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Title: Migrants and Refugees Health In the Mediterranean
Keywords: resilience
Country: Spain
Institution: Spain - Barcelona Institute for Global Health - University of Barcelona
Course coordinator: Victoria Fumadó
Nathan Bertelsen
Anna Requena
Date start: 2021-04-27
Date end: 2021-05-06
About duration and dates: 1 day pre-reading + 7 days in class + 1 day site visit
Classification: advanced optional
Mode of delivery: Distance-based
Course location: School of Medicine - University of Barcelona, Barcelona, Spain
ECTS credit points: 3 ECTS credits
SIT: Independent study hours: 43
On-site visit: 4
Classroom hours: 28
Face-to-face sessions in the mornings from 9:00 to 13:30 with 30 min break.

Total SIT: 75 hours
Language: English
Description: At the end of the course, the student will be able to:

· Critically analyze the health needs of migrant and refugee communities in the Mediterranean region;
· Define key cultural, social and human rights determinants that influence their health;
· Practice cross-cultural communications skills to work with migrants and refugees and promote mental health and well-being;
· Propose innovative solutions to the refugee crisis in the Mediterranean, at the program and population level.
Assessment Procedures: This course will be evaluated on individual basis.

This course has four components: a midterm reflection paper, a final proposal paper, a final oral presentation, and in-class participation. For more detailed information on the assessment procedure see Annex 1.

1. Mid-term reflection paper (30%)
To reflect on lessons learned in Objectives 1 and 2, this paper must explore a chosen topic within the scope of the course. Barriers to health and solutions offered by stakeholders must both be discussed.

Length of paper 500-750 words.
The mid-term reflection paper deadline is: Day 5 of the course.

2. Final proposal paper (30%)
To demonstrate knowledge of Objectives 1 and 2, and apply a solution for Objective 4, this paper must define and provide evidence for:
1) a specific health need and disparity, AND
2) health service OR research intervention for improving the health of migrants in the Mediterranean.

Length of paper 500-750 words.
The final proposal paper submissions deadline is: the last day of the course.

3. Final oral presentation (20%)
As an exercise to demonstrate communication skills from Objective 3, after writing their proposal paper, students must orally present their final paper to the class. Maximum 10 minutes (grade will be affected if not finishing on time).

4. In-class participation (20%)
Students are expected to be independent learners and actively engaged in discussion during class. Students will be evaluated according to the level of participation in class-room exercises.

A specific rubric will be available to students in advance detailing each assessment component and criteria, including class participation.

From the four components of the assessment, the two papers and the presentation need to be passed independently; a final weighted score of the four components will be given.

Re-sit: Students who fail the evaluation (weighted score less than 5 in a scale of 10) will be required to pass a written exam. The exam will be close-book type, and will include 5 open-answer questions. The examination will take place within the 15 days after the ordinary grades have been communicated.
Content: 1. Introduction - Course Overview: Migrant and Refugee health in the Mediterranean

2. Architecture of Humanity: Trauma, recovery, and resilience factors in mental health and well-being

3. Health, Culture, and Communication

4. Health and Human Rights

5. Site visit: Meet with staff and residents of a local migrant health care facility, with questions and answers.

6. Public health challenges in migrant health: an epidemiological perspective

7. Pediatric issues in migrant health

8. Presentation of Students’ Final proposal papers

More detailed information on content in Annex 2.
Methods: This course has 8 face-to-face sessions of 4 hours each, every session divided in 2+2 hours with a 30 min. break in the middle (sessions include one site visit and one assessment activity the last day). The total is 32 face-to-face hours, including 28 teaching hours plus 4 h for the site visit.

The course is based primarily in facilitated discussion of the listed themes in the content to achieve the learning objectives, and to engage students in a flipped classroom in a learner-centered way.

Coordinated by three physicians who care for migrants, this course will also provide students simulated opportunities to practice cross-cultural communication skills.

Additionally, the field visit (see above) will provide the opportunity to observe real-life provision of services for migrants and refugees in Barcelona. Students will interact with staff and residents with pre-prepared questions. Whenever necessary translators/interpreters will be used. See more information in Annex 2.

During independent study time (43 h), students will read the pre-readings, reflect on lessons learned and discussion questions from class, and work on their mid-term paper, final paper and final presentation. Students must review all course material prior to class and come prepared to discuss, debate and defend questions, challenges and solutions in this area (with in class pre-quizzes to check they have done the readings).
Prerequisites: English TOEFL test 550 or 213 computer-based or 79/80 internet-based or IELTS band 6.0.

During the field visit, all students must adhere to all professional codes of conduct applying at both ISGlobal and the University of Barcelona, especially regarding patient privacy and confidentiality. No patient information can be recorded, discussed or shared outside the site visit in any way. Ethical issues and violations will be discussed directly with the course coordination and can qualify for dismissal from the class and course.
Attendance: Maximum of 35 students per course
Selection: Based on CV and motivation letter. In case of doubt, students may be required to undergo an interview (face-to-face, phone or Skype) to assess their motivation and suitability for the course
Fees: 525 € fee plus university taxes
Scholarships: Not available
tropEd accreditation: Accredited in January 2019, in Lisbon.
This accreditation is valid until January 2024.
Remarks: Experts in the field from MSF on this topic will be invited as faculty for some sessions.
Here the link to our website:
https://www.isglobal.org/en/programme-train/-/asset_publisher/oSgA0dGQ1Hzi/content/migrants-refugees-and-health-in-the-mediterranean
Email Address: ana.requena@isglobal.org
Date Of Record Creation: 2019-02-15 09:07:25 (W3C-DTF)
Date Of Record Release: 2019-02-15 14:17:32 (W3C-DTF)
Date Record Checked: 2019-08-14 (W3C-DTF)
Date Last Modified: 2021-02-22 10:25:21 (W3C-DTF)

Fifteen years of the tropEd Masters in International Health programme: what has it delivered? Results of an alumni survey of masters students in international health

L. Gerstel1, P. A. C. Zwanikken1, A. Hoffman2, C. Diederichs3, M. Borchert3 and B. Peterhans2

1 Royal Tropical Institute, Amsterdam, The Netherlands
2 Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland
3 Institute of Tropical Medicine and International Health, Charite – Universit€atsmedizin Berlin, Berlin, Germany