SAN DIEGO STATE UNIVERSITY
GRADUATE SCHOOL OF PUBLIC HEALTH
Spring 2011
COURSE NO: 22316
PH 781 Global Health II
The Future of Global Health. This course will focus on implementing global programs. It will
cover health organizations, global health governance, international collaboration, and the future
of international health assistance. Specific subjects include ethical challenges, health systems,
health manpower, and corruption. Students will be expected to fully participate in class
discussions and debate, with thorough preparation through class readings and outside research.
INSTRUCTOR:
Thomas E. Novotny, MD MPH
Professor and Co-director, Global Health Joint Degree Program
Phone: (619) 594-3109
Office Hours: Tuesdays 10-12:30 and Thursdays 12-2 PM
Office address: HH 136B
tnovotny@mail.sdsu.edu
CREDIT:
Three (3) semester units
TIME:
Tuesdays 1:00 to 3:40 PM, January 26 to May 11, 2011
PLACE:
HH-128
RECOMMENDED TEXTS:
Merson MH, Black RE, Mills AJ. International Public Health: Diseases, Programs, Systems
and Policies (2nd ed.). Sudbury, MA: Jones and Bartlett Publishers, 2006.
Johnson JA, Stoskopf CH. Comparative Health Systems: Global Perspectives. Sudbury, MA:
Jones and Bartlett Publishers, 2009.
Institute for Health Metrics: Financing Global Health 2010: Development Assistance and
Country Spending in Economic Uncertainty
http://www.healthmetricsandevaluation.org/print/reports/2010/financing/financing_global_health
_report_FullReport_IHME_1110.pdf
World Health Organization: World Health Report 2010. Full Report on Health Systems
Financing—the Path to Universal Coverage. http://www.who.int/whr/2010/en/index.html
WEB RESOURCES:
http://mededlit.blogspot.com/2008/10/cdc-statistics-and-slide-sets.html
www.worldbank.org
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http://globalhealthedu.org/modules/Modules/Default.aspx
http://www.globalhealth.org/
http://www.who.int/en/
http://publichealth.sdsu.edu/phd-global-main.php
http://gph.ucsd.edu/
http://globalhealth.ucsd.edu/Pages/default.aspx
http://www.cdc.gov/cogh/
COURSE OBJECTIVES
1. Compare and contrast health systems from a variety of countries
2. Describe ethical, cultural, and personal challenges to global health work
3. Evaluate financing for development assistance
4. Evaluate the possible changes in foreign health assistance under the new US Global
Health Initiative
5. Evaluate health as a component of national security.
6. Describe career tracks in global health: academic, government, NGO, and others
7. Evaluate approaches to specific global health issues:
1) Unmet needs in tuberculosis control
2) Smallpox and bioweapons
3) The US Global Health Initiative
4) Counterfeit drugs
ASSIGNMENTS
1. Read all assigned materials
2. Develop a group project for presentation during the semester. The guidelines on this will
be distributed in class and will require collaborative research, writing, and a class
presentation. The outline for this group project will be due in the Blackboard Digital
Dropbox by midnight March 11, 2011. Subjects will be selected from the following
a. Implementing the US Global Health Initiative: organization, structure, goals, and
expected outcomes
b. Developing a health system after a disaster (Haiti, Ivory Coast, South Sudan, Sri
Lanka, Afghanistan, Macedonia, or other post-disaster/conflict country):
financing, challenges, and approaches important to global health integration of
emerging economies
c. Reducing corruption and organized crime influence on global public health
d. Financing Global Health: Improving Official Development Assistance in an era of
economic uncertainty
3. Attend Global Health Seminars throughout semester
4. Submit final report of group projects on May 10 to Digital Dropbox on Blackboard.
5. Final examination: Open-book, distributed by email on May 17 and should be returned
within 48 hours to Digital Dropbox on Blackboard.
GRADING
Grading will be based on the following:
Attendance and participation
Term paper outline March 17
10%
10%
2
Presentation on group projects
Presentation on Term Paper
Final exam
Term paper
10%
10%
20%
40%
Letter grades will be based on cumulative scores:
100-95= A+
79-75= C+
94-90= A
74-70= C
89-85= B+
69-60= D
84-80= B
<60 = F [non-passing grade]
*Papers received after due date will be decreased by 10 points
.
