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Health Systems

Competencies
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    • Health Systems Homepage



      Introduction

      The aim of this course is to explore health systems, focusing on those in low- to middle-income countries. The course would be suitable for any health professional either working in or interested in health systems in developing countries.

      The need to understand, and to improve, health systems is well encapsulated by this quote from U.S. President Obama who stated: “We will not be successful in our efforts to end deaths from AIDS, malaria and tuberculosis unless we do more to improve the health systems around the world” (5 May 2009).

      The World Bank is also a key player in health systems: "In the era of sustainable development goals, the World Bank plays a pivotal role in promoting universal health coverage and strengthening health systems," from Universal health coverage, health systems strengthening, and the World Bank.

      The course is designed to help you: 

      1. Understand the attributes of health systems, the role of leadership and governance, and the potential of Health Systems Strengthening.
      2. Understand the role of various forms of health financing and health insurance, with relevance for developing countries.
      3. Identify what is needed for quality improvement in patient care and health care systems, and the importance of health information to measure process and outcome.
      4. Explain the importance of the availability of essential drugs, procedures, vaccines and technology (using vaccines as a case study).
      5. Understand the importance of an adequate, well-trained, and well-performing health workforce.


      This course is an Open Online Course (OOC) and was created and has been adopted from Peoples-uni. It was further developed by NextGenU.org (NGU). 

      There are five (5) modules to complete, which include:

      Module 1: Health Systems - Their Attributes, Governance and Strengthening
      Module 2: Health Care Financing
      Module 3: Quality and Information
      Module 4: Case Study: Availability of Essential Drugs, Procedures, Vaccines and Technology
      Module 5: The Health Workforce

        

       
      Approximate time for completion of this course is 7 hours at an average reading rate of 144 words/minute.

      Engaging with this course

      • To register for this course, complete the registration form. Begin the course with Module 1. For each lesson, read the description. 
      • Each lesson comprises introductory remarks. You can click on the collections of resources in each module. 
      • There is a forum on each module for reflection, and you will be able to add a new topic or respond to a previous one. You may want to share your learning from this and other readings, comment on the topics from your own experience, comment on others' posts, or provide feedback on how we can improve the content and/or presentation.
      • There is a final quiz to assess your understanding of some important concepts. Click on the hyperlinks to take you to these items in each topic.

      Requirements to obtain the certificate 

      You may browse this course for free to learn for your personal enrichment. There are no requirements.

      To obtain a certificate, a learner must successfully complete:

      • All reading requirements
      • All discussion forums
      • The final exam with a minimum of 70% and a maximum of 3 attempts and
      • The self and course evaluation forms

      Subscribe to our newsletter to be notified of future updates, new courses, and to be part of our community.


      • Module 1: Health Systems - Their Attributes, Governance and Strengthening

        The resources in this section are designed to help you understand the importance of health systems to the health of populations and the role of leadership and governance, and the potential of Health Systems Strengthening.

        1 Page, 1 Forum
        • Resources Lesson 1: Health Systems - Their Attributes, Governance and Strengthening Page
        • Reflection Module 1: Health Systems - Their Attributes, Governance and Strengthening Forum

          Reflect on the health system in your setting (national, regional or local). Can you identify a particular area of weakness and how system support or strengthening might help? 

      • Module 2: Health Care Financing

        This section of the course is designed to help you understand the role of various forms of health financing and health insurance, with relevance for developing countries.

        1 Page, 1 Forum
        • Resources Lesson 1: Health Care Financing Page
        • Reflection Module 2: Health Care Financing Forum

          Reflect on the feasibility and the potential for Universal Health Coverage in your setting.

      • Module 3: Quality and Information

        This section of the course is designed to help identify what is needed for quality improvement in patient care and health care systems, and the importance of health information to measure process and outcome. Both the quality of care and useful information systems are important attributes of good health systems.

