NAME: Click here to enter text. PID#: Click here to enter text. Foundations of Global Health (GLBE 201/401) GEO-JOURNALi This journal is designed to help you compile important information specific to your global health elective; to encourage you to learn about the situation in which you will be learning and working. Complete as much as possible prior to travel to help you prepare, use additional resources and contacts in country to fill in the blanks, and submit complete version on your return. I. Demographics GEOGRAPHIC: Continent:Click here to enter text. Country:Click here to enter text. Country Description (tropical, dry, landlocked, mountainous): Click here to enter text. Region/City: Click here to enter text. Hospital/Community Program: Click here to enter text. POPULATION CHARACTERISTICS: Find data to reflect a 50 year transition. If you cannot find the exact year, include the data from the closest year you can find) 1970s Population Birth Rate Death Rate Total Fertility Rate Infant mortality Rate Under 5 mortality Rate Childhood immunization rate (DPT/OPV #3) Childhood immunization rate (measles) 2011 Projected 2020 (or closest available) Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. 1 Maternal mortality rate Life expectancy - men Life expectancy - women Median Age Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Construct a current Population Pyramid to compare to the US Population Pyramid Below (ref: IDB Population Pyramids - http://www.census.gov/ipc/www/idb/ click on International Database, enter your country and year, and then click on population pyramid tab – can cut and paste or save into this document ) Brief country history (Include major events of last 100 years: war, natural disasters): Click here to enter text. TRENDS: Urbanization (% population in rural areas vs. urban): Click here to enter text. Migration: Any significant refugee or internally displaced people groups? ECONOMIC: Unit of currency: Click here to enter text. Exchange rate [to US $]:Click here to enter text. Per capita income: Click here to enter text. Major export crops/products: Click here to enter text. POLITICAL: 2 What kind of political system? Click here to enter text. When was the last election (if pertinent) or transition in government? Click here to enter text. CULTURAL: Predominant language: Click here to enter text. Language of public education: Click here to enter text. Important ethnic groups: Click here to enter text. Religions practiced: Click here to enter text.Did you identify any cultural practices relatively unique to this country/region? Click here to enter text. EDUCATION: Male adult literacy rate: Female adult literacy rate: % of male vs. female children who complete primary school: Click here to enter text. NUTRITION: Typical diet/major staples: Click here to enter text. Does the country overall export or import food to serve its population? Click here to enter text. Is there significant micronutrient deficiencies among children and/or pregnant women? Iodine Vitamin A Iron/Folate Zinc Typical breastfeeding practices: Click here to enter text. Typical weaning practices/foods: Click here to enter text. INFECTIOUS DISEASES: Highly Prevalent Infectious Diseases Child Adult Click here to enter text. Click here to enter text. Leading Infectious Causes of Mortality Child Adult Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. 3 Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. CHRONIC DISEASE Prevalence and/or Cause-specific Mortality Rate [specify which]: ~1980 (or earliest ~2012 available Cancer Click here to enter Click here to enter text. text. Diabetes Click here to enter Click here to enter text. text. Heart Disease Click here to enter Click here to enter text. text. COPD Click here to enter Click here to enter text. text. Tobacco Use Click here to enter Click here to enter text. text. Obesity Click here to enter Click here to enter text. text. Other(s): Any diseases relatively unique to this country or region?Click here to enter text. Is there evidence of epidemiological transition (from a predominance of infectious diseases as the cause of mortality to a predominance of chronic diseases as the cause of mortality)? Click here to enter text. DISABILITIES: How acknowledged and addressed in your understanding or experience in country (government or NGO support, community response, family-based care) Birth defects or Developmental Delays War or traumatic injuries Click here to enter text. Click here to enter text. Work-related back and repetitive stress disorders Click here to enter text. Old Age Click here to enter text. Mental health Click here to enter text. Other(s): Click here to enter text. 4 MEDICATIONS: Is there a national formulary? What is it based on? Click here to enter text. Are there in-country pharmaceutical companies, or are most medications