Local to Global: Frameworks in Global Health

Sam Clark    |    Jonathan Gorstein - Abstract    |    Jonathan Gorstein - Outline    |    Anne Marie Kimbal    |    Ann Kurth
Martina Morris    |    Beth Rivin    |    Bettina Shell-Duncan    |    Clarence Spigner    |    Joe Zunt    |    Combined

Proposed template for 6 lectures

1. Introduction to topic

Assume that students are coming from a very wide range of disciplinary training, so cover the basics:

• what is the health issue in this case,
• what do we know about its etiology and epidemiology,
• what is being proposed here to address it

2. Why is this a priority?

The aim here is to view the issue from different perspectives. Priorities can be selected using many different criteria.

• Burden of disease
• Interests of funders
• Interests of local community
• Cost of solution
• Prevention vs. Treatment

3. What kind of evidence is needed to evaluate and address this case? What kind of evidence is out there?

The aim here is to identify

• how issues are defined, and the importance of definitions (e.g., is FGC a health issue?)
• how policy debates are motivated and framed by available information
• how evaluation of a program will require information

• searching for information (electronic, print, key informants)
• critically evaluating information

4. How does institutional capacity affect the problem and the process?

The aim here is to understand how social institutional context matters for an intervention to succeed

• basic public infrastructure (roads, clean water, sanitation)
• economic development and integration into the global market
• legal context (local, national, global)
• political stability and state capacity
• cultural expectations
• historical context

5. Conflicting goals

The aim here is to reveal how apparently simple health initiatives can have unintended consequences and underlying conflicts

• individual benefits vs. the protection of public health
• benefits for one group are at the expense of other groups
• conflict in cultural or belief systems

6. Ethical and Human Rights issues

The aim here is to understand how these issues arise in all cases

• how to recognize these issues
• how to articulate them and discuss them productively
• what the international standards are and where they come from