GULU UNIVERSITY FACULTY OF MEDICINE DEPARTMENT OF PUBLIC HEALTH MASTER OF PUBLIC HEALTH (MPH) PROGRAMME DRAFT CURRICULUM OCTOBER 2014 TABLE OF CONTENTS TABLE OF CONTENTS ....................................................................................................................................... 2 1.0 NOMENCLATURE .................................................................................................................................... 4 2.0 PREAMBLE................................................................................................................................................ 4 3.0 JUSTIFICATION OF THE MPH PROGRAMME .................................................................................. 4 4.0 CAREER OPTIONS .................................................................................................................................. 5 6.0 THE MPH PROGRAMME CURRICULUM ............................................................................................ 6 6.1 PHILOSOPHY OF THE CURRICULUM: ............................................................................................... 6 6.2 MPH PROGRAMME MISSION: .............................................................................................................. 7 6.3 MPH PROGRAMME GOAL ..................................................................................................................... 7 6.4 MPH PROGRAMME OBJECTIVES ....................................................................................................... 7 6.5 MPH PROGRAMME BENEFITS/OUTPUTS ........................................................................................ 7 6.6 AREAS OF COMPETENCIES ................................................................................................................ 8 6.7 DESIGNATION OF DEPARTMENTAL UNITS AND COURSE COORDINATION ........................ 8 7.0 NATURE OF THE MPH PROGRAMME ................................................................................................ 9 7.1 7.4 8.0 8.1 8.3 8.4 9.0 COMPONENTS OF THE TRAINING PROGRAMME: ..................................................................................... 9 TEACHING AND LEARNING STRATEGIES: ................................................................................................ 9 REGULATIONS FOR THE MASTER OF PUBLIC HEALTH PROGRAMME............................... 10 GENERAL PROGRAMME REGULATIONS ................................................................................................ 10 ADMISSION REQUIREMENTS ................................................................................................................. 10 TYPES OF COURSES .............................................................................................................................. 11 EXAMINATION AND ASSESSMENTS ............................................................................................ 11 9.2 GRADING OF COURSES ...................................................................................................................... 11 9.3 STUDENT’S PROGRESSION............................................................................................................... 12 9.4 RETAKING A COURSE ......................................................................................................................... 12 9.6 SPECIAL EXAMINATIONS ................................................................................................................... 13 9.7 WITHDRAWAL FROM THE PROGRAMME ...................................................................................... 13 9.8 WITHDRAWAL FROM A COURSE ..................................................................................................... 13 11.0 PROGRAMME / CURRICULUM STRUCTURE ................................................................................. 13 11.0 COURSE LAYOUT ................................................................................................................................. 15 12.0 DETAILED COURSE DESCRIPTION.................................................................................................. 17 YEAR I SEMESTER I ......................................................................................................................................... 17 COURSE NAME: INTRODUCTION TO PUBLIC HEALTH (3 0R 4 CU) ................................................... 17 COURSE NAME: DEMOGRAPHY ................................................................................................................... 21 COURSE NAME: EPIDEMIOLOGY I............................................................................................................... 23 COURSE NAME: BIOSTATISTICS I ................................................................................................................ 26 2 COURSE NAME: RESEARCH METHODS AND INFORMATICS .............................................................. 28 YEAR I SEMESTER II ........................................................................................................................................ 32 COURSE NAME: COMMUNICABLE AND NON-COMMUNICABLE DISEASE CONTROL ................. 32 COURSE NAME: HEALTH EDUCATION AND HEALTH PROMOTION................................................... 35 COURSE NAME: SOCIAL AND BEHAVIOURAL DETERMINANTS OF HEALTH ................................ 38 COURSE NAME: HEALTH POLICY AND HEALTH SYSTEMS ................................................................. 40 COURSE NAME: ENVIRONMENTAL HEALTH AND OCCUPATIONAL HEALTH ............................... 44 COURSE NAME: PUBLIC HEALTH NUTRITION ......................................................................................... 48 RECESS TERM ................................................................................................................................................... 50 COURSE NAME: INTERNSHIP/FIELD ATTACHMENT ............................................................................... 50 COURSE NAME: RESEARCH PROPOSAL DEVELOPMENT (16 TH, 111 PH) ..................................... 52 YEAR II SEMESTER I ........................................................................................................................................ 52 COURSE NAME: EPIDEMIOLOGY II .............................................................................................................. 52 COURSE NAME: BIOSTATISTICS II ............................................................................................................... 54 COURSE NAME: MATERNAL AND CHILD HEALTH ................................................................................... 57 COURSE NAME: HEALTH CARE PLANNING AND MANAGEMENT ...................................................... 59 COURSE NAME: HEALTH ECONOMICS ...................................................................................................... 62 YEAR II SEMESTER II ....................................................................................................................................... 64 COURSE NAME: PUBLIC HEALTH AND CONFLICT ................................................................................. 64 COURSE NAME: MONITORING AND EVALUATION.................................................................................. 67 COURSE NAME: HEALTH ETHICS AND LAW ............................................................................................. 69 COURSE NAME: DISSERTATION (20 TH, 175 FH, 90 PH, 75 CH)............................................................ 71 3 1.0 NOMENCLATURE The programme shall be called Master of Public Health (MPH). Successful graduates will be awarded the degree of Master of Public Health of Gulu University. 2.0 PREAMBLE The mission of the Ministry of Health in Uganda is to promote and improve health equitably and ensure the attainment of a good standard of health by all people of Uganda in order to promote a healthy and productive life. The overall objective of the health sector is to reduce morbidity and mortality from major causes of ill-health and the disparities therein. A healthy population has enormous positive impacts on other sectors of national economy at all levels. Gulu University is a public university established in 2002 by an Act of Parliament. Since then, Gulu University has continued to play its academic, social and corporate role “For Community Transformation” through its wide range of quality training programmes, research and community outreach services. The Faculty of Medicine (FOM) was opened in 2004 with the support of the Government of Uganda, the Italian Government and the University of Naples in Italy. The Faculty utilizes St. Mary’s Hospital Lacor and Gulu Regional Referral Hospital as its teaching hospitals. The Faculty also work closely with the Ministry of Health (MOH), Districts, International agencies and nongovernment organisations (NGO) to deliver its mandate of medical education, health research and outreach services to improve on the health of communities. 3.0 JUSTIFICATION OF THE MPH PROGRAMME Gulu University was started as part of the northern Uganda reconstruction program due to the over two decade arm conflict to bring higher education services closer to the population. Gulu University therefore has to demonstrate its worth by producing health workforce with appropriate skills and attitudes to conduct relevant research to help guide community transformation. The region currently has the worst health indicators as continually being noted by the annual health sector performance report. The Master of Public Health (MPH) Programme at the Faculty of Medicine is a significant step towards transforming communities nationally and internationally. This will be achieved through production of human resource for health with appropriate skills mix, valuable health research outputs, provision of quality health services and the promotion of national and global partnerships. Also, the MPH program will 4 provide the critical mass of public health leaders and practitioners with the capacity and skills to meet the demands arising from the decentralisation policy of the Ugandan Government while working within an integrated multidisciplinary and multi-sectoral health system. 4.0 CAREER OPTIONS Opportunities exist in the National Health Service, local government, regional, national and international bodies working on improving health, and industries involved in food, transport, the environment, pollution and the media. Some of the specific career options include working as Public Health Administrator, Hygienist, Toxicologist, Environmental Health Inspector, Food Inspector/Food Safety Specialist, Vector Control Specialists, Research Consultant and Occupational Health specialist. There are many public and environmental health issues in Uganda’s communities today such as Malaria, jiggers, malnutrition and many others. Some of these problems are due to ignorance of the community. MPH programmes are currently offered by few institutions in Uganda. There is increasing demand for public health training at postgraduate level to provide public health leaders who can assess community health problem and provide solutions to those problems. Trainee who successfully completed the MPH program will become a public health leader who can work with Ministry of Health, Local Government, go into private practice as a Public Health Consultant or work with other health agencies both local and international, particularly in the areas of emergency disaster management. There is increasing cost of curative health services, hence the need to focus on prevention. Preventable diseases account for a high proportion of disease burden in rural communities. This programme will provide and equip its students with diverse knowledge and skills in public health prevention which will make them competent to promote good public health services. Hence this programme is relevant, appropriate and timely. 5.0 RESOURCES 5.1 Staffing The Department comprises of two Senior Lecturers, two Lecturers and one teaching Assistant. The programme will receive assistance from lecturers from the Faculty of 5 Medicine, Gulu University, for specific and relevant courses, Ministry of Health professionals from Headquarter and at Gulu Regional Referral Hospital and St. Mary’s Hospital Lacor, Makerere University College of Health Sciences, Mbarara University of Science and Technology. External expertise will be drawn from a pool of professors from the university of Naples in Italy. Additional tutorship will also be received from District Health Offices where students will be attached for some of their field attachment. 5.2 Facilities The programme will rely on facilities that the University will provide such as computers and training materials. In addition other facilities will be District Health Office facilities within the region. 5.3 Space Gulu University is renting a house that is hosting Master of Medical Anthropology program. The house will provide two rooms for teaching i.e. year one lecture room and a computer laboratory for year two teaching. Also, there will be a board room, library and office space within the building. 5.4 Funding The main source of finance will be tuition fees by students. Government grant will also be an important source of finance. The department and the University will seek assistance from development partners such as Italian Government, United States Agency for International Development (USAID), World Bank, Ford Foundation, Madhvani, East African Development Bank (EADB), Inter-University Council for East Africa, Japanese International Cooperation Agency (JICA), Chinese Government, African Development Bank (ADB) etc. In addition, staff will endeavour to outsource research grants from various funders/sponsors, and internally generated funds. 6.0 THE MPH PROGRAMME CURRICULUM 6.1 Philosophy of the curriculum: 6 A Public Health Specialist, as a leader of a health team and manager of health services, should be community-oriented, innovative and responsive to population health care needs nationally and internationally. The MPH curriculum emphasises critical thinking, problem-solving and student-driven acquisition of competencies in public health practice and research. 6.2 MPH Programme Mission: To produce practically-oriented public health specialists with appropriate knowledge, skills and attitude required to assume leadership and managerial roles in global health which is appropriate for community transformation. 6.3 MPH Programme Goal To contribute to overall community and national development by improving the health status of the people of Uganda through the production of skilled human resource for health. 