Title: Health Systems Strengthening in Low and Middle-Income Countries
Keywords: Planning and programming (incl.. budgeting and evaluation)
Health systems
Country: Germany
Institution: Germany - Institute of Public Health, University of Heidelberg
Course coordinator: Dr. Revati Phalkey
Date start: 2019-06-03
Date end: 2019-06-07
About duration and dates: 1 week + 8 hours preparatory reading before course start and 7 hours written assignment after course end
Classification: advanced optional
Mode of delivery: Face to face
Course location: Heidelberg, Germany
ECTS credit points: 2 ECTS credits
SIT: 60 hours SIT (36.5 contact time and 23.5 self-study hours)
Language: English
This course aims to provide students with the necessary tools to develop and to successfully implement Health systems strengthening (HSS) interventions in low/middle-income countries (LMICs), in order to maximize impact of national disease-control programs. At the end of the course, students will be able to:
• Critically discuss theoretical and practical aspects of HSS in the context of LMICs, including multiple conceptual frameworks, strategic approaches to HSS, and political and economic aspects that determine health policy choices.
• Apply operational aspects of HSS, including diagnosing the gaps in health systems performance, designing high-impact interventions and measuring performance of health systems strengthening programs.
• Examine the global health landscape relevant to HSS, including global health funding architecture, partnership mechanisms and technical support mechanisms.
Assessment Procedures:
(I) 40% Group-work Power Point presentation:
The group work consists of a 20 minute group presentation on a topic the groups decide on together with the coordinator at the first day of the course. Presentations will be delivered on the 5th day.
Topics could include for example:
1. Comparative analysis of health systems in two low/middle-income countries.
2. Comparative analysis of strengths and weaknesses of two National Health Systems Performance Assessment reports.
3. Analysis of strengths and weaknesses of a National Health Sector Strategy based on JANS review (Joint Assessment of National Strategies).
4.Design, implementation and impact analysis of integrated service delivery platforms.
5.Analysis of global health partnership landscape in the context of HSS: Global Fund, GAVI Alliance, World Bank/Global Financing Facility
(ii) 60% individual written assignment:
Essays will be between 1500-2000 words. For the essay, participants choose a topic together with the course coordinator from a list of topics provided by the coordinator.
Participants will have the opportunity to discuss the outline and structure of their essays with the course coordinator throughout the week. Essays are to be submitted the latest one week after the course end.
If the student fails to reach the passing grade of 60% (average from both assessments), s/he will be able to re-submit the individual written assignment not later than 2 weeks after receiving coordinator’s comments.
• Overview of health systems and health systems strengthening in LMICs
• Comparative health systems and reforms in LMICs
• Diagnosing gaps in health systems performance
• National health strategy as the entry point for health systems strengthening programs
• How does the health system deliver healthcare? Understanding the supply factors that are necessary for healthcare delivery
• Resources for an effectively performing health system: Human resources, money, data
• How does health systems strengthening maximize the impact of national disease programs?
• Creating enabling partnership environments for health systems strengthening at the national and global levels
• Health systems strengthening in challenging operating environments
• Monitoring and evaluation of HSS programs
The course aims to initiate an active participatory learning process. It uses a mixture of interactive lectures, individual assignments, case studies, group work and presentations.

• Interactive lectures 21hours
• Group work (incl. case studies): 21 hours
• Assessed group presentations 3 hours
• Preparatory reading 8 hours
• Written assignment 7 hours
Evidence of adequate English language skills (TOEFL score of at least 550 points paper-based or 213 points computer-based, or an equivalent approved test)
Max Number of participants :25. (no limit for tropEd students)
First come first served
Course fee: € 750
Reduced fee for participants enrolled in the tropEd programme: € 500 (proof of tropEd student status needs to be provided)
None available
tropEd accreditation:
Accredited in Barcelona, February 2017. This accreditation is valid until February 2022.
Remarks: Dr. George Shakarishvili, MD, PhD, MPH
Senior Advisor, Health Systems Strengthening
The Global Fund to Fight HIV, Tuberculosis and Malaria,Geneva, Switzerland
Email Address: grys@uni-heidelberg.de
Date Of Record Creation: 2017-03-06 16:47:43 (W3C-DTF)
Date Of Record Release: 2017-03-06 22:01:00 (W3C-DTF)
Date Record Checked: 2018-06-10 (W3C-DTF)
Date Last Modified: 2018-06-10 14:15:29 (W3C-DTF)

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