Title: Health Policy, Governance and Finance in fragile and conflict-affected environments (course not running in 2019)
Keywords: Health systems
Health in emergencies
Health Policy (incl. advocacy)
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: 2 weeks distance (e-)learning component and 2 weeks classroom session
Classification: advanced optional
Mode of delivery: Blended-learning
Course location: Royal Tropical Institute (KIT), Amsterdam
ECTS credit points: 5 ECTS credits
SIT: 140 student investment hours

Distance (e-)learning component (2 weeks)
65 student investment hours
Contact hours on the web 10 hours
Not-guided web group discussions 5 hours
Self-directed learning 50 hours

Classroom component (2 weeks)
75 student investment hours
Contact hours: 60 hours, of which 10 hours guided group work
Self-study hours: 15 hours of in-course reading
Language: English
At the end of this course participants will be able to:
• Identify policy gaps and discuss options to address them; analyse potential consequences reflecting upon past experiences from fragile and conflict affected environments
• Analyse the challenges of regulating health care provision in fragile and conflict affected environments
• Discuss governance challenges and the key issues while addressing them in fragile and conflict affected environments
• Analyse the challenges of allocating limited resources in fragile and conflict affected environments
Assessment Procedures:
E-learning component: quizzes and case study analysis: 30%.
Policy brief assignment (2000 words) at the end of the course: 70%
In case of failure students are allowed to redo the assignment.
What are the key issues in addressing governance challenges in fragile and conflict affected environments? What are the consequences of health financing policies in fragile states for health? What are the challenges and opportunities for developing an effective health workforce in countries in and emerging from crisis and conflict? This course is aligned with the module “Analysing health systems in fragile and conflict-affected environments” and explores the crucial but complex fields of policy, financing, management and governance. Participants discuss common patterns and approaches to policy analysis, explore the difficulties of resource allocation mechanisms, and evaluate the challenges of regulating health care provision in a crisis context. A critical look is taken at the role of key stakeholders in supporting these processes. Participants will be exposed to real life examples from Afghanistan, South Sudan and other countries with similar contexts, learning from successes and failures in rebuilding these health sectors. Participants learn to define policy options and explore their strengths and limitations in addressing key policy gaps.

The following subjects are covered during the course
• Introduction to health policy and to the policy cycle
• Analysis for policy making and analysis of policy
• Understanding and operationalising equity
considerations across the policy cycle
• Kingdon’s “three streams” theory
• Definition and concept of governance
• Actors, interaction between actors; politics and power
• Accountability
• Effectiveness, efficiency and equity related to health service provision
• Regulation and oversight of health service provision
• Overview of key considerations in financing health systems
• Alternative modes of financing based on WHO report (2011)
• Organization of aid, major developments in the area of international (development) finance, including those in the area of aid, debt (relief) and the financial sector

NB: Issues will be addressed using cases from different fragile and conflict affected environments
Distance (e-)learning component is provided through Virtual Learning Community – a web-based e-learning environment
• On line reading of Handouts and Web based resources, Presentations (50 hours)
• Exercises like quizzes and case studies on-line
• Group Tutorials and online group feedback and guidance from tutor (10 hours)
• Not guided online group discussions (5 hours)

Classroom component
Lectures, interactive discussions, exercises and case studies, group work, self-study:

• Introductory lectures, exercises and case studies as well as interactive group discussions, building on participant experiences: 47 hours
• Group work will include working on a case study: 10 hours
• Self-study: 15 hours in-course reading assignments to support lectures, group work
• Written examination: 3 hours
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).
4. Computer with access to internet connection
A minimum of 80% attendance of classroom component 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 Euro in 2018
Scholarships are available through Nuffic:
http://www.nuffic.nl , specifically:
http://www.nuffic.nl/international-students/scholarships/grantfinder, NFP application period : 1 September – 20 October 2015
tropEd accreditation:
Accredited in Basel in September 2015. This accreditation is valid until September 2020.
Remarks: online application
Email Address: F.Maldonado@kit.nl
Date Of Record Creation: 2015-09-14 15:49:49 (W3C-DTF)
Date Of Record Release: 2017-03-19 08:34:49 (W3C-DTF)
Date Record Checked: 2017-03-19 (W3C-DTF)
Date Last Modified: 2018-07-18 20:23:10 (W3C-DTF)

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