Title: Rebuilding health systems in fragile and conflict-affected environments (course not running in 2019)
Keywords: Vulnerable groups (in general)
Violence / war
Health systems
Health reform
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: 2.5 weeks
Classification: advanced optional
Mode of delivery: Face to face
Course location: Royal Tropical Institute (KIT), Amsterdam
ECTS credit points: 4 ECTS credits
SIT: 112 student investment hours

Contact hours: 78 hours, of which 18 hours guided group work
Self-study hours: 10 hours of pre-course reading and 24 hours of in-course reading
Language: English
At the end of this course participants will be able to:
• Analyse short and long term approaches for health services delivery aiming to address the health needs of populations living in fragile and conflict affected environments
• Develop evidence-based arguments to influence the agenda of key health sector players
• Develop effective health strategies and plans for fragile and conflict affected environments with emphasis on the transition phase between the acute crises and the longer-term development stage
Assessment Procedures:
Written assignment at the end of the course focusing on development of health plans for fragile and conflict affected settings: 75%

Prepare a news release advocating for the inclusion of an evidence-based approach for health service delivery: 25%

In case of failure students are allowed to redo an assignment.
While disease outbreaks or high mortality rates must be the short-term focus in many fragile and conflict-affected environments, it is imperative to start planning at the same time for the transition to longer-term development of the health system so it can be rebuilt while the most urgent health interventions are introduced. This dual focus requires addressing the elements of a dysfunctional health system and how it can be totally rebuilt while dealing with immediate health crises and priorities. What are the short-term and long-term needs of a fragile state’s health system? How to address these needs? What is the role of the donor agencies in rebuilding health systems? This course explores potential answers to such questions, looking critically at what might be seen as best practices from a variety of fragile contexts, in order to equip participants with a set of practical ideas and tools that can be used in rebuilding health systems.

The following subjects are covered during the course
• Transition process from acute crises to the longer-term development phase
• Health needs and health systems adaptations according to the post-crisis phase (acute, transition, development)
• Resilience factors contributing to secure accessible and effective health care services
• Role of the community in rebuilding the health system Health planning
• Effectiveness, accessibility, and equity related to health service provision
Lectures, interactive discussions, exercises and case studies, group work, self-study:
- Pre-course learning: 10 hours
• Introductory lectures, exercises and case studies as well as interactive group discussions, building on participant experiences: 60 hours
• Group work will include working on a case study: 18 hours
• Self-study: 17 hours in-course reading assignments to support lectures, group work
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).
Maximum number of students: 30
Maximum number of tropEd students: 6
A selection panel consisting of representatives from KIT will review applications and select the strongest candidates based on the above criteria.
1926 Euro in 2018
Scholarships are available through Nuffic:
http://www.nuffic.nl , specifically:
tropEd accreditation:
Accredited in Yogyakarta, February 2016. This accreditation is valid until February 2021.
Email Address: F.Maldonado@kit.nl
Date Of Record Creation: 2016-03-13 19:33:25 (W3C-DTF)
Date Of Record Release: 2016-03-13 23:42:59 (W3C-DTF)
Date Record Checked: 2017-03-19 (W3C-DTF)
Date Last Modified: 2018-07-18 20:23:51 (W3C-DTF)

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