Fellow Required to Strengthen National Capacities for Tobacco Control in Sub-Saharan Africa

The Bloomberg Foundation has got funding to support Strengthening of National Capacities for Tobacco Control in Sub-Saharan Africa. The funding is targeting countries that have youth and adult data on tobacco use and key tobacco control measures.Ôö¼├í Five countries are targeted for the first round of funding including; Kenya, Uganda, Nigeria, South Africa, and Cameroon and these are scheduled to implement the Global Adult Tobacco Survey (GATS) between 2012 and 2014.

The goals of this initiative are to strengthen capacities of national ministries of health to promote tobacco control policies and programs and to provide a multi-sector model for other NCD initiatives in Sub-Saharan Africa (SSA).

The objectives of the Fellowship include;
(1) Establish a broad consensus among key national stakeholders on the extent of tobacco use and viable broad-based policy interventions outlined in the WHO Framework Convention on Tobacco Control and MPOWER technical package
(2) Link data to public health policy-using existingÔö¼├í survey and link data to plan, implement and evaluate national tobacco control interventions; and
(3) Institutionalize applied tobacco control epidemiology and intervention modules into in-service and pre-service training that can potentially be expanded to other countries.

African countries are beginning to address their burgeoning non-communicable disease (NCD) profiles; tobacco control is an important, and relatively easy starting point given that there are proven interventions and tobacco use remains relatively low in SSA, compared to other regions. The MPOWER strategy provides a set of cost-effective interventions that will have a significant impact on preventing tobacco use. The U.S. Centers for Disease Control and Prevention (CDC) is in a unique position given its leadership in the field of tobacco use epidemiology and prevention and its flagship program for capacity-building in epidemiology and public health practice, the Field Epidemiology Training Programs (FETPs) and to combine with the Global Tobacco Surveillance System (GTSS) data that has been systematically collected since 1999 for youth, adults and specific populations over time.

Implementation of the Fellowship
The Makerere University College of Health Sciences School of Public Health Centre for Tobacco Control in Africa will coordinate the Fellowship Program; specifically ensuring the program is running and involving all the stakeholders. The Centre will also link the Fellow to regional tobacco control activities and partners.The Fellowship program is expected to run for three years starting June 2012 to May 2015. Over the course of three years, the Fellow will be exposed to significant expertise in tobacco control with a specific focus on: Tobacco Control Surveillance for instance GATS in two countries of Uganda and Kenya; epidemiology and policy-analysis and making. In addition the Fellow will also gain an understanding of the tobacco control partnerships and how these can be linked to drive policy and programs. The Fellow will be hosted at the Makerere University School of Public Health and NCD ÔÇô Tobacco Control Department at the Ministry of Health. Mentorship will be provided by the key stakeholders including; CDC, MoH, CTCA and MakSPH.
Key Deliverables for the Fellow

  1. The Fellows will provide support to the upcoming Global Adult Tobacco Surveys (GATS) in 2012-2013 in two countries (Uganda and Kenya). These fellows will sit within the NCD departments and participate in upcoming GATS.
  2. Develop tobacco control intervention projects based on existing survey data; establish an operations research agenda for the country.
  3. Develop an advocacy strategy with dissemination plan for, nationally and internationally stakeholders.

Ôö¼├íÔö¼├í Specifically the Fellow will carry out the following activities in the three years

  1. Year 1. Conduct initial assessment and country-level briefings to review current tobacco control environment, proposed set of recommendations for policy and program planning/action, introduce the concept of the fellowship and this initiative, and finalize fellowship terms of reference, accordingly.
  2. Year 1-2. Support GATS implementation in consultation with CDC GATS team.Ôö¼├í
  3. FETP residents and graduates will participate in the workshop for data analysis and reporting organized by the GATS partners. They will also contribute to the analysis and reporting of Global Youth Tobacco Survey data and other relevant tobacco use data from other surveys, such as DHS, MICS, etc.
  4. Year 1. One-day tobacco control curricula institutionalized within pre-service curricula during community health rotations for medical doctors, dentists, pharmacists, and similar rotations for nurses, clinical officers, school health educators, and other relevant public health cadres. Utilize the findings from the Global Health Professions Student Survey (GHPSS) findings. Explore ways to provide brief training for HIV/TB/MCH teams on smoke-free health care facilities.
  5. Years 1-3. Two residents in the 2-year FETP from both countries will receive advanced training during a one-week Epidemiology and Evaluation of Tobacco Control module followed by a one week course in project development and management. The expected outcome of this short-course will be for each resident to develop a small-scale or community based survey (compliance checks), intervention, or operations research project that will be supported by a mini-grant, and mentored by the fellow in each respective country. Outcomes of these projects will be written into abstracts for presentation at scientific conferences and manuscripts to be submitted for publication to peer-reviewed journals. Residents in this specialization will be expected to develop competency in survey methods, analysis and interpretation of surveillance data, development and management of a project, communicating results of project and policy recommendation(s) to key (non-) government stakeholders.
  6. Years 2 and 3. Annual dissemination forums convening the same key stakeholders for 2-day workshop to review progress of the initiative, and fellowsÔÇÖ specific outputs: case studies, analytic reports and policy briefs.
  7. Policy development workshop in year 2 and implementation supported through mini-grants.
  8. Monitoring and evaluation projects implemented by fellow with support from existing residents will monitor both tobacco use and the effectiveness of MPOWER-related prevention policies and cessation programs. For example, a resident could conduct a multi-site evaluate of the effective implementation of smoke-free environments.
  9. An internal evaluation of the impact of this initiative on indicators agreed to at the initial stakeholder workshop.
  10. Presentation of field products at national and international forums, including the bi-annual Africa Field Epidemiology Network conference, the Training in Epidemiology and Public Health Interventions Network conference, and the World Conference on Tobacco or Health
  11. Mentor twelve residents engaged in specific tobacco control projects and capacity-building activities.

Qualifications of the Fellows
The Tobacco Control Fellow to be recruited must possess a post graduate Degree in Public Health, Demography, and Statistics, Epidemiology and Bio-statistics and any other related areas. The Fellow should also have additional training in research methodology, monitoring and evaluation, project planning and management. The candidate should have experience in managing projects, working with partnerships both government and civil society organizations, and conducting research.Ôö¼├í

Application Procedure
Interested applicants, send an application and current resume to nyamurungik@ctc-africa.org, copy nyamurungi@yahoo.co.inÔö¼├í and ziq1@cdc.gov. Applications must be sent not later than Monday 4th June, 2012 at 5.00pm. Interviews will be held on the 5th June, 2012

NOTE: Applicants MUST be ready to start work by 8th June, 2012 or able to attend the induction training on the 15th June, 2012

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