Summer School in Public Health Policy, Economics and Management

Transcription

1 From 24 to 29 August 2015 Lugano (Ticino, Switzerland) Facoltà di scienze economiche Istituto di Economia Politica IdEP

2 PREAMBLE Hello and welcome to Lugano! Once again, the Università della Svizzera italiana (USI) will host the SSPH+ and Management. The is jointly organized by SSPH+, the Institute of (IdEP) at USI and the Swiss Tropical and Public Health Institute (Swiss TPH) in Basel. The clear interdisciplinary context represents the greatest strength of the school since it allows public health professionals and researchers from various health related disciplines to exchange their expertise and experience in a stimulating and exciting environment. In this context, the support of the Swiss Agency for Development and Cooperation (SDC) is key, enabling professionals from Eastern Europe and other emerging and transition economies to participate and share their knowledge and skills required to manage health systems and health service. As usual, the participants will choose their course of interest among a large offer of 6-day and 3-day courses, held by internationally renowned professors, to flexibly address the training demands. The program will address both well-established issues, as well as emerging problems and topics yet to be sufficiently explored. Besides the courses, each day will begin with a plenary session, which throughout the week will cover different hot topics of broad relevance and interest to public health policy, economics and management. One of the main goals of our is to create a platform of exchange between the faculty and all participants. This should provide the opportunity to reduce and prevent the gap between public health theory and practice by placing disease and health systems thinking under one common framework of coherent concepts and practical implications. I wish all participants a pleasant and insightful experience in Lugano during the 2015! Prof. Fabrizio Mazzonna Director 2

3 INTRODUCTION The Foundation Swiss School of Public Healthplus (SSPH+), the Institute of (IdEP) of the Università della Svizzera italiana and the Swiss Tropical and Public Health Institute (Swiss TPH) organize the. Courses cater to professionals and managers of health administrations, hospitals and other services worldwide, health sector facilities, policy-makers and any student registered for one of the continuous education programs coordinated and supported by the SSPH+. The is an opportunity to meet new colleagues and peers, exchange knowledge, build networks, and share insights. The emphasis will be on participative approaches, complemented by formal teaching. This year s edition offers 2 courses distributed over 6 days and 9 short courses (3 days). Hence, each participant can attend 1 course of 6 days or 2 courses of 3 days. courses are recognized in the ECTS framework and count toward SSPH+ degree programmes. Each 6-day course is assigned a credit value of 2 ECTS and each 3-day course is assigned 1 ECTS. Those who actively participate and pass the final assessment are awarded a certificate of success. A certificate of attendance will be issued to any registered student who has regularly attended lectures and seminars. 3

4 COURSES OF THE MAIN PROGRAMME 6-day Courses (24-29 August 2015) COURSE N PAGE COURSE Course 1. page 9 Public Mental Health: Evaluations of Programmes and Policies Teachers: Emiliano Albanese, Martin Knapp Course 2. page 12 Methodology and Practical Application of Economic Evaluation and HTA in Health Care Teachers: Urs Brügger, Mike Drummond, Marco Barbieri 3-day Short Courses from 24 to 26 August Course 3. page 15 Systems Approaches for Health Systems Performance Teacher: Don de Savigny Course 4. page 17 Leadership via Communication Teachers: François Lagarde Course 5. page 19 Bridging the Gap between Evidence and Policy Making Teacher: Andrew Street Course 6. page 21 Non-communicable Disease Control: Public Health and Health Care Approaches Teachers: Kaspar Wyss, Pascal Bovet 3-day Short Courses from 27 to 29 August Course 7 page 23 of One Health Teachers: Jakob Zinsstag, Esther Schelling Course 8 page 25 ehealth Teachers: Martin Raab, Antoine Geissbuhler, Gonçalo Castro, Sang-Il Kim Course 9 page 28 Health Financing Policies, Health System Performance and Obstacles to Universal Health Coverage Teachers: David B Evans, Fabrizio Tediosi, Pavlo Kovtoniuk Course 10 page 30 Customized Care, yes but how? Teacher: Mathias Waelli Course 9. page 33 National Dementia Plans and Policies from Design and Implementation to Monitoring and Evaluation Teacher: Emiliano Albanese 4

5 PLENARY SESSIONS 2015 From 24 to 29 August 2015 DATE TIME Corporate Social Responsibility in National and Global Healthcare Chair: Axel Hoffmann (Head of Teaching and Training Unit, Swiss Tropical and Public Health Institute, CH) Discussants: Anna Erat (Institute for Foundations of Business Administration and Theories of the Firm, University of Zurich, CH) and Marcel Tanner (Director, Swiss Tropical and Public Health Institute, CH) Gender and Health Inequity Innovation in Payment System Chair: Fabrizio Mazzonna ( Scientifi ca Director and Professor, Università della Svizzera italiana, CH) Discussants: Sonia Bhalotra (Department of & Institute of Social and Economic Research University of Essex, UK) and Elisabeth Zemp (Unit leader Society, Gender and Health, Swiss Tropical and Public Health Institute, CH) Chair: Luca Crivelli (Director of the Department of Business, Health and Social Care at SUPSI, Deputy Director of the Swiss School of Public Health+, CH) Discussants: Representative from OECD (Organisation for Economic Cooperation and Development, Paris) and Andrew Street (Centre for Health, University of York, UK) Relevance of Global Policy for Local Action - the Example of Sexual Reproductive Health and Rights Chair: Nino Künzli (Director of the Swiss School of Public Health+, Deputy Director Swiss Tropical and Public Health Institute, CH) Discussants: Susanne Amsler (Programme Offi cer Health Advisor Regional Cooperation - East and Southern Africa, Swiss Agency for Development and Cooperation, HQ, CH) and a representative from IPPF (International Planned Parenthood Federation, UK) Chronic Care Management Chair: Emiliano Albanese (Professor of Public Mental Health University of Geneva, and HUG, CH) Sabine De Geest (Institute of Nursing Science, University of Basel), Mathias Waelly (EHESP - French School of Public Health, Paris, F) The plenary sessions are free of charge and open to the general public. For updates on this program please visit the website. 5

