Title: Global Health Determinants (Course is full in 2017!)
Keywords: Sociology (incl.. socio-cultural aspects)
Health systems
Health indicators
Health Policy (incl. advocacy)
Country: Spain
Institution: Spain - Barcelona Institute for Global Health - University of Barcelona
Course coordinator: Dr. Lucy Anne Parker
Dr. Ildefonso Hernández Aguado
Date start: 2017-10-03
Date end: 2017-10-11
About duration and dates: From Monday to Thursday from 9:00 to 11:00 h and 11:30 to 13:30 h. 6 working days face to face. Students are asked to read recommended materials before face-to-face sessions.
Classification: advanced optional
Mode of delivery: Face to face
Course location:
University of Barcelona
Faculty of Medicine
C/ Casanova, 143
08036 Barcelona, Spain
ECTS credit points: 3 ECTS credits
SIT: 75 SIT
• Hours of tutored projects and work (not face to face): 5 hours
• Hours of independent study (not face to face and not tutored): 46 hours
• Hour of face to face study: 24 hours
• Total = 75 hours
Language: English
Description:
The course builds up on knowledge students have acquired in the core course and addresses the main determinants of global health with special emphasis on the most disadvantaged populations in middle and low-income countries. The course also shows how the recognition of social determinants of health improves the formulation and implementation of policies and programs.

At the end of the course students will be able to:

1. Distinguish the characteristics of the main determinants that influence the health of populations from different areas of the planet

2. Appraise the distribution of health and its determinants at global level and make relevant comparisons between regions and countries.

3. Analyze the key factors that explain the global health inequalities and their relevance in the design of policies and interventions to tackle their impact in the population.
Assessment Procedures:
Students will be assessed individually.

Assessment will involve class participation, questions on the essential reading, and preparation and oral presentation of a micro-essay on health determinants.

Class participation (20%): Class participation will be measured in a qualitative way in four categories (no participation; minimal participation; acceptable participation, proactive participation). The faculty members will facilitate participation, requesting the preparation of questions or brief presentations in advance.

Examination on essential reading (20%): Students are asked to read essential reading material before attending class. A multiple-choice examination evaluating comprehension of the essential reading material should be completed at home before the final day of class.

Micro-essay (60%): The students have to write a micro-essay on health determinants, which should be presented using PowerPoint or equivalent) in the last two sessions. Every participant chooses a topic on social health determinants (e.g. gender, inequality in access, public policies, etc.) and writes the essay during the course with some directed work and tutorials. The last two sessions are devoted to the oral presentation and public discussion of the essays. The written essay (max. 1000 words, excluding references) will make up 40% of final grade, while oral presentation, discussion and participation in the discussion of other students’ presentations will make up the remaining 20% of the final mark,

Final grades will be made available to students within two weeks of the final day of the course.

Students who have not reached the minimum pass grade of 50% will have a second opportunity to pass the module. Reevaluation will involve a new written micro-essay (50%) and an examination on the essential reading with 3 open questions requiring short text answers, max 300 words (50%).

Timeline for re-evaluation will be announced as needed.
Content:
It is expected that students have already a basic knowledge regarding basic key concepts on health determinants equivalent to core course content.

• Session 1. Introduction to global health determinants. Equity, social justice, and human rights in health. This session provides an introduction into some of the key concepts covered in the course, discussing the many levels of causality as to why an individual may be sick or healthy. Case studies showing unjust and preventable differences in health indicators within and between populations will be examined.

• Session 2. Policy implications of the social determinants of health. Health systems and health policy. This session looks at global health systems and the main actors in global health governance. The discussion will focus on the development, implementation and evaluation of policies to improve the health of populations through action on the social determinants of health.

• Session 3. Global distribution of the burden of disease and its determinants. Fundamentals in South / North Inequalities. This session examines the geo-political distribution of various health indicators over time, including examples from Gap minder (www.gapminder.org).
Country and regional level case studies will be discussed to encouraging active participation and debate into why large differences exist between countries and what can be done to minimize or prevent them.
• Session 4. Structural determinants of health. Socioeconomic and political context. Conflicts and health. This session will follow on from previous session and discussion but taking a closer look at the impact of the socio-political climate of a country on the health of its population, the need for political stability to ensure functioning health systems and the devastating consequences of war and conflict.

• Session 5. Structural determinants of health. Social class and education. This session will explore the different levels of health and disease observed within a population across the social gradient, with a special focus on the impact of education and social class. Current methods to define social class will be presented.

• Session 6. Gender and health. This session will look at health inequality from a gender perspective, looking at the differences in health and determinants of health between men and women throughout the different regions of the world. Topics such as discrimination, the right to education and intimate partner violence will be discussed.

• Session 7. Geography, ethnicity, migration, poverty and development. This session covers a range of issues on geography and health, including concepts, research strategies, and case studies. Additionally, information on migration and examples on ethnicity-related inequalities will be provided.

• Session 8. Intermediate determinants in health. Employment and working conditions and inequities in health. This session focuses on the links between employment and work with health inequalities, presenting evidence and examples of new research in this area, and exploring a number of policy applications of these perspectives.

• Session 9. Critical revision of the behavioral approach as determinant of health: the case of job insecurity and precarious employment. This session deals with some causal models in Public Health distinguishing between life-style theories and the fundamental causes of health. Job insecurity and precarious employment are used as case studies to illustrate these differences.

• Session 10. Environmental determinants in global health. Climate change. This session will look at the impact of physical environment on health and disease, from access to clean drinking water and unpolluted air, through shelter and save built environment to changes in ecosystems due to climate change.
Methods:
The course is organized in two-hour sessions. The first part of the session consists of an oral presentation. The second is an open discussion for which the professor provides short texts, in addition to previously recommended reading material, which serve to enrich the debate. The debates are also focused on the different topics chosen by the participants for their essay on health determinants, which is part of the students’ assessment.

Students will be tutored to select and develop their micro-essays and oral presentations. Course coordinators will be available for e-mail exchange to answer questions and provide further content explanations.
Prerequisites:
English TOEFL test 550 or 213 computer-based or 79/80 internet-based or IELTS band 6.0.
Attendance:
Maximum of 35 students per course
Selection:
Based on CV and motivation letter
Fees:
480 € plus university taxes
Scholarships:
None available
tropEd accreditation:
Accredited in November 2014. This accreditation is valid until November 2019.
Email Address: nuria.casamitjana@isglobal.org
Date Of Record Creation: 2014-12-08 03:26:22 (W3C-DTF)
Date Of Record Release: 2017-05-31 14:39:24 (W3C-DTF)
Date Record Checked: 2016-05-09 (W3C-DTF)
Date Last Modified: 2017-10-10 04:43:05 (W3C-DTF)

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