Figure 1
Dr. LEE Jong‑wook Fellowship training program modules.
Figure 2
The evaluation model for the Dr. LEE Jong‑wook Fellowship Program training course for health policy administrators.
Table 1
The evaluation indicators of this study.
| KIRKPATRICK’S FOUR LEVELS | INDICATORS | DESCRIPTION OF INDICATOR | TIME POINT |
|---|---|---|---|
| Reaction | Training satisfaction | Satisfaction with training content Evaluates the satisfaction of participants with the goals, content, and environment of the training, as well as their willingness to re‑participate, recommends the training, and their awareness of Korea. | At the end of training in Korea |
| Learning | Knowledge and competency improvement | Improvement of knowledge and competencies Evaluates the improvement in participants’ knowledge and competencies through common education, action plan guidance, and Korean language education received during the training in Korea. | Every start/end point of each lecture |
| Competence achievement/ improvement | Achievement of learning objectives Assesses the achievement of participants in educational and research competencies (knowledge, skills, and attitudes). | 2–3 months after the end of training in Korea | |
| Behavior | Work enhancement/job adoption of learned knowledge | Utilization and transfer of learning outcomes Assesses, 6 months after the training, whether participants’ job performance has improved due to the training and the extent to which the competencies acquired during the training have been applied in their work. | 2–3 months after the end of training in Korea |
| Results | Self‑reported reliability of training and professional enhancement | Linking training satisfaction to practical application Self‑reported satisfaction to assess the consistency and trustworthiness of course delivery and its relevance to professional roles, alongside the application of acquired knowledge integration. | 2–3 months after the end of training in Korea |
| The impact of training results in improving the performance of training alumni and/or organizations. Improved performance productivity value‑driven practices as part of the learning outcomes. |
Table 2
Reliability and consistency of the self‑administered questionnaire.
| INDICATORS | TOOL (LIKERT SCALE) | NO. OF ITEMS (SUBCATEGORIES) | CRONBACH’S ALPHA | RELIABILITY/APPROPRIATENESS |
|---|---|---|---|---|
| Training satisfaction | 5 points | 7 (33) | 0.771 | Highly reliable |
| Knowledge and competency improvement | 5 points | 8 (20) | 0.784 | Highly reliable |
| Competence achievement/ improvement | 10 points | 2 (3) | 0.857 | Highly reliable |
| Work enhancement/ job adoption of learned knowledge | 5 points | 2 (10) | 0.805 | Highly reliable |
Table 3
Characteristics of participants (n = 39).
| CHARACTERISTICS | N, MEAN | %, SD |
|---|---|---|
| Country | ||
| Ghana | 7 | 17.9 |
| Ethiopia | 5 | 12.8 |
| Uganda | 7 | 17.9 |
| Tanzania | 4 | 10.3 |
| Laos | 6 | 15.4 |
| Cambodia | 2 | 5.1 |
| Vietnam | 1 | 2.6 |
| Indonesia | 2 | 5.1 |
| Uzbekistan | 3 | 7.7 |
| Mongolia | 2 | 5.1 |
| Age (years, mean) | 39.1 | 6.2 |
| Age group | ||
| 20–29 | 2 | 5.1 |
| 30–39 | 23 | 59.0 |
| Over 40 | 14 | 35.9 |
| Sex | ||
| Male | 24 | 61.5 |
| Female | 15 | 38.5 |
| Affiliation | ||
| Government agency | 31 | 79.5 |
| Public hospital authority and research institute | 8 | 20.5 |
| Field of work | ||
| Maternal and child health | 6 | 15.4 |
| Administration of chronic disease | 8 | 20.5 |
| Healthcare information system | 5 | 12.8 |
| Healthcare education | 5 | 12.8 |
| Health prevention and promotion | 4 | 10.3 |
| Healthcare management | 4 | 10.3 |
| Manpower management and education | 7 | 18.0 |
| Position | ||
| Top managerial position | 5 | 12.8 |
| Mid administrative position | 4 | 10.3 |
| General administrative position | 15 | 38.5 |
| Professionals | 3 | 7.7 |
| Medical profession | 9 | 23.1 |
| Technical post | 3 | 7.7 |
| Professional experience (years, mean) | 11.2 | 5.6 |
| Professional experience | ||
| Under 5 years | 5 | 12.8 |
| 6–10 years | 15 | 38.5 |
| 11–15 years | 11 | 28.2 |
| Over 15 years | 8 | 20.5 |
| Year | ||
| 2021 | 12 | 30.8 |
| 2022 | 13 | 33.3 |
| 2023 | 14 | 35.9 |
[i] Note: N = number of participants; SD = standard deviation.
