MAKERERE UNIVERSITY SCHOOL OF PUBLIC HEALTH REVISED CURRICULUM FOR THE DEGREE OF BACHELOR OF ENVIRONMENTAL HEALTH SCIENCE (BEHS) APRIL 2008 TABLE OF CONTENT ACKNOWLEDGEMENT…………………………………………………………………..4 PROGRAMME SUMMARY……………………………………………………………..…5 1.0 TITLE/ NAME OF THE DEGREE ................................................................................ 6 2.0 INTRODUCTION ............................................................................................................ 6 3.0 BACKGROUND .............................................................................................................. 6 4.0 JUSTIFICATION OF THE PROGRAMME AND OF THE REVIEW ..................... 7 5.0 AREAS OF COMPETENCIES ...................................................................................... 7 6.0 OBJECTIVES .................................................................................................................. 8 7.0 NATURE OF PROGRAMME ........................................................................................ 8 8.0 RESOURCES ................................................................................................................... 9 8.1 LECTURERS ...................................................................................................................... 9 8.2 SPACE .............................................................................................................................. 9 8.3 EQUIPMENT ...................................................................................................................... 9 9.0 REGULATIONS FOR THE DEGREE IN BACHELOR OF ENVIRONMENTAL HEALTH SCIENCE (BEHS) ................................................................................................ 9 9.1 GENERAL PROGRAMME REGULATIONS ............................................................... 9 9.2 ADMISSION REQUIREMENTS ................................................................................... 9 9.2.1 Direct Entry Scheme ................................................................................................. 9 9.2.2 Mature Age Entry Scheme……………………………………………………………… 10 9.2.3 Diploma Holders Entry Scheme ...............................................................................10 10.0 NATURE OF THE PROGRAMME .......................................................................... 10 10.1 10.2 10.3 10.4 DURATION ................................................................................................................ 10 LENGTH OF SEMESTER .......................................................................................... 10 TYPES OF COURSES ................................................................................................ 10 COURSE CREDITS.................................................................................................... 10 11.0 PROGRAMME STRUCTURE................................................................................... 11 12.0 EXAMINATION REGULATIONS ........................................................................... 14 I3.0 WITHDRAWAL FROM COURSES........................................................................... 14 14.0 ASSESSMENT OF COURSES .................................................................................... 14 15.0 GRADING OF COURSES .......................................................................................... 14 16.0 PROGRESSION ........................................................................................................... 15 16.1 NORMAL PROGRESS ...................................................................................................... 15 16.2 PROBATIONARY ............................................................................................................ 15 16.3 DISCONTINUATION ........................................................................................................ 15 17.0 RE-TAKING A COURSE ........................................................................................... 15 2 18.0 DESIGNATION OF THE DEGREE ......................................................................... 15 19.0 DESCRIPTION OF COURSES................................................................................... 16 APPENDIX A: STAFF ........................................................................................................ 65 APPENDIX A1: MUSPH STAFF ........................................................................................... 65 APPENDIX A2: STAFF FROM FACULTY OF VETERINARY MEDICINE ................................... 67 APPENDIX A3: STAFF FROM FACULTY OF AGRICULTURE .................................................. 67 APPENDIX A4: STAFF FROM MAKERERE UNIVERSITY INSITITUTE OF ENVIRONMENT AND NATURAL RESOURCES………………… 67 APPENDIX A5: STAFF FROM FACULTY OF TECHNOLOGY..................................... ………..68 APPENDIX A6: STAFF FROM MINISTRY OF HEALTH........................................................... 68 APPENDIX A7: STAFF FROM KAMPALA CITY COUNCIL ....................................................... 68 APPENDIX A8: STAFF FROM MINISTRY OF GENDER, LABOUR AND SOCIAL DEVELOPMENT ……………………………………………………….69 APPENDIX A9: STAFF FROM NATIONAL ENVIRONMENT MANAGEMENT AUTHORITY……………………………….……………………………69 APPENDIX A10: STAFF FROM NATIONAL WATER AND SEWERAGE CORPORATION…………………………………………………………………………...69 APPENDIX B: PROGRAMME BUDGET PROPOSAL 2009/2010 ................................ 70 ADETAILS OF EXPENDITURES OF THE FUNDS TO BE GENERATED ................ 72 3 ACKNOWLEDGEMENT Makerere University School of Public Health and particularly the Environmental Health Science Programme is grateful to the Leadership Initiative for Public Health in East Africa (LIPHEA) Project a programme funded by USAID for having sponsored the Curriculum review process. 4 PROGRAMME SUMMARY Course Title: Environmental Health Science Course code: BEHS Graduating credit load: 117 Host Institution: Makerere University School of Public Health Host Department: Disease Control and Environmental Health Degree award: Bachelor of Environmental Health Science Awarding Institution: Makerere University Duration: Three Academic Years Language: English 5 1.0 TITLE OF THE DEGREE TO BE AWARDED The Degree shall be called Bachelor of Environmental Health Science (BEHS). 2.0 INTRODUCTION The Makerere University School of Public Health (MUSPH) formerly the Makerere University Institute of Public Health (MUIPH) has reviewed and updated the curriculum for the Bachelor of Environmental Health Science (BEHS) degree programme. The BEHS curriculum being reviewed has been in operation since the beginning of the programme in the year 2000. As a University requirement, all curriculums of University programmes have to be reviewed periodically to make them relevant to the prevailing and future demands. The major aim of the BEHS is to prepare professionals in Environmental Health with the appropriate attitude, adequate skills and a scientific knowledge for handling and managing all duties and technical procedures in the broad areas of health promotion, disease prevention and control, management and administration of public health in community, research and training in the field of Environmental Health. As this field is an essential component of the Public health systems for health promotion and delivery in the community, its services are basic to the processes of diagnosis and surveillance of disease incidence in the community and to the procedures of disease prevention and control. 3.0 BACKGROUND Health problems in Uganda are largely dictated by the biological, physical and socio-economic environment; coupled with ignorance, poverty, negative customs and taboos, which determine the pattern of disease incidences. The country still experiences prevalence and epidemics of preventable diseases which contribute to high morbidity and mortality in the communities especially among pregnant women and in the under-five children. The country is also experiencing increased environmental degradation due to both natural and anthropological causes. Environmental pollution due to industrialization within the country is of growing concern. Worthy of note, are the communicable diseases which have been predominant for many years such as malaria, diarrhoea, acute respiratory tract infections, AIDS/HIV, measles, tuberculosis, tetanus, schistosomiasis, guinea worm, hook worms and trachoma. In the National Sanitation Forum of October 1997, it was noted that most of the diseases at that time were related to poor sanitation. After a decade, that status has not improved significantly. For example, hundreds of thousands of citizens suffer from intestinal worms as a result of poor sanitation and there is a high level of stunting among under-five children. The expenditure on the cure of sanitation related diseases far outweighs that spent on prevention. 6 4.0 JUSTIFICATION OF THE PROGRAMME AND OF THE REVIEW PROCESS The BEHS programme has been in existence since 2000. At its inception, there were very few degree trained environmental and occupational health workers who had specialized in primary preventive measures like water safety, sanitation, food hygiene, good housing, pest control and waste management which are the key elements for the promotion of good health. At the moment, the programme after five years of graduating students, the need for graduates in Environmental and Occupational health is still present. This need for a BEHS trained personnel partly stems from the increasing environmental stressors coupled with population increase within the country and also within the region at large. One of the areas of major and increasing concern is environmental pollution arising from the industrialization strategy of the economy. The needs for environmental health services are complex because of the changes brought about by the socio-economic and technological advances. The Kampala Declaration on Sanitation (1997) emphasized the fact that sanitation began at and recommended planning for sanitation related activities be established at National, District, Health Sub-District (HSD), Sub-counties and Urban authorities. This implied that there was an increased demand for technical personnel in the field of environmental health at all the different levels to guide in policy formulation and implementation of activities. The Quality Assurance Unit in the University demands for Quality programmes in all faculties at the University. The current BEHS Programme has been running since year 2000 without a review of the curriculum. Curricula should be reviewed every after the pioneer students of a programme graduate. This process checks the relevance of the programme to the prevailing and to the future demands. Environmental issues are increasingly becoming a Global concern and therefore there is need to increase scope and also introduce new appropriate courses on the programme. Gender and leadership dimensions have been incorporated into the programme. Strengthening both these components in Public Health is currently taken as a major step in improving service delivery in Health Systems. 5.0 AREAS OF COMPETENCIES This programme is intended to strengthen the capacity of the graduate to successfully identify and manage environmental problems by facilitating the acquisition of adequate knowledge and development of skills and attitudes through understanding and use of the 10 Essential Services of Environmental Health as follow; (i) Monitor environmental and health status to identify and solve community environmental health problems. (ii) Diagnose and investigate environmental health problems and health hazards in the community. (iii) Inform, educate and empower people about environmental health issues. (iv) Mobilize community partnerships and actions to identify and solve environmental health problems. (v) Participate in developing policies and plans that support individual and community environmental health efforts. (vi) Enforce laws and regulations that protect environmental health and ensure safety. (vii) Link people to needed personal environmental health services and assure the provision of healthcare when otherwise unavailable. (viii) Assure competent environmental health and personal healthcare workforce. 7 (ix) Evaluate effectiveness, accessibility and quality of personal and population based environmental health services. (x) Research for new insights and innovative solutions to environmental health problems. 6.0 OBJECTIVES The objectives of the BEHS programme are to produce a graduate who should be able to:1. Develop an understanding of: (a) The chemical, biological, physical and social factors which affect the health of the community. (b) Relevant concepts from the appropriate social and behavioural sciences. (c) The management and administration of the environmental health delivery systems. 2. Become proficient in techniques of: (a) Identifying community environmental health needs. (b) Recognising health hazards at work places. (c) Information collection, storage, retrieval, analysis and dissemination. (d) Environmental health monitoring, analysis and management. (e) Communicable and Non-communicable diseases prevention and control. (f) Supervision, monitoring and evaluation of environmental health services and activities. (g) Operational research and applied technology. 3. Acquire skills in the application of the above techniques and knowledge to the solution of community environmental health problems and occupational health and safety requirements. 7.0 NATURE OF PROGRAMME The BEHS will be a 3 year full time semesterized study programme. Each year shall consist of two semesters with each semester lasting 17 weeks, of which 15 weeks will be used for teaching and 2 for examinations. This will be a day programme. It will be both government and privately sponsored. In all the courses on the programme, classroom teaching, demonstrations and laboratory work will be supplemented with field practical training and research. Problem based learning methods will be used in the teaching of the programme courses. The following key skills will be embedded into the teaching of each course: Communication technology, managing and developing self, working with others, creativity in problem solving, professionalism and ethical conduct. The product will be a graduate who will approach environmental health issues with a holistic global perspective and critically analyze problems with a view to integrating theory and practice in the assessment and provision of preventive and promotive health care services. 8 8.0 RESOURCES 8.1 Lecturers The Programme will be run on a multi-disciplinary basis using specialists from within MUSPH, other faculties within the University and resource persons from outside the University. Emphasis on staff from Makerere University will be on staff from Faculties of Medicine, Technology, Agriculture, Veterinary Medicine, Social Sciences, and the Makerere University, Institute of Environment and Natural Resources (IENR). (See appendix A) 8.2 Space The programme will be housed at Makerere University School of Public Health, in New Mulago Hospital Complex. The programme will make use of the laboratories at Kasangati Health Centre. The programme will also when necessary exploit existing facilities (lecture rooms, laboratories etc) in all the collaborative University and non-University departments. 