Ghp272 Foundations of Global Health and Population Fall 2012 Sessions



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GHP272 Foundations of Global Health and Population

Fall 2012


Sessions: MWF, 10:30am-12:20pm, FXB-G12
Course Overview

This course is intended as a broad survey of the main facts, issues, perspectives, methods, results, and conclusions in the areas of global health and population. It is organized into three blocks. The first block deals with theory, methods, and evidence related to the state of global health and population and reviews salient population and health issues, both past and present. The focus is on patterns and trends in morbidity, mortality, fertility, and reproductive health, as well as the size, structure, and growth of population. Environmental concerns linked to health and population are also addressed. The second block deals with the economic, social, legal, political, and ecological context in which global health and population issues arise and must be addressed. This block introduces economic, political, and rights-based perspectives on the place of health and population in the process of international development. The third block covers approaches to the design and implementation of policies and programs to address health and population problems. Medical interventions, non-medical health interventions, and non-health interventions will all be considered. This course is required for all incoming Master of Science students in the Department of Global Health and Population. MPH students and students from other HSPH departments and elsewhere in the university are also welcome to enroll, space permitting. MPH students may substitute this course in place of ID 262.



Course Objectives

  1. Students will understand the important relationships among demography, development, and global health;

  2. They will learn and apply methods for analyzing global health, demography, and development challenges and for devising solutions to them;

  3. They will strengthen communication and collaboration skills.



Teaching Team

Faculty

David Bloom

Dept. of Global Health and Population

E-mail: dbloom@hsph.harvard.edu

Phone No.: (617) 432-0866



Office Hours: 1:00pm– 2:00pm, Mondays and Wednesdays, Room 1202, 12th floor, Building I

Joel Lamstein

Dept. of Global Health and Population

E-mail: jlamstei@hsph.harvard.edu

jlamstein@jsi.com


Office hours: Meetings by appointment, scheduled by e-mail or in class

Note: No office hours on 9/17, 9/26, 11/5, 11/7, 11/14, 11/26, 11/28



Teaching fellows

Panji Hadisoemarto

Doctor of Science Candidate, 2014

E-mail: hadisoemartopanji@gmail.com

Office Hours: Tuesdays 1:30-2:30pm, 10th floor conference room
Dahianna Lopez, RN, MSN, MPH

PhD Candidate, 2015

E-mail: dahiannalopez@fas.harvard.edu

Office Hours: Wednesday, 9:30-10:30 am, Kresge #306



Course Meetings

All students are required to attend all sessions each week. Lectures are designed to deliver key content and stimulate discussion on the major themes in global health and population. Professor Bloom and faculty members from the Department will deliver lectures. Sections are designed to solidify and complement concepts covered in lectures and readings, review for assignments and exams, and discuss teaching cases. Special guest speakers may be scheduled in optional evening sessions.


Course Materials

Course Website (link): Contains course readings, lecture notes, information for special sessions, assignments and instructions for their submission, exam information, as well as important scheduling tools for course-related events and activities.
Readings: All required readings for the class are available through the course website, either as a link or as a pdf file, in compliance with the school’s copyright guidelines. For some readings (noted on the course website), copies will be available on reserve in Countway Library. Full citations for recommended readings are included in the course syllabus. Most recommended readings are available through the Harvard libraries; students are responsible for obtaining any recommended readings they choose to read. Students will be billed at the end of the semester for all required readings as well as case studies.
Lectures: Electronic copies of PowerPoint presentations are posted to the course website. Hard copies can be provided at the beginning of lectures; students will be billed at the end of the semester for all copies, whether or not you choose to use the hard copies in class.
Evaluation and Grading

Assignments will be graded on the completeness in addressing the objectives of the assignment, the quality of writing, clarity, spelling, and grammar, and the ability to present a balanced, thoughtful, and well-evidenced argument of the subject. Students will be asked to deliver short presentations to the class on Assignments 1-3; quality of the presentation will be factored into the overall assignment grade. Assignments 1-3 have fixed deadlines. For the Annotations, students are assigned to specific readings to annotate. Annotations are due at the end of the block for which the readings belong. See Course Schedule for deadlines.
Exams will be graded on accuracy and comprehensiveness of answers that draw on course materials. Exams will consist of 3 to 4 questions drawn randomly from a list of 12 to 15 questions provided in advance. The midterm exam covers Blocks I and II, while the final exam is cumulative. Exams cover material delivered by Profs Bloom and Lamstein, as well as lectures by departmental faculty.
The instructors and teaching fellows will assess class participation on the quality and regularity of student interactions in lectures, sections, and online discussion forum. The teaching fellows will monitor attendance and track student participation in class and in the online discussion forum. Students will also have the opportunity to rate their classmates on participation in-group assignments. This will factor into the participation grade.

Four writing assignments

30%

Mid-term exam

20%

Final exam

20%

Class participation

30%


Course Improvement

Quality Circles, held approximately twice per month, offer a voluntary avenue for student feedback and course modifications while the course is in progress. Students are encouraged to use the online discussion forum to express course concerns. Completion of HSPH Course Evaluations is required for your grade to be made available and to allow you to register for courses in future terms.
Course schedule (as of 9/5/2012)
Week

Monday

Wednesday

Friday

Block I


1

 Sept 3 



Labor Day Holiday (No Class)

Sept 5

1: Introduction to Global Health

Sept 7

2: Introduction and Icebreakers
2

Sept 10

3: History of Population

Sept 12

4: History of Global Health

Sept 14

5: Trends & Patterns I
3

Sept 17

6: Discuss readings (TA)

Sept 19 

7: Trends & Patterns II [QC]

Sept 21 Drop/Add Deadline

8: Population and Health Data
4

Sept 24

9: Demographic Methods and Models

Sept 26        (Yom Kippur)          

10: Session on Data and Software (TA)

Sept 28

11: Intro to Int’l Dev’t

Block II


5

Oct 1

12: Pop & Health in Int’l Dev’t

Oct 3   



13: Migration, Immigration, Urbanization [QC]

Oct 5             

14: Determinants of Fertility and Mortality
6

Oct 8

Assignment_1_distributed'>Columbus Day Holiday (No Class)

Oct 10        Assignment #1 distributed

15: Ethics

Oct 12

16: Case
7

Oct 15

17: Gender, Women and Health

Oct 17 

18: Human right [QC]

Oct 19

19: Case
8

Oct 22

20: Political Dimensions of Global Health
Oct 24

21: Guest lecture 1: Global healthcare workforce-Till Bärnighausen

Oct 26 Fall I ends

22: Assignment 1 due + student presentations
9

Oct 29

23: Review of topics

Oct 31 Assignment #2 distributed


11/1: JSI night
24: Health systems [QC]

Nov 2

25: Midterm review (TA)

10

Nov 5



26: Midterm Review

Nov 7                                             

27: Guest lecture 2: Mental Health- Theresa Betancourt

Nov 9  

28: Midterm Exam

Block III



11

Nov 12

Veteran’s Day (No Class)

Nov 14

29: Guest lecture 3: Tom Bossert

Nov 16

30: TA session and Student Reading Presentations
12

Nov 19 Assignment #3 distributed

31: Guest lecture 4: Robert Steinglass

Nov 21 

32: Priority setting [QC]

Nov 23

Thanksgiving Holiday (no class)
13

Nov 26 Assignment 2 due

33: Gender, Women and Health


11/29: mHealth with Mike Frost
Nov 28

34: Case

Nov 30

35: Guest lecture: Drs. Arash and Kamiar Alaei (human rights)
14

Dec 3

36: Interventions

Dec 5   

37: Guest lecture 5: GH Governance- Barry Bloom [QC]

Dec 7  

38: Assignment 3 due + student presentation     
15

Dec 10

39: Implementation

Dec 12

40: Guest lecture 6: Till Barnighausen – Global Health Workforce

Dec 14

41: Final Exam review (TA)
16

Dec 17

42: Final Exam

Dec 19

43: Wrap-up & future of GH)

Dec 21

End of Fall Semester

Course Schedule

Instructions for Accessing and Using Course Website


  1. Go to the course website either directly (via link), or through MyHSPH > Student One Stop > My isite courses > Fall 2012 (via https://my.sph.harvard.edu/cp/home/displaylogin). You will be required to input your Login ID (or Harvard ID) and corresponding PIN/password.




  1. The website is organized by the left column headers.




  1. This syllabus can be downloaded under the left header ‘Syllabus’ as a Word document. You can use the syllabus’s reading list as a template to write your annotations for Assignment A.




