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[afro-nets] Global Health : An introductory textbook - Course

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Global Health : An introductory textbook

Lindstrand, Ann , Bergström, Staffan , Rosling, Hans , Rubenson, Birgitta, 
Stenson, Bo Studentlitteratur AB,Sweden -1 Nov 2006 -  
  9144021984 ISBN-13: 978-9144021980

The overall aim of the book is to help readers to acquire an evidence-based 
understanding of global health

Global Health is an introductory textbook for students wanting to:
- get an understanding of how the health of the world's population has changed;
- learn about the main determinants for health
- know how health can be measured and what the main indicators for health and 
illness are
- learn about what is causing illness, disability and death;
- be acquainted with the models and structures for health care.

Global health Course:
Karolinska Institutet -  Stockholm, Sweden


The course aims at giving an understanding for the variations of health and 
disease pattern between and within countries, for economic, social, cultural 
and environmental determinants of the health of a population, for the 
variations of fertility as well as population growth and composition in 
different countries, for variations of access, type and quality of health 
services between and within countries.

Learning outcomes

At the end of the course the student shall be able to:
•         describe and explain variations in health and disease patterns in and 
between countries and over time
•         understand and master how health and illness, mortality and morbidity 
are measured in a population and know how to access, compile and present data 
on the health and health system of a country
•         explain how the economic, social and environmental factors determine 
the health of a population
•         describe and explain variations in fertility and population 
composition between and within countries
•         describe and explain the variations in access, type and quality of 
health services between and within countries
•         be familiar with the objectives and activities of the main 
international health organisations
•         be familiar with the millenium development goals and how countries 
are striving to achieve them

The theoretical block :

The first block reviews the rapidly growing amount of facts about global 
health. The second block abroad provides an experience-based understanding of 
human livelihoods, health and medical services in middle and low-income 
countries. The mix of learning basic facts at KI and the personal experience of 
a different reality abroad provide strong impetus for changing from old and 
pre­conceived notions about the world to an evidence based world view.
•         measurements of health and health determinants
•         demographic indicators andbasic concepts of population growth
•         economic theories of development and review of world economic trends
•         review of the main determinants of health
•         priorities for prevention and treatment of the most important global 
•         reproductive and sexual health variations in the world
•         health and drug policy as well as organisation and financing of 
health services in different countries
•         the work of international health and humanitarian relief organisations

The seminars and group assignments cover: how to collect, compile and present 
data on the health and health system of a country and how to assess the 
achievement of UN Millennium Develop­ment Goals

The practical block 

Satisfactory participation in the first part (at 75% of lectures), which gives 
the background and is a preparation for the second part, is required for 
participation in the second part.

Students, who for health reasons can not participate in the second part of the 
course, will be offered to join a later course, or be given alternative 
practical training in Sweden.

The second block of the course is conducted in collaboration with a medical 
university in a low or middle income country. The staff of these universities 
and the staff of the involved peripheral health institutions are respnsible for 
the teaching in each country. Participating teachers from KI facilitate the 
learning process. The teaching comprises:
•         lectures on national development of health services and change of 
health policies and health status
•         learning opportunities about variation of human livelihoods through 
home visits to families under guidance of the local primary health care staff.
•         visits to community services like health centres, primary schools and 
traditional medicine practitioners
•         observation of maternal and child health services
•         bed-side teaching in referral hospitals regarding the disease 
panorama with a focus on the diagnostic and curative options at different 
levels of the health system
•         study visits to various public and private health facilities, 
including primary health care, district hospitals and university hospitals
•         interviews with patients about their health seeking behaviour as well 
as the costs and means of payment for the health care received


Lectures by teachers with extensive international experience. Group studies of 
the health development of a specific country in relation to the general global 
and regional health development. Individual use of global health and 
development statistics using visualisation software, web based information and 
interviews of resource persons at KI.

At the end of the first block there is a written examination on the basic facts 
of global health variations and an oral examination on the student's analysis 
of the health situation of the country they will be visiting.

At the end of the second block the student should hand in a short discussion on 
a topic distributed at the start of the international part. During the second 
block there are two seminars where the students in groups will present and 
discuss case studies relating to living conditions and health seeking behaviour 
in the countries visited.

Lecture Notes from the lectures of the Global Health Course: 
•         Development Theories and Global Economic Trends
26 Kb)
•         International Organiations
<>(Powerpoint file,1 
•         Millenium Development Goals
<>(Pdf file, 1Mb)
•         Human Rights and Public Health
<>(Pdf file, 202 Kb)


           Hans Rosling, Professor of International Health,  Karolinska 
Institutet, 2006


Gapminder is a non-profit venture for development and provision of free 
software that visualise human development. This is done in collaboration with 
universities, UN organisations, public agencies and non-governmental 

Live presentation, Hans Rosling at TED Conference 2006 – The Future we will 
Create - History's Arrow 
Watch video, click 

The World Chart :

World Development Indicators 2006

World Development Indicators (WDI) publication is the World Bank's annual 
compilation of data about development. The 2006 WDI includes more than 900 
indicators in over 80 tables organized in 6 sections: World View, People, 
Environment, Economy, States and Markets, and Global Links

Data are shown for 152 economies with populations of more than 1 million, as 
well as for Taiwan, China, in selected tables. Table 1.6 presents selected 
indicators for 56 other economies—small economies with populations between 
30,000 and 1 million and smaller economies if they are members of the World 
Bank.  Related links to WDI material:

•         WDI 2006 full text <>

WDI 2006 data <> for selected 
indicators and years

Ruggiero, Mrs. Ana Lucia (WDC)

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