8.3 Equipment There has been sufficient equipment to run the programme, however more will need to be acquired to cater for the increased intake of students into the programme. 9.0 REGULATIONS FOR THE DEGREE IN BACHELOR OF ENVIRONMENTAL HEALTH SCIENCE (BEHS) 9.1 General Programme Regulations Studies and examination for the degree of BEHS shall be governed by the general regulations and statutes of Makerere University. 9.2 Admission Requirements The programme is open to Ugandans and Non-Ugandans who fulfil the admission requirements. Admission to the programme shall be through any of the following avenues: Direct Entry Scheme Mature age entry scheme Diploma Holders Entry Scheme The entry point for admission to other years through transfer from other programmes or Universities will be determined by the MUSPH Board. 9.2.1 Direct Entry Scheme For direct entry scheme, an applicant must obtain any two advanced level principal passes in Biology and Chemistry at the same sitting of the Uganda Advanced Certificate of Education Examination or its equivalent. For purposes of computing entry points, the advanced level subjects shall carry the following weights: 9 Weight 3 Weight 2 Weight 1 Weight 0.5 - Biology and Chemistry - One best done of the following subjects: Mathematics, Physics, Geography, Agriculture, Food and Nutrition, Technical drawing, Economics, and Religious Studies - General Paper - All others. 9.2.2 Mature Age Entry Scheme Admission may also be by mature age entry scheme after passing two special mature age University Examinations in aptitude and specialized knowledge. 9.2.3 Diploma Holders Entry Scheme Holders of Diploma in Environmental Health (or in any other environmental health related course) of Makerere University or from any recognized University/Institution may be admitted to the programme 10.0 NATURE OF THE PROGRAMME 10.1 Duration The BEHS programme shall extend over a period of 3 years and each year shall consist of 2 Semesters. There shall be a recess term for Field attachment of 6 weeks between the 2nd and 3rd year of study. 10.2 Length of semester Each semester shall last 17 weeks of which 15 shall be for teaching and 2 for examinations. 10.3 Types of Courses All courses in the programme are compulsory and must be passed independently by a student in order to obtain a degree. 10.4 Course Credits Instructions shall be by courses, quantified into Course Credit Units: (a) A credit unit is granted for a series of fifteen contact hours per semester or one contact hour per week per semester. (b) A contact hour is calculated as being equivalent to: One lecture hour One Tutorial/ Seminar hour Two Practical/ Laboratory hours Three Industrial / Workshop practice / Field attachment hours (c) No course shall carry less than one credit unit. 10 11.0 PROGRAMME STRUCTURE Details of the Programme structure are specified below: L = Lecture hours P = Practical hours CH = Contact hours CU = Credit Units PROPOSED COURSES YEAR I: SEMESTER I CODE COURSE TITLE L P CH CU EHS 1109 Human Environment 45 30 60 4 EHS 1102 Introduction to Human Biology 30 30 45 3 EHS 1103 Principles of Biostatistics 45 0 45 3 EHS 1104 Principles of Epidemiology 45 0 45 3 EHS 1110 Principles of Demography 45 0 45 3 EHS 1111 Public Health Microbiology 45 60 75 5 Total Credit Units CODE YEAR I: SEMESTER II COURSE TITLE 21 L P CH CU 60 30 75 5 EHS 1209 Control of Diseases of Public Health Importance Hydrology and Hydraulics 45 60 75 5 EHS 1210 Health Laboratory Management 15 30 30 2 EHS 1211 Vector and Vermin Control 30 30 45 3 EHS 1212 Communication for Behaviour Change Total Credit Units 45 60 75 5 EHS 1208 20 CODE PROPOSED COURSES YEAR II: SEMESTER I COURSE TITLE L P CH CU EHS 2108 Solid Waste Management 45 30 60 4 EHS 2109 30 30 45 3 EHS 2103 Excreta and Wastewater Management and Treatment Environmental Pollution 30 30 45 3 EHS 2110 Community Health and Development 30 30 45 3 EHS 2111 Fundamentals of Environmental Health Law Research Methods 45 0 45 3 45 0 45 3 EHS 2112 Total Credit Units 19 CODE EHS 2207 YEAR II: SEMESTER II COURSE TITLE Food and Nutrition L 30 P 30 CH 45 CU 3 EHS 2208 Building Technology I 30 60 60 4 EHS 2209 Food Safety Management 45 30 60 4 EHS 2210 Occupational Health and Safety 30 30 45 3 EHS 2211 Institutions and Public Places Health Management Urban and Rural Water Supply 30 30 45 3 45 30 60 4 EHS 2212 Total Credit Units CODE EHS 2301 END OF 2nd YEAR SEMESTER BREAK COURSE TITLE L P Field Training (6 weeks) 0 135 Total Credit Units 21 CH 45 CU 3 3 12 CODE PROPOSED COURSES YEAR III: SEMESTER I COURSE TITLE L P CH EHS 3107 Project Work (proposal development) 0 90 30 EHS 3108 EHS 3101 Environmental Health Legislation Building Technology II 45 30 60 4 30 30 45 3 EHS 3109 EHS 3106 EHS 3110 Food Inspection Town and Country Planning Resource Management and Health Policy Total Credit Units 30 60 60 4 30 30 30 30 45 45 3 3 CU *2 17 *(2 Credit Units carried to Semester II) CODE YEAR III: SEMESTER II COURSE TITLE L P CH CU EHS 3201 Project Work (Report writing) 0 135 45 3 EHS 3209 Building Technology III 30 30 45 3 EHS 3210 Management of Public Health Emergencies Leadership in Environmental Health 30 30 45 3 20 20 30 2 EHS 3211 EHS 3212 Traditional and Complementary 25 40 45 3 Medicine Total Credit Units 16 *(2 Credit Units carried from Project Work (proposal development) 13 12.0 EXAMINATION REGULATIONS 12 1 There shall be a Board of Examiners composed of external and internal examiners appointed by Senate on the recommendation of the MUSPH Board. Both shall be chaired by the Dean. 12.2 The Board of Examiners shall receive, consider and recommend to Senate, the examinations results of each candidate. 12.3 The MUSPH Board shall recommend the results of examinations to the Senate for consideration and approval. 13.0 WITHDRAWAL FROM PROGRAMME A student can withdraw from the programme without penalty any time up to and including the seventh full week of the semester. Thereafter, a student who withdraws will be deemed to have failed. 14.0 ASSESSMENT OF COURSES 14.1 Each course shall be assessed on the basis of 100 total marks with proportions as follows:Course work 40% Final Examinations 60% 14.2 Course work shall consist of laboratory/ practical work and progressive assessment (Assignments / tests), with each component constituting 20%. 14.3 For a course without laboratory work, progressive assessment shall carry 40%. 14.4 A minimum of two course work assignments / tests shall be required per course. 14.5 For practical courses (workshop practice, and industrial/field training) assessment shall be by assignment and/or report. 14.6 The pass mark shall be 60% 15.0 GRADING OF COURSES 15.1 Each course shall be graded out of a maximum of 100 marks and assigned appropriate letter grades, grade point average and interpretation as follows: Marks (%) 90-100 80-89 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-45 Below 40 Letter Grade A+ A B+ B C+ C D+ D E EF Grade Point 5.0 5.0 4.5 4.0 3.5 3.0 2.5 2.0 l.5 l.0 0.5 Interpretation Exceptional Excellent Very Good Good Fairly Good Pass Marginal Fail Clear Fail Bad Fail Qualified Fail Qualified Fail 15.2 Field attachment / Industrial training courses shall be graded and awarded credit units. 15.3 The pass grade per course is 2.0 15.4 No credit unit shall be awarded for any course in which a student fails. 16.0 PROGRESSION Progression through the courses shall be assessed in three ways: 16.1 Normal Progress This occurs when a student passes each course taken with a minimum grade point of 2.0 16.2 Probationary This is a warning stage and occurs if:(a) A student fails a course, or (b) A student obtains CGPA of less than 2.0 Probation is removed when either of the conditions (a) and (b) no longer holds. 16.3 Discontinuation A student shall be discontinued from the programme if one of the following conditions obtains:16.3.1 Failing a course taken on probation 16.3.2 Receiving two consecutive probations based on CGPA 17.0 RE-TAKING A COURSE There shall be no supplementary in any course of the programme. However, a student may retake any course when it is offered again in order to:a) Pass it if the student has failed it before. b) Improve the grade if the first pass grade was low. 18.0 DESIGNATION OF THE DEGREE The degree awarded to the successful candidate shall be designated as Bachelor of Environmental Health Science (BEHS). 15 19.0 DESCRIPTION OF COURSES EHS 1109 HUMAN ENVIRONMENT (4 CU) Course Description: The course aims at enabling the student understand and be able to apply integrative and multi-sectoral approaches in resolving environmental health concerns. Ecological concepts are introduced and the interaction between humans and the environment are described. Course Objectives By the end of this course, the student should be able to: i) Explain the key terms and concepts used in ecology ii) Explain the concept of inter-relationships in environmental studies iii) Explain the influence of ecological factors on living things iv) Explain the concepts of ecosystems and bio-diversity v) Describe the concept of ecological sustainability vi) Demonstrate the impact of ecological factors on environmental health vii) Explain the process of Environmental Impact Assessment Detailed Course Outline Introduction to environmental health. Ecology, Biotone, Ecotone, Ecosystems, Care of environment, Interrelatedness of life’s ecosystem. Biotic community. Ecological domains. Ecological Niche, Biomass. Food-chain. Human ecosystems, Inter-relatedness in the environment, Ecological factors Energy flow through the Biosphere. Biogeochemical cycling. Ecological succession. Ecosystem management. Environmental hazards and degradation: Persistent Organic Pollutants, Pesticides, Mutation, Birth defects, Human Teratogens. Environmental Impact Assessment. Basic principles of ecology and their applications in the human environment. Conservation of natural resources, Pollution and environmental health, Sustainable development, Cleaner production. Integrated ecosystem management systems. Field study. Mode of delivery: - Lectures, Tutorials/Seminars and field work/practical. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions 40%. 60%. 16 Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Nadakavukavien. A; Man and Environment- A Health Perspective 3rd Edition 3. Ponofsky. H; “Earth’s endangered ozone” Environmental magazine , vol.20 No.3, 1978 4. Jackson H.H & Moris G. P. et al. Environmental Health; Reference book; Butterworths, London. 1989. 5. Sandy Caircross & Feachem Richard G; Environmental health- an introductory text; John Wiley & sons, N.Y., 1982 6. Salvato Joseph, Environmental Engineering & Sanitation 4th edition; John Wiley & sons 1992. 7. Environmental Health For East Africa; Rukaro (Ed) – 2000 Course Facilitators Mr. Stephen Tusingwire Ms. Ruth Mubeezi Mr. Richard Mugambe Dr. John Ssempebwa Mr. John B. Isunju EHS 1102 BEHS BEHS, MSc BEHS, MSc BSc, MSc, PhD BEHS, MIWRM INTRODUCTION TO HUMAN BIOLOGY (3 CU) Course description: Course aims at giving students basic knowledge on and terms used in human Anatomy and Physiology, structures and functions of different body systems and an outline of common pathological conditions of the human body systems. Course Objectives By the end of this course, the student should be able to: i) Define terms commonly used in Anatomy and Physiology. ii) Describe the structure and function of the different body parts and their relationship to each other. iii) Outline common pathological conditions of the human body systems. iv) Describe the development of the different structures of the human body as well as their histological appearance. v) Describe habits which promote good functioning of the body systems. Detailed Course Outline Introduction to Anatomy, anatomical nomenclature, definition of key terminologies in Anatomy Regional anatomy of head, Central Nervous System, Cardiovascular system, Genital Urinary tract, trunk, limbs, Embryology of the human body and cell structure, cell division, replication Introduction to physiology and definition of key terminologies in Physiology Physiology of the Gastro Intestinal Tract, Cardiovascular system, Genital Urinary tract, blood and body fluids, Cell metabolism 17 Laboratory techniques e.g. Respiratory system, kidney and liver function tests Mode of delivery: Lectures, tutorials/seminars and laboratory work/practical. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions 40%. 60 %. Suggested Reading List 1. Lecture handouts and additional materials in the Sir Albert Cook Medical Library. 2. Van De Graaff, Kent M. Human Anatomy. 5th ed. Boston, Mass.: WCB/McGraw-Hill, 1998. 3. Clayman, Charles B., ed. The Human Body: An Illustrated Guide to Its Structure, Function, and Disorders. London: Dorling Kindersley, 1995 4. Seeley, Rod R., Trent D. Stephens, and Philip Tate. Anatomy & physiology. 4th ed. Boston, 1998. Course Facilitators Dr. C. Ibingira Prof. G. Nzarubara Dr. Kukiriza Dr. W. Buwembo Dr. J. Turyabahika Ms. Naiga Mr. G. Masilili Dr. J. Ochieng Dr. Munabi Dr. Kiryowa EHS 1103 MBChB, MMed MBChB, MMed MBChB BDS, MSc MBChB, MMed MBChB BSc, MSc, MBChB, MSc, MHSC MBChB, MMed BDS PRINCIPLES OF BIOSTATISTICS (3 CU) Course description: The course describes the principles and concepts of Biostatistics, and is designed to introduce students to the application of these principles and concepts in environmental health management. Course Objectives By the end of this course, the student should be able to: i) Define the concept of Biostatistics and common terminologies used in biostatistics ii) Describe the different types of scales of measurement iii) Explain the importance of Biostatistics as a tool for data collection, processing and analysis iv) Demonstrate ability to process, analyze and appropriately present data using simple statistical summary measures (e.g. central tendency, measures of dispersion, etc), and graphical tools v) Should be able to critically appraise environmental health information using simple statistical methods. vi) Demonstrate the ability to make appropriate conclusions, take appropriate decision and action on the basis of statistical data results. 18 vii) Demonstrate the use of computer packages e.g. EPIINFO, SPSS, and/or STATA in the application of the different statistical methods taught Detailed Course Outline Introduction to the concept and application of Biostatistics The different sources of data The different types of scales of measurements Data summary measures (measures of central tendency, measures of dispersion, etc), and data presentation methods (tabular and graphical) Confidence intervals, their application and interpretation Population, target population, study population, sample, and the different methods of selecting a sample (sampling techniques) Sampling distributions (Normal distribution, t-distribution, chi-square distribution and the F-distribution) Introduction to statistical hypothesis testing, the concept of “p-value” and its interpretation; and application of the t-test, Z-test & chi-square test Sample size calculation Mode of delivery: Lectures, tutorials/Seminars As much as possible students will be expected to use computer packages (EPIINFO, SPSS and/or STATA) in the class exercises and assignments. