The course descriptions below are correct to the best of our knowledge as of April 2016. Instructors reserve the right to update and/or otherwise alter course descriptions as necessary after publication. The listing of a course description here does not guarantee a course’s being offered in a particular semester. The Course Rotation Guide lists the expected semester a course will be taught. Please refer to the published schedule of classes for confirmation a class is actually being taught and for specific course meeting dates and times. In addition to the courses listed in the Bulletin and courses approved after April 1, SPH degree candidates may register for a directed (independent) study with a full-time SPH faculty member. For more information, speak with your faculty advisor or a staff member in the SPH Registrar’s office.
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SPH GH 708: Philippines Program/Classroom and Health Financing Study Tour
Graduate Prerequisites: MPH cores courses in Biostatistics, Epidemiology and Social and Behavioral Sciences AND GH703 OR GH704
The Program in Global Health Practice (PIHP) in the Philippines is an intensive, twelve week field experience. To meet the requirements of SPH IH708, students attend a Parasitology Course at the University of the Philippines College of Public Health, comprised of field trips to participate in research projects and learn about schistosomiasis and malaria control programs in the Philippines. Students also participate in a study tour to gain a practical understanding of community health financing alternatives by exposure to actual community financing programs in the Philippines. Students learn how poor communities pool their resources to pay for medical care. IH708 must be taken together with SPH IH709. IH709 is the internship portion of the Philippines Program.
SPH GH 709: Program for Global Health Practice in the Philippines/internship
Graduate Prerequisites: MPH cores courses in Biostatistics, Epidemiology and Social and Behavioral Sciences AND GH703 OR GH704
The Program in Global Health Practice (PIHP) in the Philippines is an intensive, twelve week field experience. Students complete a classroom and research portion of the program in SPH IH708. In IH709, students meet the MPH degree practicum requirement through a placement in an international, national, or local public health agency. The Philippines Program plus two skills based professional development seminars done separately from the Philippines Program meets the MPH degree practicum requirement.
SPH GH 715: Antiretroviral Program Management and Adherence Issues in Low Resource Settings
Graduate Prerequisites: For advanced MPH students who have completed > 16 credits
Successful HIV/AIDS treatment programs rely on consistent, uninterrupted supplies of antiretrovirals (ARVs), appropriate ARV prescribing, retention of patients in treatment programs, and a high level of adherence by patients. Ineffective ARV management can lead to treatment failures, ARV resistance, and insufficient program uptake. This course provides students with practical knowledge and skills to manage challenges in the areas of ARV selection, pricing, quality, and program monitoring and evaluation. Guest lecturers with relevant expertise will be invited to speak on several specific topics. One session will be devoted to a field visit to an adherence clinic to learn directly about the ARV program management issues faced by practitioners and patients.
SPH GH 720: Social and Behavioral Sciences in Global Health
Public health professionals know what behaviors contribute to health; however, they know less about why people fail to adopt healthy practices. This course is based on the premise that the more we understand about why people behave the way they do, the more successful we will be as we develop and implement programs and policies designed to improve health. This course uses psychology, sociology and anthropology to improve our understanding of the determinants of health behavior and will provide an introduction to a variety of health behavior theories and basic qualitative research methods. Our intent is to develop practical strategies for understanding the social and behavioral foundations of public health, enabling us to plan effective interventions. Working individually and in groups, students will use conceptual frameworks such as BEHAVE to help identify a public health problem, select a target audience, conduct basic qualitative research to determine facilitators and barriers to engaging in a given practice, and propose several behavior change and communications (BCC) strategies based on an assessment of the situation. GH720 meets the MPH core course requirement in social and behavioral sciences for Global Health concentrators and international, nonresident students who are not SB concentrators. Students may not take both GH720 and SB721 for MPH degree credit.
SPH GH 722: Supply Chain Management for Improved Health System Performance
Graduate Prerequisites: Student must have completed > 16 credits in program
Supply chain logistics is an important aspect of public health programs, and an area that is often unappreciated. The journey from manufacturer to a patient in a remote rural village in Africa is complicated and fascinating serious management challenge. This course provides a practical introduction to the core tenets of health commodity supply chain management (SCM), including system design, assessment, quantification, procurement, inventory management, and logistics management information systems. Using the "Access Framework," students will gain foundational knowledge and apply that knowledge in class exercises, discussions, case studies, and stakeholder interactions. Course assignments will have a strong experiential component with a focus on professional level communications and analytical skills.
SPH GH 735: Gender, Sexuality, Power, and Inequity in Global Health
Graduate Prerequisites: The MPH core course requirement in Social and Behavioral Sciences; may take the classes concurrently.
