Health systems around the world face the challenge of ensuring continued improvement in population health with a limited availability of resources. Despite their common challenges, no two health systems are identical. This course introduces comparative analysis of health system design and performance, both at the population level and through an equity lens. The course consists of 30 sessions. Readings, videos, and activities will be assigned to add to the student’s knowledge and facilitate discussions. Students will be assessed through exams and reflection papers, and a group health system analysis which they will present verbally and in a report. There are no prerequisites for this course. This course is required for the Master’s in Public Health sustainability track in the Department of International Health and Sustainable Development.

This course provides students with the background and tools to understand, analyze, and evaluate economic aspects of health systems problems of low- and middle-income countries. The course covers the following topics: health and economic development, micro-economic aspects of health care services, health care financing, and economic evaluation. Most examples used in the class will pertain to health system interventions that aim to improve the availability and quality of health services. Lectures will be combined with problem sets, class discussions, and group presentations that focus on issues affecting the demand for and supply of health care services as well as financial and payment interventions that aim to improve the performance of health systems.

This course provides in-depth training in basic concepts, principles, and practices for impact evaluation of public health interventions in international settings. Examples focus on sexual and reproductive health interventions (including HIV-prevention), but the skills learned apply to all health areas. A team-based project allows students to apply impact evaluation skills (e.g., identification of study designs, indicators, data, analytical approach) to real-life settings. The course provides grounding in evaluation study designs, develops skills in designing evaluation plans, and is a basis for specialized courses on data analysis, sampling, and advanced evaluation research. This course is designed for students interested in program monitoring and evaluation jobs in global contexts and should be taken in lieu of SBPS-6340 and TRMD-6200.

Health Problems of Developing Societies is tailored to and intended for students entering the MPH program in International Health and Sustainable Development at Tulane University’s School of Public Health and Tropical Medicine. The course provides an overview of the major health problems facing low-and-middle income countries (LMIC); the divergent historical patterns of public health in economically rich versus poor societies; the links among public health, development, and culture; and strategies for improving public health in LMIC. There is no prerequisite for the course.

This course equips students with program monitoring principles and skills for tracking the performance and results in public health programs. The course will focus on programs and interventions in global settings, although the skills can also be applicable in the domestic context. Students will learn to develop frameworks and models for program monitoring and evaluation, develop appropriate indicators and plans to measure program implementation and results, and apply them to actual programs. This course is required for MPH students in IHSD and to be followed by a course on program evaluation. It is designed for students who are interested in program monitoring and evaluation jobs in global contexts, and should be taken in lieu of SBPS 6340.

The goal of this course is to familiarize students with the approaches, field methods, and selected technical knowledge required to mitigate the nutritional and public health effects of complex humanitarian emergencies and disasters. Lectures and discussions will be provided by experienced faculty from university partners, government officials, and field-based practitioners with experience working in emergency contexts. Because of the unique opportunity to access guest speakers and materials from the Epidemiologic Intelligence Service at CDC and the applied nature of this course, it is offered in intensive format.

This course is designed to equip students with a knowledge and skills to work in international family planning, one of the most successful initiatives to date in the field of international development. Organized around the six pillars of the WHO framework, it covers the fundamentals of family planning programming through the lens of health systems strengthening. It reviews the landmark events in the history of family planning that shape policy today. Students will develop presentation skills and will learn to use “tools of the trade” in this field (reference materials, software tools). They will analyze the family planning situation and make recommendations for improvements in a country of their choice. Recommended for those intending to work in reproductive health.

Students will examine the impacts of rapidly globalizing food systems on food and nutrition security at local, household, and intra-household levels in this course. This topic is especially relevant now because of the increased policy attention and resources for programming that are focused on promoting improved food security, nutrition and sustainability. This course will provide students with the analytical skills for identifying the elements of resilient food systems and the outcomes of food and nutrition security, access to organizations prominent in international food security policy discussions, and a background in readings relative to this debate.

The primary aim of this course is to present an overview of health policy issues in low- and middle-income countries and to provide skills in analyzing the health policy process. In addition to providing an overview of policies at the country level to improve health systems performance, the course also looks at the role governments, the private sector, and international health partners play within national health policy frameworks. Factors such as power, context, and governance are analyzed with both the practical and the ethical considerations of how the policy process operates in different cultures. This course helps students develop their own capacities to analyze, criticize, evaluate, and construct policy-oriented arguments.

The course addresses how the Cuban government has prioritized the development of universal health care in the last five decades, with a special emphasis on the efforts to strengthen primary health care (PHC) and to articulate PHC with more complex levels of care. The course contextualizes and analyzes the programs to prevent infant mortality and to prevent and control infectious diseases such as polio, malaria, tuberculosis, dengue, and HIV, as well as the economic and political context in which these public health initiatives developed. The course takes place in Havana in partnership with the National School of Public Health of Cuba. It includes site visits to health facilities and community-based organizations.