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and/or long assay questions 40%. 60%. Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Moore D. S and McCabe G. P (2002) Introduction to the Practice of Statistics, 5th ed. Freeman. Additional materials are on reserve at the Health Sciences Library. 3. Moore D. S (1997) Statistics: Concepts and Controversies, 4th ed. WH Freeman and Co., New York, 526 pp. 4. Rosner B (1995) Fundamentals of Biostatistics, 4th ed. Duxbury Press. Course Facilitators Dr. David Guwatudde Dr. Nazarius Mbona Tumwesigye Mr. Simon Kasasa Mr. David Odaka Mukanga Dr. Sheba Nakacubo Giita Mr. Francis Muwonge BStat, MSc, PhD BStat, MSc, MA, PhD BStat, MS BPharm, MPH BDS, MPH BStat, MSc 19 Prof. Fred Wabwire-Mangen Prof. Joseph Konde-Lule Dr. Fredrick Makumbi Dr. David Ndungutse Dr. Danstan Bagenda EHS 1104 MBChB, DTM&H, MPH, PhD MBChB, DPH, MPH BStat, MHS, PhD MBChB, DPH, MSc BStat, M.Med, PhD PRINCIPLES OF EPIDEMIOLOGY (3 CU) Course Description: The course deals with knowledge and concepts of epidemiology and its application in procedures for the assessment, control and prevention of environmental health problems. Course Objectives By the end of this course, the student should be able to: i) Explain the concept and application of epidemiology ii) Describe the epidemiological approaches used in the assessment and evaluation of risks to health from environmental hazards. iii) Explain the principles of diseases association and causation iv) Describe the common transmission ways of frequent diseases in the East African countries v) Demonstrate the ability to keep epidemiological data, analyze it and communicate the results to relevant users. Detailed Course Outline Concepts and applications of epidemiology Measures of disease occurrences Principles of disease causation and association Application of common epidemiological packages e.g. Epi-Info Introduction to epidemiological research: study design, errors in epidemiological studies, and interpretation of epidemiological studies Vital statistics and surveillance Occupational and environmental health epidemiology Mode of delivery: Lectures, Tutorials and seminars Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions 40%. 60%. Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Talbot, E. Craun, G. (Ed). (1995). An Introduction to Environmental Epidemiology. Lewis Publishers 20 3. Principles of Epidemiology by Leon Gordis 4. Epidemiology in Medicine by Hennekens 5. Foundations of Epidemiology by Linnenfield 6. Raj Bhopal . Concepts of Epidemiology: An integrated introduction to the ideas, theories, principles and methods of epidemiology. Oxford University Press, 2002. 7. Penny Webb, Christopher Bain, Sandi Pirozzo. Essential Epidemiology. An Introduction for Students and Health Professionals. Cambridge University Press, 2005. Course Facilitators Prof. Joseph Konde-Lule Prof. Fred Wabwire-Mangen Dr. David Ndungutse Dr. David Guwatudde Mr. David Odaka Mukanga Dr. Sheba Nakacubo Giita Ms Barbara Kirunda Dr. Roy Mayega EHS 1110 MBChB, DPH, MSc MBChB, DTM&H, MPH, PhD MBChB, DPH, MSc B Stat, MSc, PhD B Pharm, MPH BDS, MPH BSc FST, MPH MBChB, MPH PRINCIPLES OF DEMOGRAPHY (3 CU) Course Description: The course covers definitions of demography and its history. It describes populations and determinants and consequences of population change, population policies and sources of data, basic measurements for mortality, fertility and migration in estimation and projections of population changes. Course Objectives By the end of this course, the student should be able to: i) Compute basic measures of mortality, fertility and migration ii) Explain the inter-link between demography and environmental health iii) Compute and explain estimates, projections and demographic indices of mortality, fertility and migration iv) Explain factors associated with population structure, composition and changes v) Explain the country’s population policies Detailed Course Outline Concepts and application of demography Basic measures of mortality, fertility and migration Cross-border movement and its health effects Urbanization; causes and effects Population displacements, causes and effects Registration: Births, Deaths, Marriages, Immigration Population structure, composition and changes, age pyramids and cohorts, Life expectancy 21 Population estimates and projections Demographic information application to environmental health Population policies Mode of delivery: Lectures, Tutorials Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions 40%. 60% Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Adamchak, S. E. & Weiss, L. A. 1997, Assessing the policy environment: What influences population policy? 3. Government of Uganda. 2002. Uganda country report for the fourth meeting of the follow-up committee on the implementation of the DND and ICPD-PA. UNECA.http://www.uneca.org/POPIA/Peda/Uganda.doc, 1-12-2005 4. Kpedekpo, G. M. K. 1982. Essentials of Demographic Analysis for Africa. Heinemann, USA., London,UK. 5. Shryock, H. S. and Siegel, J. S. 1976. The Methods and Materials of Demography. Condensed Edition edn. Stockwell, E. G. Academic Press, New York. 6. UBOS. 2005. Report of 2002 Population and housing census. Uganda Bureau of Statistics, Kampala. http://www.ubos.org/, 29-4-2005 Course Facilitators Dr. Nazarius Mbona Tumwesigye Dr. Robinah Najjemba Ms. Ann Nakirijja Dr. Roy Mayega Mr. Andrew Tiondi Mr. Simon Kasasa, Ms. Barbara Kirunda Tabusibwa Dr. Fred Makumbi EHS 1111 BStat, MA, MSc, PhD MBChB, MPH BSc, MSc MBChB, MPH BA, MA BStat, MS BSc FST, MPH B.Stat, MSc. PhD PUBLIC HEALTH MICROBIOLOGY (5 CU) Course description: The course covers terminologies used in microbiology, major groups of microorganisms and their role in causing disease in populations and methods of controlling diseases. Beneficial roles of micro-organisms are also described. Course Objectives By the end of this course, the student should be able to: i) Define common terminologies in Microbiology. 22 ii) iii) iv) v) vi) Recognize the differences between the major groups of micro-organisms. Explain the factors that influence microbial growth and distribution patterns. Identify the major reservoirs of infectious agents and transmissions routes. Explain the role of micro-organisms in disease. Demonstrate the ability to observe and accurately identify micro-organisms Detailed Course Outline Common terminologies in microbiology, characteristics and classification of microorganisms; Growth patterns of micro-organisms. Concepts in microbial physiology and the structure and function of microbial cells. Mechanisms of gene transfer, gene regulation, and genetic analysis in bacteria and single-celled fungi (yeasts). Pathogenic and non-pathogenic organisms. The role of bacterial structures and products in the disease processes initiated by pathogens. Reservoirs of infection and transmission routes. Current and future trends in the prevention, treatment and control of bacterial and parasitic diseases. The biochemistry, physiology, pathogenicity, immunology and mechanism of drug action and resistance of medically important parasitic protozoa, trematodes, nematodes, and cestodes. Pathogenesis and molecular biology of viruses. Describe the host response to infection including the interaction of T-cells, B-cells and antigens leading to humoral and cell mediated responses. Sampling methods including human samples, water and food samples for laboratory analysis. Growth media and techniques used in a microbiological laboratory. Basic techniques for the examination, isolation, cultivation, and identification of micro-organisms in the laboratory. Emerging or re-emerging organisms. Mode of delivery: Lectures, laboratory practical Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions 40% 60%. Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Duerden B. I., Reid T. M. S. and Jewsbury J. M. 1993. Microbial and Parasitic Infection. Arnold. Oxford University Press Inc 3. Thomas D. Brock and Michael T. Madigan, 1991. Biology of Microorganisms. 6th Ed. Prentice-Hall International, Inc 4. Johri, R.M. Sneh Lata and Sandhya Sharma. A Textbook of Algae. New Delhi, Dominant Pub., 2004. 5. Christiaan Hoek, D. J. Mann, Hans Martin Jahns Algae: an introduction to phycology Cambridge University Press. 1996 23 6. Webster John and Weber Roland. Introduction to Fungi, 3rd Ed. Cambridge University Press 2007 7. Frazer, W.C. and Westhoff, D.C. 1988. Food Microbiology, 4th Ed. Mcgraw Hill, New York. 8. Jay, J.M. 1992. Modern Food Microbiology, 4th edition, Van Nostraaand Reinhold Co., New York. Course Facilitators Dr. Juliet Babirye Mr. Rudolf Buga Mr. Stephen Tusingwire, Mr. Ali Halage Ms. Ruth Mubeezi, Mr. Richard Mugambe, Dr. John Ssempebwa, Mr. Stephen Owarwe Prof. Fred Wabwire-Mangen EHS 1208 MBChB, MPH DMLT., BSc., MSc., PGDE BEHS BEHS BEHS, MSc BEHS, MSc BSc, MSc, PhD DMLT MBChB, DTM&H, MPH, PhD CONTROL OF DISEASES OF PUBLIC HEALTH IMPORTANCE (5 CU) Course description: The course covers the common communicable and non-communicable diseases prevalent in the East African Region and describes measures for their prevention and control including surveillance and management of disease outbreaks. The course will also cover skills development to be able to actively participate in disease surveillance and in instituting measures for preventing and controlling communicable and non-communicable diseases. Course Objectives By the end of this course, the student should be able to: i) Explain the factors influencing spread of communicable diseases ii) Explain different types of immunity and body defence mechanisms iii) Explain the principles and terminologies in immunization. iv) Identify the common communicable and non-communicable diseases prevalent in the East African Region. v) Describe aetiology, mode of transmission, signs and symptoms, prevention and control of communicable diseases. vi) Explain environmental factors associated with the spread of communicable diseases. vii) Advise on appropriate measures related to prevention of communicable diseases. viii) Describe the roles of different stakeholders in the control of outbreaks. ix) Plan and execute disease control strategies. x) Design and execute epidemic preparedness plans. Detailed Course Outline Commonly used terminologies in communicable and non-communicable diseases Communicable and non-communicable diseases e.g. Water washed diseases, scabies, contact diseases, Sexually transmitted diseases, HIV/AID, Water borne diseases (e.g. Cholera), Airborne diseases (e.g. Meningitis), Zoonotic diseases (e.g. Anthrax), Faecaloral diseases, tuberculosis, leprosy, diarrhoeal diseases, acute respiratory infections, 24 measles, meningitis; hepatitis A and B, rabies, plague, heart diseases, mental diseases, and Obesity. Diseases associated with bioterrorism. Disease prevention and management at community levels Disease surveillance, investigation and control techniques for outbreaks. Aetiology of immunizable diseases Principles of immunology and immunization Characteristics of vaccines Cold chain and other equipment for immunization The National notifiable and epidemic potential diseases: cholera, dysentery, measles, meningitis, malaria, polio, neonatal tetanus, plague, typhoid fever, yellow fever, rabies, and viral haemorrhagic fever General preventive and control measures Role of key professionals and organizations responsible for outbreak investigations and control Legal framework for control and prevention of diseases. Review of previous outbreak investigations Environmental health inspections targeting disease prevention and control Management of mass immunization campaigns Practical and field work Mode of delivery: Lectures, Tutorials, Practicals Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%) (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Anderson, RM, RM May (1982). Population Biology of Infectious Diseases. SpringerVerlag 3. Abram S. Benenson, (1990) Control of communicable diseases in Man., APHA. 4. Nelson KE, Williams CM, Grahman NMH, Infectious Disease Epidemiology Theory and Practice (2001). Aspen Publishers, Inc. Maryland USA. 5. Manson-Bahr PEC, Bell DR. (1987). Manson’s Tropical Diseases. ELBS. Suffolk, UK. 6. http://www.dcp2.org/main/Home.html : This website is prepared by the World Bank and highlights key priority diseases and recommendations on their control 25 Course Facilitators Prof. David Serwadda Dr. Fred Nuwaha Dr. Florence Baingana Dr. Margaret Muganwa Dr. Juliet Babirye Mr. Rudolf Buga Dr. Esther Buregyeya Dr. John Bosco Ddamulira Mr. Michael Oryema-Lalobo Mr. Stephen Owarwe EHS 1209 MBChB, MSc, M.Med, MPH MBChB, MPH,PhD MBChB, MBChB, MBChB, MPH DMLT, BSc, MSc, PGDE MBChB, MPhil MBChB, DHSM, MPH BSc, MS DMLT HYDROLOGY AND HYDRAULICS (5 CU) Course Description The course includes descriptions of the basic land-phase of the hydrological cycle and hydraulic processes. The processes considered include precipitation, infiltration, runoff generation, streamflow and open channel hydraulics, evapo-transpiration, rainfall interception, and subsurface flow. Catchment hydrological processes are illustrated through case studies. Selection of pumps and water resources planning are discussed. Course Objectives By the end of this course, the student should be able to: i) Explain the basic concepts and principles of processes governing the transfer of water between the atmosphere, land surface, subsurface and natural channels. ii) Interpret hydrological parameter measurement techniques. iii) Explain the processes affecting the quality of water in aquifers, rivers, lakes and reservoirs iv) Interpret and be able to use the simple hydrological models commonly used in environmental engineering applications v) Describe the processes controlling water flow and contaminant and sediment transport in catchments, groundwater and surface waters and to be able to quantify such movements. vi) Conduct a hydrologic budget for a water body and estimate uncertainties; describe the physical principles of, estimate, measure, and model the main components of a hydrologic budget, including precipitation, evapo-transpiration, infiltration, overland flow, and stream flow. Detailed Course Outline Hydrology: Hydrological cycle and earth water inventory Types of water sources Forms, types and measurement of precipitation Rainfall-runoff, data computation 26 Occurrence of ground water, factors influencing aquifers, groundwater flow; open channel flow; point water sources, water-shed management and it’s effect on aquifers, flood consideration Water resource development and uses in Uganda Hydraulics: Introduction to pressure in respect to static pressure, pressure distribution around a column, pressure variation with depth pressures on submerged surfaces, pressure measurements, and flotation Principles of fluid flow: Continuity of flow, momentum of fluids, energy of fluid, Bernoulli’s equation for frictionless flow, loss of energy Flow measurements. Venturi - meter and piston tube, small and large orifices, not dices and weirs Open Channel Flow: Flow classification, steady uniform flow, steady non uniform flow, natural and artificial channels and their properties Flow under varying head: Tank emptying through orifice or pipe, time to fill the tank, inflow and outflow, sudden opening of a valve, reservoir emptying over weir Practical and field work Mode of delivery: Lectures, tutorials/seminars and practical/field work Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions 40%. 