        1 Page, 1 URL, 1 Forum
        • Resources Lesson 1: Quality and Information Page
        • Recovery Month 2021: Harm Reduction – a Pathway to Autonomy, Hope, and Healing URL

          Watch the entire video. (59 minutes)

        • Discussion Forum 3 [160 minutes]

          In this activity, you will reflect on one of the six dimensions of quality healthcare and consider, for addiction-related settings in your country or region, how this dimension might be improved and the potential role of information in that improvement.

          Step 1. Select [5 minutes]

          Select one from the 6 dimensions of quality healthcare below:

          • Safety
          • Effectiveness
          • Person-centeredness
          • Accessibility, Timeliness, Affordability
          • Equity
          • Efficiency

          Step 2. Analyze [30 minutes]

          Reflect and analyze how this dimension can be improved for addiction-related settings in your country or region.

          Step 3. Respond [105 minutes]

          Prepare a 200-400 word reflective piece of writing that covers the following components:

          • Current issues relating to the chosen dimension in addiction settings in your country or region
          • Ways to improve the selected dimension to address the needs in an addiction-related setting (list at least 2 potential solutions)
          • Potential role of information in the improvement of the chosen dimensions of quality healthcare in addiction-related settings

          Step 4. Share [ 10 minutes]

          To share your work, click on the “Add a new discussion topic” button under this post and paste your work into the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

          Step 5: Interact [10 minutes]

          To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. Your response should respond to each of the three framework elements indicated in the table. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “post to forum.”

      • Module 4: Case Study: Availability of Essential Drugs, Procedures, Vaccines and Technology

        This section of the course allows us to consider the importance of the availability of essential drugs, procedures, vaccines and technology (using vaccines as a case study).

        1 Page, 1 Forum
        • Resources Lesson 1: Availability of Essential Drugs, Procedures, Vaccines and Technology Page
        • Reflection Module 4: Case Study: Availability of Essential Drugs, Procedures, Vaccines and Technology Forum

          Reflect on a topic in the area of availability of essential drugs, procedures, vaccines and technology, other than vaccines, and identify, for your setting, some strategic approaches to supporting or strengthening your health system.

      • Module 5: The Health Workforce

        This section of the course is designed to help you understand the importance of an adequate, well-trained, and well-performing health workforce.

        1 Page, 1 Forum
        • Resources Lesson 1: The Health Workforce Page
        • Refelection Module 5: The Health Workforce Forum

          Reflect on the key workforce issues in your setting and to what extent, and in what ways education might improve workforce skills and retention.

      • Final Exam

        Click here to start the Final Examination.

        • Final Exam Quiz
          Restricted Not available unless:
          • The activity Course Registration is marked complete
          • The activity Pre-Test is marked complete
          • The activity Reflection Module 1: Health Systems - Their Attributes, Governance and Strengthening is marked complete
          • The activity Reflection Module 2: Health Care Financing is marked complete
          • The activity Discussion Forum 3 [160 minutes] is marked complete
          • The activity Reflection Module 4: Case Study: Availability of Essential Drugs, Procedures, Vaccines and Technology is marked complete
          • The activity Refelection Module 5: The Health Workforce is marked complete

          Take this quiz - A score of 9/12 will qualify towards a certificate.

      • Course and Self Evaluation & Certificate

        In this section, you can provide feedback about this course to help us make NextGenU.org better. Once evaluations are completed, you will be able to download your Certificate of Completion.

        Click here give your feedback

        • Course Evaluations Questionnaire
          Restricted Not available unless: The activity Final Exam is marked complete
        • Self Evaluation Questionnaire
          Restricted Not available unless: The activity Final Exam is marked complete
      • Gain a Certificate

        Not available

        If you have downloaded the resources in each section and passed the quiz, you can gain a certificate.

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        • Health Systems Homepage
        • Module 1: Health Systems - Their Attributes, Governance and Strengthening
        • Module 2: Health Care Financing
        • Module 3: Quality and Information
        • Module 4: Case Study: Availability of Essential Drugs, Procedures, Vaccines and Technology
        • Module 5: The Health Workforce
        • Final Exam
        • Course and Self Evaluation & Certificate
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