Global Health Interventions
Objectives
1. CU content and dynamics. Introductory concepts.
2. The growing relevance of health diplomacy in the context of global health and south-south cooperation.
3. To know the objectives, functions and contributions of the main institutional actors in the area of global health. Describe the evolution of the global health architecture. Discuss variations in the objectives and contributions of these actors.
4. Describe the main impacts of COVID 19 on the workforce. Challenges and measures to protect the health workforce in the pandemic context.
5. Describe the sustainable development goals and targets related to reproductive, maternal, neonatal and child health and how they are being measured.
6. Describe the overview of global organizations working to support MCH programs.
7. Discuss a framework for MCH program indicators.
8. Discuss benefits of measuring MCH program performance as well as issues and challenges involved.
9. Regarding decentralization, the focus will be discussion regarding the pros and cons of decentralization, the risks regarding fragmentation and poor governance and options to improve continuity of care.
10. Public health surveillance. Fundamental concepts: SVSP goals; Key elements of an SVSP; Main surveillance methods; Disease selection criteria; Difference between surveillance and health information systems; Integrated versus vertical systems.
11. Main challenges of an SVSP.
12. Evaluation of an SVSP.
13. Describe essential public health functions and the public health system infrastructure needed to support them.
14. Describe the International Health Regulations and their core capacities, and their functioning during the COVID-19 pandemic; discuss how improvement in EPHF and IHR core capacities could improve the response during future epidemics / pandemics.
15. Understand the importance of population health and a public health system to the achievement of the SDGs.
16. Discuss a framework and steps to strengthen public health systems.
17. In the case of Payment systems we will discuss the transition from historic budgets to per capita, per capita with performance incentives, fees for services, and DRGs. We will also discuss the evolution of the WB project from plain investments projects to result based programs. The whole logic is how to encourage performance and quality and strategic purchasing.
General characterization
Code
5788025
Credits
4
Responsible teacher
Paulo Ferrinho
Hours
Weekly - 8
Total - 24
Teaching language
Portuguese and English
Prerequisites
Not applicable
Bibliography
• Hoffman S.J., Cole C.B., Mark Pearcey M. (2015), Mapping Global Health Architecture to Inform the Future, Research Paper, Centre on Global Health Security, The Royal Institute of International Affairs, Chatham House, London; https://www.chathamhouse.org/sites/files/chathamhouse/field/field_document/20150120GlobalHealthArchitectureHoffmanColePearceyUpdate.pdf. • Hoffman SJ, Cole CB. Defining the global health system and systematically mapping its network of actors. Global Health. 2018 Apr 17;14(1):38. doi: 10.1186/s12992-018-0340-2. PMID: 29665828; PMCID: PMC5904998. • Szlezák NA, Bloom BR, Jamison DT, Keusch GT, Michaud CM, Moon S, et al. (2010) The Global Health System: Actors, Norms, and Expectations in Transition. PLoS Med 7(1): e1000183. https://doi.org/10.1371/journal.pmed.1000183 • WHO (2020). Health workforce policy and management in the context of the COVID-19 pandemic response. https://www.who.int/publications/i/item/WHO-2019-nCoV-health_workforce-2020.1 • Nagesh S, Chakraborty S. Saving the frontline health workforce amidst the COVID-19 crisis: Challenges and recommendations. J Glob Health. 2020 Jun;10(1):010345. doi: 10.7189/jogh-10-010345. PMID: 32373323; PMCID: PMC7183244. • Garcia-Abreu, Anabela. Public Health Surveillance Tool kit, a Guide for Busy Task Managers. World Bank, 2002, • Bonita R., M. de Courten, T. Dwyer, K. Jamrozik, R. Winkelmann, 2001. “Surveillance of Risk Factors for Non-Communicable Diseases: the WHO STEPwise approach”. Geneva • CDC (Center for Disease Control and Prevention) 1997. Case Definitions for Infectious Conditions Under Public Health Surveillance. MMWR 46:1-55 • CDC, 2001. Updated Guidelines for Evaluating Public Health Surveillance Systems. Recommendations from Guidelines Working Group • Teutsch, S. M.and R.E. Churchill, eds 1994. Principles and Practice of Public Health Surveillance. New York: Oxford University Press • WHO, www.who.int/emc/surveillance/index.html • WHO, 1999 Recommended Surveillance methods, Geneva • WHO, 1999. Manual on Surveillance logistics • WHO, 2002. Integrated Disease Surveillance • WWW.WHO.INT The Pacific Public Health Surveillance Network (PPHSN) • https://ec.europa.eu Surveillance and early warning • ECDC
Teaching method
T - Teaching: lecture, student presentations, virtual classroom discussion; TP – Guest narratives about experiences in global health interventions; OT – Support to students as part of the preparation of posters.
Evaluation method
Submission of a poster related to the learning objectives (contributes to 40% of the grade). Oral presentation (10 minutes) and poster defense (which covers all the material taught) (20 minutes) (contributes to 60% of the grade).
Subject matter
Through participatory discussions and public presentations of personal work, develop critical comprehension, explanatory and implementation skills and competencies related to: I. Introduction to CU. II. Global diplomacy and negotiations and south-south cooperation. III. Institutional actors in the area of global health. IV. Protecting the health workforce in the context of a pandemic. V. Maternal-Child Health Programs. VI. Strategies for strengthening SS in developing countries: between fragmentation and decentralization the role of global stakeholders (case studies). VII. Public health surveillance. VIII. Strengthening public health systems in the context of new pandemics – practical guide. IX. Health systems in developing countries - performance-based financing: from theory to implementation (case studies). X. Regional surveillance.