6 PRACTICAL INFORMATION VENUE All lectures and seminars are held at the campus of the Università della Svizzera italiana in Lugano (Switzerland). Address: Università della Svizzera italiana Via G. Buffi 13 CH-6900 Lugano (Switzerland) Phone Fax website The Lugano region is well known for the beauty of its landscape, lake, mountains and Mediterranean vegetation. For further information please visit and ACCOMMODATION Participants are expected to book their own hotel rooms. Lugano offers a wide selection of hotels and other residential accommodation (for details please visit and LANGUAGES Courses are taught in English. An excellent knowledge of the language is required. No translation is provided. Università della Svizzera italiana Facoltà di scienze economiche Center for Economic and Political Research on Aging CEPRA website: website: website: 6

7 GENERAL COURSE INFORMATION Courses are intended for professionals and managers operating in health administration, hospitals and other services and facilities within the health sector; they are also open to students registered for one of the continuous education programmes coordinated and supported by SSPH+. The program runs from 24 to 29 August The number of participants is limited to a maximum of 25 students per course. ECTS, CERTIFICATE OF SUCCESS Each 6-day course is assigned a credit value of 2 ECTS. Each short course of 3 days is assigned a credit value of 1 ECTS. Those who participate actively and pass the final assessment are awarded a certificate of success. A certificate of attendance will be issued to any registered student who has regularly attended lectures and seminars. Plenary sessions are compulsory to obtain ECTS. The s ECTS have so far been recognised by the following SSPH+ programmes: MAS Arbeit + Gesundheit / Santé au Travail (ETH Zurich, Universities of Lausanne and Zurich) MAS en santé publique (University of Geneva) MAS en économie sciences et organization de la santé (Mas-Santé, University of Lausanne) Master of Public Health (Universities of Basel, Bern and Zurich) MAS in Versicherungsmedizin (University of Basel) Net-MEGS, MAS in economia e gestione sanitaria e sociosanitaria (University of Lugano) MAS en droit de la santé (University of Neuchâtel) Master of Business Administration in International Health Management (Swiss TPH) Master in International Health (Swiss TPH) COURSE FEES Fees cover tuition, all teaching materials, lunches and coffee breaks at the university restaurant (from Monday to Saturday). Travel, accommodation and dinners are not included. 6-day courses: Regular participants CHF Students enrolled in SSPH+ programs CHF 3-day courses: Regular participants 800 CHF Students enrolled in SSPH+ programs 650 CHF Participants who choose to register for 2 of the 3-day courses will benefit from a discount of 100 CHF. The courses of the are acknowledged by the Swiss Medical Society of Public Health (Schweizerische Gesellschaft der Fachärztinnen und Fachärzte für Prävention und Gesundheitswesen) and are awarded 7 credits per day, up to a maximum of 25 credits for a full week curriculum. MEALS The University restaurant serves excellent lunches (international cuisine) from Monday to Saturday. The does not arrange evening meals. Good restaurants can be found locally. 7

8 REGISTRATION Please complete the online registration form, which can be downloaded at: The closing date for registration is 15 July The number of participants is limited and priority will be given to those who register first. Participants will receive a confirmation of admission. Registration is valid upon receipt of the registration form and payment of the full registration fees. The balance must be settled by 20 July 2015 at the latest. Participants will receive the necessary preparatory documentation a few weeks before the beginning of the course. CANCELLATION Full refund is guaranteed for cancellations received by 15 July Fees will not be reimbursed after this date. 8