6.4 MPH Programme Objectives 1. To produce graduates that can demonstrate knowledge, understanding, application and integration of the theory and practice of the core public health and related disciplines to improve health. 2. To equip graduates with applied skills to identify and assess public health problems in communities and evaluate actions designed to improve public health. 3. To equip graduates with theory and practice of formulating, implementing and evaluating appropriate policy strategies and approaches to public health problems sensitive to given culture and environment. 4. To develop competence in appropriate research skills, evaluating and communicating research evidence and use of research finding. 6.5 MPH Programme benefits/outputs i. Strong linkages between Gulu University and Ugandan ministry of health, and all other institutions involved in training public health professionals and providing health services and locally, regionally and internationally; ii. Increased capacity to carry out important essential national research; collection and utilisation of information to improve the quality of health services; 7 iii. Increased capacity for implementing and managing health services in the districts, national and international health agencies, including priority setting and resource allocation; iv. High quality nationally and internationally recognized Public Health Specialists that can be employed to improve global health and further trained in specialized areas of medicine and health sciences. 6.6 Areas of competencies The MPH programme is designed to provide integrated training in the core competencies of the field of public health. The MPH graduates must be competent to lead district, regional, national or international public health institutions and respond appropriately to public health problems. The core competencies each MPH trainee is expected to acquire include: 1. Recognising problems of public health importance and responding appropriately 2. Designing and implementing appropriate health interventions 3. Analytical skills for measurements, prioritization and evaluation. 4. Effective teamwork as a team member, team player and a team leader. 5. Effective communication 6. Research and publications 7. Teaching and learning 8. Management and Administration. 6.7 Designation of departmental units and course coordination The MPH programme is organized in courses that will be coordinated within the Department of Public Health. Courses shall be organized under the following learning areas that shall be designated as departmental units for coordination and administrative purposes: 1. Epidemiology and Biostatistics 2. Disease Control 3. Maternal and Child Health 4. Community Health and Behavioural Science. 5. Environmental and Occupational Health Sciences 6. Health Policy and Management 8 7. Global Health and Population 7.0 NATURE OF THE MPH PROGRAMME 7.1 Components of the training programme: The MPH programme has both academic and field components of training, apportioned equally. 7.2 Academic component: The academic component of the curriculum shall run throughout the study. It will provide students with a strong knowledge foundation that will enable the trainee develop the skills and competencies required for the field work or field component of the training. 7.3 Field component: MPH trainees will have one (1) field attachment to sites within the district health systems and other approved field sites or institutions. Field activities during the field attachments form the core of the programme during which competencies are practised through on-job training with a district health management team. 7.4 Teaching and Learning strategies: Teaching and learning will be student-centred, with the trainees taking the leading role in their own learning process under the guidance of the tutors (student-centred tutor-directed learning). The training and courses will be delivered using: 1. Interactive and Integrated lectures. 2. Seminars and Tutorials. 3. Case studies, group discussions, 4. Role-plays and demonstrations 5. Practical sessions, laboratory work and field attachments. 6. Journal clubs 7. Project works 8. Community based education and service. 9 8.0 REGULATIONS FOR THE MASTER OF PUBLIC HEALTH PROGRAMME 8.1 General Programme Regulations The Master of Public Health programme shall be guided and governed by the common regulations and guidelines for all Postgraduate programmes of Gulu University in addition to Faculty of Medicine regulation. 8.2 Programme Duration The MPH training is a two-year full time academic programme consisting of compulsory courses and field work activities. It is designed in conformity with the University Semester / Credit System approved by the Uganda National Council for Higher Education (UNCHE). The first academic year shall have 2 semesters of 17 weeks each and a recess term of 10 weeks. The second academic year of study shall consist of only 2 semesters (no recess term in second year). University examinations will be conducted at the end of each course module during semester or a recess term. 8.3 Admission Requirements Applicants who meet any of the following minimum requirements are eligible for admission: 1. Medical degree or equivalent from a recognized university: human medicine, veterinary medicine, nursing, pharmacy, dentistry, Applicants must have at least CGPA 3.00 and above plus at least 2 years of experience working; 2. A degree in Biomedical Sciences or equivalent from a recognized university e.g. pharmacy, community / public health, environmental health, food science and technology, nutrition, statistics and social sciences. Applicants must have a minimum of upper second class. 3. A degree in social sciences or equivalent from a recognized university, with a bias to health sciences e.g. Social Works and Administration, Sociology, Economics, Demography, Development study and at least two years’ relevant field experience. Applicants must have a minimum of upper second class (and at least two years’ of relevant field experience). 10 4. Applicants with working experience in public health will have an added advantage. 8.4 Types of courses All courses in the programme are core and compulsory and students must pass them independently as a prerequisite for the award of the MPH degree. 9.0 EXAMINATION AND ASSESSMENTS At the end of each course module in a semester, students will be required to sit and pass examinations in those courses that have been offered. 9.1 Assessment Structure Trainee shall be assessed in the following ways: Progressive Assessment will be in the form of tests, written assignments, practical, projects, Attendance, participation, professionalism, field work and attachment reports. These will contribute 40% of the total marks. End of course module which will be comprehensive written examinations covering all course materials will be conducted at the end of each course module. The marks of each course will account for 60%. 9.2 Grading of Courses Each course will be graded out of a maximum of l00 marks and assigned appropriate letter and numerical grades as follows: Marks Letter Grade Grade Point 80-100 A 5.0 75-79 B+ 4.5 70-74 B 4.0 65-69 C+ 3.5 60 – 64 C 3.0 55-59 D+ 2.5 50-54 D 2.0 45-49 E 1.5 11 Below 44 F 1.0 Below 40 F- 0.0 The pass Grade Point (GP) for each course is 3.0 and pass mark is 60%. 9.3 Student’s Progression Progression through the courses shall be classified as Normal, Probationary or Discontinuation. Normal progression: Normal progress occurs when a student has passed each of the specified courses with a minimum grade point of 3.0 and has a Cumulative Grade Point Average (CGPA) of 3.00 or above. Probationary progression: A student shall be placed on probation; a) When he/she fails a course or b) If his/her Grade Point Average (GPA) or CGPA is less than three (3.0). The probationary status serves as a warning to students that their performance is below the required level. When a student on probation has to retake a course, he/she shall wait and retake that course when it is next offered. A student retaking a course shall be expected to do all the required coursework, practicals and progressive assessment tests. When the GPA of a student goes up to 3.0 or above and he/she has passed all the courses in the following relevant semester, then the probationary status is removed. Discontinuation: A student shall be discontinued from the programme when he/she has: a. Received two probations on the same course (i.e. has failed the same course two times). b. Received two consecutive probations based on CGPA c. Failed to pass a resubmitted field report d. Failed to pass a resubmitted dissertation 9.4 Retaking a Course A student may retake any course when it is offered again in order to: a) Pass the course if the student had failed it before b) Improve the grade if the first pass grade was low and the student wishes to improve. The Transcript will indicate so if a retake is done. Retaking a course means attending lectures, doing required progressive course work and sitting the end of course examinations. 12 9.5 Compensation: There will be no compensatory passes. Candidates must get the pass mark of 60% in all the courses offered. A candidate who scores below 60% in any course in a semester will be required to do a retake in that course when next offered. 9.6 Special Examinations A student will only be allowed to do special examinations: On medical grounds proven by a medical report from a qualified and registered medical officer; or Under any other circumstances as may be approved by Senate. 9.7 Withdrawal from the Programme A registered student shall withdraw from the programme or course in a particular semester on medical grounds or under special circumstances reasons upon approval by Senate. Such a student can resume the programme or course when it is next offered if the cause of the withdrawal is not unsatisfactory progress or conviction for a criminal case. 9.8 Withdrawal from a Course A registered student may withdraw from a course offered during a semester on medical grounds or under special circumstances upon approval by Senate. Such a student can resume the course in the next semester when that course will be next offered if the cause of the withdrawal is not unsatisfactory progress or conviction for a criminal case. 9.9 Certificate of Due Performance A student who does not have satisfactory attendance or coursework marks in any course shall be denied certificate of due performance and shall not be allowed to sit the university examinations. Satisfactory attendance is at least 75% in lectures and/or practical. 11.0 PROGRAMME / CURRICULUM STRUCTURE 13 Teaching of the courses shall be delivered as per guidelines in the “Manual for the Operations of the Semester / Credit Unit System”. Details of the programme structure are specified below: Course Codes: Are named by year/ course sequence/ semester of course i.e. a course 111 (year/sequence/semester). Course Credits: Instructions shall be by courses, quantified into course credit units. a) A credit unit is awarded for a series of fifteen contact hours or one contact hour per week per semester. b) A contact hour is calculated as being equivalent to: 1 One Lecture Hour (LH) 2 Two Tutorial Hours (TH) 3 Three hours of Practical or clinical work (PH) 4 Five hours of Field work (FH) c) No course shall carry less than 3 credit units or more than 5 credit units 14 11.0 COURSE LAYOUT The courses in the programme shall be arranged as follows: COURSE CODE COURSE NAME YEAR I SEMESTER I MPH 1111 MPH 1112 MPH 1113 MPH 1114 MPH 1115 Introduction to Public Health Demography Epidemiology I Biostatistics I Research methods & informatics Semester I Total Credit Unit SEM ESTER II Communicable and non-communicable disease control Health Education & Health Promotion Social and behavioural determinants of health Health Policy and Health Systems Environmental & occupational Health Public Health Nutrition Semester II Total Credit Unit RECESS SEMESTER Internship/Field Attachment Research Proposal development Recess Term Total Credit Unit SEMESTER I Epidemiology II Biostatistics II Maternal and Child Health Health Care Planning and Management Health Economics Semester I Total Credit Unit SEMESTER II Public health and Conflict Monitoring and Evaluation Health Ethics and Law Dissertation Semester II Total Credit Unit Total Credit Unit YEAR I MPH 1121 MPH 1122 MPH 1123 MPH 1124 MPH 1125 MPH1126 YEAR I MPH 1131 MPH 1132 YEAR II MPH 2111 MPH 2112 MPH 2113 MPH 2114 MPH 2115 YEAR II MPH 2121 MPH 2122 MPH2123 MPH2124 LH TH FH PH CH CU 16 9 17 12 13 64 64 60 70 70 60 15 - 12 30 84 81 60 45 60 75 75 4 3 4 5 5 21 18 114 - - 75 5 9 13 14 20 10 28 64 62 74 70 15 - 66 - 45 45 45 60 45 3 3 3 4 3 21 - 16 - 135 111 45 45 3 3 6 10 16 15 14 12 66 44 60 62 66 - 96 111 - 75 75 45 45 45 5 5 3 3 3 19 14 14 11 - 62 62 68 20 175 90 45 45 45 75 3 3 3 5 14 81 15 KEY: LH = Lecture Hours; TH = Tutorial Hours; PH = Practical Hours; SH = Seminar Hours; FH = Field Hours; CH = Contact Hours; CU = Credit Units. 16 12.0 DETAILED COURSE DESCRIPTION YEAR I SEMESTER I Course Name: Introduction to Public Health (3 0r 4 Cu) Course Code: MPH 1111 Level: 1 Credit Units: 4 Brief Course Description: This course is intended to enable students to understand the main concepts, principles and practice of public health at the community, national and international level. This will enable the students to assess and control or prevent morbidity and mortality in the community. This course is also intended to introduce students to the biologic basis of disease and how to use this knowledge in the control of diseases of public health importance. Course Objectives: (a) To introduce students to the main concepts, principles and practices of public health at community, national and international levels. (b) To provide basic essential knowledge and understanding of the biology and control of diseases, disease causing agents and vectors. Course Outcome: By the end of the course unit, trainee should be able to:1. Define primary health care. Key principles underlying the concept of PHC as advanced in the Alma Ata Declaration of 1978 and subsequent related internationally adopted documents; definitions of PHC and why they have varied. 2. Explain the evolution, conceptual basis and principles of public health practice using historical and current perspectives: Responses to epidemic diseases (case studies of cholera, smallpox and malaria); Urban sanitary reform; Development of the medical profession and public health services in the 20th Century; and the international rise of health promotion. 3. Explain the philosophy underpinning public health actions and interventions. Explain the nature, strengths and weaknesses of the main types of public health interventions. 17 4. Demonstrate the scale and scope of public health; the role of different disciplines and professions in improving population health. 