60%. Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Twort A. C., Law F. M. and Crowley F. W and D. D. Ratnayaka Water Supply (1993) 4th Edition, Arnold Publishers 3. Morgan Peter. Rural Water Supplies and Sanitation, A text from Zimbabwe’s Blair Research Laboratory (1994), Macmillan Publishers 4. Chow, V T, Maidment, D R and Mays, L W (1988) Applied Hydrology, McGraw-Hill. 5. Shaw, E M, Hydrology in Practice, Van Nostrand Rheinhold (International). 6. Chadwick, A and Morfett, J (1993) Hydraulics in Civil and Environmental Engineering, 2nd Ed., Chapman and Hall 7. Chow, V.T. ed. 1998. Applied Hydrology. New York. McGraw-Hill. 8. Maidment, D.R. ed. 1992. Handbook of Hydrology. New York, McGraw-Hill. Course Facilitators Mr. Stephen Tusingwire, Ms. Ruth Mubeezi, Mr. Richard Mugambe, Dr. John Ssempebwa, Mr. Allan Komaketch, Mr. Peter Tumutegyereize BEHS BEHS, MSc BEHS, MSc BSc, MSc, PhD BSc Agric. Eng, MSc Eng. Dipl BSc Agric. Eng 27 Mr. John B. Isunju Mr. Abdullah Halage EHS 1210 BEHS, MIWRM BEHS HEALTH LABORATORY MANAGEMENT (2 CU) Course description: The course describes the layout of a health laboratory, recommended equipment found in such a laboratory, routine procedures carried out in a health laboratory and measures taken to ensure safety and proper functioning of the laboratory. It also deals with the function of National Laboratory service and the Health Laboratory Management Information system. Course Objectives By the end of this course, the student should be able to: i) Explain the flow of information in the Health Laboratory Management Information system (HLMIS) ii) Classify pathogens and Bio-safety levels of Health laboratories iii) Describe the design, procedures and equipment in the health laboratory iv) Execute basic laboratory manipulations. Detailed Course Outline Information flow in the Health Laboratory Management Information system (HLMIS) Laboratory design, standard specification, organization and management Safety procedures and control: classification of pathogens and Bio-safety levels of Health laboratories Laboratory equipment and furniture Laboratory procedures: routine, analytical chemical and environmental/biological monitoring Quality control and assurance Regulation and the shipment of pathological specimen Collaborations with other national and international laboratories (e.g. consultation with medical, animal health, agriculture, and industrial laboratories) Practical work Mode of delivery: Lectures, tutorials and practical work. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 28 2. Laboratory Bio-safety manual WHO, 2nd Ed. 3. Laboratory Bio-safety manual WHO 3rd Ed. 4. Cheesbrough Monica, Medical Laboratory manual for tropical countries Part 1 1st Ed. 5. Cheesbrough Monica, Medical Laboratory manual for tropical countries Part 1, 2nd Ed. 6. Cater, J. and Lenana Lema (1994) Practical Laboratory Manual for Health Centres in East Africa; Course Facilitators Mr. Rudolf Buga Mr. Lali Ziras EHS 1211 DMLT., BSc., MSc., PGDE DMLT, BBLT, MSc VECTOR AND VERMIN CONTROL (3 CU) Course description: The course describes different vectors and vermins of environmental health importance, their life cycles, and methods of disease transmission and measures to control them. Course Objectives By the end of this course, the student should be able to: i) Classify various types of vectors and vermin of environmental health importance. ii) Describe the characteristics of disease causing vectors. iii) Describe the life histories and control measures of the vectors of environmental heath importance. iv) Describe the public health importance of various vectors and vermin. v) Initiate control measures for vectors and vermin. Detailed Course Outline Classification of vectors and vermin of environmental health importance Characteristics, habitats, life history, economic/medical importance of vectors and vermin. Medical Entomology: vector and pest biology and control. Diseases caused by vectors and vermin Control measures of vectors of environmental health importance (Vectors: Mosquitoes, Latrine flies, Tsetse flies, Simulium flies, Fleas, Ticks,-Pests of stored food products, House flies, Blow flies, Snails, Lice, Bed bugs, Cockroaches, Mite, Scorpions). Control measures to include use of pesticides and other methods Control measures of vermin of environmental health importance (Vermin: Rodents, bees, scorpions, bats, ants etc). Use of rodenticide, rodent proofing dusts, Gassing and fumigation, Trapping, Sewer treatment, Rodent proofing of premises Surveying for vermin infestation Vector-borne diseases (e.g. Malaria) 29 Practical/Laboratory work Mode of delivery: Lectures, tutorials, seminars, laboratory and other practical work. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Nadakavukavien. A; Man and Environment- A Health Perspective 3rd Edition Jackson H.H & Moris G. P. et al. Environmental Health; Reference book; Butterworths, London. 1989 3. Sandy Caircross & Feachem Richard G; Environmental health- an introductory text; John Wiley & sons, N.Y., 1982 4. Sandy Cairncross and Feachem Richard G; Environmental Health Engineering in the Tropics John Wiley & sons, N.Y., 2002 5. Salvato Joseph, Environmental Engineering & Sanitation 4th edition; John Wiley & sons 1992. 6. Salvato Joseph, Nemerow N. L. and Argady, F. J., Environmental Engineering & Sanitation 5th Ed; John Wiley & sons, 2003. Course Facilitators Mr. Rudolf Buga Mr. Michael Oryema-Lalobo Mr. Richard Mugambe Mr. Stephen Owarwe EHS 1212 DMLT, BSc, MSc, PGDE BSc, MPH BEHS, MSc DMLT COMMUNICATION FOR BEHAVIOUR CHANGE (5 CU) Course description: The course covers the principles and components of health education and communication and how they can be used in environmental health to effect the desired behavioural change. Course Objectives By the end of this course the student should be able to: i) Define terms commonly used in environmental health education, health communication and behaviour change. ii) Explain the importance of environmental health education and communication. iii) Describe the components and the process of health education and communication. iv) Explain the techniques and tools of health education and communication. v) Explain the characteristics of different communities targeted for behaviour change. vi) Design appropriate tools for health education and communication. 30 vii) Evaluate impact of health education and communication. viii) Organize sensitization sessions ix) Apply proper techniques of health education and communication. Detailed Course Outline Introduction to Health education and communication techniques Different methods used in planning and delivery of health education Techniques and tools of effective communication related to environmental health. Design and production of appropriate IEC materials, use of ICTs Mass media and appropriate messages Health education curriculum design Relationship between beliefs, attitudes and behavioural changes Types and factors that influence health behaviour The role of an Environmental Health Officer in Health promotion Field and Practical work Mode of delivery: Lectures, seminars, tutorials and practical/field work. Mode of Assessment - Continuous assessment, - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Karen Glanz, Barbara K Rimer, Frances Marcus Leuns. Health Behaviour and Health Education Theory, Research and Practice. 3rd Ed 2002. 3. Cottrell R.R, Givan J.T, McKenzie J. F. Principles and Foundations of Health Promotion and Education. 2002. Boston: Allyn and Bacan 4. Green L. Behavioural Health: A Handbook of Health enhancement and Disease prevention. New York: Wiley. 1986 5. Margaret Thorogood, Yalande Combes. Evaluating Health Promotion - Practice and methods Oxford University Press, 2000. 6. WHO Education for Health. A manual on and Wealth Education in Primary Health Care. 7. Fruehling & Joan M. Locombe. Communicating for Results ; by Rosemary 8. Jane Naidoo & Jane Wills, Health Promotion: Foundations for Practice, 2nd Edition, 2003, Elsevier Ltd, London 9. Keith Tones and Jackie green, Health Promotion; effectiveness, efficiency and equity, 2001, Nelson Thornes Ltd, London Course Facilitators Mr. Lynn Atuyambe, BA, MPH 31 Dr. Juliet Kiguli, Dr. Elizabeth Nabiwemba Dr. Robinah Najjemba Ms. Imelda Zimbe Dr. Christopher Orach-Garimoi EHS 2108 BA, MA, PhD MBChB, MMed MBChB, MPH B.Sc, PGD MBChB, MMed, MPH, PhD SOLID WASTE MANAGEMENT (4 CU) Course description: The course describes the principles of waste collection, segregation, storage, transport, treatment and disposal and provides skills on how to manage solid wastes in the community so as to prevent their associated diseases. It also covers national and international policies and legislation relating to solid waste management. Course Objectives By the end of this course, the student should be able to: i) Define solid waste and its management and related terminologies. ii) Explain solid waste management as a problem in developing countries especially in the East African Community, and its importance in environmental health management. iii) Describe the categories, composition, sources and quantity of waste. iv) Describe different methods of waste collection and segregation, storage, transport, treatment and disposal. v) Demonstrate ability to plan, implement and evaluate safe management of solid wastes and the disposal of the dead. vi) Explain to the communities benefits associated with proper management of refuse and the disposal of the dead. vii) Constructively participate in community solid waste management. Detailed Course Outline Introduction of solid waste, its management and related terminologies Categories, composition, sources and quantity of solid waste, e-waste Nuisances associated with indiscriminate disposal of solid waste and their prevention Wastes Audits, analysis Wastes storage, segregation, collection, treatment and disposal Health hazards and hazardous waste management Methods of disposal of the dead Principles of waste minimization, recycling and reuse Problems associated with improper management of refuse and the disposal of the dead 32 Solid waste management plan Practical/field work Mode of delivery: Lectures, seminars and practical/field work. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%) (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Nadakavukavien. A; Man and Environment- A Health Perspective 3rd Edition 3. Ponofsky. H; “Earth’s endangered ozone” Environmental magazine , vol.20 No.3, 1978 4. Jackson H.H & Moris G. P. et al. Environmental Health; Reference book; Butterworths, London. 1989. 5. Sandy Cairncross and Feachem Richard G; Environmental health- an introductory text; John Wiley & sons, N.Y., 1982 6. Sandy Cairncross and Feachem Richard G; Environmental Health Engineering in the Tropics John Wiley & sons, N.Y., 2002 7. Salvato Joseph, Nemerow N. L. and Argady, F. J Environmental Engineering & Sanitation 5th Ed; John Wiley & sons, 2003. 8. Nyang’echi, G. N. Management of Solid and Liquid Wastes. 1993 Course Facilitators Ms. Ruth Mubeezi, Mr. Richard Mugambe, Mr. Stephen Tusingwire, Mr. Allan Komaketch, Mr. Peter Tumutegyereize Mr. John B. Isunju Mr. Abdullah Halage BEHS, MSc BEHS, MSc BEHS BSc Agric. Eng, MSc Eng. Dipl BSc Agric. Eng BEHS, MSc BEHS EHS 2109 EXCRETA AND WASTEWATER MANAGEMENT AND TREATMENT (3 CU) Course description: The course describes wastewater and excreta, their disposal, industrial liquid waste and their disposal and health risks and diseases associated with poor management of wastewater and excreta disposal. It also deals with relevant national and international policies and regulations related to excreta and wastewater management. Course Objectives By the end of this course, the student should be able to: i) Describe the sources, types, composition and characteristics of wastewater and sewage. ii) Explain the principles, methods and importance of good drainage. iii) Describe sources of wastewater and excreta material. iv) Explain wastewater and excreta management as a problem in developing countries especially in the East African Community. 33 v) Describe the basic principles in excreta and wastewater management. vi) Describe the disposal facilities and treatment for wastewater and excreta. vii) Demonstrate the ability to carry out sampling and analysis of wastewater and sewage. viii) Recognise problems related to excreta disposal. Detailed Course Outline Terminologies used in wastewater and excreta management Types, characteristics and sources of wastewater and excreta Wastewater drainage systems Analysis of wastewater and sewage and effluent standards Sewer systems Unit operations in wastewater treatment (Trickling filters, activated sludge units, stabilization ponds, constructed wetlands Industrial wastewater and safety measures Legislation relating to drainage and wastewater management Excreta and wastewater management in emergency situations Design and construction of different types of sanitary latrines. Principles of excreta disposal Nuisances and health hazards from poor disposal of excreta Field visits Laboratory work Mode of delivery: Lectures, laboratory work and field visits. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Nadakavukavien. A; Man and Environment- A Health Perspective 3rd Ed. Waveland Press Inc. 3. Ponofsky. H; “Earth’s endangered ozone” Environmental magazine , vol.20 No.3, 1978 Jackson H.H & Moris G. P. et al. Environmental Health; Reference book; Butterworths, London. 1989. 4. Sandy Caircross & Feachem Richard G; Environmental health- an introductory text; John Wiley & sons, N.Y., 1982 34 5. Sandy Cairncross and Feachem Richard G; Environmental Health Engineering in the Tropics John Wiley & sons, N.Y., 2002 6. Salvato Joseph, Environmental Engineering & Sanitation 4th Ed, John Wiley & sons 1992. 7. Blackman, W.C., Basic Hazardous Waste Management, 3rd Ed, Lewis Publishers, CRC Press, Boca Raton, Fla., 2001. 