SAN DIEGO STATE UNIVERSITY
GRADUATE SCHOOL OF PUBLIC HEALTH
Spring 2012
COURSE NO: 22220
PH 781 Global Health II
This course is a follow up to PH 780 (Global Health II) and is required for those in the
UCSD/SDSU Joint PhD Degree Program in Global Health. It is open to those in the Preventive
Medicine Residency Program, other JDP students with interests in global health, and to others
with permission of the instructor. The style of the course will be very interactive with heavy
emphasis on required reading and discussion. Student enrollment is limited to 25. The course
will also involve a number of guest lecturers so that students may gain perspectives on the
research and project activities being conducted by SDSU/UCSD faculty members, NGOs, and
the private sector across multiple disciplines.
This course will focus on the changing global health environment and the future of international
health assistance. Specific lectures will cover ethical challenges, health systems, health
manpower, and global health in national security. Students will be expected to fully participate
in class discussions and debate, with thorough preparation through class readings and outside
research to be contributed in class.
INSTRUCTOR:
Thomas E. Novotny, MD MPH
Professor and Co-director, Global Health Joint Degree Program
Phone: (619) 594-3109
Office Hours: Tuesdays 10-Noon and Thursdays 2-3:30 PM
Office address: HH 136B
tnovotny@mail.sdsu.edu
CREDIT:
Three (3) semester units
TIME:
Tuesdays 1:00 to 3:40 PM, January 24 to May 9, 2012
PLACE:
Hepner Hall 128
TA:
TBD
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COURSE DETAILS
REQUIRED TEXT: Merson MH, Black RE, Mills AJ. International Public Health: Diseases,
Programs, Systems and Policies (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers, 2011.
WEBSITE: All assignments, course documents, news, and changes will be posted to the PH
781 Blackboard site. Registered students will have immediate access to this site.
ASSIGNMENTS
 Read all assigned materials
 Develop group presentation as scheduled for your group
 Develop a two-page (limit) outline for your term paper; this should be placed on
Blackboard by 5 PM, March 6, 2012. Comments will be provided and returned by email
to students within 2 weeks. Check Blackboard for further guidelines on this outline paper.
It will constitute your mid-term exam and be worth 10 points.
 Prepare a double-spaced, 10 page term paper (margins 1 inch, 11pt Arial Font) not
including references, charts, or graphs on an issue discussed in the course. Guidelines for
the paper are posted on Blackboard. Term Papers should be placed on Blackboard by
midnight, May 1, 2012.
 Prepare a team presentation on a group assignment to be provided in class; deliver a 50
minute presentation by the team (4 students in each team), using Power Point, describing
findings and recommendations. Topics will include the following, but others can be
suggested according to student interests and number of enrollees. The important point
here is to engage in group learning and to communicate new information to the rest of the
class.
a. Health Systems: Comparisons and Commonalities Among Health Systems-developed countries and LMICs
b. Financing health systems: what are the options, lessons learned from various
settings, and challenges for LMICs in the 21st Century.
c. Development Assistance for Health: What next for the US, UN, World Bank, and
everyone else?
 Final examination (take home, open book) will be distributed by email on Thursday,
May 10, 4PM. Place completed exam io Blackboard by Monday May 14, 8AM. This
will consist primarily of brief essay-type questions, covering material presented in class
and in readings.
GRADING: Grading will be based on the following:
Required attendance and participation
10 points
(1 point extra credit for attending each Global Health Symposium, three planned this semester)
Term paper outline by March 6
10 points
Group project presentations
20 points
Final exam
20 points
Term paper*
30 points
Letter grades will be based on cumulative scores:
100-95= A
79-75= C+
94-90= A74-70= C
2
89-85= B+
69-60= D
84-80= B
<60 = F [non-passing grade]
*Papers received after due date score will be decreased by 10 points
Attendance: Attendance will be taken during each class period on a sign-in sheet. One excused
absence is allowed, after which the attendance and participation grade will be reduced. A make
up paper may be assigned, involving a 2-page policy brief on the subject matter of the missed
lecture.
Disclaimer: Course Syllabus Subject to Change
Every effort will be made to follow the syllabus content and schedule; however, if circumstances
dictate, there may be modifications necessary during the semester. The professor or Graduate
Assistant will notify students in a timely manner.
Academic Integrity: Academic dishonesty is an affront to the integrity of scholarship at SDSU
and a threat to the quality of learning. Violations of academic integrity are noted in the SDSU
Statement of Student Rights and Responsibilities: http://csrr.sdsu.edu/rights2.html/.
Plagiarism: Plagiarism is easier than you think. With web resources and open access online
publications, it is common to ‘cut and paste’ already published, copyrighted work. This is
academically and ethically unacceptable, and all students are encouraged to take the online
tutorial offered by the SDSU library (http://infotutor.sdsu.edu/plagiarism/) . The TURNITIN
tool on Blackboard allows you to check your work for potential problems.