5. Understand and interpret key public health approaches e.g. describing patterns of health and disease in defined populations, methods of assessing disease burden, and assessing health impacts of different policies. 6. Examine and communicate to others the major threats to health; their distribution within populations; their impacts on population health; and the interventions used to counter them. 7. Describe and understand selected issues of current and global importance in public health 8. Define disease, concept of disease and principles / mechanism of disease transmission. 9. Describe the biology of vectors, intermediate hosts of human pathogens and methods for their control. 10. List and describe major groups of pathogens; biology, pathogenesis and diagnosis of parasitic infections in humans and their relationship to human health and disease control strategies. 11. Describe with examples the relationship between Vector-parasite and vector-vertebrate interactions; major vector-borne diseases; methods for vector control. 12. Define immunity and herd Immunity and their differences. Describe how immunisation is used in the control of selected diseases in Uganda 13. Design and conduct research projects on biology or control of disease vectors. Design, undertake and evaluate vector control interventions. Detailed Course Outline: (16 LH, 64 TH, 60 FH, 60 CH) Definition of primary health care. Key principles underlying the concept of PHC as advanced in the Alma Ata Declaration of 1978 and subsequent related internationally adopted documents; definitions of PHC and why they have varied. (1 LH, 2 TH, 2 CH) Evolution, conceptual basis and principles of public health practice using historical and current perspectives. (1 LH, 2 TH, 2 CH) Responses to epidemic diseases (case studies of cholera, smallpox and malaria). (1 LH, 6 TH, 4 CH) 18 Urban sanitary reform; Development of the medical profession and public health services in the 20th Century; and the international rise of health promotion. (1 LH, 2 TH, 30 FH, 8 CH) The philosophy underpinning public health actions and interventions. Explain the nature, strengths and weaknesses of the main types of public health interventions. (2 LH, 4 TH, 3 CH) The depth and scope of public health; the role of different disciplines and professions in improving population health. (1 LH, 2 TH, 2 CH) Introduction to key public health approaches e.g. describing patterns of health and disease in defined populations, methods of assessing disease burden, and assessing health impacts of different policies. (1 LH, 8 TH, 6 CH) Major threats to health; their distribution within populations; their impacts on population health; and the interventions used to counter them. (1 LH, 4 TH, 3 CH) Topics on selected issues of current and global importance in public health (1 LH, 8 TH, 5 CH) Definition of disease, concept of disease and principles / mechanism of disease transmission. (1 LH, 2 TH, 2 CH) The biology of vectors, intermediate hosts of human pathogens and methods for their control. Vector-parasite and vector-vertebrate interactions; major vector-borne diseases; methods for vector control. (1 LH, 10 TH, 6 CH) Introduction to major groups of pathogens; biology, pathogenesis and diagnosis of parasitic infections in humans and their relationship to human health and disease control strategies. (2 LH, 6 TH, 5 CH) Definition of Immunity and Herd Immunity and use of immunisation in the control of selected diseases. (1 LH, 2 TH, 2 CH) Designing and conducting research projects on biology or control of disease vectors; design, undertake and evaluate vector control interventions. (1 LH, 6 TH, 30 FH, 10 CH) Teaching and Learning Strategy: Lectures; tutorials and group work. Progressive Assessment: Exercises, Coursework / Assignments, Progressive tests. 19 Final Examinations: Written examinations consisting of MCQs, Short answer and Essay questions. Reading List: 1. Short textbook of Public Health Medicine for the tropics by Adetokunbo O. Lucas and Herbert M. Gilles. 4th Edition. 2. Introduction to Public Health by Mary-Jane Schneider, (2010). 3. The New Public Health, Second Edition: An Introduction for the 21st Century by Theodore H. Tulchinsky and Elena A. Varavikova, (2008). 4. An Introduction to Public Health and Epidemiology by Susan Carr, Nigel Unwin and Tanja Pless-Mulloli, (Sep 1, 2007). 5. Introduction to Health Services by Stephen J. Williams and Paul R. Torrens, (2007). 6. Anderson RM May (1982). Population Biology of infectious diseases 7. Abram S. Benenson (1990). Control of Communicable diseases in man 8. Nelson KE, Willams CM, Grahman NMH, Infectious Disease epidemiology. Theory and Practice (2001). Aspen publishers Inc. Maryland USA 9. WHO and UNICEF (1978): Primary Health Care (Almata declaration) WHO Geneva 1978 10. Wim Van Damme (2002). Primary Health Care vs. emergency medical assistance; a conceptual framework 11. Husein K. Adeyi O et al (1993). Developing a Primary Health Care Management Information System that supports the persuit of equity, effectiveness and affordability Academic Staff: 1. Dr. Kaducu Felix, MBChB, MIH 2. Ms Atim Pamela, BEHS, MPH 3. Dr. Akera Peter, BDS, MHSM 4. Mr. Luryama Moi Kenneth 5. Dr. Oryema Lalobo PhD 6. Mr. Obol James Henry, BLT, PGD-PPM & MSc. CEB 20 COURSE NAME: DEMOGRAPHY COURSE CODE: MPH 1112 LEVEL: 1 CREDIT UNITS: 3 Brief Course Description: This course will enable the trainee to appreciate the importance of demography, how population data are obtained and the impact of population growth. Course Objectives: To enable students understand the principles of demography, population dynamics and how these relate to development at community, district, national and global levels. Course Outcome: By the end of the course unit, trainee should be able to:1. Define demography. State the sources of population data e.g. Population censuses, intercensus demographic surveys, demographic and health surveys, reproductive health Surveys. State the limitations of each method of estimation of demographic data. 2. Analyse population structure; Carryout calculation and analysis of basic fertility & mortality measures; life table analysis; standardisation and population projections. 3. Describe the effect of fertility, mortality and migration on age distribution; Population growth and gender, family planning; urbanization; social and economic development. 4. Describe population policy, population change, economic & social development and planning. 5. Describe population growth and its impact on the economy, poverty eradication; child survival; environmental sustainability & productivity; 6. Describe the relationship between population and development, consequences of HIV/AIDS, internal and international migration. Detailed Course Outline: (9 LH, 64 TH, 12 PH, 45 CH) Definition of demography. Sources of population data e.g. Population censuses, intercensus demographic surveys, demographic and health surveys, reproductive health 21 surveys. Limitations of each method of estimation of demographic data. (1 LH, 10 TH, 5 CH) Population structure; Calculation and analysis of basic fertility & mortality measures; life table analysis; standardisation and population projections. (2 LH, 8 TH, 12 PH, 10 CH) Effect of fertility, mortality and migration on age distribution; Population growth and gender, family planning; urbanization; social and economic development. (1 LH, 12 TH, 7 CH) Population policy, population change, economic & social development and planning. (2 LH, 12 TH, 8 CH) Population growth and its impact on the economy, poverty eradication; child survival; environmental sustainability & productivity. (1 LH, 10 TH, 6 CH) Population and development, consequences of HIV/AIDS, internal and international migration. (2 LH, 12 TH, 8 CH) Teaching and Learning Strategy: Lectures, seminars, case studies, self-directed learning, discussions and practical exercises. Progressive Assessment: Coursework / Assignments tests. Final Examinations: Written examinations Learning materials i. Adamchak S.E and Weiss L.A (1997). Asessing the policy environment: What influences population policy? Academic Staff: 1 Dr. Kaducu Felix, MBChB, MIH 2 Mr. Obol James Henry, BLT, PGD-PPM & MSc. CEB 3 Dr. Akera Peter, BDS, MHSM 22 Course Name: EPIDEMIOLOGY I Course Code: MPH 1113 Level: 1 Credit Units: 4 Brief Course Description: This course enables the students to understand the basic concept of epidemiology and use this concept in conducting surveillance and epidemiological investigation of disease outbreak in the community. Course Objectives: To equip students with basic concepts, principles and methods in epidemiology to be applied in epidemiological research and public health practice. Course Outcome: By the end of the course unit, trainee should be able to:1. Define epidemiology and describe the basic concepts in epidemiology. 2. List and describe the measurements in epidemiology: Ratios, proportions and rates 3. Define and describe types of epidemiologic measures of morbidity e.g. incidence and prevalence. 4. Define mortality and describe measure of mortality measures; Crude death rate, standardized mortality rate, case fatality Rate, course specific mortality rate, infant mortality rate and proportionate mortality rate. 5. Define and list types of validity; define, calculate and interpret sensitivity and specificity, Positive and negative predictive values. 6. Define reliability and calculate inter-observer and intra-observer variation, Kappa statistic, Percent agreement and Likelihood ratio 7. Describe an epidemiological study design: Case reports, case series, cross-sectional, cohort, case-control and intervention studies; assess strengths and limitations of different study designs. 8. Provide interpretation of epidemiological data: assessing causality, chance, bias, confounding and effect modification. 23 9. List different sources of epidemiological data on health status and health service utilization; strengths and limitations. 10. Conduct disease surveillance and analyse health status of populations. 11. Conduct outbreak investigations and list steps in outbreak investigations, states the role of laboratory in outbreak investigation and dissemination of findings 12. List and describe the different preventive strategies in public health: advantages, disadvantages; use of measures of public health impact and routine data to anticipate potential benefits of the strategies. Detailed Course Outline: (17 LH, 60 TH, 15 FH, 30 PH, 60 CH) Definition of epidemiology and basic concepts in epidemiology (1 LH, 2 TH, 2 CH). Epidemiologic measurements e.g. Ratios, proportions and rates etc (1 LH, 2 TH, 2 CH) Epidemiologic measures of morbidity e.g. incidence and prevalence. (1 LH, 2 TH, 2 CH) Epidemiologic measure of mortality e.g. crude death rate, standardized mortality rate, case fatality Rate, course specific mortality rate, infant mortality rate and proportionate mortality rate. (2 LH, 8 TH, 15 PH, 11 CH) Definition of and types of validity; definition, calculation and interpretation of sensitivity and specificity, positive and negative predictive values. (1 LH, 4 TH, 6 PH, 5 CH) Definition of reliability and calculation of inter-observer and intra-observer variation, Kappa statistic, Percent agreement and Likelihood ratio. (1 LH, 4 TH, 3 PH, 4 CH) Epidemiological study design e.g. case reports, case series, cross-sectional, cohort, casecontrol and experimental studies; listing advantages and disadvantages of different study designs. (3 LH, 12 TH, 6 PH, 11 CH) Interpretation of epidemiological study results i.e. assessing strength of association, causality and roles of chance, bias, confounding and effect modification. (1 LH, 6 TH, 4 CH) Different sources of epidemiological data on health status and health service utilization; strengths and limitations.(1 LH, 4 TH, 3 CH) Disease surveillance and analysis of health status of populations. (1 LH, 2 TH, 2 CH) 24 Disease outbreak investigations. Steps involved in disease outbreak investigations. Role of laboratory in disease outbreak investigation and dissemination of findings. (2 LH, 8 TH, 15 FH, 9 CH) Different preventive strategies in public health with their advantages and disadvantages. The use of measures of public health impact and routine data to anticipate potential benefits of the strategies. (2 LH, 6 TH, 5 CH) Teaching and Learning Strategy: Lectures; Tutorials; Self-directed learning; group work and practical exercise. Progressive Assessment: Exercises, Coursework / Assignments, MCQs and Short answer questions Final Examinations: Written examinations consisting MCQs, Short answer and Essay questions. Learning resources: Text books 1. Epidemiology by Leon Gordis, 4th Edition 2. Dictionary of Epidemiology by James Last 3. WHO/MoH IDSR technical guidelines for surveillance Academic Staff: 1. Dr. Kaducu Felix, MBChB, MIH 2. Mr. Obol James Henry, BLT, PGD-PPM & MSc. CEB 3. Dr. Akera Peter, BDS, MHSM 25 Course Name: BIOSTATISTICS I Course Code: MPH 1114 Level: 1 Credit Units: 5 Brief Course Description: This course is intended to introduce students to Biostatistics and make the students understand the importance of biostatistics in public health. It is also to enable the students to do simple calculate of health statistics and be able to interpret the results. Course Objectives: (a) To introduce students to biostatistics and basic statistical methods used in public health research and practice. Course Outcome: By the end of the course unit, trainee should be able to:1. Define biostatistics and states the importance of biostatistics in public health research and practice. 2. Describe the different scales of measurements with examples, summarise data and present the results appropriately in terms of proportions, rates, ratio and the measures of central tendency (mean, median and mode), spread (range, interquartile range and standard deviation) using contingency tables, graphs and charts. 3. Assess data for method suitable for analysis and conduct analysis of data using probability; normal, binomial, t and z - distributions, chi-square test and F-test. 4. Define sample, population, target and study population. 5. Determine the sample size for study 6. Determine sampling variability: appreciate and overcome the problem of sampling variability; use statistical methods in quantifying variability of individuals within populations: confidence intervals, p-values, differences in means and proportions. 7. Define, generate and test hypothesis. 