8. White J. B. Wastewater Engineering Edward Arnold Publishers 9. Pruss A., Giroult E. and Rushbrook P. (eds) Safe Management of Wastes from health-care activities. WHO 10. State of Environment Reports for Uganda - NEMA Course Facilitators Mr. Stephen Tusingwire, BEHS Ms. Ruth Mubeezi, BEHS, MSc Mr. Richard Mugambe, BEHS, MSc Dr. John Ssempebwa, BSc, MSc, PhD Mr. Allan Komaketch, BSc Agric. Eng, MSc Eng. Dipl Mr. Peter Tumutegyereize BSc Agric. Eng Mr. John B. Isunju BEHS, MSc Mr. Abdullah Halage BEHS EHS 2103 ENVIRONMENTAL POLLUTION (3 CU) Course Description: The course describes sources and types of pollution and how they are measured in the environment. It also deals with methods to prevent and control pollution including application of relevant laws, rules and regulation. Course Objectives By the end of this course, the student should be able to: i) Define terminologies in environmental pollution. ii) Describe health problems related to environmental pollution iii) Describe the sources and types of environmental pollution. iv) Explain different techniques of measuring environmental pollution. v) Explain the legislation concerning environmental pollution. vi) Demonstrate ability to use appropriate equipment and techniques in the identification and control of environmental pollution. Detailed Course Outline Terminologies used in air, water, noise and soil pollution Atmosphere: composition, atmospheric regions Radiation balance. Human impact on the earth (green house effects) Air Pollution: definition, sources of air pollution, major air pollutants, the effects of air pollution, measurements of pollutants, air pollution of major health importance 35 Noise Pollution: Sources of noise, noise as a nuisance, noise and hearing loss, effects of noise on learning ability and work performance, safety aspects of noise, sleep disruption, noise control efforts Soil Pollution: Sources of soil pollution, major soil pollution, the effects of soil pollution, soil pollution of major health importance, measurement of pollution, soil pollution control Toxicology: Risk assessment, polychlorinated biphenyl’s (PCBs), dioxins, Asbestos, Lead, Mercury, Cadmium, Chromium. Poisonous plants. Hazardous materials and wastes Radiation safety: Ionizing and non ionizing radiation, ultra violet radiation, microwaves, Extremely Low Frequency Electromagnetic Radiation (ELFER) Equipment used in air and soil pollution monitoring and management Remediation of contaminated sites Legislation related to pollution Laboratory work Field visits/work Mode of delivery: Lectures, tutorials, laboratory work and field visits. Requirement: A laboratory Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Nadakavukavien. A; Man and Environment- A Health Perspective 3rd Edition 3. Ponofsky. H; “Earth’s endangered ozone” Environmental magazine , vol.20 No.3, 1978 4. Jackson H.H & Moris G. P. et al. Environmental Health; Reference book; Butterworths, London. 1989. 5. Sandy Caircross & Feachem Richard G; Environmental health- an introductory text; John Wiley & sons, N.Y., 1982 6. Salvato Joseph, Environmental Engineering & Sanitation 4th edition; John Wiley & sons 1992. 7. Sandy Cairncross and Feachem Richard G; Environmental Health Engineering in the Tropics John Wiley & sons, N.Y., 2002 8. Salvato Joseph, Nemerow N. L. and Argady, F. JEnvironmental Engineering & Sanitation 5th Ed; John Wiley & sons, 2003. 9. Timbrell, J.A. (1995). Introduction Toxicology. Taylor and Francis 10. Ballantyne, B., Marrs, T. and Turner, P. (1995). General and Applied Toxicology. Macmillan 11. Niesink, R.J.M., deVries, J. and Hollonger, M.A. (1996). Toxicology: Principles and Application. CRS Press 12. Shaw, I.C. and Chandwick, J. (1998). Principles of Environmental Toxicology. Taylor and Francis 36 Course Facilitators Mr. Stephen Tusingwire, BEHS Ms. Ruth Mubeezi, BEHS, MSc Mr. Richard Mugambe, BEHS, MSc Dr. John Ssempebwa, BSc, MSc, PhD Mr. Allan Komaketch, BSc Agric. Eng, MSc Eng. Dipl Mr. Peter Tumutegyereize BSc Agric. Eng Mr. John B. Isunju BEHS, MSc Mr. Abdullah Halage BEHS EHS 2110 COMMUNITY HEALTH AND DEVELOPMENT (3 CU) Course description: The course covers descriptions of social structures, their organisation, characteristics of healthy rural homesteads and issues related to community development. Methods used to carry out a community diagnosis and strategies to promote community development and improve environmental health are described. Also empowerment, practical and strategic gender needs in development will be discussed. Course Objectives By the end of this course, the student should be able to: i) Describe concepts of community, community development, gender, and engendering ii) Describe procedure of carrying out community diagnosis. iii) Describe the strategies and existing social structures for improving rural communities. iv) Demonstrate ability to conduct community diagnosis. v) Identify existing social structures of community development and recognize their existence. vi) Mobilize the community to promote their environmental health status. viii) Equip the community with strategies to improve their well being. Detailed Course Outline Concepts of community, development and gender Community characteristics: structure, culture, social, political and economic factors, language etc Characteristics and importance of a healthy homestead Community characteristics and environmental health problems Community diagnosis, identification and prioritization of health problems Formulation of strategies and work plans with community participation and involvement 37 Different models of community approach e.g. PHAST (Participatory Hygiene and Sanitation Transformation, T.O.F (Training of facilitators), PRA etc Gender and development Concept of empowerment and gender mainstreaming Mode of delivery: Lectures Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Barton, T. Sexuality and Health in Sub-Saharan Africa: An Annotated Bibliography. 1991 3. Training for Community – Based Health Care; (5curricula) MOH-Uganda et al. 1988 4. Osuga, B., Training in the Collection and Use of Information For CHWs.. 1988 5. Oranya, H. and E. Nordberg, Community – Based Health Information Systems. 1997 Course Facilitators Mr. Lynn Atuyambe Dr. Juliet Kiguli Dr. Elizabeth Nabiwemba Dr. Robinah Najjemba Ms. Imelda Zimbe Dr. Christopher Orach-Garimoi Prof. John Kakitahi EHS 2111 BA, MPH BA, MA, PhD MBChB, MMed MBChB, MPH B.Sc, PGD MBChB, DPH, MMed, MPH, PhD MBChB, DPH, D. Nutrition FUNDAMENTALS OF ENVIRONMENTAL HEALTH LAW (3 CU) Course description: The course introduces the principles and describes the nature and role of environmental health law in society, the different types of legal instruments and their application. Course Objectives By the end of this course, the student should be able to: i) Describe the laws, rules and bye-laws related to Environmental Health. ii) Describe procedure of making and implementing laws, rules, acts and by-laws. iii) Interpret national and international laws and regulations related to environment health. iv) Demonstrate the ability to contribute to the making of environmental health laws, rules and by-law. v) Describe the role of other institutions in the enforcement of Environmental health law. 38 Detailed Course Outline Introduction and terminologies commonly used in environmental health law. Definition of terms commonly used in Environmental health law: Rules, Regulations, By-laws, Decrees, Code of practice Procedure in making and reviewing Acts, Rules, Bye-Laws and Decree. The Public Health Act Subsidiary Legislation made under the Public Health Act: The Advisory Board of Health Rules, The Public Health (Notifiable Disease) Rules, The Public Health (Plague Control) Rules, The Public Health (Control) of Yellow Fever Rules, The Plague (Infected Areas) Rules, The Prevention of Infectious Diseases (Requirements and conditions of entry) order, The Public Health (School Buildings) Rules, The Drainage and Sanitation Rules, Plumbers and Drain Layers, Licenses Application of Rules Declaration, The Building Rules (Buildings) exemption, The Grade 11. Building Rules, Buildings, The Public Health (Aerated Water and Ice) Rules, The Public Health (bake house) Rules, The Public Health (Eating houses) Rules, The Public Health (Sale of Milk and Milk Products) Rules, The Public Health Licensing of Tradesmen Rules, The Public Health (Meat) Rules, The Public Health (Condensed Milk) Rules) The Public Health (Cemeteries and Burials) Rules, Appointment of Authorized Cemeteries, Appointment of Authorized Crematoria, The Public Health (Lodging house) Rules, The Public Health (Appeals) Rules. The Food and Drugs act The Urban Authorities Act, the Urban Authorities rules, The town and Country Planning Act The Occupational Health and Safety Act Professional ethics Uganda government standing orders 39 Mode of delivery: Lectures, Seminars Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Wolf, S., White, A. and Stanley, N. (2002). Principles of Environmental Law. Cavendish. London 3. Relevant legislation e.g. Public Health Act 4. Bassett W. H. and Davies F. G. (1981). Clay’s Handbook of Environmental Health.15th Ed. London. H. K. Lewis and CO. Ltd Course Facilitators Ms. Ruth Mubeezi, BEHS, MSc Mr. Richard Mugambe, BEHS, MSc Mr. Paul Luyima DEH, MEH Personnel from Faculty of Law EHS 2112 RESEARCH METHODS (3 CU) Course description: Describes a framework for developing a research project proposal, implement and evaluate research in various areas of environmental health and basic knowledge of statistics and research techniques to carry out statistical analyses in environmental health research. Methods and skills required to identify a specific environmental problem for research and to demonstrate an ability to make valid judgments are discussed. Course Objectives By the end of this course, the student should be able to: i) Define operational terms used in research. ii) Explain different types of research. iii) Describe the components of a research proposal. iv)Outline the structure of a research report v) Identify and prioritize environmental health problems for research, vi)Describe the process of designing and conducting research. vii) Describe ethics in conducting research. viii) Evaluate a range of research methods and select an appropriate one to use in a project. 40 Detailed Course Outline Basic concepts and principles of research: types of research (action based, participatory) (descriptive, analytical, empirical) Steps of operational research Identification and prioritization of environmental health research problems Formulation of Research Problem statement Formulation of hypothesis/research questions, Research instruments design Research objectives formulation Justification / rationale for the study Methodology: study area, sampling, data collection tools data management, data analysis, interpretation, report writing, dissemination of report, ethics in research (consent forms, Ethical clearance procedure) Quality control and assurance, Budget Literature review Mode of delivery: Lectures, seminars Mode of Assessment - Continuous assessment: exams and assignments (40%). - End of semester exam: MCQ’s, short answer and long assay questions (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. The student will need access to a software package that can do descriptive statistics, graphics and basic hypothesis testing. The standard software package for the class will be EPI-INFO, which is available on the machines in the MUSPH computer lab. 3. Chava Frankfork – Nachnian and David N. Research Methods in Social Science. 4. Kuzma Jan W. and Bohnenblust Stephen E. (2001) Basic Statistics for the Health Sciences, 4th Ed. Mayfield Publishing Co. Course Facilitators Ass. Prof. Joseph Konde-Lule Ass. Prof. Fred Wabwire-Mangen Dr. David Ndungutse Dr. David Guwatudde Mr. David Odaka Mukanga Dr. Sheba Nakacubo Giita Ms Barbara Kirunda Tabusibwa Dr. Roy Mayega EHS 2207 MBChB, DPH, MSc MBChB, DTM&H, MPH, PhD MBChB, DPH, MSc BStat, MSc, PhD B. Pharm, MPH BDS, MPH BSc FST, MPH MBChB, MPH FOOD AND NUTRITION (3 CU) 41 Course description: The course describes the principles of food and nutrition security in the promotion of health and prevention of malnutrition disorders resulting from either deficient or over consumption of food in the community. Course Objectives By the end of this course, the student should be able to: i) Classify various foods according to their nutritional value. ii) Describe nutrition habits of the East African communities. iii) Describe factors that may influence the nutritional status of the community. iv) Explain problems and diseases related to poor nutrition. v) Identify nutritionally vulnerable groups in the community and their nutrient requirements. vi) Demonstrate ability to initiate and manage community nutrition programmes Detailed Course Outline Definitions of food and nutrition security Classification, composition and functions of foods, balanced diet Structures and properties of macro and micro nutrients Use of locally available food stuffs to balance diet Factors affecting food and nutrition security Food digestion, assimilation of food Common nutritional disorders in East Africa Techniques for assessing nutritional status of communities Factors influencing nutritional status Interventions to prevent and control nutritional disorders National and international nutrition policies, codes and regulations Practical work Field work/visits Mode of delivery: Lectures, tutorials, seminars, practical work and field visits. Mode of Assessment - Continuous assessment, - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 42 2. Burgess, A. et al., Community Nutrition for Eastern Africa. 1994 3. Annie Fredrick, Textbook of Food and Nutrition, Lotus Press. 2007 4. Hoorweg J. and Niemeijer, R, Intervention in Child Nutrition: Evaluation Studies in Kenya. 1990 Course Facilitators Dr. Margaret Muganwa Prof. John Kakitahi Ms Barbara KirundaTabusibwa Dr. Maina Wamuyu Ms. Imelda Zimbe Dr. Henry Wamani EHS 2208 MBChB, MPH MBChB, DPH, D. Nutrition BSc FST, MPH BSc, MSc, PhD BSc, PGD MBChB, MPH, PhD BUILDING TECHNOLOGY I (4 CU) Course description: This course describes the criteria for choosing and preparing appropriate building sites, basic surveying methods, and common equipment used in land surveying and quantity surveying. Course Objectives By the end of this course the student, should be able to; i) Determine the criteria of choosing a suitable building site. ii) Interpret and evaluate building designs and drawings. iii) Undertake simple land surveying iv) Perform basic quantity surveys v) Prepare basic bills of quantities. Detailed Course Outline Introduction to Building Technology and terminologies commonly used Basic features of a good building plan Selection of construction sites and site clearing works Purpose of land and quantitative surveying Forms of land surveying (plane and geodetic, construction or engineering, cadastral, topographical) Common tools and equipment used in site clearance and surveying Specifying and quantifying the materials required for different construction works Preparing a bill of quantity Standard method of measurement for a simple building project Practical/site or field visits 43 Mode of delivery: Lectures, Practical/field work Mode of Assessment: - Continuous assessment, tests, field assignments - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Stern, P. et al.1990. Field engineering: An introduction to development work and construction in rural areas. Intermediate technology publications. 3. McMullan, R., (2002). Environmental Science in Building. 5th Edition. Macmillan. 