Of the 142 graduates, 118(83%) responded of whom 104(73%) were males. All of them 142(100%) are using frontline knowledge and skills in their daily activity. Of them, 130(92%) are still in the institutions that sent them. Of the respondents 119(83.9%) are involved in summarizing and analysing surveillance data, 123(87%) started routine data quality audit, 102(71.8%) are involved in regular review of timeliness and completeness of surveillance reports, 119(84%) participated in outbreak investigation, 126(86%) initiated regular communication of the analysis findings including 37(26%) who started producing and sharing weekly epidemiological bulletin.