Figure 3
Training satisfaction by category.
Figure 4
Knowledge and competency improvement by course classification.
Figure 5
Competence achievement.
Figure 6
Work enhancement and job adoption.
Table 4
Self‑reported training course satisfaction and professional enhancement of the participants.
| INDICATORS | THEME | QUOTE |
|---|---|---|
| Reliability of training and professional enhancement | Finance and budgeting | The health financial management and budgeting module provided practical tools that I could immediately integrate into our annual planning cycle. “Understanding performance‑based budgeting and financial forecasting helped me better align resource allocation with our health priorities.” [#2023] |
| Non‑communicable diseases (NCDs) policy | The subject on NCD prevention and health promotion gave me “new strategies for policy formulation at the regional level annual year plan.” The evidence‑based case studies, particularly from other LMICs, were directly applicable to our context. [#2021] | |
| Hospital/ health technology management | The training and visiting healthcare management and medical technology helped me improve “how we track and maintain equipment. I was able to propose a digital tracking system for our referral hospital. As a baseline of using laptop for e‑health records.” [#2022] | |
| Digital health records | The course gave me a foundational understanding of how to design and implement electronic health systems. “Since returning, I have joined the national task force on digital health and developed electronic medical record system and provided training to the health workers to implement the initial stage of digital system in my health center.” [#2022] | |
| NCD awareness and community engagement | The communication tools and behavior change models we learned were exactly what I needed for our diabetes and hypertension awareness campaigns. Most of the community models are incorporated in my project plan. [#2023] | |
| Emergency and ambulance services | Before the training, I did no t know much about how data linkage or referral systems really worked. But “the module on the HIRA about national insurance system and how healthcare services are designed and coordinated was very informative. I understood how triage and referral linkages function in practice, and how using data properly can make a huge difference in efficiency that helps to apply in my work.” [#2023] | |
| Infectious disease awareness | “The training deepened my understanding of risk communication and community engagement for infectious disease control, which was not known before training. I have started applying the participatory tools we learned during our outbreak preparedness campaigns.” [#2021] | |
| UHC implementation and NHISS planning progress | “The HIRA training course was highly satisfactory and instrumental in enabling me to independently plan for the implementation of Universal Health Coverage (UHC) and the National Health Insurance Service System (NHISS).” [#2023] “The course proved truly valuable for advancing UHC efforts in low‑ and middle‑income countries (LMICs) and helpful to actively participate in Prime minister UHC policy.” [#2022] | |
| Enhancement and performance | “Following the completion of the Fellowship Program, several colleagues have remarked on a noticeable improvement in my work performance, reflecting the program’s positive impact on my professional growth.” [#2021] “I believe my professional capacity has improved after completing the training course, I experienced significant professional growth, including improved confidence, enhanced technical skills, and a broader understanding of my field.” [#2022] “The course not only deepened my expertise but also motivated me to pursue further innovations and leadership in budgeting and monitoring within my organization.” [#2023] |
HIRA, Health Insurance Review & Assessment Service; NECA, The National Evidence‑based Healthcare Collaborating Agency; KDI, Korea Development Institute; NCC, National Cancer center.
| DAC | Development Assistance Committee |
| Dr. LJW | Dr. LEE Jong‑wook |
| HIRA | Health Insurance Review & Assessment Service |
| KDI | Korea Development Institute |
| KOFIH | Korea Foundation for International Healthcare |
| LMICs | Low‑ and middle‑income countries |
| NCC | National Cancer Center |
| NECA | The National Evidence‑based Healthcare Collaborating Agency |
| ODA | Official Development Assistance |
| OECD | Organization for Economic Cooperation and Development |