Overall Course Learning Objectives
1. Be able to explain the concept of ‘health systems’ and how these systems must respond to
today’s global health challenges.
2. Develop critical analyses of global health financing and economics in the 21st Century.
3. Evaluate the role of health in US national security.
4. Understand the history, complexity, and challenges of ethical global health research and
practice.
5. Evaluate the global health workforce crisis
6. Critique the US Global Health Initiative
7. Understand the ethical challenges in global health work
CLASS SCHEDULE
Date
January 24
Topics
Introductions, course
overview.
T. Novotny
Discussion:
The term paper
requirement and group
assignments
Readings (Required Reading in BOLD)
1. Szlezak NA, Bloom BR, Jamison DT, Keusch GT, Michaud
CM, et al. (2010) The Global Health System: Actors, Norms,
and Expectations in Transition. PLoS Med 7(1): e1000183.
doi:10.1371/journal.pmed.1000183
2. Frenk J, 2010 The Global Health System: Strengthening
National Health Systems as the Next Step for Global Progress.
PLoS Med 7(1): e1000089. doi:10.1371/journal.pmed.1000089
3. Keusch GT, Kilama WL, Moon S, Szlezák NA, Michaud CM.
The global health system: linking knowledge with action--
3
4.
January 31
Health Systems
Lecture I: Overview of
Health Systems
1.
Dr. C. Stoskopf,
Director, GSPH
3.
Discussion Questions:
(See Blackboard)
February 7
Health Systems Lecture
II: Global Health
Financing
T. Novotny
Discussions Questions:
(See Blackboard)
February 9
February 14
Global Health
Symposium:
Sir Richard Feachem,
UCSF Global Health
Sciences
Health Systems Lecture
III: Global Health
Workforce Crisis
T. Novotny
Discussion Questions:
(See Blackboard)
February 21
Student Presentations I:
Health Systems:
Comparisons and
Commonalities Among
Health Systems:
2.
learning from malaria. PLoS Med 2010 Jan 19;7(1):e1000179
Moon S, Szlezák NA, Michaud CM, Jamison DT, Keusch GT,
et al. 2010 The Global Health System: Lessons for a Stronger
Institutional Framework. PLoS Med 7(1): e1000193.
doi:10.1371/journal.pmed.1000193
Chapter 11, Merson. The Design of Health Systems, AJ Mills
and K Ranson
Chapter 1, Johnson (Introduction to Health Systems, Stoskopf
and Johnson) (SEE COURSE DOCUMENTS)
Swanson RC, Bongiovanni A, Bradley E, Murugan V,
Sundewall J, et al. (2010) Toward a Consensus on Guiding
Principles for Health Systems Strengthening. PLoS Med 7(12):
e1000385. doi:10.1371/journal.pmed.1000385
1. World Health Report 2010: HEALTH SYSTEMS
FINANCING:
http://www.who.int/bulletin/health_financing.pdf.
2. Bennett S, Ozawa S, Rao KD (2010) Which Path to Universal
Health Coverage? Perspectives on the World Health Report
2010. PLoS Med 7(11): e1001001.
doi:10.1371/journal.pmed.1001001
3. Resource: http://www.who.int/whr/2010/media_centre/en/
“Reengineering Aid: A bold agenda for the 21s Century”
SSE 1401
4:00PM to 6:00PM
1. The looming crisis of the health workforce: How can OECD
countries respond? (OECD, 2008)
2. Ranson MK, Chopra M, Atkins S, Dal Pozc MR, Bennett S.
Priorities for research into human resources for health in lowand middle-income countries. Bull World Health Organ
2010;88:435–443 | doi:10.2471/BLT.09.066290Introduction
3. Yudkin J, Owens G, Martineau F, et al. Global health-worker
crisis: the UK could learn from Cuba. The Lancet 2008;
371(9622)1397-1399.
4. Resource: http://www.who.int/workforcealliance/en/
5. Resource: WHO Bulletin Special Issue on Health Workforce:
http://www.who.int/bulletin/volumes/88/5/en/index.html.
1. Remme JHF, Adam T, Becerra-Posada F, D'Arcangues C, Devlin
M, et al. (2010) Defining Research to Improve Health Systems.
PLoS Med 7(11): e1001000. doi:10.1371/journal.pmed.1001000
2.
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February 28
developed countries and
LMICs
Global Health and
National Security I: View
from the NSC
Guest Lecturer: Kenneth
Bernard, MD, DTM&H,
Former US National
Security Council Advisor
on Global Health
March 6
The US Global Health
Strategy
T. Novotny
March 13
Global Health Economics
I. Development
Assistance for Health
II. HIV and Health
Shocks
March 20
Guest Lecturers:
Professor Joshua Graff
Zivin, Research Director,
Institute on Global
Conflict and
Cooperation, and Dr.