  1. Under the Teaching Team tab, you can find contact information of your course instructors and teaching fellows.




  1. Under the Classmates tab, complete the Student Information card as soon as possible. These will be compiled into the course facebook for download.




  1. The Class Sessions tab contains lecture slides and readings, organized by lecture session.




  1. The Guest Lectures tab contains information needed for evening sessions with guest speakers.




  1. The Assignment tab has a dropbox for Assignments 1-3 and another special box for your Annotations.




  1. The Exams tab contains information you will need to help prepare for exams.




  1. The Discussion Forum tab is for students to supplement in-class participation. Here students can discuss course material and lectures as well as offer information on outside course-related activities and lectures.




  1. Under the Sign Ups tab, you will sign up or RSVP for special events and provide course feedback at the mid-term point.




  1. The Quality Circles tab contains sign up form for quality circles, quality circle assignments, and quality circle summaries.



Checklist:

  • Complete the Student Information Card online as soon as possible for the course facebook.




  • Sign up for Quality Circles (optional).




  • Submit your Annotations and Assignments by the deadline.




  • Ongoing: RSVP for special guest speakers




  • Participate in class as well as the online discussion forum.

Required and Recommended Readings
Session 1: Course outline and introduction (9/5/12)
Required:

Bloom, B.R. (2005). “Public Health in Transition.” Scientific American. 293(3): 92-99.

Frenk, J. (2009). Transcript: Dean Julio Frenk's Address at HSPH Commencement 2009.

Fried LP, Piot P, Frenk JJ, Flahault A, Parker R (2012). Global public health leadership for the twenty-first century: Towards improved health of all populations. Global Public Health. [Epub ahead of print]


Garrett, L. (2007). “The challenge of global health.” Foreign Affairs. Jan-Feb.
Please view this video online: http://www.gapminder.org/videos/200-years-that-changed-the-world-bbc/ (and feel free to play around with the interactive tools here: http://www.gapminder.org/data/) Note: When playing with the interactive tools, click on visualize to see the changes over time.
Recommended:

Fried, L. P., M.E. Bentley, P. Buekens, D.S. Burke, J.J. Frenk, M.J. Klag, and H.C. Spencer (2010). “Globalhealthispublichealth.” Lancet 375(9714):535-537.


Koplan, J.P., C. Bond, M.H. Merson, K.S. Reddy, M.H. Rodriguez, N.K. Sewankambo, et al. (2009). “Towardsacommondefinitionofglobalhealth.” Lancet. 373:1993-1995.
Laurie Garett on the Future of Global Health. http://www.youtube.com/watch?v=S3EByJ5uWAs
Bourguignon, F., A. Bénassy-Quéré, et al. (2008). DevelopmentGoalsatMidpoint: Wheredowestandandwheredoweneedtogo? [read pages 1-10].
Commission on Africa (2005). “ExecutiveSummary.” pp. 11-15.
Gostin, L.O., and E.A. Mok (2010) “The President’s Global Health Initiative” JAMA 304:789-790.
World Health Organization (WHO) and UNICEF (1978). “PrimaryHealthCare: ReportoftheInternationalConferenceonPrimaryHealthCare,” Alma-Ata, USSR, 6-12 September, 1978. Geneva, World Health Organization: 79. (Read the Declaration and skim the report)
World Health Organization (2008). The World Health Report 2008. Primary Care Now More than Ever. Geneva, World Health Organization.
The World Bank Group (2004). MillenniumDevelopmentGoals. Available from: www.developmentgoals.org/About_the_goals.htm.
Foreign Affairs (2007). How to Promote Global Health: A Foreign Affairs Roundtable. Available from: http://www.foreignaffairs.com/discussions/roundtables/how-to-promote-global-health [Roundtable follow up to Laurie Garrett piece on required list].

Session 2: Introduction and Icebreakers (9/7/12)
No required reading.
Session 3: A short history of population (9/10/12)
Required:

Bloom, D.E. (2011). “7 Billion and counting.” Science (29 July 2011): 333(6042), 562-569.