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. If such is the case the
professor will make every effort to notify students in a timely manner.
CLASS SCHEDULE
Date
January
25, 2011
Topics
Introduction to the
course and student
group projects
February Health Systems I:
1, 2011
Organizational
Theory and
Introduction to
Health Systems
Dr. C. Stoskopf,
Guest Lecturer
February Health Systems II:
8, 2011
Comparative Health
Systems in
Developing
Countries: Ghana,
India, Jordan, Brazil
Readings
o Come prepared to present for 5 minutes about future work you
hope to do in global health
o 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
o Project guidelines on Blackboard
o Chapter 11, Merson (The Design of Health Systems, AJ Mills
and K Ranson)
o Chapter 1, Johnson (Introduction to Health Systems, Stoskopf
and Johnson)
o 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
o Watch the following Frontline report: Sick Around the World
http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/v
iew/main.html
o Johnson: Ghana, India, Jordan (Chapters
13, 14, 18)
o Yankey F. Ghana Health II: Dealing
Creatively with Weak Country Systems.
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FM Notes. May 2004
o Guanais FC. Health Equity in Brazil.
BMJ 2010; 341:c6542
February Health Systems III.
15, 2011 Financing Health
Systems
o World Health Report 2010: HEALTH SYSTEMS
FINANCING: The path to universal coverage (Executive
Summary)
o Bulletin of the World Health Organization. The Bulletin
Series: Health Systems Financing.
o 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
February Global Health
22, 2011 Workforce Crisis
o 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.
o Samb B, Celletti F, Holloway J, van Damme W, de Cock KM,
Dybul M. Rapid expansion of the health workforce in response to
the HIV epidemic. N Engl J Med 2007; 357: 2510-2512.
o The looming crisis of the health workforce: How can OECD
countries respond? (OECD, 2008)
March 1, Global Health
2011
Diplomacy: South to
South collaboration
Guest lecturer:
Asherlev Santos,
MPIA and 4th year
GH PhD student
o Sridhar D, Batniji R. (2008) Misfinancing Global Health: The
Case for Transparency in Disbursements and Decision-Making.
Lancet. 2008; 372(9644):1185
o Thompson D. China’s Soft Power in Africa: From the ‘Beijing
Consensus’ to Health Diplomacy. China Brief Volume: 5 Issue:
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o Ruger JP, Ng NY. Emerging and Transition Countries’ Role in
Global Health. St Louis University J Health Law & Policy 2010;
3:253-290.
o Other Readings TBA
Case Studies and discussion
o Brazil and Lusophone Africa
o China and Sub-Saharan Africa
o Cuba and the world
March 8, US Global Health
2011
Initiative
o “The U.S. Global Health Initiative: Overview & Budget
Analysis,” Policy Brief, Kaiser Family Foundation, December
2009. Available at <http://www.kff.org/globalhealth/8009.cfm>
o Watch the following expert panel webcast, part of the Kaiser
Family Foundation’s Global Health Policy Series, entitled “In
Focus – The President’s Budget for Global Health”
http://globalhealth.kff.org/Multimedia/2009/May/14/gh051409vi
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deo.aspx
o The Future of Global Health: Ingredients for a Bold and
Effective U.S. Initiative, October 2009,
www.globalhealthinitiative.org
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March
10, 2011
Western Regional
EIS Conference
March
15, 2011
Global Health and
National Security
Guest Lecturer:
Kenneth Bernard,
MD, Former
National Security
Council Advisor on
Global Health
March
22, 2011
Ethical challenges in
global health
research
Guest lecturer Robin
Pollini, PhD, UCSD
March
28, 2011
Spring Recess
Parma Payne Alumni Center, SDSU, 9:00-5:00, Lunch served
Registration Required (rlopez@mail.sdsu.edu)
o Reading: Anft M: Outbreak Agents: Officers in the Epidemic
Intelligence Service expend shoe leather and stamp out disease.
