Title: Analysing health systems in fragile and conflict-affected environments (course not running in 2019)
Keywords: Management/leadership
International / global
Human Resources
Health systems
Health in emergencies
Country: Netherlands
Institution: The Netherlands - Royal Tropical Institute (KIT), Amsterdam
Course coordinator: Fernando Maldonado
Egbert Sondorp
Date start: 2019
Date end: 2019
About duration and dates: 3 weeks, 1/2 day pre-reading
Classification: advanced optional
Mode of delivery: Face to face
Course location: KIT (Royal Tropical Institute), Amsterdam, The Netherlands
ECTS credit points: 4.5 ECTS credits
SIT: 126 hours: 76 contact hours, 20 hours group work, 30 hours self-study (of which 6 hours pre-course preparation)
Language: English
At the end of this course participants will be able to:
• Use adequate tools for health system analysis and adapt them, whenever it is relevant, to the local context
• Evaluate key health sector players agendas
• Assess the structure, features and performance of health systems operating in fragile and conflict affected environments
• Present the findings of a health systems analysis
Assessment Procedures:
30% of mark will come from the presentation of the country case study (group mark)
70% of mark will come from an individual 3 hour written open book exam

In case of failure students are allowed to redo an assignment
Over one billion people live in fragile and conflict-affected environments. Conflict and fragility have a severe and devastating impact on health systems. Unreliable and incomplete information hampers sound decision making, while fast evolving events increase uncertainty. This course focuses on analysing health systems in fragile and conflict-affected environments, using appropriate tools, and reviews the main system components. This comprehensive analysis considers the bigger challenges that confront health systems in chronic crisis: the damage at all of their levels and in their main components, the limited legitimacy and capacity of national authorities, and the unique opportunities for addressing their main weaknesses and distortions. The course uses case-studies, learning from successes and failures in health sectors of countries experiencing a variety of crises. The course takes a critical look at humanitarian as well as development aid and its politics. Agenda of key actors and formulation of recommendations for adequate health sector strategies, plans and monitoring and evaluation systems are discussed.

Content of the course

• Complex emergencies; trends, challenges and impact
• Humanitarian aid and its politics
• Data and information challenges and crises
• Challenges of complex emergencies to health systems
• Health policies, strategies, and plans
• Key components of a health system in a crisis, based on the 6 building-block model from WHO
Lectures, interactive discussions, exercises and case studies, group work, self-study
126 hours: 76 contact hours, 20 hours group work, 30 hours self-study (of which 6 hours pre-course preparation)
• 65 hours: Introductory lectures, exercises and case studies as well as interactive group discussions, building on participant experiences
• 8 hours: Participant groups will present the results of the country case studies to their class colleagues, with subsequent plenary discussions
• 20 hours: Group work will include critical analysis of a practical country case study
• 30 hours: Self-study. 4 hours pre-course reading; 24 hours in-course reading assignments to support lectures, group work
• 3 hours: written examination
The following criteria will be used for the selection of participants:
1. A degree equivalent to Bachelor’s level in medicine, public health, social sciences or related disciplines;
2. At least 3 years of work experience including at least 1 year in humanitarian action or health systems development, preferably in contexts affected by crisis;
3. For academic credit an English competency exam is required (TOEFL paper-based test: 550, computer-based test: 213 or IELTS academic version: 6.0).
A minimum of 80% attendance is required
Maximum number of students: 30
Maximum number of tropEd students: 4
A selection panel consisting of representatives from KIT will review applications and select the strongest candidates based on the above criteria.
2070 EUR in 2018
Scholarships are available through Nuffic:
http://www.nuffic.nl , specifically:
tropEd accreditation:
Accredited in Basel, September 2015. This accreditation is valid until September 2020.
Email Address: F.Maldonado@kit.nl
Date Of Record Creation: 2015-09-14 15:36:10 (W3C-DTF)
Date Of Record Release: 2015-09-14 19:43:49 (W3C-DTF)
Date Record Checked: 2017-03-19 (W3C-DTF)
Date Last Modified: 2018-07-18 20:21:51 (W3C-DTF)

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