Coale, A. (1974). “The History of Human Population.” Scientific American. 231(3): 40-51.
Cohen, J.E. (2005). “Human Population Grows Up.” Scientific American. 293(3): 48-55.
Harrar, L. (Producer) & Holt, S. (Director). (2004). World in the Balance [Documentary Film]. (Available from NOVA/PBS: http://www.pbs.org/wgbh/nova/worldbalance/ )

Recommended:
Bloom, D.E., and D. Canning (2006). “Booms, BustsandEchoes.” Finance and Development (Sept 2006), 8-13.
The Economist (2009). “ The baby bonanza.” The Economist Print Edition, August 27, 2009.
Ehrlich, P., and A. Ehrlich (2006). “Enough Already.” New Scientist 2571:46-50.
Livi Bacci, M. (1992). “A Concise History of World Population.” Cambridge, MA, Blackwell.
Sen, A.K. (1994). “Population: Delusion and Reality.” The NY Review of Books. XLI(15): 62-71.
UNFPA (2009). “State of the World Population 2009. Facing a changing world: Women, population, and climate.” New York, UNFPA. Available from: http://www.unfpa.org/swp/2009/en/pdf/EN_SOWP09.pdf
UNFPA (2008). “State of the World Population 2008. Reaching common ground: Culture, gender, and human rights.” New York, UNFPA. Available from: http://www.unfpa.org/swp/
Wade, N. “In dusty archives, a theory of affluence.” The New York Times, August 7, 2007.

Session 4: A short history of global health (9/12/12)
Required:

Frenk, J. (2009). “Reinventing primary health care: the need for systems integration.” Lancet. 374(9684):170-3


Diamond, J. “Lethal Gift of Livestock.” From Guns, Germs, and Steel. W. W. Norton & Company, New York, 1999. pp. 195-214. [pdf on iSite]
Fogel, R.W. (2004). “Chapter 2. Why the twentieth century was so remarkable.” in The Escape from Hunger and Premature Death, 1700-2100: Europe, America and the Third World. Cambridge: Cambridge University Press. pp. 20-42. [pdf on iSite]
Lancet. (2009). “Who runs global health?” Lancet.373(9681):2083.
Merson, M.H., R.E. Black and A.J. Mills (2001). “Introduction.” International Public Health: Diseases, Programs, Systems, and Policies. Gaithersburg, MD, Aspen Publishers: xvii-xxx. [pdf on iSite]
Rosenberg, M.L., E.S. Hayes, M.H. McIntyre, and N. Neill (2010). Chapter 2 “The diverse landscape of global health.” Real Collaboration: What it takes for global health to succeed. Berkeley and Los Angeles, California: University of California Press. [pp.17-30] [pdf on iSite]
USAID Global Health Strategic Framework - FY 2012 to FY 2016 (Please read pages 15-25): http://apps.who.int/medicinedocs/documents/s19251en/s19251en.pdf

Recommended:

Basch, P.F. (1999). “The Organization of International Health Before 1900” (Chapter 2). Textbook of International Health. Ed. P. F. Basch. New York, Oxford University Press. pp. 11-41.


Basch, P.F. (1999). “The Organization of International Health Since 1900” (Chapter 3). Textbook of International Health. Ed. P. F. Basch. New York, Oxford University Press. pp. 42-72.
Kleinman, A. (2010). “Four social theories for global health.” Lancet 375:1518-1519.
WHO History website. URL: http://www.who.int/features/history/en/index.html

Joint Learning Initiative: History Working Group Series in American Journal of Public Health
Brown, T.M., and E. Fee. (2004) “A Role for Public Health History.” American Journal of Public Health, 94(11): 1851-1853.
Brown, T.M., M. Cueto and E. Fee. (2006) “The World Health Organization and the Transition From International to “Global” Public Health.” American Journal of Public Health. 96: 62-72.
Cueto, M. (2004) “The Origins of Primary Health Care and Selective Primary Health Care.” American Journal of Public Health. 94(11): 1864-1874.
Litsios, S. (2004) “The Christian Medical Commission and the Development of the World Health Organization's Primary Health Care.” American Journal of Public Health. 94(11): 1884-1893.
Rosen, G. (1993). A History of Public Health. Baltimore, Johns Hopkins University Press.


Sessions 5 and 7: Trends and patterns in global health and population I and II (9/14/12 and 9/19/12)
Required:
Cooper, R.S., B. Osotimehin, et al. (1998). “Disease burden in sub-Saharan Africa: what should we conclude in the absence of data?” Lancet. 351(9097): 208-210


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