Title: Rebuilding Disrupted Health Systems – Developing context-specific strategies for health care policies, implementation and governance
Keywords: Resilience
Health systems
Health Policy (incl. advocacy)
Fragile environment
Country: Netherlands
Institution: The Netherlands - Royal Tropical Institute (KIT), Amsterdam
Course coordinator: Maaike Flinkenflögel
Date start: 2019-04-01
Date end: 2019-06-21
About duration and dates: 12 weeks in total: 10 weeks interactive learning & 2 weeks working on assignment and final exam, 150 hours in total.
Classification: advanced optional
Mode of delivery: Distance-based
Course location: Distance based via E-learning platform
ECTS credit points: 5 ECTS credits
SIT: 150 hours total:
• 60 hours interactive learning (peer-to-peer learning or tutor facilitated)
• 55 hours self-study
• 5 hours formative assessment
• 30 hours summative assessment
Language: English
By the end of the course student should be able to:
1. Identify policy and implementation gaps and discuss options to address these in fragile and conflict affected environments
2. Discuss governance challenges and the key issues while addressing them in fragile and conflict affected environments
3. Analyse the challenges of regulating health care provision in fragile and conflict affected environments
4. Analyse the challenges of allocating limited resources in fragile and conflict affected environments
5. 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
6. Develop context-specific strategies to address challenges in rebuilding health systems in fragile and conflict affected environments
Assessment Procedures:
A formative assessment using quiz and peer-to-peer interview will be done in weeks 1-5.

Summative assessment:
- Written essay (2500 words) at the end of the course focusing on the development of a health systems strengthening plan for fragile and conflict affected settings: 80%
- 10 minute video presentation (recorded; halfway in the course): 20%

In case of failure students are allowed to redo an assignment.

Students will be asked to periodically upload draft versions of their assignments. This, combined with tutoring sessions will be used as a system to verify that the product submitted is the students’ personal work. All assignments will go through Urkund as a mean to check for plagiarism.
Health policies
- policy analysis – introduction
- the policy cycle

Governance in fragile and conflict-affected settings
- governance in health
- decentralization and decision space within the health sector
- engagement of local communities
- aid architecture

Considerations while rebuilding disrupted health systems
- resilience and humanitarian-development nexus
- UHC & the SDGs
- equity & human rights

Approaches to rebuild disrupted health systems
- health needs
- health financing - transitioning from humanitarian to development phase
- essential health packages
- costing
- regulation of service providers by government
- regulation of medical products (pharma)
- contracting
- M&E of health systems
Lectures, interactive discussions, exercises, case studies, group work, self-study, journal clubs, videos:
- Pre-course reading: 5 hours
- Introductory lectures, exercises and case studies as well as interactive group discussions, building on participant experiences: 40 hours
- Group work will include working on a case study and journal clubs: 20 hours
- Self-study: 50 hours in-course reading assignments to support lectures and journal clubs, watching videos group work
- 5 hours formative assessment
- 30 hours summative assessment
The following criteria will be used for the selection of participants:
- a degree equivalent to Bachelor’s level in medicine, public health, social sciences or related disciplines
- at least 3 years of work experience preferable including at least 1 year in humanitarian action or health systems development, preferably in contexts affected by crisis;
- For academic credit an English competency exam is required (TOEFL paper-based test: 550, computer-based test: 213 or IELTS academic version: 6.0).
25 students (maximum 30 students)
We will use a first come first serve approach for applications that fulfill admission criteria.
Euro 1900
tropEd accreditation:
This course is accredited in Antwerp GA, October 2017. This accreditation is valid until October 2022.
Email Address: F.Maldonado@kit.nl
Date Of Record Creation: 2017-10-22 15:31:41 (W3C-DTF)
Date Of Record Release: 2017-10-22 19:51:03 (W3C-DTF)
Date Record Checked: 2018-07-18 (W3C-DTF)
Date Last Modified: 2018-07-18 20:32:55 (W3C-DTF)

Report a Problem with this Resource Record

Log In: