Koehn, Peter

English

University of Montana

University of MontanaScholarWorks at University of MontanaSyllabi Course Syllabi1-2013PSCI 227.01: Issues in Global Public HealthPeter KoehnUniversity of Montana - Missoula, peter.koehn@umontana.eduLet us know how access to this document benefits you.Follow this and additional works at: https://scholarworks.umt.edu/syllabiThis Syllabus is brought to you for free and open access by the Course Syllabi at ScholarWorks at University of Montana. It has been accepted forinclusion in Syllabi by an authorized administrator of ScholarWorks at University of Montana. For more information, please contactscholarworks@mso.umt.edu.Recommended CitationKoehn, Peter, "PSCI 227.01: Issues in Global Public Health" (2013). Syllabi. 836.https://scholarworks.umt.edu/syllabi/836ISSUES IN  GLOBAL PUBLIC HEALTH(PSCI 227; 3 credits) Spring 2013Professor Peter Koehn, Department o f Political Science Office hours: MW 2-4 and by appointment (LA 348)TA: Rosemary TillCourse ObjectivesTo function as informed and active citizens in a world suffused by proximate, distant, and transnational health challenges, students are advantaged by developing awareness and sensitivities regarding public-health issues o f global concern. PSCI 227 is designed to  engage as well as inform. The overarching question we will engage this semester is: "W hat transnational, national, and local policies and skills w ill help us address current and fu ture  challenges to  global health?" In 2003, the Institute o f Medicine's reported tha t public-health literacy is an "'essential part o f the training of citizens'" and that it "prepares students to  contribute to  the health o f the public through positive decision-making and constructive action in personal, professional, and civic arenas." The instructor's scholarly work on the value o f transnational competence fo r health-care professionals w ill provide the basis fo r building skills intended to  enable you to  participate creatively and effectively when global health challenges arise in the fu ture both as a professional and as a concerned citizen.Course DescriptionWhile exploring big and enduring issues o f global public health, we initially w ill focus on "finding the right questions." In the process, you w ill be introduced to  diverse perspectives and approaches, constraints and capacities, ethical dilemmas, policy options, and challenges involved in making decisions under conditions of uncertainty. You are encouraged to  make and explore interdisciplinary as well as transnational connections.PSCI 227 treats current public-health challenges in industrialized and low-income countries, including chronic and infectious illnesses. Issues covered include the impact of social and political inequities on the global burden of illness, health impacts o f climate change, undernourishment and malnutrition, sanitation and access to  clean water, the obesity epidemic, funding disparities, the "fatal flow  of expertise" from  low-income to  wealthy countries, transnational and indigenous health care, medical tourism, health as a human right and development resource, health implications o f displacement, migration, travel, and migrant health care, remote (rural) and reservation health challenges, armed conflict and health, public-disaster and health-emergency preparedness and response, quarantines and isolation, and academic preparation fo r emerging transnational challenges. In comparative perspective, the course explores the individual, environmental, resource, and governance (national, international, and non-governmental) context o f public-health policy, interventions, and outcomes and addresses questions of health equity and justice, regional problematics and contributors, and the concerns of vulnerable populations along w ith  possibilities fo r health advocacy. Through individual and group research projects, you w ill prepare to  work collaboratively w ith  fu ture partners.1Learning OutcomesThe course focuses on skill learning consistent w ith  the transnational-competence framework. You are expected to  distinguish and develop analytic, emotional, creative, communicative, and functional competencies. You w ill learn to  frame questions about global public-health challenges, analyze underlying contributing factors, resolve ethical dilemmas, construct transdisciplinary approaches working in teams, and critically assess implementation strategies and policy alternatives. Specific learning outcomes include:•  Demonstrate understanding o f the history, principles, and burdens of public health in a global context•  Demonstrate ability to  discern interconnections among local and transnational, upstream and midstream, forces tha t facilitate and constrain global health• Demonstrate ability