UNIVERSITY OF TAMPERE MEDICAL SCHOOL MASTER S DEGREE PROGRAMME IN HEALTH SCIENCES (INTERNATIONAL HEALTH) Course description draft version made on 15.12.2009 Subsequent modifications are possible. Child Health and Nutrition (MIH-G04) Spring 2010 Credits 6 ECTS Objectives To provide the students with knowledge on the determinants and global epidemiology of child health and to equip them with skills to plan, implement and assess interventions to promote child health in various environments. Content Historical and regional development in the social status of children Patterns of normal childhood growth and development The UN declaration and convention of children s rights Other major international treaties to promote child well-being Trends in global and regional distribution of child well-being and ill health Burden of globally most important childhood communicable and non-communicable diseases Role of nutrition and nutritional disorders in child health and development The burden of traffic injuries and other trauma Impact of wars and other conflicts on child health The epidemiology of and management strategies against child labor and abuse Main child health interventions and intervention strategies Modes of Study Lectures 21h, tutorials (Problem Based Learning) 16h, individual study between the tutorials 42h, group works 10h, reading the required literature 88h, exam 3h. Total SIT (student investment time) 180h. Requirements for completion Active participation in problem based learning exercises, participation in and completion of group exercises, passing exam. Evaluation Fail/pass on a scale 1-5. The grade is given by the teacher responsible for the course, based on a written exam. Organization Responsible University of Tampere Medical School Person in Charge Professor Reijo Salmela Language English Time Spring 2010, Period III, 13.1. - 4.3., weeks 2-9 Attendance Attendance is open for all university of Tampere students but limited to 32 students. If more students wish to take the course, preference is given to degree students in health sciences and others will be accepted in the order of registration. The course will be cancelled if less than 8 students register to participate in it. Enrolment Students should register for the course on the internet at http://www.uta.fi/nettiopsu/. Deadline for registration is 6.1.2010 Web page https://learning.uta.fi/ (for enrolled students) Required reading Unicef: State of World's Children 2005 - Childhood under threat http://www.unicef.org/publications/files/sowc_2005_(english).pdf (164 pages) WHO 2008. World report on child injury prevention. Chapter 1: Child injuries in context.(20 pages) http://whqlibdoc.who.int/publications/2008/9789241563574_eng.pdf 1/5
Save the children UK. The Child Development Index. Holding governments to account for children s wellbeing.2008 (30 pages) http://www.savethechildren.org.uk/en/docs/child-development-index.pdf UN OHCHR. Convention on the rights of the child. Web pages. http://www.unhchr.ch/html/menu2/6/crc/treaties/crc.htm Child Survival Series 1-4, The Lancet 2003-4 - Child survival I: Black R, Morris S, Bryce J. Where and why are 10 million children dying every year? (9 pages) 10mill_dying.pdf - Child survival II: Jones et al. How many child deaths can we prevent this year? (7 pages) prevent_deaths.pdf - Child survival III: Bryce J. et al. Reducing child mortality: can public health deliver? (6 pages) reduce_mortality.pdf - Child survival IV: Victora C. et al. Applying an equity lens to child health and mortality: More of the same is not enough. (9 pages) equity_lens.pdf Child Development Series 1-3, The Lancet 2007 - Child development in developing countries I: Grantham-Mc Gregor et al. Developmental potential in the first 5 years for children in developing countries. (11 pages) es_paper1.pdf - Child development in developing countries II: Walker S. et al. Child development: Risk factors for adverse outcomes in developing countries (13 pages) es_paper2.pdf - Child development in developing countries III: Engle P. et al. Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. (14 pages) es_paper3.pdf Child Maltreatment Series, The Lancet 2008 - Child Maltreatment I: Gilbert R et al. Burden and consequences of child maltreatment in high-income countries. (14 pages) - Child Maltreatment Series IV: Reading R et al. Promotion of children s rights and prevention of child maltreatment. (12 pages) Maternal and Child undernutrition series, The Lancet 2008 - Maternal and Child Undernutrition I: global and regional exposures and health consequences. Lancet 2008; 371:243-60 (18 pages) - Maternal and Child Undernutrition II: consequences for adult health and human capital. Lancet 2008; 371:340-57 (18 pages) - Maternal and Child Undernutrition III: what works? Interventions for maternal and child undernutrition and survival. Lancet 2008; 371:417-440 (24 pages) 2/5