8. Describe and calculate measures of associations e.g. correlation coefficient, Odds Ratio and Relative Risk etc 9. Use Analysis of Variance (ANOVA) 26 10. Use non-parametric tests e.g. as Sign Test, Wilcoxon Signed-Rank sum test and MannWhitney test Detailed Course Outline: (12 LH, 70 TH, 84 PH, 75 CH) Definition of biostatistics and importance of biostatistics in public health research and practice (1 LH, 2 TH, 2 CH). The different scales of measurements with examples, summarising data and presenting the results in terms of proportions, rates, ratio and the measures of central tendency (mean, median and mode), spread (range, interquartile range and standard deviation) using contingency tables, graphs and charts. (2 LH, 14 TH, 15 PH, 14 CH) Assessing data for method suitable for analysis and conducting analysis of data using methods like probability; binomial, t and z - distributions, chi-square test and F-test. (2 LH, 12 TH, 18 PH, 14 CH) Definition of sample, population, target and study population. Determination of sample size for study. (1 LH, 2 TH, 9 PH, 5 CH) Determination of sampling variability: appreciating and overcome the problem of sampling variability; using statistical methods in quantifying variability of individuals within population. Confidence intervals for single mean & proportion, differences in two means and proportions, and Defining, generating and testing hypothesis using p-values. (2 LH, 20 TH, 18 PH, 18 CH) Describing and calculating measures of associations e.g. correlation coefficient, Odds Ratio and Relative Risk etc (2 LH, 8 TH, 9 PH, 9 CH) The use of Analysis of Variance (ANOVA) (1 LH, 4 TH, 6 PH, 5 CH) Using non-parametric tests e.g. as Sign Test, Wilcoxon Signed-Rank sum test and MannWhitney test. (1 LH, 8 TH, 9 PH, 8 CH) Teaching and Learning Strategy: Lectures; Tutorials; Self-directed learning; Group work/discussions and practical exercise. Progressive Assessment: Exercises, Coursework / Assignments, MCQs and Short answer questions 27 Final Examinations: Written examinations consisting MCQs, Short answer and Essay questions. Learning resources: Text books i. Practical Statistics for Medical Research by Dauglas G. Altman (1991) ii. Biostatistics: A Foundation for Analysis in the Health Sciences by Wayne W. Daniel iii. Biostatistics by Bernard Rosner iv. Biostatistics: The Bare Essentials (2008) by Geoffrey R. Norman and David L. Streiner Third edition. v. Basic & Clinical Biostatistics by Beth Dawson and Robert G. Trapp. 3 rd Edition. Academic Staff: 1. Dr. Kaducu Felix, MBChB, MIH 2. Ms Atim Pamela, BEHS, MPH 3. Dr. Akera Peter, BDS, MHSM 4. Mr. Obol James Henry, BLT, PGD-PPM, MSc. CEB Course Name: RESEARCH METHODS AND INFORMATICS Course Code: MPH 1115 Level: 1 Credit Units: 5 Brief Course Description: This course is intended to enable students design, conduct and analyse research data so that they can write dissertation. The course also will provide students with the required knowledge and skills to write a research grant. Course Objectives: a) To equip students with concepts, principles and techniques required to design a research study, analyse and interpret the data b) To equip students with skills in practical computer applications using EPI-data, STATA and SPSS. 28 Course Outcome: By the end of the course unit, trainee should be able to:1. Define research; list and describe categories of research. 2. Describe the scientific foundations of research 3. List and describe the various epidemiological study designs stating advantages and disadvantages 4. Define population; target and study population, sample. Describe methods of sample selection e.g. simple random sampling, systematic, cluster sampling, stratified sampling, multi-stage sampling and probability proportionate to size sampling. 5. Describe the steps involved in planning and conducting a research project; 6. Describe the components of research proposal and list the importance of each section. Formulate research questions and testable hypotheses; set appropriate study objectives; selecting appropriate study design and method (quantitative or qualitative) research ethics, sampling procedures, data collection and analysis. 7. Demonstrate how to plan a research project, time table, budgeting, logistics, etc. 8. Write a research proposal; write grants application; write manuscript and reviewing scientific papers. 9. Understand the principles of social research and qualitative research methods. Informatics 1. Manage data using EpiData, design questionnaire; creating database; data entry and processing; exporting data from EpiData to STATA, SPSS and other statistical packages. 2. Manage data using Stata and SPSS: Creating and using Stata do- and log-files; common management tasks in Stata and SPSS, including labeling, generating, replacing and recoding variables and merging, appending, and collapsing files; use of common Stata and SPSS commands to generate, recode and replace variables. Perform statistical analyses using Stata and SPSS, interpret their findings and present the findings in a clear, concise, and logical manner. Detailed Course Outline: (13 LH, 70 TH, 81 PH, 75 CH) Definition of research and description of research categories. Describing the scientific foundations of research. (1 LH, 2 TH, 2 CH) 29 Listing and describing the various epidemiological study designs stating advantages and disadvantages for each study design. (2 LH, 10 TH, 7 CH) Definition of population; target and study population, sample. Describing the methods of sample selection e.g. simple random sampling, systematic, cluster sampling, stratified sampling, multi-stage sampling and probability proportionate to size sampling. (2 LH, 14 TH, 9CH) Describing the steps involved in planning and conducting a research project; Describing the components of research proposal and list the importance of each section. Formulating research questions and testable hypotheses; set appropriate study objectives; selecting appropriate study design and method (quantitative or qualitative), research ethics, sampling procedures, data collection and analysis. (2 LH, 16 TH, 10 CH) Demonstrating how to plan a research project, time table, budgeting, logistics, etc. (1 LH, 2 TH, 9 PH, 5 CH) Writing a research proposal; writing grant application. (1 LH, 2 TH, 24 PH, 10 CH) Informatics Managing data using EpiData, designing questionnaire; creating database; data entry and processing; exporting data from EpiData to STATA, SPSS and other statistical packages. (2 LH, 12 TH, 24 PH, 14 CH) Managing data using Stata and SPSS: Creating and using Stata do- and log-files; common management tasks in Stata and SPSS, including labeling, generating, replacing and recoding variables and merging, appending, and collapsing files; use of common Stata and SPSS commands to generate, recode and replace variables. Perform statistical analyses using Stata and SPSS, interpreting findings and presenting the results in a clear, concise, and logical manner. (2 LH, 12 TH, 24 PH, 16 CH) Teaching and Learning Strategy: Lectures, tutorials, practical, group work, self directed learning. Progressive Assessment: Exercises, Coursework / Assignments and test 30 Final Examinations: Each student will submit a completed research proposal for assessment. Written examinations consisting MCQs, Short answer and Essay questions. Learning resources: Text books, computer laboratory and statistical packages i. Health Research Methodology: A Guide for Training in Research Methods. 2nd Edition. World Health Organisation. Regional Office for the Western Pacific. ii. Kleinbaum D.G., Kupper L.L., Morgenstern H. Epidemiologic research: principles and quantitative methods. London, Lifetime Learning Publications, 1982. iii. Hennekens C.H., Buring J. Epidemiology in medicine. Boston, Little, Brown and Company, 1987. iv. Beaglehole R., Bonita R., Kjellstrom T. Basic epidemiology. Geneva, WHO, 1993. v. Greenberg R.S., Daniels S.R., Flanders W.D., Eley J.W., Boring J.R. Medical epidemiology, 2 ed, Norwalk,. Appleton and Lange, 1996. Academic Staff: 1. Dr. Kaducu Felix, MBChB, MIH 2. Ms Atim Pamela, BEHS, MPH 3. Dr. Akera Peter, BDS, MHSM 4. Mr. Obol James Henry, BLT, PGD-PPM, MSc. CEB 5. Dr. Loum Labongo Constatine PhD 31 YEAR I SEMESTER II Course Name: COMMUNICABLE AND NON-COMMUNICABLE DISEASE CONTROL Course Code: MPH 1121 Level: 1 Credit Units: 5 Brief Course Description: This course is intended to introduce students to communicable and non communicable diseases of public health importance. The course will enable students to understand how communicable and non communicable diseases are acquired and how to prevent/control the disease. Course Objectives: (a) To equip students with knowledge and skills on communicable and non communicable diseases and use this knowledge and skills to control the diseases. Course Outcome: By the end of the course unit, trainee should be able to:1. Define communicable disease. Describe the basic concepts in the control of communicable diseases; epidemiology of infectious diseases and disease transmission; properties of infectious agents; the nature of host defences. 2. Describe the dynamics of occurrence of communicable diseases and their reservoirs and the implication for successful intervention and control. 3. State the principles of surveillance and characteristics of different surveillance systems: evaluation of their strengths and weaknesses, usefulness, and their application to disease control. 4. Describe the main policies and programmes used in the control of important infectious diseases, including vaccination programmes; their implementation and evaluation; actions by community, governments and international agencies. 5. Describe the epidemiological methods to the investigation and management of outbreaks 6. Describe the emerging infectious diseases: genetic, behavioural, ecological, technical and political origins. Important control measures. 32 7. Describe the epidemiology and controls/prevention of communicable diseases of public health importance e.g. malaria, cholera, HIV, TB, measles, etc. Non-communicable diseases 1 Define and describe the burden of major chronic non-communicable diseases (NCDs): DM, hypertension, CVD, mental disorders, malignancies, etc. 2 Describe the importance, distribution and time trends of NCDs globally, including low and middle income countries. 3 Describe major determinants and known risk factors of NCDs; main drivers of the burden of NCDs in different regions of the world. 4 Describe the Methods of identifying and investigating causes of NCDs; key challenges in studying NCDs (limits of observational evidence, construction of conceptual frameworks in life-course epidemiology, potential contribution of genetic associations to understanding environmental aetiologies and aetiological links of some NCDs with infectious agents). 5 Describe the main policies, programmes, and strategies used in the prevention and control of NCDs and their evaluation; challenges. Detailed Course Outline: (18 LH, 114 TH, 75 CH) Communicable diseases Definition of communicable disease. Describing the basic concepts in the control of communicable diseases; epidemiology of infectious diseases and disease transmission; properties of infectious agents; the nature of host defences. (2 LH, 24 TH, 14 CH) Describing the dynamics of occurrence of communicable diseases and their reservoirs and the implication for successful intervention and control. (1 LH, 4 TH, 3 CH) The principles of surveillance and characteristics of different surveillance systems: evaluation of their strengths and weaknesses, usefulness, and their application to disease control. (1 LH, 2 TH, 2 CH) Disease outbreak investigation and management. (1 LH, 4 TH, 3 CH) 33 Describing the main policies and programmes used in the control of important infectious diseases, including vaccination programmes; their implementation and evaluation; actions by community, governments and international agencies. (2 LH, 10 TH, 7 CH) Describing the emerging infectious diseases e.g. haemorrhagic fevers: genetic, behavioural, ecological, technical and political origins. Important control/preventive measures. (2 LH, 12 TH, 8 CH) Communicable diseases of public health importance, their controls and prevention e.g. malaria, cholera, HIV, TB, measles, etc. (2 LH, 14 TH, 9 CH) Non-communicable diseases Definition and description of the burden of major chronic non-communicable diseases (NCDs): DM, hypertension, CVD, mental disorders, malignancies, etc. The importance, distribution and time trends of NCDs globally, including low and middle income countries. (2 LH, 14 TH, 9 CH) Describing major determinants and known risk factors of NCDs; main drivers of the burden of NCDs in different regions of the world. (1 LH, 8 TH, 5 CH) Describing the methods of identifying and investigating causes of NCDs; key challenges in studying NCDs (limits of observational evidence, construction of conceptual frameworks in life-course epidemiology, potential contribution of genetic associations to understanding environmental aetiologies and aetiological links of some NCDs with infectious agents). (2 LH, 14 TH, 9 CH) Describing the main policies, programmes, and strategies used in the prevention and control of NCDs and their evaluation; challenges. (2 LH, 8 TH, 6 CH) Teaching and Learning Strategy: Lectures, tutorials, self-directed learning / readings. Progressive Assessment: Coursework / Assignments, MCQs and Short answer questions Final Examinations: Written examinations consisting of MCQs, Short answer and Essay questions. Learning resources: i. Control of Communicable Diseases in man by Heymann D.L (18th edition) ii. Infectious Disease Epidemiology, Theory and Practice (2001) Nelson K E et al 34 iii. WHO Health Report (2002); Reducing Risks, Promoting Healthy Life. iv. WHO Health Report (2003); Reducing Risks, Shaping the Future. Geneva Switzerland Academic Staff: 1 Dr. Kaducu Felix, MBChB, MIH 2 Mr. Luryama Moi Kenneth 3 Dr. Oryema Lalobo 4 Mr. Obol James Henry, BLT, PGD-PPM, MSc. CEB 5 Dr. Odong Patrick Olwedo Course Name: HEALTH EDUCATION AND HEALTH PROMOTION Course Code: MPH 1122 Level: 1 Credit Units: 3 Brief Course Description: This course will cover the concepts and principle of health education and health promotion. The course in addition will cover the various methods of health education and health promotion. During this course, students will be given a chance to develop, pre-test and implement a training manual base on community diagnosis result. Course Objectives: (a) To enable students learn and apply a wide range of approaches and methods for promoting health at the individual and community levels. Course Outcome: By the end of the course unit, trainee should be able to:1. Define and state the concept of health education and health promotion. 2. Describe the theories and principles which underlie health promotion; different approaches and methods for promoting health and their theoretical bases. 35 3. Describe and apply the different theoretical models for changing health behaviours e.g. Behavioural and Social Learning Models: health belief model, proceed model, social learning theory. 