<P>that I was here to start a sister Epidemic Intelligence Service (EIS) program. FELTP, similar to EIS, is an in-service training program that improves the capacity in disease surveillance and outbreak response of host countries. It is an integral part of the recently launched Global Heath Security Agenda (http://www.cdc.gov/globalhealth/ security/); CDC helped to build these programs in 50 countries (http://www.cdc.gov/globalhealth/fetp/). For seven years, Pakistan FELTP has faced a continuous struggle over challenges that could not have been foreseen. Not only has the level and extent of terrorism increased over the years, but even the Federal Ministry of Health was decentralized to the provinces in June 2011. The suspicion about U.S.-backed programs in Pakistan kept increasing, and it became di?cult for CDC sta? in Atlanta to visit Pakistan and assist in training schedules. These were very unique impediments, and FELTP had to ?nd solutions quickly to survive. We realized that we needed to ?nd and groom local faculty for our fellows because Temporary Duty Employees from CDC could not be relied upon. This was quite di?cult because there were very few ?eld epidemiologists in Pakistan. Not only did FELTP hire good local faculty (including its own trained fellows), but it also provided them and guest faculty with materials developed by CDC for teaching. This not only helped the program, but also strengthened faculty skills, not only of FELTP Pakistan, but also at our sister institutions here like the Health Services Academy, Islamabad. Because we were working directly with provincial departments of health from day one (because most of our fellows are provincial employees), we kept doing our work even when the Federal Ministry of Health was decentralized into the provinces and many donor programs came to a screeching halt. To address the prevailing lack of con?dence in most donor programs, we tried to make the procedures and operations of FELTP transparent, fair, and documented. CULTURES Vol 1, Issue 2 ยป Page 41 CHALLENGES ON THE GROUND Federal ministry of health was devolved Suspicion of U.S.- backed programs made it di?cult to travel An increase in terrorist activities Financial sustainability $</p> <UL><LI><a href="http://www.mzines.net/publication/643/colfslwvw/1/1/">Front-Cover</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/2/2/">Inside-Front-Cover</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/3/3/">Page-1</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/4/4/">Page-2</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/5/5/">Page-3</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/6/6/">Page-4</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/7/7/">Page-5</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/8/8/">Page-6</a></LI> <LI><a href="http://www.mzines.net/publication/643/colfslwvw/9/9/">Page-7</a></LI> 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