9 COURSE 1 (6 days) Public Mental Health: Evaluations of Programmes and Policies Emiliano Albanese, Martin Knapp CONTENT OF THE COURSE First half (Emiliano Albanese) Basic psychiatric epidemiology, measurement, study design and risk assessment Fundamentals in public mental health: concepts; impact and interventions Mental health policy, plans & programs; and mental health systems Second half (Martin Knapp) Mental health policy Evaluation of mental health policies and programmes Economic evaluation in the mental health field OBJECTIVES Emiliano Albanese: To provide an introduction to population-based research methods on mental health and psychiatric disorders using 2 cases studies on dementia, in the year of the G7 legacy events. To provide an overview on concepts and principles of global mental health and mental health plans and programs. To enable participants to critically evaluate the existing barriers and possible solutions for the integration of mental health into existing health and social care services and plans. Martin Knapp: To describe the key themes in national and local policies aimed at addressing mental health needs To introduce evaluation in the context of mental health policies and programmes, and economic evaluation in particular To describe how economic evaluations is conducted in mental health contexts, with illustrations from across a range of areas To enable participants on the course to understand the core principles, strengths and weaknesses of economic evaluations in mental health contexts. PREREQUISITES No prerequisite, but the course will mostly benefit individuals working in the public health sector, health economists, health professionals, policy makers, environmental professionals and others community leaders. PEDAGOGICAL METHOD s, team work, practical sessions and group discussion inherent the Course main subjects and participants own areas and topics of interest. ASSESSMENT PROCEDURE Written examination on Saturday August 29th Optional Transfer of Knowledge Activity An optional assessment will be offered to interested participants only, with the goal of favouring transfer of knowledge of the Course contents to real life needs and situations. Detailed instructions will be provided on how to complete an essay on a topic of choice in public mental health, closely related to participants own areas of study or work. Essays will be due by the end of September 2015, and will be marked and returned with specific feedback and comments by the end of

10 COURSE 1 (6 days) COURSE CONTENT AND STRUCTURE Morning Content Method Afternoon Content Method Monday Psychiatric Epidemiology I Basics and Measurements Case study: Prevalence and impact of dementia, based on the UK Dementia Report 2014 / group discussion Practical / group work Monday Psychiatric Epidemiology II Study Design, Risk Assessment Case study II: Risk and protective factors of Dementia, based on the ADI World Alzheimer Report 2014 / group discussion Practical / group work Tuesday Public Mental Health - Definitions and Concepts - Burden Mental-Physical health interactions / group discussion Practical/ group work Tuesday Mental Health Policy, Plans & Programs Concepts and Implementation Steps Design your mental health plan! / group discussion Practical / group work Wednesday Organization of Mental Health Services Barriers in mental health services implementation / group discussion Group work Wednesday Human rights violations and legislation (Prof. Emmanuel Kabengele Mpinga) RECAP of first 3 days Thursday Mental health policy and evaluation: introduction Mental health needs, treatment, outcomes; conceptual framework for analysing policy and framing evaluation. Thursday Mental health policy Dominant themes in policy internationally; influences on how mental health policies are shaped; introduction to the role of evaluation. Friday Evaluation of policy and programmes Approaches to evaluation of programmes and policies; evaluation challenges in mental health field; introduction to economic evaluation for policy Friday Economic evaluation I Why is economic evaluation needed? The core principles of economic evaluation Saturday 9am 1pm Economic evaluation II Examples of economic evaluation and their influences on mental health policies and practices Saturday 2pm 3pm Summary Examination 10

11 COURSE 1 (6 days) CURRICULUM VITAE Emiliano Albanese Emiliano Albanese is a public health physician and epidemiologist. He is SSPH+ assistant professor of public mental health at the University of Geneva, and head of the new-born division of Public Mental Health of the Institute of Global Mental Health, Geneva School of Medicine. He is actively involved in numerous population-based studies, and he is particularly interested in the life course determinants of aging, cognitive decline and dementia. Emiliano has a joint appointment as clinical senior lecturer at the Institute of Psychiatry, King s College London; he is a study coordinator of the 10/66 research network on mental health, aging and dementia in low and middleincome countries, and is a member of the Global Observatory for Ageing and Dementia Care at King s, and of the Centre for Global Mental Health, and Gulbenkian Global Mental Health Platform (Université NOVA de Lisbonne). His teaching activities include master programs in Switzerland (Master en Sante Publique, Geneva), and the UK (MSc in Global Mental Health, LSHTM and KCL), and certificate of advanced studies (CAS) in Santé Publique (Lausanne) and Sante Mentale Publique (Geneva). In 2007 he co-authored, with Prof. Martin Knapp, the UK dementia report; in 2009 the World Alzheimer Report, and in 2014 the Nutrition and Dementia report. He is responsible of the area of Dementia of the WHO Collaborating center of the Department of Psychiatry of the Univesity of Geneva, and he collaborates with the Department of Mental Health and Substance Abuse of the World Health Organization for the revision and update of the WHO Mental Health Gap Action Plan (mhgap) clinical guidelines for dementia care by non-specialists in LMIC. Martin Knapp Martin Knapp is a researcher in the areas of health and social care policy and practice, with particular emphasis on economic topics and methods. He has been Professor of Social Policy and Director of the Personal Social Services Research Unit at the London School of and Political Science (LSE) since Since 2009, Martin has also been Director of the NIHR School for Social Care Research funded by the National Institute of Health Research in England. Until early 2014, Martin was also Professor of Health at the Institute of Psychiatry, King s College London, having established the Centre for the of Mental Health there in Martin s research emphases in recent years have primarily been child and adult mental health, schizophrenia and psychosis, public mental health, dementia, autism, and long-term (social) care. He has published his research widely, including in almost 500 peer-review articles and 15 books. His His research findings have been translated into have many impacts on national policy discussion and development, and on professional (including clinical) practice discussions particularly in the areas mental health care, long-term care and dementia, both in the UK and elsewhere. Martin is a member of the World Dementia Council, established by the G8 nations, and currently a member of a number of national policy forums in England. 11

12 COURSE 2 (6 days) Methodology and Practical Application of Economic Evaluation and HTA in Health Care Urs Brügger Mike Drummond Marco Barbieri CONTENT OF THE COURSE Part 1 (Urs Brügger) The course is designed as a comprehensive introduction to the concepts, methods, and application of health technology assessment. Specific topics covered include: 1) Concepts: What is HTA? The multidisciplinary nature of HTA. HTA as a tool for decision making in health care. 2) Methods: An overview over HTA methods that are used to generate evidence on safety, effectiveness, costeffectiveness and other domains. How to deal with uncertainty. 3) Application: Using HTA in different contexts and jurisdictions for decision making, institutional settings (processes and structures) The link between policy and HTA. Examples and case studies are used to illustrate the main points Part 2 (Drummond, Marco Barbieri) The course is designed as an introduction to the concepts, methods, and application of economic evaluation in health care. Specific topics that will be covered include: an overview of economic evaluation methods, cost and benefit estimation, economic evaluation using patient-level data, economic evaluation using decision-analytic modelling, and using economic evaluation in healthcare decision-making. Numerous examples and case studies are used to illustrate the main points and considerable emphasis is placed on learning through group work and exercises. There will be ample opportunity for students to discuss any issues or problems they have already encountered in the field of economic evaluation. The course will be of particular benefit to those working in the health care sector who have a need to present a case for funding or reimbursement of particular health care treatments or programs. OBJECTIVES By the end of this course, participants will be able to: understand HTA, its methodology and its embeddedness in an institutional context (processes and organizational structures). be familiar with the concepts, methods and applications of economic evaluation in healthcare; understand costing methodology and the different approaches to valuing the benefits of health treatments; be able to undertake a critical appraisal of published studies; understand the limitations of clinical trials as a vehicle for economic evaluation; be familiar with decision-analytic modelling approaches, including the construction of decision trees and Markov models; appreciate the main issues in the use of economic evaluation in health care resource allocation decisions, including the reimbursement of health technologies; have an appreciation of future developments in the theory and application of economic evaluation in health PREREQUISITES Part 1: The course is intended for graduate students who have a background in public management, economics, or the health disciplines. No previous knowledge of HTA is assumed. Part 2: The course is intended for graduate students (or equivalent) who have a background in economics, or the health disciplines. Some previous knowledge of economic evaluation is desirable, although this can be acquired through the pre-reading that is offered with this course. Some work experience in the health care sector is desirable, but not essential. PEDAGOGICAL METHOD s, interactive exercices, group discussions ASSESSMENT PROCEDURE Short essay on a relevant, student- identified, topical area 12

13 COURSE 2 (6 days) COURSE CONTENT AND STRUCTURE Morning Content Method Afternoon Content Method Monday Introduction to HTA / group discussion Monday (Scientific) evidence and decision making Case studies I Tuesday HTA in different contexts (Standard processes and Managed entry schemes) / group discussion Tuesday Case studies II Practical/ group work Wednesday Integrating economic evaluation into health technology assessment Introduction to economic evaluation Key principles of using HTA in resource allocation decisions / group discussion Wednesday Costing, including costing exercise Discounting in economic evaluation s, discussion and group work Thursday Measuring benefits in economic evaluation Utility estimation exercise Economic evaluation and social values / group discussion / group work Thursday Economic evaluation alongside clinical studies Handling uncertainty Feedback on the utility exercise s, discussion and group work Friday Decision- analytic modelling Modelling exercise / group discussion / group work Friday Modelling exercise (continued) Transferring economic evaluations from one country to another s, discussion and group work Saturday 9am 1pm Critical appraisal of economic evaluations Exercise on critiquing a published study / group discussion / group work Saturday 2pm 3pm Using economic evaluations in making resource allocation decisions Course assessment Written examination 13

14 COURSE 2 (6 days) CURRICULUM VITAE Urs Brügger is a health economist and the director of the Winterthur Institute of Health (WIG) at the Zurich University of Applied Sciences in Winterthur (ZHAW), Switzerland. His fields of interest in research and teaching are Health Technology Assessmen (HTA), Patient Classification Systems (PCS) and Managed Care. He is a board member of the Swiss Network for Health Technology Assessment and since July 2013 of the Swiss Academy of Medical Sciences (SAMS). He studied at the University of St. Gallen (HSG) economics and sociology (1990). He has a PhD in from the University of St. Gallen (1999). In the year 2009 he received a MSc in HTA (Ulysses program). Mike Drummond is Professor of Health and former Director of the Centre for Health at the University of York. His particular field of interest is in the economic evaluation of health care treatments and programmes. He has undertaken evaluations in a wide range of medical fields including care of the elderly, neonatal intensive care, immunization programmes, services for people with AIDS, eye health care and pharmaceuticals. He is the author of two major textbooks and more than 600 scientific papers, has acted as a consultant to the World Health Organization and was Project Leader of a European Union Project on the Methodology of Economic Appraisal of Health Technology. He has been President of the International Society of Technology Assessment in Health Care, and the International Society for Pharmacoeconomics and Outcomes Research. He was previously a member of the Guidelines Review Panels of the National Institute for Health and Clinical Excellence (NICE) in the UK, and is a Principal Consultant for OptumInsight. His most important publications are: - Drummond, M.F., Sculpher, M.J., Torrance, G.W., O Brien, B.J., Stoddart, G.L. (2005), Methods for the economic evaluation of health care programmes: third edition. Oxford, Oxford Medical Publications. - Drummond, M.F., Barbieri, M., Wong, J.B. (2005), Analytic choices in economic models of treatments for rheumatoid arthritis: what makes a difference? Medical Decision Making; 25(5): Drummond, M.F.,Schwartz, J.S., Jönsson, B., Luce, B.R., Neumann, P.J. (2008) Key principles for the improved conduct of health technology assessments for resource allocation decisions. International Journal of Technology Assessment in Health Care; 24(3): Marco Barbieri, M.Sc. is an Honorary Research Fellow at the Centre for Health, University of York (UK) and a Associate Researcher of CRES ( and Health Research Centre), University Pompeu Fabra, Barcelona (Spain). He holds a B.Sc. in from the University of Bologna (Italy) and an M.Sc. in Health from the University of York (UK). He spent two years working as a Research Fellow at the Centre for Health, University of York, where he has undertaken a wide range of research including cost-effectiveness modelling in rheumatoid arthritis and cardiovascular disease, study of patient preference measurement and the application of evidence to decision making in health care. He has been involved in several health technology assessments, including systematic reviews of economic evaluations of treatments for bipolar disorder and for second-line advanced ovarian cancer. His particular field of interest is associated with issues of transferability of data among jurisdictions. - Barbieri M, Drummond M, Rutten F et al. What do international guidelines say about economic data transferability, Value in Health 2010, 13 (8): Barbieri M, Hawkins N, Sculpher M et al. Who Does the Numbers? The Role of Independent Technology Assessment to Inform Health Systems Decision Making about the Funding of Health Technologies, Value in Health 2009; 12(2): Barbieri M, Drummond MF, Willke R, Chancellor J, Jolain B, Towse A. Variability of Cost-Effectiveness Estimates for Pharmaceuticals in Western Europe: Lessons for Inferring Generalizability, Value in Health 2005, Vol 8 (1),

15 COURSE 3 (3 days) Systems Approaches for Health Systems Performance Suzanne Suggs CONTENT OF THE COURSE In recent years there has been a rapid increase in the use of systems thinking in the health sector. This course provides introductory perspectives on contemporary frameworks for health systems and a primer on why systems thinking matters for both designing and evaluating health system interventions and reforms. It then goes on to provide a review of practical examples of how systems thinking is currently being applied, and what methods can be most useful for health systems practitioners. We will then work through some of the most useful tools in hands on sessions, and then apply what has been learned in practical case studies undertaken by individual and/ or group work. OBJECTIVES To provide an introductory grounding in the theory and hands-on applied use of systems thinking for complex adaptive systems appropriate for improving performance of health systems in low and middle income countries. PREREQUISITES The course is intended for both health system policy makers and managers, and for implementation researchers. PEDAGOGICAL METHOD s, videos, demonstrations, case studies and small group work practicals. ASSESSMENT PROCEDURE Individual and group work performance 15

16 COURSE 3 (6 days) DETAILED COURSE CONTENT AND STRUCTURE Morning Content Method Afternoon Content Method Monday Introductory perspectives on health systems; Overview of learning objectives; Contemporary health systems frameworks; Introduction and discussion of importance of health systems design, strengthening, and performance monitoring. and discussion Monday Introduction to systems thinking for health systems Systems thinking applications in health and disease; How health systems are complex adaptive systems Systems thinking applications in health systems; Health system failures; Evaluating system level interventions and discussion Tuesday Introduction to selected systems thinking methods and tools: e.g. Causal loop mapping; Outcome mapping; Social network analysis; Scenario techniques Introduction to case studies for small group work. s / demos / Hands on experience Tuesday Applying systems thinking to designing and evaluating health systems interventions. Individual & group work on case studies selecting from among others... e.g. Designing pay-forperformance incentives Integrating mhealth in health systems; Community ownership; Understanding Ebola phenomena s / case examples Facilitated small group work Wednesday Systems thinking methods and tools continued. Wednesday Plenary small group work reporting Group presentations Facilitated case study group work CURRICULUM VITAE Professor de Savigny is an epidemiologist and public health specialist and currently Head of the Health Systems Research Unit at the Swiss Tropical and Public Health Institute, University of Basel. He has an MSc from the University of Guelph and a PhD from the London School of Hygiene and Tropical Medicine and has extensive experience in conducting and facilitating health research in developing countries and has lived and worked for many years in Africa. He chairs or is a member of a number of WHO, UNICEF and Global Fund advisory committees. His current research focuses on interventions to strengthen health systems in developing countries, and on the health system effects of Global Health Initiatives. 16