4. Critical analyse and evaluate the approaches and methods used in a variety of contexts to address individual, community and structural determinants of health e.g. Motivational interviewing, cognitive behavioural therapy, peer education, theatre in health promotion, mass media campaigns, social marketing, media advocacy, community development, and settings-based health promotion. 5. Conduct community diagnosis, design and implement public health promotion campaigns; describe the steps involved in developing health promotion interventions and programmes. 6. Design and conduct “training of trainers” using appropriate training methods relevant for the population under study. 7. Design a training session and training materials; pre-test materials; budget and identify training resources; develop implementation, monitoring and evaluation plan for the training. Detailed Course Outline: (9 LH, 28 TH, 66 PH, 45 CH) Definition and the concept of health education and health promotion. (1 LH, 2TH, 2 CH) Describing the theories and principles which underlie health promotion; different approaches and methods for promoting health and their theoretical bases. (1 LH, 6 TH, 4 CH) Describing and apply the different theoretical models for changing health behaviours e.g. Behavioural and Social Learning Models: health belief model, proceed model, social learning theory. (2 LH, 6 TH, 5 CH) Analysis and evaluation of the approaches and methods used in a variety of contexts to address individual, community and structural determinants of health e.g. Motivational interviewing, cognitive behavioural therapy, peer education, theatre in health promotion, mass media campaigns, social marketing, media advocacy, community development, and settings-based health promotion. (2 LH, 12 TH, 8 CH) 36 Conducting community diagnosis, designing and implementing public health promotion campaigns. Describing the steps involved in developing health promotion interventions and programmes. (1 LH, 2 TH, 21 PH, 9 CH) Designing and conducting “training of trainers” using appropriate training methods relevant for the population under study. (1 LH, 21 PH, 8 CH) Designing a training session and training materials; pre-testing materials; budgeting and identifying training resources; implementing the training session, monitoring and evaluating the training plan. (1 LH, 24 PH, 9 CH) Teaching and Learning Strategy: Lectures, seminars, field work, demonstrations, role-plays, group work and practical exercise. Progressive Assessment: Exercises, Coursework / Assignments and test. Final Examinations: Written examinations. Learning materials i. Glanz K. and Rimer B.K (1997): Theory at a glance; a guide for Health Promotion practice. National Cancer Institute Publication No. 97-3896 ii. Kleinman A. (1980). Patients and Healers in the Context of culture iii. Patton, Michael Quinn (2002): Qualitative Research and Evaluation Methods. 3 rd edition. Sage publication Inc. London iv. Bryman Alan (2001): Social Research Methods. Oxford University, New York v. Dawson S.L Manderson et al (1992): “The Focus Group Manual”. Methods for Social research in Tropical Diseases Academic Staff: 1 Dr. Otto Emmanuel 2 Ms Atim Pamela, BEHS, MPH 3 Dr. Odong Patrick Olwedo 4 Mr. Oboke Henry 37 Course Name: SOCIAL AND BEHAVIOURAL DETERMINANTS OF HEALTH Course Code: MPH 1123 Level: 1 Credit Units: 3 Brief Course Description: The course is intended to provide foundation for understanding health and illness in the society. It will also cover social and behavioural factors which influence health in the community and how these factors relate to the social class in the society. Course Objectives: (a) To enable students understand the sociological, behavioural and cultural factors that influence health and how they can be addressed to improve population health. Course Outcome: By the end of the course unit, trainee should be able to:1. Define health and illness; key concepts in sociology and their linkages to the understanding of health and illness; relationship between socio-cultural organizations and health. 2. Describe the social and behavioral factors influencing health status and the risk of disease; understand the pathways from the social environment to health outcomes; the potential interaction of social and biological influences on health; how social, cultural and psychological processes impact on health status and access to health services. 3. Examine inequalities in health: linking social factors e.g. social class, social support, social capital, ethnicity and gender to differences in health outcomes. 4. Describe the concepts of medicine, risk and society: Medicalisation and role of medicine in society; Concept of risk and risk behaviour; List and describe the role of the media in communicating messages about health, illness and risk to lay and professional publics. 5. Describe interventions that promote health by modifying the social environment and methods for evaluating them. 38 6. Conduct and critique research into the social determinants of health, including socioeconomic status, social class, social exclusion, gender, race, family structure and social capital, migration, education. 7. Analyse and apply social and behavioural epidemiological data to the process of promoting health and preventing disease. 8. Examine the main concept, theories and methods of research in the sociology of health; approaches to overcoming the conceptual and methodological challenges of using epidemiological methods to investigate the social determinants of health. Detailed Course Outline: (13 LH, 64 TH, 45 CH) Definition of health and illness; key concepts in sociology and their linkages to the understanding of health and illness; relationship between socio-cultural organizations and health. (2 LH, 6 TH, 5 CH) Describing the social and behavioral factors influencing health status and the risk of disease; understand the pathways from the social environment to health outcomes; the potential interaction of social and biological influences on health; how social, cultural and psychological processes impact on health status and access to health services. (2 LH, 12 TH, 8 CH) Examining inequalities in health: linking social factors e.g. social class, social support, social capital, ethnicity and gender to differences in health outcomes. (1 LH, 6 TH, 4 CH) Describing the concepts of medicine, risk and society: Medicalisation and role of medicine in society; Defining and describing the concept of risk and risk behaviour; List and describe the role of the media in communicating messages about health, illness and risk to lay and professional publics. (2 LH, 12 TH, 8 CH) Describing interventions that promote health by modifying the social environment and methods for evaluating them. (1 LH, 6 TH, 4 CH) Conducting and critiquing research into the social determinants of health, including socioeconomic status, social class, social exclusion, gender, race, family structure and social capital, migration, education. (2 LH, 8 TH, 6 CH) Analysing and applying social and behavioural epidemiological data to the process of promoting health and preventing disease. (1 LH, 4 TH, 3 CH) 39 Examining the main concept, theories and methods of research in the sociology of health; approaches to overcoming the conceptual and methodological challenges of using epidemiological methods to investigating the social determinants of health. (2 LH, 10 TH, 7 CH) Teaching and Learning Strategy: Lectures, tutorial, case studies, seminars, self-directed learning, group discussions, reading sessions. Progressive Assessment: Coursework / Assignments and test.. Final Examinations: Written examination. Learning materials i. Culture, Health and Illness. Cecil G Helman. 4th Edition. ii. Social Determinants of Health by Michael Marmot and Richard G. Wilkinson. 2nd Edition. Academic Staff: 1 Dr. Loum Labongo Constantine 2 Dr. Akello Grace 3 Mr. Oboke Henry Course Name: HEALTH POLICY AND HEALTH SYSTEMS Course Code: MPH 1124 Level: 1 Credit Units: 3 Brief Course Description: This course is intended to introduce students to health policy and system. The course will cover aspect of different theories, concepts and approaches used in policy analysis. The course will also provide foundation for understanding the different methods of health care deliveries and how to evaluate them. 40 Course Objectives: a) To enable students critically analyses health policies and their applications to public health. b) To enable students learn appropriate health policy responses while working in the health policy arena at international, national and local levels. c) To enable students understand the structure, organization and functioning of health systems in developed and developing countries and vital role of well-functioning health systems in improving population health and achieving the Millennium Development Goals. Course Outcome: By the end of the course unit, trainee should be able to:1. Define health policy and health system. Examine the framework for policy analysis: content, context, actors in different health policy area; and define policy means. 2. Describe the different theories, concepts and approaches used in policy analysis. 3. Describe the overview of health care delivery systems in developed and developing countries and analyse the constitutional, economic and political environments within which health care systems and policies operate. 4. Examine the key features / models of policy process: policy identification, formulation, and implementation; stages and alternative processes. 5. Analyse the political system within which policies are made and the contextual factors that lead to policy change; the role of the state and markets. 6. Describe how to use the policy analysis framework in research and /or decision-making; examine current policy issues. State what a health system is; role and nature of a health system; the core components of health systems and their inter-relationships; and the functions of health systems. 41 7. Evaluate health care systems; the implications of different health care systems for promotion of health; improving access to service, equity, quality, and broader health outcomes. 8. List and describe the major theories and research approaches related to the understanding of health systems; key conceptual models, methods and approaches to health systems evaluation; health system performance measurements and indicators. 9. Describe the role of policy actors, and global influences on health systems; consequences of system change. Detailed Course Outline: (14 LH, 62 TH, 45 CH) Definition of health policy and health system. Examining the framework for policy analysis: content, context, actors in different health policy area; and define policy means. (1 LH, 4 TH, 3 CH) Describing the different theories, concepts and approaches used in policy analysis. (1 LH, 6 TH, 4 CH) Describing health care delivery systems in developed and developing countries and analysing the constitutional, economic and political environments within which health care systems and policies operate. (2 LH, 8 TH, 6 CH) Examining the key features / models of policy process: policy identification, formulation, and implementation; stages and alternative processes. (2 LH, 6 TH, 5 CH) Analysing the political system within which policies are made and the contextual factors that lead to policy change; the role of the state and markets. (1 LH, 6 TH, 4 CH) The use of policy analysis framework in research and /or decision-making; examine current policy issues. State what a health system is; role and nature of a health system; the core components of health systems and their inter-relationships; and the functions of health systems. (2 LH, 12 TH, 8 CH) Evaluation of health care systems; the implications of different health care systems for promotion of health; improving access to service, equity, quality, and broader health outcomes. (2 LH, 8 TH, 6 CH) 42 Major theories and research approaches related to the understanding of health systems; key conceptual models, methods and approaches to health systems evaluation; health system performance measurements and indicators. (2 LH, 8 TH, 6 CH) The role of policy actors, and global influences on health systems; consequences of system change. (1 LH, 4 TH, 3 CH) Teaching and Learning Strategy: Lectures, Seminars, tutorials, and Group discussions, Review of Case studies, self-directed learning. Progressive Assessment: Coursework / Assignments and test.. Final Examinations: Written examination. Learning materials 1. Health Systems Policy, Finance, and Organization. Edited by Guy Carrin Kent Buse Kristian Heggenhougen Stella R. Quah, Duke-NUS. Published: June 2009. ISBN: 9780-12-375087-7 2. Understanding Health Policy, Sixth Edition by Thomas Bodenheimer (Author), Kevin Grumbach. ISBN-13: 978-0071770521 3. Health Care Systems: Efficiency and Policy Settings. ISBN :9789264094901 (PDF) ; 9789264094895 (print). Forward by Pier Carlo Padoan Academic Staff: 1 Dr. Otto Emmanuel 2 Dr. Akera Peter, BDS, MHSM 3 Dr. Odong Patrick Olwedo 43 Course Name: ENVIRONMENTAL HEALTH AND OCCUPATIONAL HEALTH Course Code: MPH 1125 Level: 1 Credit Units: 4 Brief Course Description: The course enables the trainee to appreciate the importance of environmental and occupational health, environmental hazards and importance of environmental health management in addressing health hazards in the community. The course also will enable students to appreciate occupation safety so that an appropriate measure is put in place to protect workers from work related hazards. Course Objectives: a) To equip students with knowledge, assessment and control of environmental health problems. b) To enable students analyse hazards related to workplaces and develop practical problem-solving approaches to the problems. Course Outcome: By the end of the course unit, trainee should be able to:Environmental health 1. Define environment, health and states the links between health, environment and sustainable development; the importance of environmental health management in addressing health hazards in communities. 2. List and describe common environmental hazards that damage health, including: air and soil pollutions; water and sanitation; inadequate housing; and chemical hazards. 3. Describe the sources and impacts of air, water, soil and noise pollution arising from urban and regional developments. 4. Conduct environmental risk assessment using both qualitative and quantitative methods. Describe the use of scientific data in policy development and risk management. 5. Monitor all forms of pollution and describe procedures for effective pollution management; principles of environmental impact assessments and their integration with environmental planning and management. 