Form 0920-25-0125 ASEAN PHEM WLP Survey

Form Approved

OMB Approval No. 0920-1154

Expiration Date: 03/31/2026

One Year Post-ASEAN PHEM ELP Survey

Contributions to the national PHEM program and/or PHEOC

1. In your current role, do you support responses to public health emergencies? [Select from the following: Yes- as permanent emergency response staff; Yes- as surge staff; No]

2. Have you supported any national or regional responses to acute public health events since graduating from the ASEAN PHEM ELP? (Y/N)

   1. Please provide a one-line description of the response activities (e.g., Hurricane Haiyan; Outbreak of unknown viral etiology in x province)

3. Have you worked in national or sub-national EOC since graduating from the ASEAN PHEM ELP? (Y/N)

   1. Have you held a leadership or management function within the EOC? (Y/N)

      1. Which of the following five functions of the IMS-model have you supported (check all that apply) [Check from Management; Planning; Operations; Logistics; Finance and administration; Other]

      2. If “Other”, please describe.

4. Has your country developed a PHEM training program? (Y/N)

   1. When was it launched?

   2. What are the major components of the training program (e.g., PHEOC training, other areas of PHEM)? [Select all that apply from: Incident Management System, PHEOC Modes of Operation, Operations, Plans, Logistics and Resource Management, Finance and Administration, Safety Officer, Liaison Officer, Role of Public Health Law, Rapid Response Teams Operations, Situational Awareness and Information Management, Event-Based Surveillance, Points of Entry and Border Health, Public Health and Law Enforcement, Crisis and Risk Communications, Risk Assessment, Simulation exercises, Other]

   3. Who is responsible for running the training program (e.g., xx Department within the Ministry of Health)?

   4. Is the training available to national and sub-national candidates?

   5. How many are trained (per cohort and/or per year)?

   6. Do you contribute in any way to the program? (Y/N)

      1. Please select all that apply. [Select from Instructor, Program training coordinator, other]

      2. 

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         If other, please describe. [open response]

5. Have you led or supported the development of tools (e.g., standard operating procedures, policies, frameworks pertaining to PHEM)? (Y/N)

   1. Please check all that apply. [Select from standard operating procedures, policies, national or provincial emergency response frameworks, national/provincial/district level policies, other]

   2. If other, please describe. [open response]

Community of Practice

1. Do you have a group of individuals within your country or within the region, such as PHEM ELP Alumni, with whom you share knowledge/ best practices/ advice on PHEM? [Y/N]

If Yes,

1. Is this done informally (e.g., whatsapp or other messaging forum) or through a formal mechanism (e.g., an association, formal network)? [Select from messaging application such as WhatsApp, Telegram, Line, e-mail, association, other. If other, please describe.]

2. Do you feel the current system of information sharing among your PHEM network is adequate? [Y/N]

1. Do you have suggestions on how to improve sharing of PHEM knowledge, best practices, and advice on PHEM issues in your country or in the region? Please describe. [Open response]

Value-add of PHEM ELP

1. Overall, on a scale of 1 to 5 (1= no benefit, 5=very beneficial), do you feel you benefitted from the ASEAN PHEM ELP?

2. What is the primary reason for your score?

3. Do you recommend that others in the PHEM field in your country take the ASEAN PHEM ELP?

Demographic Information

1. What is your sex? [select male/female from dropdown]

2. Please indicate the country you represented at the time of the ASEAN PHEM ELP. [select from drop-down menu]

3. When did you graduate from the ASEAN PHEM ELP? [Provide options of dates of course graduation to choose from]

Current Job/Role

4. Industry [Select from government (national, provincial, district, etc.); philanthrope, academia; multilateral (e.g., WHO, ADB); Think Tank; NGO; other]

5. Organization (Ministry/Department, Bureau/Office)

6. Job title

7. Month/year began

Comments

Do you have any other reflections on the ASEAN PHEM ELP you would like to share that can help to improve the program and its long-term impact in the region?