Johns Hopkins Magazine Winter 2010;28-35.
o 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
o Bernard KW. Bridging the ideological gap: Health as a
Security Issue in the 21st Century. 6/16/08
o 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
o 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.
o 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
o 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.
o Selgelid MJ. Ethics, Tuberculosis and Globalization
Public Health Ethics (2008) 1(1): 10-20.
o 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(:1499-1503).
NO CLASS
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April 5,
2011
Careers in Global
Health
April 12, Global Health and
2011
TB
Guest presenter:
Sam Shin MS,
Second year Global
Health PhD Student
Panel Discussion
o C Dye, K Lönnroth, E Jaramillo, BG Williams & M Raviglione
Trends in tuberculosis incidence and their determinants in 134
countries. Bull World Health Organ 2009;87:683–691.
o STOP TB Partnership. The Global Plan to Stop TB 2011-2015.
World Health Organization, 2010.
o R.N. van Zyl Smit, M. Pai, W.W. Yew, et al. Global lung health:
the colliding epidemics of tuberculosis, tobacco smoking, HIV
and COPD. Eur Respir J 2010; 35: 27–33.
o Specter M. Letter from India: A Deadly Misdiagnosis-Is it
possible to save the millions of people who die from TB? New
Yorker, November 15, 2010.
April 13, Global Health
2011
Symposium at
UCSD
o Laurie Garrett, Pulitzer Prize-winning author and Senior Fellow,
Global Health, Council on Foreign Relations
o Other speakers TBD
April 19, Global Health
2011
Economics I: The
Counterfeit Drug
Market
o Lee K, Sridhar D, Patel M (2009) Bridging the divide: Global
governance of trade and health. Lancet 373: 416–422
o Liang BA Pigs, Drugs, and Terrorists. Patient Safety & Quality
Healthcare, November /December 2008; 10-12.
o Liang BA. A DOSE OF REALITY: PROMOTING ACCESS
TO PHARMACEUTICALS. Wake Forest Intellectual Property
Law Jour 2008;8(3):301-386.
Guest Lecturer:
Professor Bryan
Liang, California
Western School of
Law
April 26, Global Health
Economics II: HIV
2011
and Health Shocks
Guest Lecturer:
Professor Joshua
Graff Zivin,
Research Director,
Institute on Global
Conflict and
Cooperation, UCSD
May 3,
2011
o Zivin JG. The Global HIV/AIDS Epidemic. National Bureau of
Economic Research, Economic Report of the President Chapter 7.
o 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
Student Discussion
Groups I:
7
May 10,
2011
Student Discussion
Groups II;
Project Reports Due
Place in Blackboard Digital Dropbox
May 17,
Final exam
Take home, open book. Due within 48 hours
Statement on Nondiscrimination Policy
San Diego State University complies with the requirements of Title VI and Title VII of the Civil
Rights Act of 1964, as well as other applicable federal and state laws prohibiting discrimination.
No person shall, on the basis of race, color, or national origin be excluded from participation in,
be denied the benefits of, or be otherwise subjected to discrimination in any program of the
California State University
SDSU does not discriminate on the basis of disability in admission or access to, or treatment or
employment in, its programs and activities. Students should direct inquiries concerning San
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Disability Services (SDS), Calpulli Center, Room 3101, San Diego State University, San Diego,
CA 92128 or call 619-594-6473 (TDD: 619-594-2929).
SDSU does not discriminate on the basis of sex, gender, or sexual orientation in the educational
programs or activities it conducts.
More detail on SDSU’s Nondiscrimination Policy can be found in the SDSU General Catalog,
University Policies.
Student Conduct and Grievances
SDSU is committed to maintaining a safe and healthy living and learning environment for
students, faculty and staff. Sections 41301, Standards for Student Conduct, and Sections 4130241304 of the University Policies regarding student conduct should be reviewed.
If a student believes that a professor’s treatment is grossly unfair or that a professor’s behavior is
clearly unprofessional, the student may bring the complaint to the proper university authorities
and official reviewing bodies. See University policies on Student Grievances.
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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