44 6. Describe the design and treatment of water supply in developed and developing countries: wastewater management using traditional and advanced technologies. 7. Describe urban, rural and hazardous waste management; waste minimisation, elimination and recycling; state the laws governing waste storage, transport and disposal; environmental control. 8. List and describe the basic principles of toxicology; the applications of lethal and sublethal toxicology to chemicals in food, air, water and soil; and the assessment of risk to human health and the natural environment by exposure to chemical. 9. Describe the methods for investigating environmental hazards; health effects of air, water and land pollution; climate change; estimation of exposure; analysis of health and exposure data using Geographical Information Systems; disease clusters. 10. List and describe environmental issues in current public health practice; evaluation of global environmental and climatic changes in terms of health impacts and causes. 11. Carryout field demonstrations at water and wastewater treatment plants, solid waste dumps etc Occupational health 1. Define occupational health. Assess workplace hazards and risks. 2. List and describe the physical, social, psychological, biochemical environments at the workplace and their inter-relationship with the health of the workers. 3. States the principles of occupational safety. 4. Describe the job designs to fit the worker; consideration of the physiological, biomedical, psychological and anatomical characteristics of the worker in the development of good job design principles. 5. Investigate specific health problems resulting from the nature of the job itself: low back disorders, fatigue, cumulative trauma disorders, slips and falls, and human error. 45 Detailed Course Outline: (20 LH, 74 TH, 15 FH, 60 CH) Environmental health Definition of environment, health and the links between health, environment and sustainable development; the importance of environmental health management in addressing health hazards in communities. (1 LH, 6 TH, 4 CH) Common environmental hazards that damage health, including: air and soil pollutions; water and sanitation; inadequate housing; and chemical hazards. (2 LH, 8 TH, 6 CH) Describe the sources and impacts of air, water, soil and noise pollution arising from urban and regional developments. (1 LH, 4 TH, 3 CH) Environmental risk assessment using both qualitative and quantitative methods. Describe the use of scientific data in policy development and risk management. (1 LH, 4 TH, 3 CH) Monitoring of all forms of pollution and describing procedures for effective pollution management; principles of environmental impact assessments and their integration with environmental planning and management. (2 LH, 6 TH, 5 CH) Describing the design and treatment of water supply in developed and developing countries: wastewater management using traditional and advanced technologies. (1 LH, 6 TH, 4 CH) Describing the urban and rural hazardous waste management; waste minimisation, elimination and recycling; state the laws governing waste storage, transport and disposal; environmental control. Field demonstrations at water and wastewater treatment plants, solid waste dumps etc (2 LH, 6 TH, 15 FH, 8 CH) Listing and describing the basic principles of toxicology; the applications of lethal and sublethal toxicology to chemicals in food, air, water and soil; and the assessment of risk to human health and the natural environment by exposure to chemical. (2 LH, 8 TH, 6 CH) Describing the methods for investigating environmental hazards; health effects of air, water and land pollution; climate change; estimation of exposure; analysis of health and exposure data using Geographical Information Systems; disease clusters. (2 LH, 6 TH, 5 CH) Common environmental issues in current public health practice; evaluation of global environmental and climatic changes in terms of health impacts and causes. (1 LH, 2 TH, 2 CH) 46 Occupational health Definition of occupational health. Assessing workplace hazards and risks. (1 LH, 2 TH, 2 CH) Listing and describing the physical, social, psychological, biochemical environments at the workplace and their inter-relationship with the health of the workers. (1 LH, 6 TH, 4 CH) The principles of occupational safety. Describing the job designs to fit the worker; consideration biomedical, of the physiological, psychological and anatomical characteristics of the worker in the development of good job design principles. (2 LH, 4 TH, 4 CH) Investigating specific health problems resulting from the nature of the job itself: low back disorders, fatigue, cumulative trauma disorders, slips and falls, and human error. (1 LH, 6 TH, 4 CH) Teaching and Learning Strategy: Lectures, tutorials, seminars, field visits, case studies, selfdirected learning, group discussions. Progressive Assessment: Coursework / Assignments, field reports, tests Final Examinations: Written examination. Learning materials i. A handbook of Environmental Health, vol. 1. National Environmental Health association ii. Salvato (2003). Environmental Engineering. Published by John Wiley iii. Gerald K. Rukunga (2001). Environmental Health for East Africa iv. Stanhope Lancaster, 5th edition Community and Public Health Nursing v. C. H. Wood et al, 1997 Community Health, 2nd edition vi. Slote L. (1987). Handbook of occupational safety and health. New York, NY: John Wiley& sons Academic Staff: 1 Dr. Kaducu Felix, MBChB, MIH 2 Ms Atim Pamela, BEHS, MPH 47 3 Dr. Akera Peter, BDS, MHSM 4 Dr. Otto Emmanuel 5 Dr. Odong Patrick Olwedo Course Name: PUBLIC HEALTH NUTRITION Course Code: MPH 1126 Level: 1 Credit Units: 3 Brief Course Description: This course is intended to enable the trainee to appreciate the importance of nutrition, food and nutrition security in relation to nutrition policy and program. Also the course will enable the trainee to critically analyse global trends in food supply and dietary pattern and their impact on health. Course Objectives: To enable students understand major principles of nutritional science and their applications to the assessment and meeting the dietary and nutritional needs of individuals and populations. Course Outcome: By the end of the course unit, trainee should be able to:1 Define nutrition and nutritional epidemiology: Describe and conduct nutrition status assessment (dietary, clinical, anthropometric and biochemical assessment; List and describe determinants of nutritional status). 2 Describe nutrition policy and programme analysis (nutrition policy, strategies, formulation, implementation, evaluation; Uganda’s nutrition policies and action plans). 3 Describe global trends in food supply and dietary patterns, and their impact on health and nutrition of populations. 4 List and describe the factors that influence dietary patterns and food choices: social, cultural and economic determinants; genetic and epigenetic (infection and other environmental factors); determinants of nutritional needs. 48 5 Describe the development and use of dietary guideline and recommendations (The principles of setting, defining and meeting macro- and micro-nutrient requirements; Normal requirements for macro and micronutrients in the diet for individuals, groups and communities; Nutrient recommendations and interventions for optimal health and nutrition of populations groups) 6 Define food and nutrition security and state its impact on health (Methods for the assessment of food availability, accessibility, dietary intake, food quality and dietary patterns relevant to health and nutritional status) Detail Course Outline: (10 LH, 70 TH, 45 CH) Nutritional epidemiology: Nutrition status assessment (dietary, clinical, anthropometric and biochemical assessment; Determinants of nutritional status). (2 LH, 10 TH, 7 CH) Nutrition policy and programme analysis (nutrition policy, strategies, formulation, implementation, evaluation; Uganda’s nutrition policies and action plans). (1 LH, 10 TH, 6 CH) Global trends in food supply and dietary patterns, and their impact on health and nutrition of populations. (1 LH, 6 TH, 4 CH) Factors that influence dietary patterns and food choices: social, cultural and economic determinants; genetic and epigenetic (infection and other environmental factors); determinants of nutritional needs. (2 LH, 14 TH, 9 CH) Development and use of dietary guideline and recommendations (The principles of setting, defining and meeting macro- and micro-nutrient requirements; Normal requirements for macro and micronutrients in the diet for individuals, groups and communities; Nutrient recommendations and interventions for optimal health and nutrition of populations groups). (2 LH, 18 TH, 11 CH) Food and nutrition security and its impact on health (Methods for the assessment of food availability, accessibility, dietary intake, food quality and dietary patterns relevant to health and nutritional status). (2 LH, 12 TH, 8 CH) Teaching and Learning Strategy: Lectures, seminars, case studies, self-directed learning, group discussions. 49 Progressive Assessment: Coursework / Assignments and tests. Final Examinations: Written examinations. Learning materials i. The Principles of Nutritional Assessment. Rosalind S. Gibson. Oxford Univeristy Press ii. Benjamin Caballero (2002). “The Nutrition Transition: Diet and Disease in Developing World”, 1st edition. Academic press. iii. Public Health Nutrition by Michael J. Gibney et al (2004). Published by Wiley-Blackwell 1st edition iv. Nutrition and Health in Developing Countries by Richard D. Semba 2008. Humana press 2nd edition Academic Staff: 1 Dr. Kaducu Felix, MBChB, MIH 2 Ms AKello Bibiana 3 Mr. Wanyama Ronald 4 Mr. Nantamba Barnabas RECESS TERM Course Name: INTERNSHIP/FIELD ATTACHMENT Course Code: MPH 1131 Level: 1 Credit Units: 3 Brief Course Description: This course is intended to expose the trainee with how to practically manage health system. The trainee will be attached to institutions and places which are concern with public health services and at the end come up with a report which will be graded. 50 Course Objectives: 1. To expose students to practical operation and management of health system at the districts 2. To enable students apply research knowledge and skills in addressing public health problems. Course Outcome: By the end of the internship/field attachment period, students should have: List of activities where the trainee participated while in the field and duly signed by the respective field supervisors in that department. An acceptable prepared field report and/or studies conducted during that field period. The report(s) should be timely handed in for marking and grading. Detail Course Outline: (135 PH, 45 CH) These training takes place in the district field training sites where the officers are attached. During this field attachment, students work with the District Health Team (DHT) under close supervision and guidance of the District Health Officers (DHO). They practice the managerial concepts gained and participate in routine district activities as DHT members among which include health education and promotion, monitoring public safety in public places like market, school etc., environmental hygiene and sanitation, epidemiological investigation, health risk assessment, disease surveillance, inspecting water treatment plans, sewage treatment plans, abattoirs, solid waste dumping sites, factories and construction sites etc. . They are expected to fill in their log books for all the key activities / tasked performed while in the field and have them endorsed by the DHO / Field Supervisor. Progressive Assessment: The DHO’s report, the students’ log book, Final Examinations: Field report. 51 Course Name: RESEARCH PROPOSAL DEVELOPMENT (16 TH, 111 PH) Course Code: MPH 1132 Level: 1 Credit Units: 3 Brief Course Description: This course is intended to enable trainee to practically gain skills in research proposal writing to prepare them for conducting research and dissertation write up. Course Objective To enable students develop their research proposal to guide them in conducting research for their dissertation Course outcome: By the end of this course unit, trainee should have:Identified a research topic, presented before peers research concept, develop research proposal and defended the research topic before panel of graduate research committee. Assessment: Progressive assessment will be by group by participation in class activities Final assessment: Mark will be awarded after marking research proposal handed in. YEAR II SEMESTER I Course Name: EPIDEMIOLOGY II Course Code: MPH 2111 Level: 2 Credit Units: 5 Brief Course Description: This course will enable the trainee to design, conduct advance epidemiological study and analyse the data. Course Objectives: (a) To enable students understand, apply and interpret the results of advanced techniques for the design and analysis of epidemiological studies. 52 Course Outcome: By the end of the course unit, trainee should be able to:1. Design and interpret epidemiological studies. 2. Carryout control of extraneous factors, stratified analysis, matching, interaction, effect modification, synergism; modelling and life table analysis. 3. Perform analysis of case-control studies data. 4. Perform analysis of cohort study data and survival analysis. 5. Perform stratification of data. Perform analysis using Poisson regression and Cox regression. 6. Perform analysis of correlated data. Perform random effects models. Create generalised estimating equations. 7. Design and analyse cluster-randomized trials. 8. Define and calculate attributable fractions. Carryout meta-analysis and systematic reviews 9. Review, interpretation and critique the statistical methodology presented in published epidemiological papers. Detail Course Outline: (10 LH, 66 TH, 96 PH, 75 CH) Designing and interpretation of epidemiological studies. (1 LH, 2TH, 2 CH) Control of extraneous factors, stratified analysis, matching, interaction, effect modification, Synergism; Modelling and Life table analysis. (2 LH, 12 TH, 15 PH, 13 CH) Regression methods for analysis of case-control studies. Unconditional and conditional logistic regression. Advanced design issues in case-control studies. (1 LH, 6 TH, 15 PH, 9 CH) Regression methods for cohort studies and survival analysis. (1 LH, 6TH, 15 PH, 9 CH) Analysis of stratified and matched data. Poisson regression. Cox regression. Further issues in the analysis of cohort studies. (1 LH, 8 TH, 15 PH, 10 CH) Analysis of correlated data. Random effect models. Generalised estimating equations. Design and analysis of cluster-randomized trials. (1 LH, 10 TH, 15 PH, 11 CH) Attributable fractions. Additive and multiplicative models. Analysis of quantitative data. Meta-analysis and systematic reviews. (2 LH, 10 TH, 21 PH, 14 CH) 53 Critical review, interpretation and critiquing the statistical methodology presented in published epidemiological papers. (1 LH, 12 TH, 7 CH) Teaching and Learning Strategy: Lectures, practice exercise, seminars, case studies, group sessions / discussions. Progressive Assessment: Coursework Assignments and tests. Final Examinations: Written examinations. Learning materials i. Leon Gordis. Epidemiology ii. Moyses Szklo, Javier Nieto (2007): Epidemiology beyond the basics, 2 nd edition iii. Kenneth J. Rothman, Sander Greenland (1998); “Modern Epidemiology” 2 nd edition. Published by Lippincott-Raven publishers, Philadelphia, PA iv. Charles H. Hennekens, Julie E. Buring. Epidemiology in Medicine, First Edition Academic Staff: 1 Dr. Kaducu Felix, MBChB, MIH 2 Mr. Obol James Henry, BLT, PGD-PPM & MSc. CEB 3 Dr. Ochola Emmanuel, MBChB, MSc.CEB Course Name: BIOSTATISTICS II Course Code: MPH 2112 Level: 2 Credit Units: 5 Brief Course Description: This course is intended to provide trainee with advance knowledge and skills in data analysis and interpretation. Trainee will be expose to the use of statistical software like stata and SPSS for data analysis. 