4. Allen Edward, Joseph Iano, Fundamentals of Building Construction: Materials and Methods. John Wiley & Sons Inc 5. Barry, B. A. Construction Measurements 6. Surveying Handbook, Edited by Russell C. Brinker and Roy Minnick, 1987. Course Facilitators Mr. Allan Komaketch Mr. Mulamba Peter Mr. Tumutegyereize Peter BSc Agric. Eng, MSc Eng. Dipl BSc Agric. Eng, MSc Eng, PhD BSc Agric. Eng Staff from Faculty of Agricultural Engineering and Faculty of Technology EHS 2209 FOOD SAFETY MANAGEMENT (4 CU) Course description: The course deals with causes and type of food poisoning, preservation methods to prevent food poisoning including safe hygiene practices and the role of HACCP in producing safe food. It also describes inspection of food handling premises. Course Objectives By the end of this course, the student should be able to: i) Explain the need for food preservation to ensure a safe product, prevent spoilage and possible contamination. ii) Describe the causes and control of food poisoning and food borne infections. iii) Describe the nature and role of HACCP in preventing food contamination. iv) Compare different quality systems and assess their usefulness for the food manufacturer and food handler. v) Describe the process of manufacturing, transformation, processing preservation and storage of food and beverages in hygienic manner. vi) Inspect premises for food and beverage manufacturing, transformation, processing, preservation, storage and service. vii) Demonstrate the ability to enforce legislation related to food and beverages Detailed Course Outline 44 Different methods of food processing Purpose and importance of flow sheet in food processing Effects of processing and storage on food quality Hygiene practice during processing, packaging and storage Principles underlying food preservation Basic concepts of food hygiene International and national criteria for food hygiene Food handling Food premises requirements (location, design, etc) Food hygiene education Causes of food poisoning and food borne infections Investigation and control of food poisoning outbreaks Inspection of food premises. Layout and equipment of food premises, butcheries, bakeries, bars, retail shops, markets stalls at fairs and festivals, movable shops Risk Analysis Practical Field/site visits Mode of delivery: Lectures, seminars, tutorials, practical/field work. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Clarence Eckles, Willes B. Combs & Harold. Milk and Milk Products. 3. Food Microbiology 4. Calow, P. (ed). (1998). Handbook of Environmental Risk Assessment and Management. Blackwell Science 5. Paustenbach, D. (ed). (1989). The risk assessment of environmental and human health: a textbook of case studies. Chichester, Wiley. 6. Juran, J.M. (1988). Quality control handbook. 7. Bryan, F. (1992). HACCP Evaluations, WHO. 8. Wilson, A. (1999). Practical Meat Inspection. (6th Edition), Blackwells 9. Clarence Eckles, Willes B. Milk and Meet products. Combs and Harold 10. Frazer, W.C. and Westhoff, D.C. 1988. Food Microbiology, 4th Ed. Mcgraw Hill, New York. Course Facilitators Dr. Margaret Muganwa MBChB, MPH 45 Prof. John Kakitahi Ms Barbara Kirunda Tabusibwa Dr. Maina Wamuyu Ms. Imelda Zimbe Dr. Henry Wamani EHS 2210 MBChB, DPH, D. Nutrition BSc FST, MPH BSc, PhD BSc, PGD MBChB, MPH, PhD OCCUPATIONAL HEALTH AND SAFETY (3 CU) Course description: The course describes the process of identifying and evaluating the effects of occupational hazards on health and how to critically evaluate the current strategies for the identification, control and prevention of work-related ill health. It also describes how to maintain a safe working environment. Course Objectives By the end of this course the student, should be able to: i) Identify and evaluate the principal occupational diseases and conditions that impact workers in the East African region. ii) Discuss the role of employees and employers in the implementation of effective health and safety management systems in the workplace. iii) Explain the role of the EH practitioner and other key occupational health professionals in the identification control and prevention of work-related ill health. iv) Undertake risk assessment exercises in the workplace. v) Develop and monitor effective control strategies for health hazards at work places. vi) Undertake an effective inspection of premises under the current occupational health and safety legislation and to produce a professional quality report, which identifies contraventions and suggests appropriate practical remedies. Detailed Course Outline Introduction of basic concepts of occupational health and terminologies commonly used Physical and environmental aspects of workplaces, Sanitary conditions(Heating, Lighting, Ventilation, guarding of machinery, electrical safety Risk assessment Aetiology of key occupational diseases and conditions/occupational epidemiology Noise pollution and control in the workplace Agricultural hazards Transport safety Workplace inspections Principles of prevention and control of occupational diseases/conditions 46 Development of positive health strategies in the workplace(Health related workplace policies: HIV/AIDS, First Aid, PPE, fire hazard, infra structural design) Disability assessment, mental health and work, rehabilitation, compensation Workman’s Compensation The function and role of an occupational health service; employment standards Legal framework relating to the identification, control and prevention of work-related ill health Occupational health & Safety related legislations Gender mainstreaming in occupational settings Practical work Field/site visits Mode of delivery: Lectures, tutorials, seminars, practical/field work. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions . (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Anton, T. J. (1989). Occupational safety and health management (2nd ed.). New York, NY: McGraw-Hill, Inc. 3. Blake, R. P. (1963). Industrial safety (3rd ed.). Englewood Cliffs, NJ: Prentice-Hall Inc. 4. Reese, C. D. (2001). Accident/incident prevention techniques. New York: Taylor & Francis, Inc. 5. Slote, L. (1987). Handbook of occupational safety and health. New York, NY: John Wiley & Sons. Course Facilitators: Dr. William Bazeyo Dr. Esther Buregyeya Dr. Juliet Babirye Dr. John Ssempebwa Dr. John Bosco Ddamulira MBChB, MSc. MBChB, MPhil MBChB, MPH BSc, MSc, PhD MBChB, MPH EHS 2211 INSTITUTIONS AND PUBLIC PLACES HEALTH MANAGEMENT (3 CU) 47 Course description: The course describes how to improve environmental hygiene of institutions and public places through regular inspections, advocacy and where necessary use of relevant rules and regulations. Course Objectives By the end of this course the student, should be able to; i) Describe sanitary requirements for institutions and public places. ii) Describe the procedures of inspecting institutions and public places to identify nuisances. iii) Describe different interventions to abate identified nuisances. iv) Explain the legislation governing institutions and public places especially international health regulations. v) Carry out procedures of clearing international travellers, vessels and cargo according to the relevant regulations. Detailed Course Outline Categories of public places/premises: Schools, Health facilities, Entertainment places, Markets, Ports of entry, Barracks and prisons, Refugee and Internally displaced peoples camps, Fishing and landing places, Work places, Caravan sites Requirements for a public place/premise: criteria for choosing or improving building sites, intervention/measures to improve hygiene of public places: Proper sightings, Waste disposal and treatment Regular inspection of institutions and public places Diseases related to public places Cultural values influencing sanitation in institutions and public places/premises Quarantinable diseases Rules and regulations governing sanitation in institutions and public places International Health Regulations Ports of entry: procedures of clearing arrivals and departures, infected or suspected ships and air crafts, infected or suspected travellers, unsound foods, used clothing, Port sanitation, Powers and duties of Port Health Officer, Duties of health Administration Inspection of public places/premises Practical/site or field visits Mode of delivery: Lectures, tutorials, seminars, practical/field work. 48 Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Guide to Health Promotion through Water and Sanitation; Nyamwaya, D. et. Al – 1994 3. Guidelines for the Management of Hospital Outpatient Services; Maneno, J. et. Al – 1984 Course Facilitators Mr. Stephen Tusingwire, Ms. Ruth Mubeezi, Mr. Richard Mugambe, EHS 2212 BEHS BEHS, MSc BEHS, MSc URBAN AND RURAL WATER SUPPLY (4 CU) Course description: The course describes methods used in ensuring quality supplies. It also describes methods used in carrying out water sampling and testing and those used to determine the physical, chemical, and microbiological quality of water. It also describes methods used in water quality surveillance of water sources and methods of management of water sources so as to prevent water associated diseases. Course Objectives By the end of this course, the student should be able to: i) Describe sources and supply of water. ii) Describe the techniques of water protection and improvement of water sources iii) Describe the approaches of involving the community in the maintenance and operation of water supply iv) Explain various methods of water treatment. v) Describe the procedure for bacteriological examination and chemical analysis of water vi) Discuss the prevention and control of water related diseases vii) Carry out water testing and interpret the results of water analysis for appropriate action viii) Identify appropriate technologies of safe water supply in given situations ix) Demonstrate ability to design simple water projects Detailed Course Outline Introduction of water supply and common terminologies used Importance and uses of water in life Water cycle 49 Chemical, physical and microbiological characteristics of water Design criteria and principle features of a water supply system Sighting, design, construction, operation of wells and bores holes Water source protection and improvement Water treatment processes (clarification, sedimentation, filtration, disinfection, distribution Sources of water contamination Water and Diseases Water quality standards (national and international) Appropriate methods of treatment of water: Home based, household water quality management Water examination, analysis and interpretation of results Water pollution prevention and control Laboratory work Field work/visits Mode of delivery: Lectures, tutorials, laboratory work and field visits. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Twort A. C., Law F. M. and Crowley F. W. and D. D. Ratnayaka Water Supply. (1993) 4th Edition, Arnold Publishers. 3. Morgan Peter. Rural Water Supplies and Sanitation, A text from Zimbabwe’s Blair Research Laboratory (1994). Macmillan Publishers Course Facilitators Mr. Stephen Tusingwire, BEHS Ms. Ruth Mubeezi, BEHS, MSc Mr. Richard Mugambe, BEHS, MSc Dr. John Ssempebwa, BSc, MSc, PhD Mr. Allan Komaketch, BSc Agric. Eng, MSc Eng. Dipl Mr. Peter Tumutegyereize BSc Agric. Eng Mr. John B. Isunju BEHS, MSc Mr. Abdullah Halage BEHS 50 SEMESTER BREAK (Between 2nd and 3rd Year of study) EHS 2301 FIELD TRAINING (3 CU) Description: Students will undertake training in their respective home areas in an environmental health related field. This training will give the student an opportunity to put to practice what is learnt in class by having a hands-on experience in a work place setting. The training will last a period of 6 weeks. Objectives: By the end of this field training, the student should be able to: i) Relate the knowledge and skills acquired in class to the practical aspects in the field. ii) Identify specific environmental health problems in their communities. iii) Participate constructively in solving environmental health problems within their home areas. Mode of Assessment: - Continuous assessment by field site supervisor - Assessment mark of a Field report (60%). (40%). EHS 3107 PROJECT WORK I (PROPOSAL DEVELOPMENT) *(2 Credit Units carried to semester 2) (*2 CU) Course description: In this course the student puts in practice knowledge and skills gained in the Research Methods course by developing a problem-solving research proposal, which will be graded for a progressive mark of this course. The Project Work Report will be graded for a final mark of this course. Selection of the study area is done under guidance of an academic supervisor. The nature of the research could be either laboratory based or community based of less than minimal risk to participants. The nature of the work should have minimal human subjects’ participation and mainly concentrating on community improvement projects. Where human participants shall be involved, the proposal will be reviewed by the MUSPH – IRB (Higher Degrees, Research and Ethics Committee) and defended by the student prior to proceeding for data collection. Course Objectives By the end of this course, the student should be able to: i) Describe the components of a research proposal. ii) Evaluate a range of research methods and select an appropriate one to use in a project. iii) Identify and prioritize environmental health problems for research, iv) Demonstrate ability to write a research proposal to investigate an environmental health problem. Detailed Course Outline Proposal development by the student with guidance from their supervisor. Mode of delivery: 51 Lecturer / Supervisor –Student interaction Independent proposal writing by student Mode of Assessment - A fully developed research proposal for continuous assessment 40%. The final mark will be contributed by the Project Work Report written in Semester II. Suggested Reading List 1. Proposals and Field reports in the MUSPH Resource Centre. 2. Chava Frankfork – Nachnian and David N. Research Methods in Social Science. Course Facilitators Ass. Prof. Joseph Konde-Lule Ass. Prof. Fred Wabwire-Mangen Dr. David Ndungutse Dr. David Guwatudde Mr. David Odaka Mukanga Dr. Sheba Nakacubo Giita Ms Barbara Kirunda Tabusibwa Dr. Roy Mayega EHS 3108 MBChB, DPH, MSc MBChB, DTM&H, MPH, PhD MBChB, DPH, MSc BStat, MSc, PhD B. Pharm, MPH BDS, MPH BSc FST, MPH MBChB, MPH ENVIRONMENTAL HEALTH LEGISLATION (4 CU) Course description: The course describes the process of enforcing environmental health law. It includes the process of prosecuting defaulters in law relating to environmental health, how to compile prosecution reports and present evidence to courts of law, tribunals and other public meetings. Course Objectives By the end of this course, the student should be able to: i) Identify potential offences of environmental health legislation. ii) Plan investigations of possible infringements on environment and sanitation in the community. iii) Describe the procedure followed in legal proceedings and prosecution iv) Compile prosecution reports. v) Provide written/oral advice or other enforcement actions. vi) Present evidence in Court, both as witnesses and advocate. vii) Demonstrate the ability to enforce legislation related to environmental health. Detailed Course Outline Application of relevant legislation and procedures in all areas of environmental health Public Health by-laws 52 Drafting of Public Health by-laws Drafting and Service of Nuisance Notices Conducting interviews of both witnesses and defendants Court procedures of drafting charges Court prosecutions Court etiquette, Ethics, Equity and Human rights The International Health Regulations Practical Field work Mode of delivery: Lectures, tutorials, seminars, practical/ field work. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Relevant legislation e.g. Public Health Act 3. Wolf, S., White, A. and Stanley, N. (2002). Principles of Environmental Law. Cavendish. London 4. Bassett W. H. and Davies F. G. (1981). Clay’s Handbook of Environmental Health.15th Ed. London. H. K. Lewis and CO. Ltd Course Facilitators Ms. Ruth Mubeezi, BEHS, MSc Mr. Richard Mugambe, BEHS, MSc Mr. Paul Luyima DEH, MEH Personnel from Faculty of Law EHS 3101 BUILDING TECHNOLOGY II (3 CU) Course description: The course describes the knowledge and skills required by the student to know the required building materials and regulations and to be able to inspect, supervise and give health promotion advice on construction, maintenance and repair of buildings and drainages. Course Objectives By the end of this course, the student should be able to: i) Explain different types of building materials. 53 ii) Compare the methods for protecting construction materials against aggressive situations. iii) Master the techniques and notions for making building construction. iv) Explain the procedure of submitting building plans to relevant authorities for approval. v) Carry out systematic inspection of various stages of construction. vi) Participate in the planning and construction of sanitary infrastructures. Detailed Course Outline Introduction to Building Materials: types and methods of construction for timber, clay products, metallic products, concrete. Properties, advantages and disadvantages of each type of building material Soils: soil composition and physical properties. Classification, properties and foundations Finishes: voids, ventilation, mosquito, fly etc proofing. Principles and rules governing design and construction of stairs. Paint work-types of paint coats Introduction to building design: conventions used in building, terminologies, drawing instruments, material symbols, scales, specifications and drawing for simple buildings, Planning of a homestead and an overview on selection of building sites Building regulations: purpose of building, interpretation of building rules and regulations, by-laws and code of practice, Public Health Act Practical and demonstrations: making bricks and blocks, drawing plans, sections and elevations Scrutinising plans, carpentry practice, estimating and costing building materials Field visits: foundation, general steps in building construction, the scaffolds, damp proofing, lumbering and shattering Mode of delivery: Lectures, tutorials, seminars, practical/field work. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Franklin & Andrews, SPON'S African Construction Costs Handbook, UK. Routledge 3. MidWest Plan Service (MWPS- 1).1997.Structures and Environmental Handbook, September 1997 Ninth edition. An Agricultural engineering program of 12 Universities serving Home owners, farmers and industry. USDA Cooperating member. 4. Bengtsson, L.P. and J.H.Whitaker.1998. Farm structures in tropical climates. A textbook for structural engineering and design.FAO/SIDA Cooperative Programme. Rural structures in East Africa & South-East Africa. 5. Stern, P. et al.1990. Field engineering: An introduction to development work and construction in rural areas. Intermediate technology publications. 6. McMullan, R., (2002). Environmental Science in Building. 5th Ed. Macmillan. 54 Course Facilitators Mr. Allan Komaketch Mr. Mulamba Peter Mr. Tumutegyereize Peter BSc Agric. Eng, MSc Eng. Dipl BSc Agric. Eng, MSc Eng, PhD BSc Agric. Eng Staff from Faculty of Agricultural Engineering and Faculty of Technology EHS 3109 FOOD INSPECTION (4 CU) Course description: Describes inspection of all types of foods and certify that they are fit for human consumption and how to develop the ability to apply hazard analysis principles when undertaking food hygiene Inspections. Course Objectives By the end of this course, the student should be able to: i) Describe the anatomy, physiology and pathology of food animals. ii) Describe the factors and conditions considered in the inspection of various types of food. iii) Describe the process of carrying out regular inspection of foods. iv) Explain the public health legislation and standards relating to food safety. v) Judge the fitness for human consumption of different types of food. vi) Identify public health and stored food products pests associated with commercial premises. vii) Explain the need for honesty and conscientiousness during food inspections viii) Understand the statutory procedures to be followed in key areas of food safety enforcement. Detailed Course Outline Anatomy and physiology of food animals Introduction to meat inspection Slaughterhouse practice: design of slaughterhouses, methods of slaughter and transportation Fish and fish products Poultry and poultry products Vegetables, cereals, pulse Milk and milk products 55 Diseases of food animals Food sampling and food analysis Food quality control laws Total food quality management: concepts and control programmes Collaborating agencies in food quality control Statutory duties and powers of authorized and inspecting officers Statutory requirements of food quality legislation The law relating to labelling and date marking of food. Inspection techniques Practical Field work/site visits Canning: Spoilage and Mode of delivery: Lectures, tutorials, seminars, practical/field work. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%) (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Everett Health and Olusanyo. Anatomy & Physiology of tropical livestock; 3. Wilson, A. (1999). Practical Meat Inspection. (6th Edition), Blackwells 4. Food Safety for Supervisors. Chartered Institute of Environmental Health. 1998 Course Facilitators Prof. Opuda-Asibo Dr. Clovice Kankya Dr. Francis Ejobi Ass. Prof. Nasinyama Dr. Margaret Muganwa EHS 3106 BVM, MPH, PhD BVM, MSc, PhD BVM, MVPH, PhD BVM, MS, PhD MBChB, MPH TOWN AND COUNTRY PLANNING (3 CU) Course description: Steps involved in town and country planning and orderly development of human settlements and urban growth to enhance public health and the relationship to environmental health. Course Objectives By the end of this course, the student should be able to: i) Explain steps involved in country and town planning. ii) Describe demographic factors which influence country and town planning. 56 iii) Explain the laws related to country and town planning. iv) Explain the importance of town and rural master plans for health promotion. v) Evaluate and advise on issues in town and country planning. Detailed Course Outline Planning: terminologies, importance, objectives, concepts and principles Problems of town development Planning process: types and levels of planning (local, regional, national etc), formulation of planning visions and spatial concepts Planning and design for the sensory experience of space, town centres, shopping centres, departmental stores, industrial areas, recreation areas, residential neighbourhoods and building types, markets, car parks, zoning Site planning considerations: environmental factors, landscape, architectural, locational and socio-economic-political and cultural factors Forecasting techniques Town and rural master plans for health promotion Laws related to country and town planning Evaluation of town and country plans Field visits Mode of delivery: Lectures, Field visits Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Town and country planning laws for Uganda. Course Facilitators Mr. Fredrick Omolo-Okalebo Mr. Emanuel Matua BEHS EHS 3110 B. Urban Pl, MSc, PhD (candidate) B. Urban Pl, Dipl, MSc RESOURCE MANAGEMENT AND HEALTH POLICY (3 CU) 57 Course description: The course describes the basic management principles including planning, functions/roles of the manager, basic principles of human resource management, management of financial and material resources and key health policies. It positions the student better to participate in the management of environmental health programmes in a decentralized system of governance. Course Objectives By the end of this course, the student should be able to: i) Explain the steps of a planning process/cycle. ii) Explain the management functions. iii) Describe good financial management principles in environmental health programmes. iv) Explain the relationship of environmental health officer with other professionals. v) Describe functions and tasks involved in Human Resource management. vi) Conduct needs assessment and prioritize environmental health problems. vii) Explain the importance of key health policies in health promotion. Detailed Course Outline Concepts, definitions, pillars and principles of Primary Health Care. Health related policies (decentralization, SWAP) Management theories and functions. Planning: cycle/process, needs assessment, budgeting Health information management systems. Human resource management: concepts, definitions, functions and tasks, staff training. obstacles, leadership. job descriptions, norms and standards, coordination of activities, communication, meetings. Introduction to costing and costing techniques Financial management: principles related to management of an environmental health programme. Mode of delivery: Lectures, tutorials Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Boerma, T. (1991) Health Information for Primary Health Care. 3. Schluter, P. et al. (1992) Health Project Management Guide. 4. Kanani, S. et. (1984) Health Service Management Course Facilitators Dr. George William Pariyo Dr. Sebastian Olikira Baine MBChB, MSc, PhD MBChB, DTM&H, MPH, PhD 58 Dr Fred Sengooba Dr. Olico Okui Dr. Christine Nalwadda Dr. Elizabeth Ekirapa Dr. Juliet Sekandi Dr. Suzanne Kiwanuka Dr. Elizeus Rutebemberwa Dr. Virgil Onama EHS 3201 MBChB, MPH MBChB, DPH, MSc BDS, MPH MBChB, MPH, MPH (HE) MBChB, MS BDS, PhD BA,B.Th, MBChB, MPH,DTM MBChB, MSc PROJECT WORK II (REPORT WRITING) (3 CU) Course description: In this course, the student puts in practice knowledge gained in the Research Methods course and implements the proposal developed in the previous semester. The student pre-tests the research instrument, collects and analyzes data, and suggests a strategy for communication of the research findings through preparation of a project report. The student is expected to choose and organize sites/work places where they conduct their research. Course Objectives By the end of this course, the student should be able to: i) Pre-test research instruments. ii) Demonstrate ability to collect data from the field. iii) Demonstrate ability to analyze data using appropriate statistical techniques. iv) Make valid conclusions and recommendations based on the research conducted. v) Write a research report. Detailed Course Outline Individual students work: Data collection, analysis, and Report writing. Mode of delivery: Independent data collection by student in field Lecturer / Supervisor –Student interaction Mode of Assessment - Assessment of the final research report (60%). Suggested Reading List 1. Proposals and Field reports in the MUSPH Resource Centre. 2. Chava Frankfork – Nachnian and David N. Research Methods in Social Science. 3. Kuzma Jan W. and Bohnenblust Stephen E. (2001) Basic Statistics for the Health Sciences, 4th Ed. Mayfield Publishing Co. Course Facilitators All MUSPH academic staff to be engaged in supervision. 59 EHS 3209 BUILDING TECHNOLOGY III (3 CU) Course description: A description of building techniques, technology and materials and methods of inspecting, supervising and provision of appropriate advice on parameters that influence comfort in buildings, and the construction processes is given. Course Objectives By the end of this course the student should be able to: i) Describe factors that affect comfort in building construction. ii) Explain the need for positioning of buildings. iii) Recommend the acoustic and illumination requirements of buildings. iv) Explain the need for safety in building construction. Detailed Course Outline Acoustics and illumination and how they affect audio, thermal and visual comfort in designed spaces Audio Comfort: Source of sound and noise. Properties and behaviour of sound, Sound and noise and how they relate to the ear, Sound reduction and insulation Thermal comfort. Objective factors: humidity, temperature, air movement, solar radiation. Subjective factors: skin or body temperature, means of control, building design, macro- and micro-climate means. Heating and ventilation systems. Visual comfort: Properties and behaviour of light, light anulation, glare. Visual performance and illumination. Duration of visual task, day lighting, control through positioning of buildings, opening in relation to room sizes etc. Artificial general lighting. Principles of natural and artificial lighting. Common problem with lighting, e.g. glare, eye-strain Safety in building construction (e.g. universal access, stairs, ramps, windows, building surroundings) Practical/ site visits Mode of delivery: Lectures, tutorials, practical/field work. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. McMullan, R., (2002). Environmental Science in Building. 5th Ed. Macmillan. 