The important information presented by Allegrante, Moon, Auld, and
Gebbie(1) is timely, offering an initial framework to assist in the
planning and development of training opportunities to enhance the
effectiveness of the public health education workforce. Unfortunately,
input from an important group, currently employed health educators,
appears to be missing from the discussion.
Although the competencies identified by the consensus panel are
important to consider, continuing education programs have been shown to be
most effective when tailored to suit the specific needs of the
professionals participating in the training.(2) Additionally, continuing
education training differs from pre-service training in that participants
typically have on-the-job experience and have specific job related tasks
they are interested in improving. A panel may be able to address global
issues related to health education job skill needs. However, emphasis
must be placed on the wants and needs identified by currently employed
health educators for workforce training to be effective.
Expanding beyond content areas for workforce training, careful
consideration must also be given to identifying individuals and
organizations responsible for developing and implementing training
programs. An organized approach and the cooperation of many groups are
import to the success of this type of an effort. Unlike the entry-level
and graduate competencies that have been incorporated into many university
-based educational programs, workforce training comes from a less
formalized training body. Who will be responsible for addressing the
continuing education needs of health educators? From where will the
funding and motivation for delivering this type of program come? Health
educators’ ability to address the changing needs of health education and
health promotion in the 21st century relies heavily on the ability to
provide a unified training focus.
Additionally, consideration must be given to the multiple modes of
delivery available for the instruction and facilitation of educational
programs. In 1998, the Public Health Functions Project(3) stated that
public health workforce training should maximize the use of evolving
technologies such as distance learning. However, Ehrmann(4) cautions that
“if you’re headed in the wrong direction, technology won’t help you get to
the right place” (p. 21). Little evidence-based research is available to
draw from as health education workforce training programs are put into
practice, and great consideration must be given to the process to ensure
movement in the right direction.
1. Allegrante JP, Moon RW, Auld ME, Gebbie KM. Continuing-education
needs of the currently employed public health education workforce. Am J
Public Health. 2001;91:1230-1234.
2. Swerissen H, Tilgner L. A workforce survey of health promotion
education and training needs in the state of Victoria. Aust N Z J Public
Health. 2000;24:407-412.
3. Department of Health and Human Services (US), Public Health
Service. The public health workforce: An agenda for the 21st century
Available at: http://www.health.gov/phfunctions/pubhlth.pdf. Accessed
September 19, 2001.
4. Earlmann SC. Asking the right questions. Change. 1995;27:20-27.