54 Course Objectives: (a) To enable students acquire advance knowledge and skills in analysis and interpretation of data. Course Outcome: By the end of the course unit, trainee should be able to:1. Carryout analysis and interpretation of data such as analysis of variance, correlation and linear regression analysis and survival analysis 2. Create non-linear models: fractional polynomials, methods for model choice and assess model fit. 3. Conduct analysis of categorical data: models for interval and unordered categorical data, the proportional odds and multinomial regression models. 4. Analyse longitudinal data: Likelihood based hierarchical models for continuous and discrete data. Quasi-likelihood, robust standard errors and generalised estimating equations. Conduct analysis of data with missing data. 5. Use methods for data analysis like linear regression and multivariable and provide correct interpretation of results for the statistical analyses. 6. Use advanced features of statistical computer packages; practical application of statistical skills to real data sets and the rational interpretation of results, especially results generated by statistical packages. Detail Course Outline: (16 LH, 44 TH, 111 PH, 75 CH) Analysis and interpretation of data such as analysis of variance, correlation and linear regression analysis and survival analysis using Stata and SPSS. (2 LH, 8 TH, 18 PH, 12 CH) Non-linear models: fractional polynomials, methods for model choice and assessing model fit. (2 LH, 4 TH, 15 PH, 9 CH) Categorical data: models for interval and unordered categorical data, the proportional odds and multinomial regression models. (2 LH, 6 TH, 15 PH, 10 CH) Longitudinal data analysis: Likelihood based hierarchical models for continuous and discrete data. Quasi-likelihood, robust standard errors and generalised estimating equations. Elements of missing data. (2 LH, 8 TH, 18 PH, 12 CH) 55 Selection of an appropriate statistical method for data analysis: Logistics and Linear Regression Analysis; Multivariable Analysis. Correct interpretation of results of statistical analyses. (6 LH, 10 TH, 24 PH, 19 CH) Use of advanced features of statistical computer packages; practical application of statistical skills to real data sets and the rational interpretation of results, especially results generated by statistical packages. (2 LH, 8 TH, 21 PH, 13 CH) Teaching and Learning Strategy: Lectures, group discussion, tutorial and practical session using computer software like SPSS, Stata. Progressive Assessment: Coursework Assignments, Exercise and tests. Final Examinations: Written examinations. Learning materials i. Bernard Rosmer (1990). Fundamentals of Biostatistics, 3rd edition. Boston Massaachusetts publiching company ii. Kleinbaum D.G et al (1998). Applied Regression Analysis and other Multivariable methods, 3rd edition. iii. Alan Agresti (1996). An introduction to categorical data analysis iv. Kleinbaum G.D (1994). Logistic Regression Analysis; A self-Learning Text v. Kleinbaum G.D and Michael Klein (1994). “Survival Analysis: A Self-Learning Text Academic Staff: 1 Dr. Kaducu Felix, MBChB, MIH 2 Mr. Obol James Henry, BLT, PGD-PPM & MSc. CEB 3 Prof. Odida Michael, MBChB, MMed. Pathology & PhD 4 Dr. Ochola Emmanuel, MBChB, MSc.CEB 56 Course Name: Maternal and Child Health Course Code: MPH 2113 Level: 1 Credit Units: 3 Brief Course Description: This course is intended to provide trainee with knowledge and skills to initiate and manage programs which address maternal and child health. The course will enable trainee to critically analyse maternal and child health problem in Uganda and compare with those from develop countries. Course Objectives: To provide trainee with knowledge and skills on maternal and child health and the determinants of health in these groups. Course Outcome: By the end of the course unit, trainee should be able to:1. Define and describe measure of maternal and child health indicators 2. Describe the epidemiology of maternal and childhood diseases in developing and developed countries 3. Monitor and describe child growth and development 4. Describe the essential component of neonatal health package 5. Design healthcare for orphans and vulnerable children 6. Describe and design program to address child abuse and children’s rights 7. Measure child morbidity and mortality 8. Define and describe safe motherhood: neonatal care, essential obstetric care and postnatal care 9. Measure maternal morbidity and mortality 10. Describe and identify gaps in maternal and child health programmes and services 11. Define and describe the determinants of maternal and child health 12. Describe adolescent sexual and reproductive health 57 Detail Course Outline: (15 LH, 60 TH, 45 CH) Definition and measurements of maternal and child health indicators. (1 LH, 4 TH, 3 CH) Epidemiology of maternal and childhood diseases in developing and developed countries. (1 LH, 6 TH, 4 CH) Child growth and development. (1 LH, 4 TH, 3 CH) Neonatal health. (1 LH, 4 TH, 3 CH) Orphans and vulnerable children, their health needs, policy and programmes and services to improve their health. (1 LH, 8 TH, 5 CH) Child abuse and children’s rights. (1 LH, 4 TH, 3 CH) Child morbidity and mortality causes, prevention/controls. (2 LH, 6 TH, 5 CH) Safe motherhood: neonatal care, essential obstetric care and postnatal care. (2 LH, 6 TH, 5 CH) Maternal morbidity and mortality causes, prevention/control. (2 LH, 6 TH, 5 CH) Maternal and child health programmes and services. (1 LH, 4 TH, 3 CH) Determinants of maternal and child health. (1 LH, 2 TH, 2 CH) Adolescent sexual and reproductive health. (1 LH, 6 TH, 4 CH) Teaching and Learning Strategy: Lectures, tutorial, case studies, group discussion and seminar. Progressive Assessment: Test, course work assignments Final Examinations: Written examination. Learning materials i. MoH, Uganda (2008). Situation analysis of newborn health in Uganda ii. Ehiri John (2010). Maternal and child health. Global challenges, programs and policies. iii. Jonathan Kotch (2005). Maternal and Child Health; Programs, problems and Policy in Public Health iv. Morewitz Stephen J (2004). Domestic Violence and maternal and child health 58 Academic Staff: 1. Sr. Dr. Vincentina Achora, MBChB, M.Med. Obs & Gyn 2. Dr. Awor Sylvia, MBChB, M.Med. Obs & Gyn 3. Dr. Odongkara Beatrice, MBChB, M.Med. Paed 4. Dr. Bongomin Bod, MBChB, M.Med. Paed, MPH 5. Dr. Moriko Joyce, MBChB, M.Med. Paed 6. Dr. Aliku Twalib Olega, MBChB, M.Med. Paed. 7. Dr. Kaducu Felix Ocaka, MBChB, MIH Course Name: HEALTH CARE PLANNING AND MANAGEMENT Course Code: MPH 2114 Level: 1 Credit Units: 3 Brief Course Description: This course is intended to provide trainee with the knowledge and skills to carryout health care planning and management. Course Objectives: (a) To enable students appreciate health services development and acquire skills and knowledge for the effective management of health services nationally and internationally. Course Outcome: By the end of the course unit, trainee should be able to:1. Define health care planning and management. List and describe basic functions of health services and reasons why services have developed in the way they have evolved. 2. Describe the inputs, processes and outcomes of health services. 3. Analyse disease patterns; design and assess interventions; and evaluate the patterns of service provision and utilization. 59 4. Appreciate how the disciplines of epidemiology, health economics, management; and sociology apply and contribute to the different aspects of health services management and functions. 5. Analyse main problems in providing health services; suggest innovative approaches to resolving them; and critically examine responses to challenges of health services management in different countries. 6. Explain the difference between Strategic and Operational planning; an overview of the “Project cycle” approach to management and the steps involved. 7. Provide Management of Human Resources for Health; Leadership and managerial styles for successful human resource management; training and motivating health workers; conflict resolution and foster organizational change. 8. Describe Health Information Systems, design and manage; information systems from the perspectives of health care providers, payers, and consumers. 9. Analyse the integration of fundamental management concepts and the utilisation of information technology in health care: computerised patient records, repository databases, clinical decision support systems, and interactive multimedia communications. Detail Course Outline: (14 LH, 62 TH, 45 CH) Definition of health care planning and management. Basic functions of health services and reasons why services have developed in the way they have evolved. (2 LH, 4 TH, 4 CH) Inputs, processes and outcomes of health services. (1 LH, 4 TH, 3 CH) Analysis of disease patterns; design and assessment of interventions; evaluating the patterns of service provision and utilization. (1 LH, 8 TH, 5 CH) Relating how the disciplines of epidemiology, health economics, management; and sociology contribute to the different aspects of health services management and functions. (2 LH, 6 TH, 5 CH) Analysing main problems in providing health services; suggest innovative approaches to resolving them; and critically examine responses to challenges of health services management in different countries. (2 LH, 8 TH, 6 CH) 60 Explaining the difference between Strategic and Operational planning; an overview of the “Project cycle” approach to management and the steps involved. (1 LH, 6 TH, 4 CH) Management of Human Resources for Health; Leadership and managerial styles for successful human resource management; training and motivating health workers; conflict resolution and foster organizational change. (2 LH, 10 TH, 7 CH Health Information Systems, design and management; information systems from the perspectives of health care providers, payers, and consumers. (1 LH, 6 TH, 4 CH) Integration of fundamental management concepts and the utilisation of information technology in health care: computerised patient records, repository databases, clinical decision support systems, and interactive multimedia communications. (2 LH, 10 TH, 7 CH) Teaching and Learning Strategy: Lectures, self-directed learning, case studies, group work, discussions and tutorials. Progressive Assessment: Coursework / Assignments, tests. Final Examinations: Written examination. Learning materials i. Introduction to Health Planning in Developing Countries by Andrew Green, Oxford University Press ii. Manual of District Health Management for Uganda. Bukenya G.B et al. Fithian Press iii. Mckenkie J.E and Smeltzer JL (1997): Planning, implementing and evaluating health promotion programs, Neeham heights, Allyn and Bacon iv. Health Planning for Effective Management, William Reinke (1988). Oxford University press Academic Staff: Dr. Akera Peter, BDS, MHSM Dr. Otto Emmanuel Dr. Odong Patrick Olwedo 61 Course Name: HEALTH ECONOMICS Course Code: MPH 2113 Level: 1 Credit Units: 3 Brief Course Description: Course Objectives: (a) To equip students with basic theories, concepts and principles of economics and their applications to address economic aspects of health care. Course Outcome: By the end of the course unit, trainee should be able to:1. Define health economics. State and describe key economic concepts of making choices within scarce resources; efficiency, equity, elasticity of demand, marginal analysis and opportunity cost. 2. Apply the economic concepts to health care: planning, financing and delivery of health services. 3. Analyse key determinants of demand, supply and costs of production. 4. Describe the basic market model and situations under which normal markets and insurance markets work; examine government and market failures / limitations in the financing and organization of health care. 5. Examine public and private health care financing and their impact upon the market for health care services nationally and internationally. 6. List and describe health financing methods, including community financing, social insurance, user’s fees, privatisation, and efficiency improvement. Analysis of economic considerations in alternative approaches to financing, including equity, efficiency, and stability. 7. Analyse the link between stages of national development and health care financing. 