Additional reading Unisef. State of World s Children 2009- Maternal and newborn health (168 pages) http://www.unicef.org/sowc09/docs/sowc09-fullreport-en.pdf Unicef: State of World s Children 2006 - Excluded and invisible http://www.unicef.org/sowc06/pdfs/sowc06_fullreport.pdf (156 pages) Neonatal Survival Series 1-3, The Lancet 2005 - Neonatal Survival I: Lawn J, Cousens S, Zupan J. 4 million neonatal deaths: When? Where? Why? (10 pages) val_paper1.pdf - Neonatal Survival II: Darmstadt et al. Evidence-based, cost-effective interventions: how many newborn babies can we save? (12 pages) val_paper2.pdf - Neonatal Survival III: Knippenberg R. et al. Systematic scaling up of neonatal care in countries (12 pages) val_paper3.pdf Maternal and Child Undernutrition series, The Lancet 2008: - Maternal and Child Undernutrtion IV: Effective action at national level. Lancet 2008;371:510-26 - Maternal and Child Undernutrtion V: Effective international action against undernutrtion: why has it proven so difficult and what can be done to accelerate progress? Lancet 2008;371: 608-621 Vapattanawong P et al: Reductions in child mortality levels and inequalities in Thailand, analysis of two censuses. Lancet 2007; 369: 850 55 Bozzoli C, Deaton A and Quintana-Domeque C: Child mortality, income and adult height http://papers.nber.org/papers/w12966.pdf UNICEF, Child poverty in perspective: An overview of child well-being in rich countries, Innocenti Report Card 7, 2007. UNICEF Innocenti Research Centre, Florence. http://www.unicef.org/media/files/childpovertyreport.pdf ILO: The end of child labour: Within reach. International labour conference. 95th session 2006. Report I(B) ILO Geneva. ISBN 92-2-116603-1 http://www.ilo.org/public/english/standards/relm/ilc/ilc95/pdf/rep-i-b.pdf Adolescent health I: Patton G, Viner R. Pubertal transitions in health. Lancet 2007;369:1130-39 UNICEF and WHO, 2009. Diarrhoea: Why Children are still dying and what can be done http://www.unicef.org/health/files/final_diarrhoea_report_october_2009_final.pdf Detailed description of the studies: Lectures 1 2 Introduction to Child Health and Nutrition course Essentials of the biology of human growth and development Wed 13.1. 14.15-15.00 A-A308 Reijo Salmela Thu 14.1. 12.15-13.45 A-210 Heli Kuusipalo 3/5
2 Global distribution of child health Mon 18.1. 11.15-12.45 A-207 4 Vertical and horizontal child health programs Mon 18.1. 13.15-14.45 A-207 Taneli Puumalainen Taneli Puumalainen 5 Nutrition in infancy and childhood Tue 19.1. 14.15-15.45 A-A210 Heli Kuusipalo 6 Perinatal and neonatal mortality / ill health Wed 27.1. 14.15-15.45 A-B342 Vesa Eskola 7 Acute respiratory infections Thu 28.1. 14.15-15.00 A-B342 Matti Korppi 8 Diarrhoeal diseases Thu 28.1. 15.00-15.45 A-B342 Timo Vesikari 9 Epidemiology, consequences and managements of childhood undernutrition Tue 2.2. 14.15-15.45 A-B342 Per Ashorn 10 Pediatric HIV Tue 9.2. 14.15-15.45 A-B342 Eeva Salo 11 Convention and declaration of children s rights Tue 16.2. 14.15-15.00 A-B342 Tanja 12 The role and functions of UNICEF Tue 16.2. 15.00-15.45 A-B342 Tanja 13 Child labour Thu 18.2. 14.15-15.45 A-B342 Tanja 14 Global epidemic of allergy, atopy and asthma Mon 22.2. 14.15-15.45 A-B342 Minna Kaila Tutorials 1 Start PBL 1 Thu 14.1. 12.15-13.45 C-118 Ulla Harjunmaa 2 Start PBL 2, Closing 1 Tue 19.1. 12.15-13.45 C-118 Ulla Harjunmaa 3 Start PBL 3, Closing 2 Thu 21.1. 10.15-11.45 C-118 Ulla Harjunmaa 4 Start PBL 4, Closing 3 Tue 26.1. 14.15-15.45 A-A208 Ulla Harjunmaa 5 Start PBL 5, Closing 4 Thu 4.2. 14.15-15.45 C-118 Ulla Harjunmaa 6 Start PBL 6, Closing 5 Tue 9.2. 12.15-13.45 A-A209 Ulla Harjunmaa 7 Start PBL 7, Closing Thu 11.2. 10.15-11.45 A-A209 Ulla Harjunmaa 8 Closing PBL 7 Thu 18.2. 10.15-11.45 A-A209 Ulla Harjunmaa Group Works Topic Date Time Venue Note 1 Trends in child mortality in past and in future Thu 14.1. 10.15-11.45 A-A208 Reijo Salmela 4/5
2 Accidents as a major childhood health risk Thu 21.1. 12.15-13.45 A-A208 Reijo Salmela 3 Pediatric obesity Wed 3.2. 12.15-13.45 A-A208 S. Kautiainen 4 Planning of a national immunization programme 5 Disability and rehabilitation in different settings Wed 10.2. 10.15-11.45 A-A208 Hanna Nohynek Wed 15.2. 14.15-15.45 A-A208 Marjo Heinonen Individual study Preparation for tutorials (PBL) Reading the required literature Exam Thu 4.3. 9.00-12.00 B-small aud. 5/5