to  identify and distinguish the multiple and transnational^ interconnected social, political, economic, environmental, cultural, biological, and behavioral determinants of individual and population health• Demonstrate ability to  compare health conditions in the Global South w ith  health conditions in the Global North (including remote rural areas and Native American reservations) and awareness of factors tha t contribute to  health vulnerabilities and wide disparities in health opportun ity•  Demonstrate ability to  analyze the effects on public-health systems o f politics and social/economic policies at the local, tribal, state/provincial, national, and international levels• Demonstrate appreciation fo r the role of individual capabilities and resilience, contextual resources, community collaboration, and transnational partnership in promoting public health• Demonstrate ability to  identify and critically assess cost-effective approaches aimed at reducing health disparities now and fo r generations to  fo llow• Demonstrate ability to  identify health-promoting individual lifestyle behaviors and socially responsible local and transnational participation in promoting public healthLearning MethodsThe course integrates m ultiple and multidisciplinary learning methods. The emphasis is on student-centered learning. Reading assignments present controversies in transnational perspective and ethical dilemmas.Group Discussion and FacilitationMost classes will be conducted using the group-discussion approach. Based on assigned reading tha t includes work by medical anthropologists, climate-change scholars, public-health specialists, political scientists focused on health policy and transnational governance, physicians, analysts of transnational migration, and others, each of you will serve as a discussion facilita tor on an enduring and/or arising issue of global public health (by providing a critical summary of assigned readings and leading small-group discussion centered around one question raised by the instructor and one question o f your own construction).Mansfield Conference Critical ReviewBased on at least tw o presentations by leading Conference speakers, w rite  and submit a 3 page critical review tha t focuses on individual rights and social responsibility in contemporary health care.2Final Paper/ProjectThe final paper should be based on applied problem-focused research tha t addresses a practical transnational public-health challenge. The instructor w ill provide guidance in the identification of topics and research approaches.AssessmentDiscussion facilita tor 10%In-class participation 10%Mid-term  essay exam 20% (March 13)Critical Review 20% (March 27)Final paper 30% (May 8)Toolkit 10% (May 8)Required TextsAbraham Verghese, Cutting fo r  Stone (2009)All other reading are on electronic reserve (password = psci227)Weekly Schedule and Assignments(assigned readings should be completed by the date listed)January 30: Introduction to  the courseFebruary 6: Introduction to  Public HealthAssignment: (1) Johnson, The Ghost Map, pp. pp.231-256(2) Fried, et al., "Global Health Is Public Health" (2010)(3) Optional: RadioLab podcast: Patient Zero w w w.radio lab.org/2011/nov/14/ Click on "listen"to  open media player or download podcast to  your ipod 2-page ungraded essay due Information literacy workshop w ith Megan StarkFebruary 13: Global Health: Why Should We Be Concerned?Assignment: (1) Farmer, "Health, Healing, and Social Justice: Insights from  Liberation Theology" (2005)(2) Pisani, Wisdom o f Whores: Bureaucrats, Brothels, and the Business o f AIDS, pp. 1-12,124-60In class film : Contagion DVD 05335 (106 minutes)February 20: Infections in a Borderless World; Responses to  Public Health Crises (Quarantine, Isolation, Closures)Assignment: (1) Garrett, "Yambuku, " The Coming Plague (1994)(2) Walsh, "Virus Hunter" (2011)(3) Dr. Oz, "When Panic Goes Viral" (2011)3(3) Zuger, "Cough that Launched a Hit Movie" (2011)(4) Lipkin, "The Real Threat of 'Contagion'" (2011)(5) WHO & H. Kelly, "Is the International Community Adequately Prepared to  Address Global HealthPandemics?" (2012)(6) Jane S. Smith, "The Personal Predicament of Public Health" (2003)(7) Zuger, "Isolation, an Ancient & Lonely Practice, Endures" (2010)February 27: Health & M igration; Transnational Competence and Global Public HealthAssignment: (1) Koehn, "Global Health and Human Rights: Challenges fo r Public Health Administrators in an Era o f Interdependence and M obility" (2007)(2) Basu, "A W orker w ith  No ID and Great Medical Need" (2011)(3) Tiilikainen and Koehn, "Transforming the Boundaries o f Health Care: Insightsfrom  Somali Migrants." (2011)(4) Koehn, "M ental Health and M igration" (2012)(5) Koehn, Transnational Competence (2010), pp. 94-108 Communicating