This course serves to: (1) increase knowledge and awareness of the context, design, and effectiveness of interventions to prevent and respond to adolescent health risk taking; and (2) develop professional skills in the use of quantitative methodologies to determine the health needs/problems of adolescents and in the formulation of workable strategies to respond to identified needs. The course includes discussion of major policy issues and controversies surrounding specific adolescent health program approaches. Students will compare interventions for addressing common health problems in adolescence and meeting the needs of special youth populations in low- and middle-income countries with similar interventions in developed countries. The key components of successful and unsuccessful programs in specific health areas will be addressed.

This course constitutes a practical introduction to the research methodologies used in planning a communication program for promoting desirable health behaviors, designing appropriate messages, pre-testing communications and evaluating program effectiveness for changing behaviors. Most examples and datasets will pertain to international reproductive healthor HIV/STI prevention, but skills learned will be applicable to other areas of public health. Lectures will be combined with exercises in which students carry out communication pre-testing, conduct qualitative research (focus group discussions or in-depth interviews) and analyze the results, and conduct secondary analyses of existing survey data using statistical software. These skills are basic to the systematic approach in designing, implementing and evaluating a health communication program aimed at changing health behaviors.

HIV/AIDS is the fifth leading cause of disease burden and the sixth leading cause of death globally. Patterns of infection serve as a vehicle for understanding social disparities. The goal of this course is to provide students with the skills to critically assess the social determinants of HIV and public health strategies to mitigate their effect on the epidemic. Students will participate in group work and individual assignments that apply concepts discussed in class and challenge students to map causal mechanisms to interventions. The course format combines readings, presentations, group activities, mini-assignments and a final paper. By completion of the course, students will gain the knowledge, skills and agency to become active participants in the global response.

This course serves to: (1) increase knowledge and awareness of the context, design, and effectiveness of HIV/AIDS prevention, care and treatment programs; (2) strengthen skills in the application of methods and tools for global- and national-level monitoring and evaluation of the HIV epidemic and response. The course focuses on low and middle-income countries and addresses monitoring and evaluation (M&E) approaches for specific HIV/AIDS programmatic areas. These programmatic areas may include: HIV prevention; HIV treatment; social and behavioral change communication; community mobilization; and tuberculosis/HIV integration. Students will develop professional skills in M&E of programs to address the needs of key populations and in utilization of M&E results to prioritize options for improving the HIV/AIDS response.

The purpose of this course is to gain an in-depth understanding of the origins, evolution, and characteristics of Sustainable Human Development (SHD) both in terms of formulation and implementation. SHD is a holistic approach to development, encompassing economic, political, social, and environmental issues that are interdependent and complementary. We will first present an introduction to the notion and history of global development and examine different theories and strategies that have dominated the field since the 1950s, with a particular emphasis on SHD. We will then address various thematic issues and goals of development, such as understanding multifaceted poverty, improving health and education outcomes, striving for social inclusion, addressing the many consequences of climate change, and managing today’s migrations.

This course is intended for doctoral and advanced Masters students. The course will introduce students to key concepts and measures used in the monitoring and evaluation of family planning and reproductive health (FP/RH) programs. Students will gain an understanding of reproductive health and health service indicators, data sources and their strengths and limitations. This course also provides basic hands-on quantitative skills that are essential in conducting monitoring and evaluation exercises in FP/RHprograms. Students will learn how to use the Stata statistical software package to manage and analyze survey data and to construct reproductive health indicators. Students will also learn to interpret and present quantitative data, using graphs and tables, in ways that are suitable for scientific manuscripts.

Public health programs continually implement new interventions to improve health outcomes and achieve sustainable change. This course focuses on what, why, and how interventions work in real world settings. The course builds students’ knowledge of key steps and tasks needed for moving through the program implementation process: from problem exploration and root-cause analysis through intervention selection, adaptation, piloting, and testing, to using the findings to adapt the program, and developing a scale-up strategy. Students will: (a) apply a step-by-step approach to implementation research; (b) analyze factors influencing the successful adoption of health interventions; (c) describe how to carry out each phase of the implementation process; (d) analyze indicators of implementation success; and (d) propose approaches for developing a scale-up strategy.

This course provides a solid understanding of the intended uses and limitations of various standard household sampling protocols, as well as of the underlying principles of survey measurement. The purposes of this course are to: 1) establish a solid understanding of the basic principles of survey measurement, including concepts of measurement objectives and optimal design, concept of total survey error and components thereof, principles of probability sampling and sampling methods, and survey estimation procedures; and 2) to review the "state of the art" in survey measurement in the health, population and nutrition sectors, with primary attention to the statistical basis of the protocols considered and their strengths and weaknesses in actual practice.

This course is intended for upper-level masters students interested in applied research methods and doctoral students working towards their dissertations. The focus is on providing skills for conducting program, impact or other forms of evaluation using econometric methods to analyze health, population, and nutrition data. Of particular focus will be analyses of population-based household surveys using the Stata 16.0 statistical software package. Key topics that will be covered are: research methods and designs, linear regression models with their assumptions and limitations, limited dependent variable models (logit, probit tobit, multinomial logit), instrumental variables and two-stage least squares, sample selection and censored regression models, multilevel models, propensity score matching, applications of program evaluations, and time series analysis with pooled and longitudinal data.