17 COURSE 4 (3 days) Leadership via Communication François Lagarde CONTENT OF THE COURSE Leadership Communication Health Communication Key health communication, social marketing and advocacy principles Planning and evaluating health communication initiatives Audience and context analysis Message development and channels Communicating effectively to inform and influence individual decisions and behaviours, staff (internal communications), professionals (knowledge transfer), and policy-makers (advocacy) OBJECTIVES By the end of this course, participants will: Have acquired a broad understanding of health communication and social marketing principles, methods, and practices to achieve a range of health management and public health objectives Be able to relate best practices to a range of initiatives aimed at individuals, staff, professionals, and policy makers PREREQUISITES None PEDAGOGICAL METHOD Reading, lectures, discussions, videos, case studies ASSESSMENT PROCEDURE Participants are expected to attend each session (30%) Short paper and presentation on applications of principles, methods and practices to participants initiatives (70%) 17

18 COURSE 4 (6 days) DETAILED COURSE CONTENT AND STRUCTURE Morning Content Method Afternoon Content Method Monday Introduction Definitions and principles Discussions Monday Planning communication initiatives Audience and context analysis Discussions Case studies Tuesday Audience and context analysis (application) Message development and channels Small group work Discussions Tuesday Behaviour change, internal communication, knowledge transfer and advocacy Case study and application Evaluation of health communication initiatives Case studies Discussions Wednesday Application of principles, methods and practices to participants initiatives writing of a paper and/or PowerPoint presentation Individual work Presentations and discussions Wednesday Group presentations of a strategy Presentations and discussions CURRICULUM VITAE François Lagarde, M.A., has held the position of Vice-President, Communications at the Lucie and André Chagnon Foundation since June He is responsible for orienting, managing and ensuring the synergy of all communication strategies used by the Foundation in connection with its philanthropic investments. He also advises the President and other members of the Executive on public affairs and other strategic issues. Since serving as Vice-President of ParticipACTION (a national health promotion agency) in the 1980s, he has acted as a consultant in social marketing and communications for more than 170 health, community, public and philanthropic organizations at every level. Through his work, he has contributed to the design, implementation and evaluation of many social and behavioural change initiatives. François Lagarde is also an adjunct professor at the University of Montreal, where he teaches social marketing in the health administration and public health programs. He received the University of Montreal Award for Excellence in Teaching. He has built up a solid reputation both nationally and internationally. As a sought-after speaker and trainer, he has taught in all the Canadian provinces as well as in 12 other countries. Mr. Lagarde is an Associate Editor of Social Marketing Quarterly. 18

19 COURSE 5 (3 days) Bridging the Gap between Evidence and Policy Making Andrew Street CONTENT OF THE COURSE Setting priorities: Who should have priority for treatment? What treatments should have priority? Introduces concepts of: Priority setting; Efficiency-equity trade-offs Evaluating hospital performance. Is there a trade-off between costs and quality? Introduces concepts of: QALYs, Patient reported outcomes, EQ5D; Econometric models; Risk adjustment; Evaluation of hospital performance across multiple dimensions Can primary care physicians reduce the use of hospital care? Introduces concepts of: Gatekeeping, primary-secondary interface; Fundholding and budget-holding; Team working; Evaluation over time and space: difference-in-difference analysis Productivity measurement: What is the impact of policy on health system productivity? Introduces concepts of: National accounts; Measurement of health care output, input and productivity an national level; Productivity growth over time; Relationship between expenditure, prices and inputs; Sub-national productivity analysis: by geographical area or hospital Comparing health system performance: Who has the best health system? Introduces concepts of: International comparisons;who measurement of health performance; Commonwealth Fund evaluation of performance; Econometric, panel data and stochastic frontier analysis; FIFA s league table of national football teams OBJECTIVES This course is designed to provide insight into: (i) the nature of policy challenges, including trade-offs and the need for priorisation; (ii) to how evidence can inform policy design; (iii) the challenges involved in evaluating policy implementation and analytical approaches to meeting these challenges; (iv) examples of policy evaluations and performance measurement drawn from primary care and hospital care, and of national and international comparisons PREREQUISITES Basic understanding of economics and statistics would be helpful but not essential. PEDAGOGICAL METHOD Mixture of lectures, discussion, individual and group paper exercises. Computer based exercises conditional on available facilities ASSESSMENT PROCEDURE Participants are expected to attend each session (30%) Group presentation of a case study (15 min, including a PowerPoint presentation) and discussion (15-20 min) on last day (70%). 19

20 COURSE 5 (3 days) DETAILED COURSE CONTENT AND STRUCTURE Morning Content Method Afternoon Content Method Monday Setting priorities: Who should have priority for treatment? What treatments should have priority? and ice-breaker exercises, allowing individual and group work Monday : Evaluating hospital performance. Is there a trade-off between costs and quality? Group work and group work Tuesday : can primary care physicians reduce the use of hospital care? and discussion Tuesday Group work Group work Wednesday : productivity measurement: What is the impact of policy on health system productivity? and discussion Wednesday Group work : Comparing health system performance: Who has the best health system? Group work and lecture CURRICULUM VITAE Andrew Street is a Professor of Health, Director of the Health Policy team in the Centre for Health and Director of the of Social and Health Care Research Unit, a joint collaboration between the Universities of York, Kent and London School of. He is an editor of the Journal of Health, an external affiliate to the Department of Business and at the University of Southern Denmark and currently serves as a board member on the NIHR Health Services and Delivery Research programme Commissioning Board (since 2009) and the Norwegian HSR Board (since 2011), and as chair of the Welsh Health Support Service Advisory Group. Andrew s research covers measurement of health system productivity, evaluation of activity based funding mechanisms, analysis of organisational efficiency, and critical appraisal of health policy. He has a MSc in Health (1990), a MA in Public Administration and Public Policy (2000) and a PhD in (2002), all awarded by the University of York. After completing his MSc, Andrew spent three years in Australia working at the National Centre for Health Program Evaluation, Monash University and the Victorian Department of Health and Community Services. This was followed by a five-year spell with the York Health Consortium. He joined the Centre for Health in April From he held a special training fellowship awarded by the Medical Research Council and Northern and Yorkshire Region. In 2005 he worked part time in the Delivery Analytical Team in the English Department of Health. 20