Effectively Through an Interpreter DVD (28 minutes)March 6: Provider-recipient Interactions I: The Global NorthAssignment: (1) Verghese, Cutting fo r  Stone (entire book read by now)(2) Koehn, "Immigrants and Health" (2012)(3) Patterson and Gong, "Addressing Health Disparities in Immigrant Populations in the UnitedStates" (2009)(4) Dudik, "Lives Improved w ith  Affordable Care Act" (2012)(5) Kolata, "First Study Shows Benefits o f Providing Medical Insurance to  Poor" (2011)(6) Alonso-Zaldivar, "Penalty Could Keep Smokers from  Buying Health Insurance" (2013) In-class film : Sicko DVD 02488 (123 minutes)March 13: Mid-term examMarch 20: No class; attend 2013 Mansfield Conference on "The Future of Health Care in America: Balancing Individual Rights w ith  Social Responsibility"March 27: Critical Review due; Select final paper topicsMarch 27: Global Governance & Public Health ChallengesAssignment: (1) Visit web sites of WHO, MSF, UNHCR, Gates Foundation(2) M atthew Bishop and Michael Green, "Billanthrophy: Good or Bad?" (2009)(3) "Inside the Brain o f Bill Gates" (2011)(4) McNeil, "Pharmaceutical Giant to  Give $5.7 M illion Toward Health Programs in PoorCountries" (2011)(5) http://www.voutube.com/watch?v=HavZeGU wNk IN CLASS(6) Altman, "How Tiny Errors in Africa Led to  a Global Triumph" (2011)(7) Klapper & Riley, "Haiti Lessons: A Corps fo r Doctors" (2010)4April 3: Spring breakApril 10: The "Fatal Flow o f Expertise"Assignment: (1) J. Dwyer, "W hat's Wrong w ith  the Global M igration o f Health Care Professionals?" '07 (2) Connell, "The Geography of Need" (2010)W riting workshop with Gretchen McCafffrey Review paper topicsApril 17: Chronic Illness, Disabilities, & Mental Health in Global PerspectiveAssignment: (1) Yach & Beaglehole, "Globalization of Risks fo r Chronic Diseases Demands Global Solutions" (2004)(2) Lee, Globalization o f Lifestyles" (2003)(3) UN General Assembly Sept. 2011 Summit on Chronic Illness, "Non-communicable DiseasesDeemed Development Challenge o f 'Epidemic Proportions'"(4) "Mexico Faces Disaster o f Diabetes, Obesity" (2012)(5) Brody, "Numbers Behind an Urgent Fight" (2011)(6) Tanner, "2 Suggest State Custody fo r Severely Obese Kids" (2011)(7) Parker-Pope, "Workplace Cited as a New Source of Rise in Obesity" (2011)(8) Brody, "Communities Learn Good Life Can Be a Killer" (2012)(9) Lothe, "A Study of Resilience in Young Ethiopian Famine Survivors" (2003)(10)"Americans w ith Disabilities Applaud President Obama's Intention to  Sign Convention" '09(11) http://articles.washingtonpost.com/2012-12-04/politics/35624602 1 treaty-americans- with-disabilities-act-veteransApril 24: Transnational CollaborationAssignment: (1) Kimani, "Better Health at the Click of a Button" (2008)(2) Zuger, "Folding Saris to  Filter Cholera-contaminated W ater" (2011)(3) Fuller, "Volunteers Forge Better Care in Thailand's Villages" (2011)(4) McNeil, "Brewing Up Double-edged Delicacies fo r Mosquitoes" (2011)(5) Hoffman, "Lifestraw Saves Those W ithout Access to  Clean Drinking W ater" (2011)(6) Wisneski and Anderson, "An Eastern Perspective on Stress" and "QiGong"(2005)(7) Schiff, "Developing Nations: Laboratories fo r Health Care Innovation" (2010)(8) Coloma and Harris, "Innovative Low-cost Technologies fo r Biomedical Research andDiagnosis in Developing Countries" (2004)(9) Tavernise, "For Americans Under 50, Stark Findings on Health" (2013)(10) Uken, "M ontana Ranks as 29th Healthiest State in U.S." (2012)(11) Fisher, "Best & W orst to  be Born Into" (2013)M ay 1: Provider-recipient Interactions II: The Global SouthAssignment: (1) Review Verghese, Cutting fo r  Stone(2) "Supporting Surgery fo r Obstetric Fistula" (2004)(3 ) Zhang, "China's Barefoot Doctor" (2008)5In-class film : Triage: Dr. James Orbinski's Humanitarian Dilemma (DVD 04958; 88 minutes)M ay 8: Final Paper dueM ay 8: Connecting Global Health & Other "Big Issues": Armed Conflict, Climate Change, DevelopmentAssignment: (1) Schuller, "Three Capitals: A Framework," pp. 12-21 (2004)(2) Koehn, Transnational Competence (2010), pp. 22-43(3) Harding and Libal, "W ar and the Public Health Disaster in Iraq" (2010)(4) Friel et al., "Urban Health Inequities and the Added Pressure o f Climate Change" (2011)(5) Koehn, "Back to  the Future: Bicycles, Human Health, and Greenhouse Gas Emissions inC h ina"(2007)(6) WHO, Commission on Social Determinants of Health, Closing the Gap in One Generation(2008), pp. 1-2.(6) Bradley and Taylor, "To Fix Health, Help the Poor" (2011)M ay 15 (5:30-7:30): Final Paper Presentations Psc227.13.syl6

PSCI 227.01: Issues in Global Public Health

https://scholarworks.umt.edu/cgi/viewcontent.cgi?article=1818&amp;context=syllabi

PSCI 227.01: Issues in Global Public Health

Abstract

Similar works

Full text

Available Versions

University of Montana