imported? Click here to enter text. What was your experience of medication supply and distribution if you were working in a clinical setting? Click here to enter text. Are there drug shops or pharmacies which are easily accessible to most people? Click here to enter text. Were there any forms of traditional medicine or home remedies which you heard about or experienced patients using while you were in country? Click here to enter text. HEALTH SERVICES: (if you are not working in a government health care facility on your elective, arrange a visit to a local facility, such as a primary health center, district hospital or local ministry of health office, to gather this information) Type(s) of health care services available (describe): Click here to enter text. How is health funded (who pays? how?): Click here to enter text. Is there any public insurance scheme for health care? Click here to enter text. Per capita national budget for health care: Click here to enter text. Are there any NGOs working in health (community/public health or direct provision of health care services) in the area where you are working? If so, arrange a visit to one of these organizations, to learn about their goals, methods and interaction with the formal health care system. Describe briefly the name of the organization and what you learned: Click here to enter text. HEALTH WORKERS: (have conversations with health workers from various cadres in order to understand their educational background and scope of practice) Types: Professional: Click here to enter text. Mid-level providers(e.g. midwife, health assistants):Click here to enter text. Community Health Worker:Click here to enter text. Traditional Practitioners: Click here to enter text. Physician/population ratio: Click here to enter text. 5 Possible web-based references: The Africa Guide - http://africaguide.com Country Studies - http://www.countrystudies.us/ Crude Birth and Death Rates - http://www.infoplease.com/ipa/A0004395.html Demographic and Health Surveys - http://www.measuredhs.com Department of International Development (UK) – global poverty - http://www.dfid.gov.uk/ Disabled People International - http://v1.dpi.org/lang-en/ Disability World - http://www.disabilityworld.org/ Earth Trends: The Environmental Information Portal - http://earthtrends.wri.org Family Health International - http://www.fhi.org - (Reproductive Health and HIV/AIDS) Food and Agriculture Organization of the United Nations – http://www.fao.org Gapminder – Geographic and population trends - http://www.gapminder.com/ Geographia - http://www.geographia.com/ Human Development Reports - http://hdr.undp.org/reports IDB Population Pyramids - http://www.census.gov/ipc/www/idb/ Index Mundi - http://www.indexmundi.com/ - (country profiles) Institute for Traditional Medicine - http://www.itmonline.org/ Livelihoods Connect – poverty statistics- http://www.eldis.org/go/livelihoods Lonely Planet – http://www.lonelyplanet.com The Micronutrient Initiative – vitamin/micronutrient deficiences http://www.micronutrient.org/vmd NationMaster (Statistics) - http://www.nationmaster.com National Geographic - http://www.nationalgeographic.com/xpeditions/atlas/index.html Pan American Health Organization - http://www.paho.org/ Peace Corps - http://www.peacecorps.gov Population Reference Bureau – http://www.prb.org Population Statistics - http://www.populstat.info/ PROMETRA – promotion of traditional medicine http://www.prometra.org/ Relief Web – humanitarian relief and refugee situations http://www.reliefweb.int Save the Children Organization – child mortality statistics - http://www.savethechildren.org/ United Nations - http://www.un.org/english/ plus http://unstats.un.org United Nations Development Programme - http://www.undp.org/ UNHCR – The UN Refugee Agency - http://www.unhcr.org/ UNICEF. Monitoring the Situation of Women and Children - http://www.childinfo.org US Committee for Refugees and Immigrants - http://www.refugees.org/ USAID Development Experience Clearinghouse - http://www.dec.org The World Fact Book - https://www.cia.gov/library/publications/the-worldfactbook/index.html World History Compass - http://www.worldhistorycompass.com/ World Heart Federation – chronic disease info http://www.worldheart.org World Health Organization. Regional Offices http://www.who.int/about/regions/en/index.html World Health Organization – http://www.who.int Immunization profiles www.who.int/immunization_monitoring/en/globalsummary/countryprofileselect.cfm World clock, International Dialing Codes, Distance Calculator, Time Zone Converter http://www.timeanddate.com/time/ (Good resource for time and date logistics) Additional websites or references used: Click here to enter text. 6 i This Geo-Journal was adapted from the copyrighted version (October 2011) developed by Tracy Carroll, PT, MPH of the U of Arizona with permission. 7