Table 2

Overview of curriculum.

WEEKTITLELEARNING OUTCOMESMILESTONES
OneIntroduction to infectious disease modeling
  • Know basic definitions of infectious disease modeling and the types of models and approaches.

  • Simulate a basic mathematical model and extend it to answer basic questions and assess interventions.

  • Know the sources of literature for summarizing evidence of group projects.

  • Suggest a topic for the training project and propose research questions.

  • Present a literature review of the chosen topic.

  • Download and install Berkeley Madonna.

TwoBuilding mathematical models to answer research questions
  • Develop mathematical models for projects.

  • Write corresponding mathematical model equations.

  • Identify preliminary parameter values for models.

  • Draft of the mathematical model.

  • Test-run model in Berkeley Madonna to generate curves.

  • Presentation of the background of the project, the natural history of select disease, and the compartmental model for the project.

  • Finalize questions and scenarios to be modeled.

ThreeIncorporating complexity into mathematical models
  • Peer critique of preliminary results of other teams.

  • Incorporate scenarios and/or interventions into models.

  • Evaluate and summarize intervention effects.

  • Review of three articles to understand how researchers assess interventions in mathematical models, and how results are presented.

  • Perform sanity checks of modeling results.

  • Identify the key messages of model findings.

  • Project presentations to peers and invited experts for feedback.

FourCommunicating and disseminating model findings
  • Develop the skills for effectively communicating model results to different audiences.

  • Explain differences between policy briefs and research articles.

  • Draft policy briefs.

  • Ability to find relevant conferences and develop abstracts.

  • Prepare policy briefs.

  • Prepare abstracts for academic conferences.

  • Presentation of model findings to invited guests from different infectious disease backgrounds.

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Figure 1

Number of applications per African country.

Table 3

Description of trainees.

VARIABLETRAINEES (n = 10 (%))
Gender
      Male6 (60%)
      Female4 (40%)
Highest education
      Bachelors1 (10%)
      Masters7 (70%)
      Doctorate2 (20%)
Country
      Rwanda6 (60%)
      Uganda2 (20%)
      Kenya2 (20%)
Type of organization
      Government9 (90%)
      Academia1 (10%)
Background
      Research6 (60%)
      Policy/program4 (40%)
Ever taken a course in infectious disease epidemiology
      Yes5 (50%)
      No5 (50%)
Ever taken a course in mathematical modeling of infectious diseases?
      No10 (100%)
Relevance of course to current work
      Extremely relevant7 (70%)
      Very relevant3 (30%)
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Figure 2

Assessment of mathematical modeling capacity competency using data from the ten participants.

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Figure 3

Bar charts of rating of clarity (upper panel), content (middle panel), and pace (lower panel) of lectures at the end of each training week (n = 10).

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Figure 4

Bar charts of rating of clarity (upper panel), content (middle panel), and time allocation (lower panel) of activities at the end of each training week (n = 10).

DOI: https://doi.org/10.5334/aogh.4383 | Journal eISSN: 2214-9996
Language: English
Submitted on: Dec 22, 2023
Accepted on: Feb 17, 2024
Published on: Mar 22, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Sylvia K. Ofori, Emmanuelle A. Dankwa, Emmanuel Ngwakongnwi, Alemayehu Amberbir, Abebe Bekele, Megan B. Murray, Yonatan H. Grad, Caroline O. Buckee, Bethany L. Hedt-Gauthier, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.