8. Describe the principles of economic evaluation as applied to heath care. 62 Detail Course Outline: (12 LH, 66 TH, 45 CH) Definition of health economics. Key economic concepts of making choices within scarce resources; efficiency, equity, elasticity of demand, marginal analysis and opportunity cost. (2 LH, 10 TH, 7 CH) Application of economic concepts to health care: planning, financing and delivery of health services. (2 LH, 10 TH, 7 CH) Analysis of key determinants of demand, supply and costs of production. (1 LH, 6 TH, 4 CH) Market model and situations under which normal markets and insurance markets work; examine government and market failures / limitations in the financing and organization of health care. (2 LH, 10 TH, 7 CH) Public and private health care financing and their impact upon the market for health care services nationally and internationally. (1 LH, 8 TH, 5 CH) Health financing methods, including community financing, social insurance, user’s fees, privatisation, and efficiency improvement. Analysis of economic considerations in alternative approaches to financing, including equity, efficiency, and stability. (2 LH, 12 TH, 8 CH) Analysing the link between stages of national development and health care financing. (1 LH, 4 TH, 3 CH) Principles of economic evaluation as applied to heath care. (1 LH, 6 TH, 4 CH) Teaching and Learning Strategy: Lectures, self-directed learning, group discussions, tutorials. Progressive Assessment: Coursework Assignments and tests Final Examinations: Written examinations Learning materials i. Health and Economic development 1976. Value for money in Health services ii. Abel-Smith, Brian: Economics and Health policy, An overview iii. Cumper George. “Economic Development, Health services and Health. The Economics of Health in Developing Countries 63 iv. Dahlgren Goran. “Economic Analyses of health development”. Health Economics 1993 Financing Health Care in Sub-saharan Africa through User Fees and Insurance. R. Paul Shaw and Charles C. Griffin. The World Bank Washington D.C Academic Staff: 1. Dr. Akera Peter, BDS, MHSM 2. Dr. Otto Emmanuel 3. Dr. Odong Patrick Olwedo 4. Mr. Obol James Henry, BLT, PGD-PPM, MSc.CEB YEAR II SEMESTER II Course Name: PUBLIC HEALTH AND CONFLICT Course Code: MPH 2121 Level: 1 Credit Units: 3 Brief Course Description: This course takes the students through conflict, disaster and their impact on public health. Forecasting and preventing conflict will also be covered as well as public health emergency response during conflict and disaster. Course Objectives: a) To equip students with knowledge and skills to design appropriate public health strategies as a responses to address public health problems created as a result of conflict and disaster b) To enable students analyses impact of disasters and conflict on the community health Course Outcome: By the end of the course unit, trainees should be able to: 1 Define conflict and disaster. Linking disasters, conflict and public health. 64 2 Assess the public health impact of disasters and conflict. Direct and indirect methods of measuring mortality from conflict. 3 Describe non-fatal outcomes of disaster and conflict. 4 Estimate the burden of disaster and conflict on public health. 5 Use appropriate methods for quantifying health effects of conflict/disaster. Theoretical framework for assessing longer-term effects of civil war on public health e.g. The extent to which populations are exposed to conditions that increase the risk of death, disease, injury and disability, The financial and human resources available for addressing the health needs of populations, The level of resources actually allocated to health needs by the private and public sectors, The degree to which resources allocated to health are efficiently utilized. 6 Analyse conflict and monitor human rights during conflict and disaster. 7 Forecast and prevent conflict/disaster. 8 Describe evolving norms and practice guidelines for public health response 9 Use epidemiologic methods in crises e.g. understanding the causes and conditions of displacement, the civilian impacts of munitions and military tactics, conflict-related morbidity, conflict-related mental health, the extent and scope of human rights abuses and post-conflict conditions. 10 Describe the limits of population-based surveys and need for collaboration. 11 Design appropriate public health strategies to respond to public health needs created by conflict and disaster Detail Course Outline: (14, 62 TH, 45 CH) Definition of conflict and disaster. Linking disasters, conflict and public health. (1 LH, 2 TH, 2 CH) Assessing the public health impact of disasters and conflict. Direct and indirect methods of measuring mortality from conflict. (1 LH, 4 TH, 3 CH) Non-fatal outcomes of disaster and conflict. (1 LH, 2 TH, 2 CH) Estimating the burden of disaster and conflict on public health. (1 LH, 4 TH, 3 CH) Methods of quantifying health effects. Theoretical framework for assessing longer-term effects of civil war on public health e.g. The extent to which populations are exposed 65 to conditions that increase the risk of death, disease, injury and disability; The financial and human resources available for addressing the health needs of populations; The level of resources actually allocated to health needs by the private and public sectors; The degree to which resources allocated to health are efficiently utilized. (2 LH, 14 TH, 9 CH) Conflict analysis and human rights monitoring. (1 LH, 4 TH, 3 CH) Forecasting and preventing conflict. (1 LH, 4 TH, 3 CH) Evolving norms and practice guidelines for public health response during disaster/conflict (1 LH, 4 TH, 3 CH) The use of epidemiologic methods in crises e.g. understanding the causes and conditions of displacement, the impacts of munitions and military tactics on civilian, conflict-related morbidity, conflict-related mental health, the extent and scope of human rights abuses and post-conflict conditions. (2 LH, 14 TH, 9 CH) The limits of population-based surveys during disaster/conflict and need for collaboration. (1 LH, 4 TH, 3 CH) Design appropriate public health strategies to respond to public health needs created by conflict and disaster (2 LH, 6 TH, 5 CH) Teaching and Learning Strategy: Lectures, self-directed learning, group discussions, tutorials. Progressive Assessment: Coursework Assignments and tests Final Examinations: Written examinations Reading list: 1. C J L Murray,G King,A D Lopez, N Tomijima, E G Krug. Armed conflict as a public health problem. BMJ VOLUME 324 9 FEBRUARY 2002 2. Hazem Adam Ghobarah, Paul Huth, Bruce Russett. The post-war public health effects of civil conflict. Social Science & Medicine 59 (2004) 869–884 3. Oskar NT Thoms and James Ron. Public health, conflict and human rights: toward a collaborative research agenda. Conflict and Health 2007, 1:11 4. Jennifer Leaning and Debarati Guha-Sapir. Natural Disasters, Armed Conflict,and Public Health. N Engl J Med 2013;369:1836-42. 66 Academic Staff: 1. Prof. Emilio Ovuga, PhD 2. Dr. Felix Kaducu, MBChB, MPH 3. Mr. Obol James Henry, BLT, PGD-PPM, MSc. CEB 4. Dr. Peter Akera, BDS, MHSM 5. Dr. Loum Labongo Constantine PhD Course Name: Monitoring and Evaluation Course Code: MPH 2122 Level: 1 Credit Units: 3 Brief Course Description: This course will enable trainee to understand the importance of monitoring and evaluation in health care services provision. It will also provide trainee with knowledge and skills to become an independent monitoring and evaluation specialist. Course Objectives: (a) To introduce students to concepts in monitoring and evaluation in health services provision. Course Outcome: By the end of the course unit, trainee should be able to:1. Define Monitoring and Evaluation and state the difference between the two. State reasons for conducting monitoring and evaluation. 2. Describe types of evaluation: Formative, midterm, summative. The systems model (Input, process, output, outcomes and impact 3. List the types and characteristics of indicators used in monitoring and evaluation. Characteristics of good indicators in program management 4. Describe the logical framework, Gant charts and work plan 5. Describe types of evaluation teams (internal, external, mixed), advantages/ disadvantages 6. List and describe the methods and steps in conducting monitoring and evaluation 67 7. Describe the sources of data for monitoring and evaluation with their advantages and disadvantages Detail Course Outline: (14 LH, 62 TH, 45 CH) Definition of Monitoring and Evaluation. Difference between monitoring and evaluation. Reasons for conducting monitoring and evaluation. (2 LH, 6 TH, 5 CH) Types of Evaluation: Formative, midterm, summative. The systems model (Input, process, output, outcomes and impact. (2 LH, 12 TH, 8 CH) Indicators: Types of indicators, use and characteristics of good indicators in program management. (2 LH, 10 TH, 7 CH) Logical framework, Gant charts and work plan. (2 LH, 8 TH, 6 CH) Evaluation teams (internal, external, mixed), advantages/ disadvantages (2 LH, 10 TH, 7 CH) Methods and steps in conducting monitoring and evaluation. (2 LH, 8 TH, 6 CH) Sources of data for monitoring and evaluation, advantages and disadvantages. (2 LH, 8 TH, 6 CH) Teaching and Learning Strategy: Lectures, self-directed learning, case studies, group work, discussions, and tutorials. Progressive Assessment: Coursework / Assignments, tests. Final Examinations: Written examination. Learning materials i. Participatory learning and action with 100 Field methods, 2002 by Neela Mukherjee ii. A handbook on using Participatory Monitoring and Learning Tools, 2008 by G. Jayanthi, Janet Geddes Academic Staff: 1. Dr. Kaducu Felix, MBChB, MIH 2. Ms Atim Pamela, BEHS, MPH 68 3. Dr. Akera Peter, BDS, MHSM 4. Mr. Obol James Henry, BLT, PGD-PPM & MSc. CEB Course Name: Health Ethics and Law Course Code: MPH 2123 Level: 1 Credit Units: 3 Brief Course Description: This course is intended to make trainee become aware of ethics in their profession and how ethics relate with criminal laws. Course Objectives: (a) To enable students appreciate the ethical, human rights and legal issues and their implications in public health practice and research. Course Outcome: By the end of the course unit, trainee should be able to:1. Define ethics. State the cardinal rules that governed biomedical research. Describe theories of ethics. Describe public health legislations. 2. Describe workplace health and safety legislation 3. Examine criminal law and the health care professions; complaints and litigation against hospitals and health care professionals 4. Describe moral theory, healthcare ethics and human rights 5. Assess the relevance of ethical & moral theory and human rights in core areas of public health: public health research, HIV/AIDS, transplantation of organs and tissues, genetics, health care sustainability and development, resource allocation and health & human rights. 6. Describe Bio-ethics and human rights in public health practice; individual rights and the public good; Medical records and confidentiality; ethics and screening programmes. 69 Detail Course Outline: (11 LH, 68 TH, 45 CH) Definition of ethics. Cardinal rules that governed biomedical research. Theories of ethics. Public health legislations. (2 LH, 10 TH, 7 CH) Workplace health and safety legislation. (1 LH, 4 TH, 3 CH) Criminal law and the health care professions; complaints and litigation against hospitals and health care professionals. (2 LH, 14 TH, 9 CH) Moral theory, healthcare ethics and human rights. (2 LH, 8 TH, 6 CH) Assessing the relevance of ethical & moral theory and human rights in core areas of public health: public health research, HIV/AIDS, transplantation of organs and tissues, genetics, health care sustainability and development, resource allocation and health & human rights. (2 LH, 18 TH, 11 CH) Bio-ethics and human rights in public health practice; individual rights and the public good; Medical records and confidentiality; ethics and screening programmes. (2 LH, 14 TH, 9 CH) Teaching and Learning Strategy: Lectures, seminars, case studies, group discussions, reading sessions. Progressive Assessment: Coursework Assignments and tests. Final Examinations: Written examinations. Learning materials i. Distributing Health Care; Economic and ethical issues. Paul Dolan and John Abel Olse. Oxford Medical Publications. Academic Staff: Dr. Felix Kaducu, MBChB, MPH Mr. Obol James Henry, BLT, PGD-PPM, MSc. CEB Dr. Peter Akera, BDS, MHSM 70 Course Name: DISSERTATION (20 TH, 175 FH, 90 PH, 75 CH) Course Code: MPH 2125 Level: 1 Credit Units: 5 Brief Course Description: This course is intended to enable the trainee to gain practical skills in conducting original independent research work with the guide of supervisor(s) and communicate the findings in a logical manner that can influence policy or improve health of those at risk. Course Objective: To enable students gain skills in conducting research and communicating the findings in a dissertation. Course Outcome: By the end of this course unit, trainee should be able to: Collect data Create data base Enter data into the database created Clean the database and export data for analysis Analyse the data Present results in an appropriate format Interpret the results by writing dissertation. Progressive Assessment: Class presentation of findings and discussion, recommendation and conclusion. Participation during class presentation. Final Assessment: The dissertation will be reviewed and assessed by internal and external examiners. Dissertation that does not meet academic standard will not be defended before a panel of experts. Decision of external examiner will be the final position to be taken in regards to students dissertation mark. 71 Research Dissertation Examiner’s Assessment Guide Name of Examiner: Date of Submission: Date of Marking: Name of Candidate: Dissertation topic: Element Marks Marks Comment SubAwar total ded Title Should be short and clear 02 Table of Contents 02 Abstract Should be short and concise but capture the following areas: Background, study aim, methods, results, conclusion(s) and recommendations. 05 Background Should reveal the academic and scientific basis of research 05 Problem Statement Should be clear, showing the nature and the 05 extent of the problem and how it can be addressed. Justification Should answers the following questions: Why is your study important? To whom is it important? What benefit(s) will occur if your study 03 is done? Hypothesis 02 Research Questions 02 Should reveal the variables of interest to the study. Objectives Should be stated clearly and should be achieved. 02 Conceptual framework Should diagrammatically be self explanatory for the flow of the concepts. 02 Literature Review Should be relevant, capturing the major themes of interest to the study. 15 72 Methodology Area of study should be described but attention paid to those aspects relevant to the study. Should clearly indicate the research and sample design, justification for 15 each design used should be clearly stated. Methods of data collection and analysis should be relevant to the problem and should fit the design employed. Plan for analysis, ethical consideration and plan for dissemination. Results Every table, graph and chart must 10 have a heading. Graphs and charts are labeled as figures and the labeling appear at the bottom of the charts or graphs Avoid describing the results in this section and present the results the way they are Discussion of Research findings. Findings should be presented and discussed logically. Attention should therefore be paid to 15 the objectives of the study. Conclusion(S) and Recommendations Conclusion(S) should be based on the researcher’s opinion in respect to the observed patterns of events and existing literature. Recommendations should be 10 appropriate and attainable. References Should be completed and reflective of what the candidate has read, also revealed by the text in the Background 05 and Literature Review. Total 100% Examiner Name: …………………………………………………………………………….. Signature:………………………………………………………………………….. Date: ……………………………………………………………………………… 73