21 COURSE 6 (3 days) Non-communicable Disease Control: Public Health and Health Care Approaches Kaspar Wyss Pascal Bovet CONTENT OF THE COURSE The course addresses public health strategies to curb non-communicable diseases (NCD), and changes needed in the health care system, particularly with regards to those most effective, affordable and scalable ( best buys ) interventions. The respective contributions of the priority multisectoral public health approaches versus the main changes needed within the health care system are identified and discussed. The focus is on discussing, exposing and contrasting the respective contributions of a public health (relying on non-health actors, targeting the healthy population) and a health care system (health care actors, patients) approaches to NCD prevention and control. OBJECTIVES The participants should at the end of the course to: Know effective, efficient, equitable and sustainable approaches for NCD prevention and control in middleand low-income countries Be aware of the most cost-effective and affordable public health interventions and key ( best buys ) for the prevention and control of NCDs and relate them to health systems strengthening Be aware of the most critical elements needed to strengthen health care services for the delivery of cost effective management of non-communicable diseases Identify the rationale, benefits and resources needed for implementing, respectively, the public health approach versus the health services approach for the prevention and control of NCDs PREREQUISITES Basic knowledge and experience in a medical or public health field. Interest for prevention and control in NCD in low and middle income countries. The course can also be of interest to persons involved in development programs in low and middle income countries that have a health component. PEDAGOGICAL METHOD Introductory lectures on the NCD burden and impact Introductory lectures on the main approaches for prevention and control of NCDs Presentation of health policy options for NCD prevention and control from both the public health and health systems perspectives Group work on NCD prevention and control approaches 21

22 COURSE 6 (3 days) DETAILED COURSE CONTENT AND STRUCTURE Morning Content Method Afternoon Content Method Monday NCD burden and impact Introductory lecture (Pascal Bovet) Monday Public Health perspective to NCD prevention and control Public Health perspective to NCD prevention and control Tuesday Public Health perspective to NCD prevention and control (continuation of Monday) Introductory lecture (Pascal Bovet) followed by group work Tuesday Health systems perspective to NCD prevention and control Health systems perspective to NCD prevention and control Wednesday Health systems perspective to NCD prevention and control (continuation of Tuesday) Introductory lecture (Kaspar Wyss) followed by group work Wednesday 2pm 4.30pm Non-communicable disease control: Contrasting Public Health and Health Service Approaches Non-communicable disease control: Contrasting Public Health and Health Service Approaches CURRICULUM VITAE Pascal Bovet, MD, MPH, is board certified (FMH) in both internal medicine and in public health. He is an associate professor in cardiovascular disease epidemiology at the Institute of Social and Preventive Medicine at the University Hospital of Lausanne. He has led a collaborative cardiovascular research and prevention program with the Ministry of Health of the Republic of Seychelles since 1988, including the development of comprehensive tobacco control legislation. He has been PI of several cardiovascular studies in Seychelles, Tanzania and Switzerland. He often participates as a technical adviser for the World Health Organization in relation to surveillance, tobacco control, CVD prevention, and the evaluation of national programs of prevention of non-communicable diseases. He serves as a faculty in several international courses on cardiovascular epidemiology and prevention. Kaspar Wyss, PhD, is a Public Health Specialist, Professor and Deputy Head of Department at the Swiss Centre for International Health, Swiss Tropical and Public Health Institute. Kaspar Wyss has strong management and leadership experience and is in charge of a team of 15 staff focusing on health systems development primarily in low- and middle income countries. Activities relate to both research and health system monitoring and performance assessment. He directs a number of research and implementation projects in Africa, Eastern Europe, and Asia and has extensive consultancy experiences for a broad range of clients. For the University of Basel (MSc and medical students) and for other courses including the Swiss Inter-University Master of Public Health Program he teaches on health systems. Kaspar Wyss acts further as supervisor for several PhD and MSc students 22

23 COURSE 7 (3 days) of One Health Jakob Zinsstag CONTENT OF THE COURSE One health is aiming at the synergy and added value of a closer cooperation of human and animal health. Human and animal health systems are most often separated and don t communicate well (Enserink 2010). However many contemporary health problems are highly interlinked and require cross-sector assessments, economics and management to be solved. This three day course briefly re-calls the theoretic foundations of One Health and introduces with practical exercise into methods of integrated surveillance and cross-sector human and animal health economic assessments as a basis for integrated health management. With its main focus on economics and management, and its extended methodological content, this course is clearly distinct from the One Health course offered in the MPH program of SSPH+. The latter may provide an excellent basis though it is not a prerequisite of this more advanced course. OBJECTIVES Understanding the inextricable linkage of human and animal health Learning about the added value of closer cooperation of human and animal health Imagining own work on how medical and veterinary sectors and other disciplines could work better together PREREQUISITES Medical, public health, veterinary or biological sciences background PEDAGOGICAL METHOD Mix of frontal teaching, group work, plenary discussions 23

