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October 2001, Vol 91, No. 10 | American Journal of Public Health 1586-1588
© 2001 American Public Health Association

FIELD ACTION REPORT

Developing Public Health Management Training Capacity in Nicaragua

Elena McEwan, MD1, Mary J. Conway, MPH1, David L. Bull, PhD1 and Michael D. Malison, MD1

Elena McEwan and Mary J. Conway are with CARE International, Managua, Nicaragua. David L. Bull and Michael D. Malison are with the Sustainable Management Development Program, Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to David L. Bull, PhD, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mail Stop K36, Atlanta, GA 30341-3724 (e-mail: dbull{at}cdc.gov).

The Cooperative for Assistance and Relief Everywhere (CARE) and Centers for Disease Control and Prevention (CDC) Health Initiative in Nicaragua is distinctive in its focus on developing a cadre of in-country trainers whose aim is to equip frontline public health managers with widely applicable tools and techniques to assist them in identifying and solving implementation problems. Since 1999, 137 trainees—37% more than originally planned—have demonstrated competence by completing and presenting applied management projects. Nineteen professors from the preventive medicine faculty at the Autonomous University of Nicaragua also have been trained. The country office now has a cadre of seasoned trainers who can meet the ongoing management training needs of CARE staff and their counterparts in the Ministry of Health and in other nongovernmental organizations.




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