This course explores the socio-cultural, economic and political contexts in which people live their lives and how these, and local and large-scale forces of structural violence (inequity, marginalization and gender discrimination) impact health and development. Course readings and discussions examine how these forces constitute immediate and fundamental risk factors and must therefore be considered and addressed as part of any effort to improve public health. Course format: seminar with topics introduced by professor and guest lecturers.
SPH GH 741: Global Health Consultation Techniques
This course will prepare students for consulting and technical assistance assignments in developing countries. Students learn to analyze the pros and cons of potential consulting assignments and prepare proposals. The potential conflicts between donors/sponsors and the agency receiving the consulting services will be considered. Assignments considered include financial analysis, operational improvements, training and program evaluation. Cross cultural issues and the problems of operating in remote areas are discussed. This course is for foreign nationals returning to their own countries and US citizens/residents who will seek international assignments with USAID contractors or NGOs. During this intensive one week course, students prepare a proposal in response to an actual RFP (Request for Proposal) as well as a presentation summarizing findings of a major consulting or research assignment.
SPH GH 743: Implementing Health Programs in Developing Countries: Making Programs Work
Graduate Prerequisites: For advanced MPH students (>16 credits completed). Recommend completion of GH704 or GH744 prior to taking GH743.
As professionals working in low and middle income countries, we often end up running programs we did not design, which are under-financed, and which face enormous implementation challenges. In this course, students will work with a specifically identified health program that is currently being implemented and conduct systems analyses, undertake problem solving exercises, and propose solutions to real implementation challenges in the field. Ultimately they will be able to prioritize the interventions necessary to effectively run a complex health program in such diverse situations as urban slums and dispersed rural areas in developing countries and be prepared to plan the actions to effectively run those programs. This course is directed towards students in the health management emphasis area and is not suitable for students in their first semester of studies. Students who will particularly benefit from this course are foreign nationals returning to their own countries and U.S.citizens or residents who will provide technical assistance through NGOs or other agencies to implement existing health programs.
SPH GH 744: Program Design for Global Health
Graduate Prerequisites: Pre-reqs: the MPH epidemiology and biostatistics core courses. Students cannot take both GH744 and GH887.
Developing a structured approach to program design is an important skill for public health professionals. IH744 provides an opportunity to learn and apply the key steps of program design. The course invites students to work with an international non-governmental organization to design a public health program. The non-governmental organization will orient student consultant teams with a scope of work that will contain guidelines for developing a program for the organization and identifying prospective donors for funding. To complete the scope of work, each team will identify and describe a relevant public health problem and apply evidenced based solutions to address the problem(s). Course work will also sharpen the knowledge and the skills required for working effectively in a team and students will learn to reflect on individual and team performance. Students will be introduced to e-portfolio and will use it to document their knowledge and skills in program design.
SPH GH 745: Monitoring and Evaluation of Global Health Programs
Graduate Prerequisites: The MPH biostatistics and epidemiology core course requirements. Students should have completed 30 credits or more in the MPH program.
here is consensus within the global public health community that inadequate project monitoring and evaluation (M&E) represents a major constraint in programmatic efforts to address the problems we face. The absence of sound M&E processes in large numbers of public health projects, despite continued evidence of their value in assessing and improving project performance, suggests that many project planners and managers may not yet have the necessary skills or understanding to develop and operate such systems. This course is designed to help address this need. This course provides a detailed analysis of program monitoring and evaluation with an emphasis on public health and nutrition-related projects. By reading relevant literature and using case studies, students will gain an understanding of the language and tools of program evaluation. The course will focus both on theory and practical utilization, and will consist of presentations, discussions, and applied exercises involving the preparation and critiquing of monitoring and evaluation plans. The course has a required, non-credit lab that is scheduled in a different time slot than the class.
SPH GH 750: Gend Hlth Right
SPH GH 755: Managing Disasters and Complex Humanitarian Emergencies
This course will provide students with a solid introductory understanding of disasters and complex emergencies and introduce practical responses and interventions. By the end of the course, students will be able to describe human and natural emergencies and their main causes, articulate and conduct public health assessments, prioritize needs, and plan immediate and long-term interventions. Class discussions will also focus on analyzing and anticipating the consequences of emergencies.
SPH GH 756: Analytical Methods for Pharmaceutical Systems Assessment
Graduate Prerequisites: PH740 or consent of instructor
This course aims to develop skills essential to assessing and evaluating pharmaceutical policy and the performance of pharmaceutical programs. Students will learn to develop a pharmaceutical country profile, analyze medicine prices and availability, apply technical guidelines, and use other assessment tools and methods in the pharmaceutical sector. Students will also develop skills to undertake a sampling exercise, use qualitative methods, and review and write technical reports. Students will use instruments which are already developed with a focus on implementation issues, analysis of data collected and awareness of strength and limitation of each method applied. The course will introduce students to the many resources which exist to help understand pharmaceutical sectors, and prepare them to work in a national or sub national pharmaceutical system.