3. Riley, M and Cotgrave, A. (2005). The Technology of Refurbishment and Maintenance 4. Low Cost Housing in Developing Countries; by Mathur 60 Course Facilitators Mr. Allan Komaketch Mr. Mulamba Peter Mr. Tumutegyereize Peter EHS 3210 BSc Agric. Eng, MSc Eng. Dipl BSc Agric. Eng, MSc Eng, PhD BSc Agric. Eng MANAGEMENT OF PUBLIC HEALTH EMERGENCIES (3 CU) Course description: The course elucidates the principles of public health emergency management and how to effectively participate in preparedness including prevention and mitigation and response interventions to public health emergencies. Course Objectives By the end of this course, the student should be able to: i) Explain the different types of public health emergencies. ii) Identify and categorise the causes of disasters i.e. natural and manmade or technological. iii) Describe interventions to be taken during the various phases i.e. before, during and after an emergency. iv) Collect, process and disseminate data relating to public health emergencies. v) Demonstrate the ability to liaise with different partners in the containment of public health emergencies. vi) Prepare emergency preparedness plans Detailed Course Outline Terminologies used in public health emergency management Concepts of disaster risk reduction and disaster risk management Causes of disasters i.e. natural and manmade or technological e.g. floods, droughts, conflicts, fires, earthquakes, hazardous materials accidents, terrorism Disaster preparedness and mitigation Disaster response: mobilisation of appropriate resources (personnel, food, drugs, shelter, equipment, transport and sanitation facilities) Hazards and vulnerability analysis Recovery and Rehabilitation Field visits/work Mode of delivery: Lectures, seminars, practical/field work. Mode of Assessment 61 - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. War and Public Health. ICRC 1996 3. Refugee Health. An approach in emergency response, MSF 1997 4. Clorke, J. I., Peter Curson S. L. Kayartha and Nay P. Population and disaster. Course Facilitators Dr. Christopher Orach-Garimoi Prof. David Serwadda Prof. Fred Wabwire-Mangen Dr. William Bazeyo Dr. Juliet Kiguli Dr. Roy Mayega EHS 3211 MBChB, DPH, MMed, MPH, PhD MBChB, MMed, MSc, MPH MBChB, DTM&H, MPH, PhD MBChB, MMed BA, MA, PhD MBChB, MPH LEADERSHIP IN ENVIRONMENTAL HEALTH (2 CU) Aim i) To improve the leadership skills of students graduating from the Bachelor of Environmental Health Science programme. ii) To improve the delivery of environmental health services to communities. Course Objectives By the end of this course, the student should be able to: i) Apply factors which motivate people to perform their duties ii) Decide when, how, why and whom to delegate authority and responsibility iii) Choose the style of supervision that suits the team and working environment iv) Appreciate the role of leadership qualities and political involvement in promoting environmental health. Course Outline Teambuilding; setting objectives; motivating team members; delegating authority and responsibility; strategic leadership practice; and using different styles of supervision. Assessment - Individual assignments for progressive assessment - Final exam: MCQ’s, short answer and long assay questions. Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. Kotter John P. Leading Change. (1996) Harvard Business School Press. Course Facilitators Dr. George William Pariyo MBChB, MSc, PhD 62 Dr. Olico Okui Dr. Sebastian Olikira Baine Dr Fred Sengooba Dr. Juliet N. Sekandi Dr. William Bazeyo Dr. Juliet Babirye Dr. Christine Nalwadda Dr. Elizabeth Ekirapa Dr. Suzanne Kiwanuka Dr. Elizeus Rutebemberwa EHS 3212 MBChB, DPH, MSc MBChB, DTM&H, MPH, PhD MBChB, MPH MBChB, MS MBChB, MSc. MBChB, MPH BDS, MPH MBChB, MPH, MPH (HE) BDS, PhD BA, B.Th, MBChB, MPH, DTM TRADITIONAL AND COMPLEMENTARY MEDICINE (3 CU) Course description: This course describes concepts and terminologies used in traditional and complementary medicine, information to promote personal hygiene and sanitation among other informal practitioners and collaboration between traditional and complementary medicine practitioners and formal health workers. Course Objectives By the end of this course, the student should be able to: i) Categorize the traditional and complementary medicine practitioners (TCMPs). ii) Describe the basic principles of treating patients and role of culture in traditional and complementary medicine. iii) Explain the common conditions and diseases dealt with by TCMPs in the East African communities. iv) Discuss the importance of hygiene in traditional and complementary medicine. v) Explain the guidelines and regulations governing the practices of TCMPs. vi) Advise TCMPs on hygienic practices pertaining to their service provision. Detailed Course Outline Basic principles in traditional and complementary medicine Categories of TCMPs Common conditions and diseases dealt with by TCMPs Forms of treatment used by TCMPs Importance of hygiene and sanitation in traditional and complementary medicine Relationship with "conventional" medicine Role of belief in the use of traditional and complementary medicine (religion, culture) 63 Public-private partnership for health for TCMPs (policies, guidelines) Field work/visits Mode of delivery: Lectures, tutorials, seminars, practical/field work. Mode of Assessment - Continuous assessment - End of semester exam: MCQ’s, short answer and long assay questions (40%). (60%). Suggested Reading List 1. Lecture handouts and additional materials on reserve at the MUSPH Resource Centre. 2. omplementary and Alternative Therapies edited by Donald W. Novey, Mosby, Inc. 2000 3. Essentials of Complementary and Alternative Medicine, edited by Wayne B. Jonas and Jeffrey S. Levin, Lippincott Williams & Wilkins, Baltimore. 1999. 4. Integrative Medicine: Principles for Practice edited by Benjamin Kligler, Roberta A. Lee, McGraw-Hill Companies, Inc., New York, NY. 2004 5. Complementary and Alternative Medicine: An Evidence-Based Approach edited by John W. Spencer and Joseph J. Jacobs, Mosby Inc. 1999. Course Facilitators Dr. Christine Nalwadda Dr. Juliet Kiguli Mr. Sam Ibanda Mr. Abdullah Halage Dr. Elizabeth Nabiwemba Dr. Robinah Najjemba Ms. Imelda Zimbe Dr. Grace Nambatya BDS, MPH BA, MA, PhD BA, MA BEHS MBChB, MMed MBChB, MPH BSc. PGD BSc, MSc, PhD 64 APPENDIX A1: MUSPH Staff NAMES 1. Prof. D. Serwadda 2. Prof. J. T. Kakitahi 3. Prof. Fred Wabwire- Mangen 4. Prof. J. Konde Lule 5. Dr. D. Ndungutse POSITION Associate Professor ,, ,, ,, 6. Dr George William Pariyo 7. Dr Nuwaha Fred 8. Dr. Fredrick E. Makumbi 9. Mr. M Oryema-Lalobo 10. Dr. W. Bazeyo 11. Dr. David Guwatudde 12. Dr. Olico-Okui 13. Dr. Sebastian O. Baine 14. Dr. M Muganwa-Kamya 15. Dr Maina Wamuyu 16. Dr. J. C. Ssempebwa 17. Dr. N. Mbona Tumwesigye 18. Dr. Christopher OrachGarimoi 19. Dr. Juliet Kiguli 20. Dr. Danstan Bagenda 21. Dr. Henry Wamani 22. Mr. Lynn Atuyambe 23. Mr. Simon Kasasa 24. Dr. Robinah Najjemba 25. Dr. Elizabeth Nabiwemba AREA OF SPECIALIZATION Research Methodology Nutrition Epidemiology, Research Methodology Epidemiology Epidemiology QUALIFICATIONS MBChB, MSc, M.Med, MPH MBChB, DPH, D.Nutrition MBChB, DTM&H, MPH, PhD MBChB, DPH, MSc. MBChB, DPH, MSc ,, ,, ,, ,, ,, ,, Lecturer ,, ,, ,, ,, ,, ,, Health Systems Management Disease Control Biostatistics MBChB, MSc. PhD MBChB, MPH, PhD B.Stat, MHS, PhD Entomology / Parasitology Occupational Health and Safety BSc, MPH MBChB, DPH, MSc. Epidemiology & Biostatistics Health Policy & PHC Health Care Financing BSc, MSc, PhD MBChB, DPH, MSc Environmental Health & Food Hygiene Nutrition Environmental Toxicology Biostatistics Public Health Emergencies MBChB, DTM & H, MPH, PhD MBChB, MPH B.Ed, MSc, PhD BSc, MSc, PhD BStat, MSc, MA, PhD MBChB, DPH, M.Med, MPH, PhD ,, ,, ,, Assistant Lecturer ,, ,, ,, Behavioural sciences BA., MA., PhD Biostatistics / Demography Nutrition Sociology Biostatistics Maternal and Child Health Maternal and Child Health BStat, M.Med, PhD Senior Lecturer MBChB, MPH, PhD B.A, MPH, PhD BStat, MS MBChB, MPH MBChB, M.Med. PH 65 26. Dr. Sheba Nakacubo Gitta 27. Dr. Roy William Mayega 28. Dr. Juliet Nabbuye Sekandi 29. Mr. David Mukanga 30. Dr. Esther Buregyeya 31. Dr Freddie Ssengooba 32. Dr. Babirye Juliet 33. Mr. Francis Muwonge 34. Ms. Barbara K. Tabusibwa 35. John Bosco Ddamulira 36. Mr. Stephen Tusingwire 37. Mr. Ali Halage 38. Dr. Elizabeth Ekirapa 39. Dr. Christine Nalwadda 40. Dr. Suzanne Kiwanuka 41. Dr. Elizeus Rutebemberwa 42. Dr. Virgil Onama 43. Dr. C. Zirabamuzaale 44. Dr. Florence Baingana 45. Ms. Ruth Mubeezi 46. Mr. Richard Mugambe 47. Mr. Lukwago Luswa 48. Mr. John B. Isunju ,, ,, ,, ,, ,, ,, ,, ,, ,, ,, Teaching Assistant ,, Research Fellow ,, ,, ,, ,, Honorary Lecturer ,, ,, ,, ,, Epidemiology Epidemiology Epidemiology BDS, MPH MBChB, MPH MBChB, MS Epidemiology Occupational Health and Safety Health Care Financing Disease Control Biostatistics Epidemiology Disease Control Environmental Health Environmental Health Health Economics BPharm, MPH MBChB, MPhil MBChB, MPH MBChB, MPH BStat, MSc Bsc FST, MPH MBChB, MPH BEHS BEHS MBChB, MPH, Health Systems Management Health Systems Management Health Systems Management Health Systems Management BDS, MPH BDS, PhD BA., B.Th, MBChB, MPH, DTM, PhD MBChB, MSc Population & Family Health Disease Control Environmental Health Environmental Health Disease Surveillance Environmental Health MBChB, DPH, MPH MBChB, MMed BEHS, Msc. Env.Sc BEHS, Msc. Env.Sc Bsc, MPH BEHS, MIWRM 66 APPENDIX A2: Staff from Faculty of Veterinary Medicine NAMES 1. Prof. Opuda-Asibo 2. Dr. Clovice Kankya 3. Dr. Francis Ejobi POSITION Professor Assistant Lecturer Senior Lecturer 4. Dr. George W. Nasinyama Associate Professor AREA OF SPECIALIZATION Environmental Health Food safety, zoonoses Risk analysis, Food safety, zoonoses Food safety, infectious disease epidemiology, zoonoses QUALIFICATIONS BVM, MPH, PhD BVM, MSc, PhD BVM, MVPH, PhD BVM, MS, PhD APPENDIX A3: Staff from Faculty of Agriculture NAMES 1. Mr. Allan Komaketch 2. Mr. Peter Tumutegyereize APPENDIX A4: POSITION Assistant Lecturer Assistant Lecturer AREA OF SPECIALIZATION Civil and Water engineering Civil and Water engineering QUALIFICATIONS BSc. Eng, MSc. Eng BSc. Eng, MSc(Water Res. Eng) Staff from Makerere University Institute of Environment and Natural Resources NAMES 1. Dr. Kateyo 2. Prof. Frank Kansiime POSITION Senior Lecturer Senior Lecturer AREA OF SPECIALIZATION Environment & Natural Resources Environment & Natural Resources QUALIFICATIONS BSc, MSc, PhD BSc, MSc, PhD 67 APPENDIX A5: Staff from Faculty of Technology NAMES 1. Mr. Kalibbala Herbert Mpagi POSITION Assistant Lecturer 2. Mr. Peter Mulamba 3. Mr. Omolo-Okalebo 4. Mr.Charles B. Niwagaba Assistant Lecturer Assistant Lecturer Assistant Lecturer AREA OF SPECIALIZATION Water Supply, Quality Management and pollution control Water Engineering Urban Planning Solid waste and wastewater management. QUALIFICATIONS BSc. Civil Eng., MSc. Civil Engineering BSc Eng, MSc, PhD BA, MA (Urban Planning) BSc. Civil Eng, MSc. Eng (Environmental) APPENDIX A6: Staff from Ministry of Health NAMES 1. Ms. Julian Kyomuhangi 2. Mr. Paul Luyima 3. Dr. Friday Agaba POSITION Principal Health Inspector Asst. Commissioner (Env. Health) Principal Medical Officer AREA OF SPECIALIZATION Environmental Health Environmental Health Occupational Health QUALIFICATIONS DEH, MSc DEH, MSc MBChB, MSc AREA OF SPECIALIZATION Environmental Health Environmental Health Environmental Health Environmental Health QUALIFICATIONS Dipl. EH, BEHS, Cert. MBChB, MPH Dipl. EH, BEHS, Dipl. EH, BEHS APPENDIX A7: Staff from Kampala City Council NAMES 1. Mr. David Semwanga 2. Dr. Makanga 3. Ms. Namuteesi 4. Mr. Mohamed Kirumira POSITION Health Inspector Principal Health Inspector Health Inspector Principal Health Inspector 68 APPENDIX A8: Staff from Ministry of Gender, Labour and Social Development NAMES 1. Ms. Barbara Khayongo POSITION Occupational Health and Safety officer AREA OF SPECIALIZATION Occupational Health 2. Ms. Nuwamanya Winnie Muhwezi Occupational Hygienist Occupational and Industrial Hygiene QUALIFICATIONS BEHS, Dipl (Industrial Hygiene) BSc., MSc APPENDIX A9: Staff from National Environment Management Authority NAMES 1. Ms. Lynda Biribonwa 2. Ms. Margaret Lwanga 3. Mr. Herbert Nabasa POSITION Registrar, CEH Coordinator Coordinator AREA OF SPECIALIZATION Environmental Impact Assessment Environment Management Environment Management QUALIFICATIONS BSc, MSc. BSc, MSc BEHS, MPH APPENDIX A10: Staff from National Water and Sewerage Corporation NAMES 1. Mr. Stephen Tumwebaze POSITION Senior Laboratory Technician AREA OF SPECIALIZATION Water treatment systems QUALIFICATIONS 69 APPENDIX B: PROGRAMME BUDGET PROPOSAL 2008/09 Number of students It is proposed that a reduction in the number of students admitted to the programme be made from an average of 55 and 60, to 40 students. The proposed reduction in admission will enable the students fit well with the available lecture rooms, laboratory space, and equipment, and therefore optimally meet the teaching and learning requirements and needs of the programme. Tuition fees The Bachelor of Environmental Health Science is a three year, semesterized programme. Each academic year consists of 2 semesters. The proposed tuition fees per student per semester is UG Shs.900,000 per student. For the 6 semesters in a 3 year period each student will be required to pay a total of 900,000 x 6 semesters = UG. Shs. 5,400,000 For the 40 students in three years, the total revenue generated will be: 5,400,000 x 40 = UG. Shs. 216,000,000In order for the course to be viable, the first 10 students shall be Government sponsored and the other 30 shall be privately sponsored. The programme will look around for more funding from other sources, especially for capital investment since funds generated from tuition may not cover all the necessary costs. Revenue to be generated Year No of Students Amt per student/year Total Year I 40 2 x 900,000 72,000,000 Year II 40 2 x 900,000 72,000,000 Year III 40 2 x 900,000 72,000,000 Total 216,000,000 Each student will be required to pay a total of UG Shs. 5,400,000 over a period of three years in order to complete the degree programme. 70 SUMMARY OF THE EXPENDITURES Category / Line Item Percentage Budget Amount 1. Administration 20 % 43,200,000 2. Deans Office MUSPH 10 % 21,600,000 4. Programme costs 70 % 151,200,000 a) Non Teaching staff/ administration b) Teaching staff Facilitation allowance per CH: 1770CH x 25,000 c) Other logistics Total expenditure for programme costs Net balance (151,200,000 – 150,030,000) 29,520,000 44,250,000 76,260,000 150,030,000 1,170,000 71 DETAILS OF EXPENDITURES OF FUNDS TO BE GENERATED A total of UG Shs. 216,000,000 that will be generated over a period of three academic years shall be spent as indicated below: Line Item Percentage Amount (3 years) Administration 20 43,200,000 Deans Office MUSPH 10 21,600,000 Programme costs 70 151,200,000 Details Non Teaching Staff/Administration Staff category Rate/month Programme Coordinator Head of Department DC&EH Department Secretary Technicians Driver Total 200,000 250,000 120,000 150,000 100,000 Total amount (36 months) 7,200,000 9,000,000 4,320,000 5,400,000 3,600,000 29,520,000 72 Teaching Staff Since the programme is already established with staff earning a small salary, the personnel involved in the teaching shall receive top up allowance as indicated below. The lecturers shall be paid a total sum of UG. Shs. 25,000 per contact hour. The details are as indicated below: Contact Hours Year I Semester I 315 Hrs Year I Semester II 285 Hrs Year II Semester I 315 Hrs Year II Semester II 315 Hrs Year III Semester I 300 Hrs Year III: Semester II 240 Hrs Total 1770 Hrs Amount 7,875,000 7,125,000 7,875,000 7,875,000 7,500,000 6,000,000 44,250,000 Other Logistics Line Item Amount Equipment and supplies 20,000,000 Field studies 6,600,000 Field Work supervision 8,000,000 Books 3, 080,000 Vehicle purchase and maintenance 38,580,000 Total 76,260,000 73 Details of Transport and Vehicle maintenance The programme plans to acquire a vehicle (Minibus) for the day to day running of activities. These activities involve the transportation of students for field visits and projects. Details of the cost, recurrent costs to maintain and run the vehicles are as indicated below: Item / Activity Unit cost Vehicle Purchase (partial contribution) 30,000,000 Total (3 yrs) 30,000,000 Running cost / Month 100,000 3,600,000 Service (3 times a year) 120,000 1,080,000 Replacement of tyres (once a year) 150,000 1,200,000 Maintenance/year 900,000 2,700,000 Total 38,580,000 74