24 COURSE 7 (3 days) DETAILED COURSE CONTENT AND STRUCTURE Morning Content Method Afternoon Content Method Thursday Introduction to One health theory and validation One health methods for disease surveillance Group work: Development of a One health surveillance system Frontal class Frontal class Group work Thursday Presentation of One health surveillance systems Introduction to One health interventions Practical on One Health interventions Plenary Frontal class Plenary discussion of case examples: Ebola, Brucellosis, Campylobacter, Salmonellosis Friday Animal-human disease transmission Practical on animal-human disease transmission Presentation and discussion of practical work Frontal class Small group work (no mathematics required) Friday Introduction to One health economics Methods of One health economics One health economics cont. Frontal class Frontal class Group excercise Presentations and discussion Saturday 9am 1pm Methods of One Health in non-communicable disease Practical on One health economics and intervention planning Cont. Practical Frontal teaching Small group work Small group work Saturday 2pm 3pm Presentation of One Health economics exercise Cont. Presentation Wrap up and discussion of open questions and the potential of generalization. Plenary discussion Plenary discussion Plenary discussion CURRICULUM VITAE Jakob Zinsstag graduated with a doctorate in veterinary medicine (Dr. med. vet.) on Salmonella diagnosis at the Veterinary Faculty of the University of Berne in After his studies he worked in rural practice and as post doctoral fellow on trypanosomiasis research at the Swiss Tropical Institute. From 1990 to end of 1993 he led a livestock helminthosis project for the University of Berne at the International Trypanotolerance Centre in The Gambia. From 1994 to 1998 he directed the Centre Suisse de Recherches Scientifiques in Abidjan, Côte d Ivoire. Since 1998 he leads a research group at the Swiss Tropical and Public Health Institute (Swiss TPH) in Basel on the interface of human and animal health with a focus on health of nomadic people and control of zoonoses in developing countries under the paradigm of one health. He holds a PhD in Tropical Animal Production from the Prince Leopold Institute of Tropical Medicine of Antwerp, Belgium. Since 2010 he is Professor of Epidemiology at the University of Basel and since 2011 deputy head of department of Epidemiology and Public Health at the Swiss TPH. He is a diplomate of the European College of Veterinary Public Health (ECVPH) and member of the scientific advisory board of the Prince Leopold Institute of Tropical Medicine of Antwerp, Belgium. He is a member of the transdisciplinarity board of the Swiss Academies of Sciences ( and president of the International Association of Ecology and Health ( The research group is currently part several larger international networks. The EU FP7 funded network on Integrated Control of Zoonoses in Africa (ICONZ ) and the Wellcome Trust funded Africa Capacity Building network (AfriqueOne The group s projects are located in Chad, Mali, Mauritania, Côte d Ivoire, Ethiopia, Tanzania, Viet Nam, Kyrgyzstan and Mongolia and the group is networking with research institutes and veterinary authorities in these countries and England, France, Belgium, Canada and the USA. Short CV in text format 24

25 COURSE 8 (3 days) ehealth Martin Raab Antoine Geissbuhler Gonçalo Castro Sang-Il Kim CONTENT OF THE COURSE Basic ehealth concepts and definitions Key thematics in ehealth (elearning, Telemedicine, Health Information Systems, Electronic Medical Records and Electronic Health Records) and how they can support healthcare delivery and management International trends, barriers and success factors Expectations on benefits vs. evidence base, evaluation in ehealth ehealth Strategy and relevance of interoperability and information security in ehealth OBJECTIVES ehealth (the application of information and communication technology to health) plays a major role in health systems around the world nowadays, including in low and middle income countries. ehealth systems are increasingly applied to improve access and quality of health information, enhance healthcare processes, achieve better quality of care and improve patient outcomes. Despite all the potential, the many implications of ehealth (from the clinical, legal, technological or social points of view, to name a few) often contribute to making initiatives in this domain complex and challenging endeavors. On the other hand, health systems are increasingly dependent on ehealth, despite the widely acknowledged gaps in the evidence-base behind it. That is why it is crucial nowadays that decision-makers in the health domain have a comprehensive understanding of ehealth what it is, what are its implications, benefits or barriers, what are the best practices, how can it be evaluated so that interventions in the field can make the best use of such technologies to improve the health status of populations. The aim of the course is to enable students to: Understand the implications, constraints and opportunities in the application of ehealth in a health system Be able to influence and steer ehealth initiatives for maximal results Be aware of international best practices and success factors in ehealth Have basic knowledge rto take managerial and policy decisions related to ehealth PREREQUISITES Work experience in the healthcare sector desirable PEDAGOGICAL METHOD s, reading, discussions, case study, group work and presentation ASSESSMENT PROCEDURE Group work presentation 25