SPH GH 757: Fighting Corruption Through Accountability & Transparency
Graduate Prerequisites: Students must have completed > 16 credits in program
Corruption and lack of accountability in government are concerns in all countries, but they are especially critical problems in developing and transitioning countries where public resources are already scarce and corruption can cripple growth and development. In international health work, most public health practitioners will encounter corruption at some point and will need to make ethical and management decisions about how to work within corrupt systems and how to prevent corruption from occurring. This course is designed to introduce participants to the problem of corruption and provide them with skills for assessing vulnerabilities to corruption in the health sector. Topics covered include corruption risks in drug procurement and supply, medical conflicts of interest, informal payments, and financial corruption. Participants will acquire the confidence, knowledge, and skills needed to become effective advocates for anti-corruption strategies and health system reforms.
SPH GH 760: Foundations in Global Health
Global health is defined as "collaborative trans-national research and action for promoting health for all." It requires an understanding of how context and culture affect population-wide and individually based health care actions, systems and strategies. Through this course students develop an understanding of the causes and consequences of global health problems, especially in low- and middle-income countries, and how underlying social, economic, environmental and political determinants of health in different countries affect health outcomes. Students learn how global health systems developed over time in varying environments, and the factors affecting their design and performance. Case studies and exercises provide students with opportunities to apply foundational skills in analyzing global health systems and situations, and develop cross-cultural awareness and resourcefulness in solving problems that they may encounter in their professional careers. The course places a strong emphasis on developing skills in persuasive, evidence-based writing and oral presentation.
SPH GH 762: Essentials of Economics and Finance for Global Health
This course is an introduction to the essential concepts and tools of health economics and financing with application to the particular challenges facing transitional and developing countries. The course does not assume prior training in economics and will provide an introduction to the conceptual underpinnings of health economics, highlighting those concepts that will be most useful in applied policy settings. Case studies will focus on practical application to current global health financing policy problems.
SPH GH 765: Cross-Cultural Approaches to Mental Health in Low & Middle Income Countries Certificate: Mental Health and Substance Use
This course introduces students to mental health and mental illness in low and middle income countries and also looks at some highly vulnerable populations in high-income countries. Class sessions and assignments will provide students with a chance to explore the critical role played by the social, cultural, and economic context in defining local concepts of mental health and in availability and type of treatment in a variety of contexts. The course is designed to provide students with a working knowledge of the history of mental health on the global agenda, core theoretical concepts underlying research and interventions, and innovative methodological approaches to adapting psychiatric assessment tools and treatment for cross-cultural, low-resource contexts. Students will build skills in identifying and critically analyzing global and country-specific data estimating the burden of mental health disorders. They will also develop creative approaches to research, treatment, and advocacy to improve health systems and legal protections for people living with mental health disorders.
SPH GH 766: Sexual and Reproductive Health in Disaster Settings
Of the millions of people displaced by armed conflict around the world, 65-80% are women and children. In recent armed conflicts, women have been the targets of exploitation, rape, forced marriage, forced pregnancy, and other types of gender-based violence. These violent acts have implications on women?s reproductive health. This course will expose students to the issues affecting the reproductive and sexual health of women in conflict and post-conflict situations. The context of recent conflicts and their effects on women?s health will be analyzed. Other topics will include: common reproductive health morbidities in conflict situations, reproductive health assessments, programming, monitoring and evaluations, gender-based violence, and rape as a weapon of war. Specific examples will be drawn from the wars that occurred in former Yugoslavia, Kosovo, Rwanda, Sierra Leone, Liberia, Southern Sudan, and the ongoing war in Darfur, Western Sudan.
SPH GH 770: Poverty, Health, and Development
Graduate Prerequisites: Successful completion of graduate or undergraduate courses in economics and statistics and a working knowledge of Excel software
Poverty, Health and Development is an elective course for MPH students in Global Health and a core course for graduate students in the Global Development Policy Program at BU. The goal of this course is for students to explore the relationships between poverty, health, and development in low-income countries. While not primarily a methods course, methods in public health, economics, statistics, and quantitative impact evaluation will be introduced and used throughout the course.
SPH GH 773: Financial Management for Health Programs
Health care managers must be prepared to talk about financial issues, analyze and interpret data, and make decisions using financial information. This course develops competencies in cost analysis, pricing, budgeting, and reading financial reports in international health settings where financial systems are weak and data not easily available. In addition to using principles of differential and full cost analysis, students gain skills in breakeven analysis and calculating mark-ups. Examples are drawn from hospitals, clinics, and revolving drug funds from developing countries.