Gordon McCord,
Development Economist,
UCSD
Discussion Questions:
(See Blackboard)
Special Guest Lecturer:
Distinguished Professor
John Weeks, SDSU Dept
of Geography:
"Connecting the Dots
Between Health, Poverty,
and Place in Accra,
Ghana."
1. Rodier G, Greenspan AL, Hughes JM, Heymann DL. Global
public health security. Emerg Infect Dis [serial on the
Internet]. 2007 Oct. Available from
http://www.cdc.gov/EID/content/13/10/1447.htm
2. Bernard KW. Bridging the ideological gap: Health as a
Security Issue in the 21st Century. 6/16/08
3. Bernard KW, Danzig RJ. A Deadly Virus We May Still Need.
New York Times, January 5, 2011. Retrieved from,
http://www.nytimes.com/2011/01/06/opinion/06ihtedbernard06.html, January 8, 2011
1. Watch:
http://globalhealth.kff.org/Multimedia/2012/January/05/gh010
512video.aspx
2. Review: For the period 2011 through 2015. The Global Health
Strategy (GHS): Available online PDF [60p.] at:
http://1.usa.gov/x5V8aO
1. Ravishankar N, Gubbins P, Cooley RJ, Leach-Kemon K,
Michaud CM, Jamison DT, Murray CJL. Financing of global
health: tracking development assistance for health from 1990
to 2007. Lancet 2009;373(9681): 2113-2124. DOI:
10.1016/S0140-6736(09)60881-3.
2. Zivin JG. The Global HIV/AIDS Epidemic. National Bureau
of Economic Research, Economic Report of the President
Chapter 7.
3. Thirumurthy H, J Graff Zivin and M Goldstein, “The
Household Impacts of Treating HIV/AIDS in Developing
Countries” in, Annual World Bank Conference on
Development Economics 2008: People, Politics, and
Globalization
1.
Connecting the Dots between Health, Poverty and Place in
Accra, Ghana, Forthcoming in The Annals of the Association
of American Geographers, Special Issue on “The Geography of
Health” (2012)
2. Merson. Chapter 3, The Social Determinants of Health.
Michael P. Kelly and Emma Doohan
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April 3
April 10
April 17
VENUE: Geography
Department Seminar
Room (SH 321)
Spring Break
Student Presentations
II: Financing health
systems: what are the
options, lessons learned
from various settings,
and challenges for
LMICs in the 21st
Century.
Global Health and
Security II: North Korea
and TB, Biological
Weapons
Guest Lecturer: Louise S.
Gresham, PhD, MPH,
Senior Director, Global
Health and Security
Initiative, Nuclear Threat
Initiative
Ethical challenges in
global health
T. Novotny
April 24
Gresham LS, Pray, L. “Regional Infectious Disease Surveillance
Networks.” Improving Implementation of the Biological Weapons
Convention: The 2007-2010 Intersessional Process Ed. Piers Millett. UN
Publications unidir/2011/7, New York and Geneva, 2011. 239-245.
1. Hearst N, Novotny TE. Community and International Studies.
In, Hulley SB, Cummings SR, Browner WS, et al. Designing
Clinical Research, 3rd Edition. Philadelpia, PA: Lippincott,
Williams, & Wilkins, 2007.
2. 18th World Medical Association General Assembly. World
Medical Association Declaration of Helsinki: Ethical Principles
for Medical Research Involving Human Subjects. June 1964. Last
Amended October 2008. Retrieved January 24, 2009.
http://www.wma.net/e/policy/b3.htm4
3. Cohen JE, Amon JJ. Health and human rights concerns of
drug users in detention in Guangxi Province, China. PLoS
Med. 2008 Dec 9;5(12):e234.
4. Selgelid MJ. Ethics, Tuberculosis and Globalization Public
Health Ethics (2008) 1(1): 10-20.
5. Page-Shafer k, Saphonn V, Sun LP, et al. HIV prevention
research in a resource-limited setting: the experience of
planning a trial in Cambodia. Lancet 2005;366(9465(:14991503).
Student Presentations
III: Development
Assistance for Health:
What next for the US,
6
UN, World Bank, and
everyone else?
May 1
Student Choice!
Term Papers Due at
midnight
May 8
Course wrap-up and
evaluation
May 14
Final Exam Due
8 AM
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Statement on Plagiarism and Academic Dishonesty
Academic dishonesty includes cheating, plagiarism or other forms of academic dishonesty that
are intended to gain unfair academic advantage. See section 41301 of the University policies.
Plagiarism is an important element of this policy. Plagiarism is defined as ‘formal work publicly
misrepresented as original; it is any activity wherein one person knowingly, directly and for
lucre, status, recognition, or any public gain resorts to the published or unpublished work of
another in order to represent it as one’s own’. Any work, in whole or in part, taken from the
Internet or other computer-based source without referencing the source is considered plagiarism.
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