| Title: |
Public Health Systems - Challenges and Opportunities: the Case of Nepal |
| Keywords: |
Universal health coverage
Public Health
Primary Health Care
Health systems
Essential health care package
|
| Country: |
Germany
|
| Institution: |
Germany - Center for International Health at the Ludwig-Maximilian-Universität München
|
| Course coordinator: |
Deepak Paudel
Arlett Heiber
|
| Date start: |
2020-05-04 |
| Date end: |
2020-05-08 |
| About duration and dates: |
One week with four full days in class, one half day for field exposure. Pre-reading will be issued 2 weeks prior to face-to-face-course beginning. Post-course assignment is due 2 weeks after the end of the face-to-face-course. |
| Classification: |
advanced optional
|
| Mode of delivery: |
Face to face
|
|
Course location:
Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal |
|
| ECTS credit points: |
3 ECTS credits
|
SIT:
90SIT
Pre-Reading Assignment: 10 hrs
Lectures: 35 hrs
Field work and group work : 4+4 hrs
Individual assignment after course week: 35 hrs
Assessment: 2 hrs |
|
| Language: |
English
|
Description:
At the end of the module the student should be able to …
• describe health care delivery system in Nepal and major sources of health information
• explain major health problems including challenges and opportunities to address those problems
• identify socio-cultural aspects of care seeking, service delivery and health behaviors
• identify innovations and initiatives taken to address these health problems both from supply side and demand side
• compare issues and challenges between health care system in developed and developing countries
• discuss possible health system solutions in a resource constrained system. |
|
Assessment Procedures:
• Individual assignment after course week: students will prepare a review paper (word count 2000 to 3000) focusing health system issues and challenges for different health problems (e.g. maternal health, child health, neonatal health, non-communicable diseases, injuries and road traffic accidents) which will be rated by the facilitator (Grading A-D, F)
• Multiple choice test (Grading A-D, F)
The final grade will be calculated as an equally weighted arithmetic mean of the two graded assessment parts.
In case of failure of the MC test, students will be assigned a 2000 to 3000-word essay on a topic as defined by the facilitators.
In case of failure of the homework assignment, these can be resubmitted within a time frame defined by the facilitator. |
|
Content:
• An overview of the Public Health delivery system in Nepal.
• Comparison of health care systems in different resource settings.
• Health related challenges from supply side (health system) and demand side (community and users).
• Public health interventions to address health problems.
• Socio-cultural determinants of health care seeking behaviour in Nepal. |
|
Methods:
Pre-course Reading Assignments
• Participants receive pre-course reading assignments (2-3 peer reviewed journal papers, 1 chapter from Annual Report of Ministry of Health, 1 project brief / report focusing any health system issue in Nepal)
• Readings will be essential for students to follow the face-to-face course (10 hours) and will be linked with the group work and discussions
Public Health delivery system in Nepal
• Lectures (14 hours)
Health related challenges from supply side (health system) and demand side (community and users)
• Lectures (9 hours)
• Field exposure to a health facility and community (4 hours)
• Group work after field exposure (2 hours)
Public health interventions to address health problems
• Lectures focusing community (demand side) issues (6 hours)
• Lectures focusing health system (supply side) issues (6 hours)
• Tutored Group Work (2 hours)
Assessment (2 hours)
Post-course Assignments
• Further reading as suggested by facilitators (15 hrs)
• Compile a review paper prepared during the course based on the inputs provided and reference documents shared by facilitators (20 hrs) |
|
Prerequisites:
Proof of English fluency: tropEd students from an accredited tropEd home institution who have passed a core course in English language will be considered sufficiently fluent in English language. Also students who can provide proof of academic education passed entirely in English language will be considered sufficiently fluent. Applicants not being able to provide either of these criteria will be asked to proof fluency by a TOEFL (iBT score >= 79) or IELTS (score >=6.0). |
|
Attendance:
Max. number of participants: 15;
Up to 10 tropEd Master’s students are admitted. |
|
Selection:
Students are selected on a first-come, first-serve basis
Local students will be selected on merit basis (degrees, grades, professional qualification) |
|
Fees:
€ 600,-; important notice: course fees are not refundable as consumables for the course have to be purchased in advance, with the exception of the course not taking place due to reasons on the side of the course coordination. |
|
Scholarships:
not available |
|
tropEd accreditation:
Accredited in April 2018. This accreditation is valid until April 2023. |
|
Remarks:
Key reading (examples)
Annual Report of DOHS:
http://dohs.gov.np/wp-content/uploads/2017/06/DoHS_Annual_Report_2072_73.pdf
Key system resources from Nepal:
http://nhsp.org.np/documents/
http://nhsp.org.np/category/nhss/
http://www.nhssp.org.np/thematic_rpt.html
http://www.mohp.gov.np/content/policies-and-strategies
Data sources:
Demographic and Health Survey, Service Provision Assessment
http://www.dhsprogram.com/Where-We-Work/Country-Main.cfm?ctry_id=13&c=Nepal&Country=Nepal&cn=&r=4
World Bank Nepal
https://data.worldbank.org/country/nepal
IHME/GBD Nepal
http://www.healthdata.org/nepal
http://vizhub.healthdata.org/gbd-compare
WHO
http://apps.searo.who.int/pds_docs/B1361.pdf
Peer reviewed journal papers:
Drivers of health system strengthening: learning from implementation of maternal and child health programmes in Mozambique, Nepal and Rwanda
https://academic.oup.com/heapol/article-abstract/32/7/1015/3803450/Drivers-of-health-system-strengthening-learning?redirectedFrom=fulltext
Newborn survival in Nepal: a decade of change and future implications
https://academic.oup.com/heapol/article/27/suppl_3/iii57/584074/Newborn-survival-in-Nepal-a-decade-of-change-and?searchresult=1
The national free delivery policy in Nepal: early evidence of its effects on health facilities
https://academic.oup.com/heapol/article/26/suppl_2/ii84/643333/The-national-free-delivery-policy-in-Nepal-early?searchresult=1
Healthy mothers, healthy children: does maternal demand for antenatal care matter for child health in Nepal?
https://academic.oup.com/heapol/article/26/3/242/569101/Healthy-mothers-healthy-children-does-maternal?searchresult=1
Governance challenges in the Nepalese primary health care system: time to focus on greater community engagement?
http://onlinelibrary.wiley.com/doi/10.1002/hpm.2290/abstract
Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970–2016: a systematic analysis for the Global Burden of Disease Study 2016
http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(17)31833-0.pdf |
|
| Email Address: |
ttu@lrz.uni-muenchen.de |
| Date Of Record Creation: |
2018-04-14 02:18:05 (W3C-DTF) |
| Date Of Record Release: |
2018-04-14 06:32:54 (W3C-DTF) |
| Date Record Checked: |
2018-04-13 (W3C-DTF) |
| Date Last Modified: |
2020-11-23 11:27:24 (W3C-DTF) |
