Global Health & Social Justice MSc Core Module 1: Critical Global Health (Draft - Subject to change) Global Health is a field of study, research and practice that addresses the widespread variations in health disease and medical care in different countries and regions. The global health movement argues that reducing disease, safeguarding well being and providing adequate health care requires initiatives are often beyond the capacity of individual nation states to address individually or through their domestic institutions. This module introduces students to the evidence on the social determinants of global inequalities in health, disease and medical care, and to the key concepts debates and case studies that illuminate these inequalities and the political economic social and structural forces that perpetuate them. The module provides skills in critically assessing the ways in which global health inequalities are measured and mapped and the role that governmental, institutional and corporate actors play in financing, governing and delivering health care worldwide. Aims To introduce students to the evidence on the global burden of disease and the inequalities in health, disease and medical care. To introduce students to the key concepts and debates regarding what global health is and how it might be secured. To give students capacities of critical analysis of evidence and argument in the field of global health To provide students with an understanding of the relationship between political, economic and social factors in the delivery of global health initiatives. To provide students with the skills to critically evaluate such initiatives and to identify the role of key stakeholders in shaping them. To demonstrate the value of interdisciplinary approaches to global health nature of To provide insights into the use of particular methodological and epistemological tools in the production of global health research. Learning outcomes of the module By the end of this module, students should be able to: Describe the global variations in health status, disease burden and health care systems Provide a critical analysis of different measures of the global burden of disease Understand and assess the role that social, political and economic factors play in shaping global health outcomes and inequalities Understand the development and character of the global health movement Understand key theories of and approaches to global health research. Critically evaluate current initiatives in global healthcare delivery Understand different interdisciplinary contributions to the understanding and assessment of global health interventions. Be able to access and evaluate evidence and data from scientific publications and the ‘grey literature’ on global health and disease. Be able to assess the role of particular methodologies and epistemological approaches in constructing understandings of, and research into, global health. 1 Recommended books: Bach, S. International Mobility of Health Professionals - Brain Drain or Brain Exchange? UNU-WIDER Research Paper No. 2006/82 - August 2006, 29pp. www.wider.unu.edu/publications/rps/rps2006/rp2006-82.pdf Benatar, S., & Brock, G. (2011). Global health and global health ethics. Cambridge: Cambridge University Press. Blumenthal D, Hsiao W. (2005) “Privatization and Its Discontents – the Evolving Chinese Health Care System.” New England Journal of Medicine. 2005; 353 (11): 1165-1170 bridging differences in culture and society. Oxford: Oxford University Press. Brown, Theodore M., Marcos Cueto, and Elizabeth Fee (2006) The World Health Organization and the Transition from "International" to "Global" Public Health. American Journal of Public Health 96(1):62-72. Castro, A. & Singer, M. (eds.). (2004). Unhealthy health policy: A critical anthropological examination. Walnut Creek, CA: AltaMira Press. Chowdhury, A.N., Chakraborty, A.K., & Weiss., M. (2001). Community mental health and concepts of mental illness in the Sundarban Delta of West Bengal, India. Anthropology & Medicine 8,109-129. Coughlin SS. (2003) “Ethical issues in epidemiologic research and public health practice.” Emerging Themes in Epidemiology. 3: 16. www.ete-online.com/content/3/1/16 Crisp, Nigel (2010) Turning the World Upside Down: The search for global health in the 21st Century RSM Books, London. Davies, Sara (2009) The Global Politics of Health Polity Press, London. Farmer, P. (2003). Rethinking health and human rights. Time for a paradigm Shift. In Pathologies of Power. Health, Human Rights and the New War on the Poor. Paul Farmer, ed. Pp. 213-246. Berkeley: University of California Press. Farmer, P. (2004). An anthropology of structural violence. Current Anthropology 45(3), 305-325. Farmer, Paul (2003) Rethinking Health and Human Rights. Time for a Paradigm Shift. In Pathologies of Power. Health, Human Rights and the New War on the Poor. Paul Farmer, ed. Pp. 213-246. Berkeley: University of California Press. Fryatt, R., Mills, A. & Nordstrom, A. (2010). Financing of health systems to achieve the health Millennium Development Goals in low-income countries. The Lancet 375(9712), 419-426. Hahn, R. & Innhorn, M. (eds.) (2008). Anthropology and public health: Jacobsen, K. (2009). Introduction to global health. London: Jones and Barlett Publishers. Koplan, Jeffrey, et al.(2009) Towards a Common Definition of Global Health. Lancet 373(9679):199397 Lock, M. & Nguyen, V.-K. (2010). An anthropology of biomedicine. Malden: Wiley-Blackwell Marmot, Michael (2005) Social Determinants of Health Inequalities. The Lancet 365(9464):10991104. 2 Nguyen, Vinh-Kim (2010) Introduction: Cote-d'Ivoire and Triage in the Time of AIDS. In The Republic of Therapy: Triage and Sovereignty in West Africa's Time of AIDS. (Pp. 1-14) Petryna, A. (2009) When Experiments Travel: Clinical Trials and the Global Search for Human Subjects Princeton University Press Sen, A. (2002). Why health equity? Health Economics 11(8), 659-666. Skolnik, R. (2008). Essentials in global health. London: Jones and Barlett Publishers. Wilkinson, D. et al. (2001). Effect of removing user fees on attendance for curative and preventive primary health care services in rural South Africa. Bulletin of the World Health Organization 79, 665671. Wilkinson, Richard G., and Kate E. Pickett (2007) The Problems of Relative Deprivation: Why Some Societies Do Better than Others. Social Science and Medicine 65(9):1965-1978. Useful web links: World Bank on Health: http://data.worldbank.org/topic/health Global Health Facts: http://www.globalhealthfacts.org/index.jsp UN AIDS http://www.unaids.org/en/ Gapminder World: http://www.gapminder.org/world/ The Global Fund – to fight AIDS, tuberculosis & malaria: http://www.theglobalfund.org/en/ Doctors for global health: http://www.dghonline.org/ Global Health Council: http://www.globalhealth.org/ Global Poverty Mapping Project: t www.ciesin.columbia.edu/povmap/index.html WHO Global Health Observatory: http://www.who.int/gho/en/ WHO Statistical Information System: http://www.who.int/whosis/en/ United Nations Millennium Development Goals Indicators: http://millenniumindicators.un.org/unsd/mdg/default.aspx One Health – an initiative that seek to connect environmental, animal, and human health: http://www.onehealthinitiative.com/ 3