Global Health 101, Third Edition Richard Skolnik Discussion Cases Chapter 5 – Discussion Case on Health Systems, RBF, CC
Posted: Mon Apr 04, 2022 6:45 am
Global Health 101, Third Edition
Richard Skolnik Discussion Cases
Chapter 5 – Discussion Case on Health Systems, RBF, CCTs, and Contracting In/Out Background Country Description
Skolnikland is in Eastern Africa. It has 30 million people. The country has a plains region, a hill region, and a region with high mountains. It has a number of ecosystems. The plains are dry for much of the year, there is some rainforest, and the rest of the country includes both hills and mountains. There are two seasons of heavy rainfall.
The people come from several ethnic groups that tend to live in their own regions and speak different languages. The ethnic groups largely follow one of three different religions. The large cities are mixed ethnically. One ethnic group is economically and socially very dominant. The national language is the language of this dominant ethnic group.
According to World Bank criteria, Skolnikland is among the poorest countries in the world. The economy has been growing at about 4% per year on average over the last decade, but the economy had very slow economic growth in the decades prior to that. The richest 10% of the population controls 80% of the national income.
About 80% of the people live in rural areas and 20% in urban areas. The number of people living in urban areas has been growing recently at an increasing pace. Most people earn their livelihood in agriculture, but there is an increasing garment manufacturing industry in the two largest cities. There are also a number of mining industries. Other export industries are beginning to grow in number, mostly focused on the export of commodities to China.
The total fertility rate is about 4.5 and it has declining slowly over the last two decades, from over 6. There are an almost equal number of men and women in the population. Infant mortality is about 90 per 1,000 live births. Maternal mortality is about 500 per 100,000 live
© 2016 Jones & Bartlett Learning, LLC 1
Global Health 101, Third Edition
Richard Skolnik
Discussion Cases
births. Thirty-five percent of the children are underweight for age.
The adult literacy rate is about 40%. The educational enrollment rate, especially for girls at the primary and secondary levels, has been growing slowly, but steadily. Most recently, this rate has been growing at an increasing pace and about 75% of the girls now attend school regularly, although many of them are of very low quality.
Only about 50% of the people have access to safe water. Only about 30% have access to sanitary disposal of human waste.
HIV prevalence is 7% of the adult population. The number of new HIV cases annually has begun to plateau. About half of the people eligible for treatment for HIV are on treatment. Malaria is rampant in the plains.
Investments in the road system have been growing rapidly and the use of private automobiles has begun recently to increase more rapidly.
Skolnikland has a pluralistic health system that is made up of public and private institutions, publicly financed providers, licensed private providers, unlicensed medical practitioners, and traditional healers. There is no health insurance, except for some free services for the poor in the few publicly financed hospitals, to which the better off people do not go. The health system is not very effective or efficient and is largely of low quality. The HIV, TB and malaria programs are not effective or efficient and they are just beginning to adopt paradigms for services that follow global best practices.
You will then develop as a new child health policy for Skolnikland that can be presented to the President the following w The policy must make clear to the President what must be done in the short, medium, and long run to reduce child deallis in You should be able to articulate the policy in an extended "executive summary": • What do children get sick, disabled, and die from? • Why should the President and people of Skotnik care? • What can be done at least cost, as fast as possible to make a real dent in child health problems in Skolnikland? As you prepare your comments, you will want to be guided by the following questions: • What are the leading causes of child death? • Al what ages do children die? • Which children are most at risk? • What are the key risk factors? . . In order of priority, what would you recommend in the short run to address child deaths in Skolnikland? • In order of priority, what would you recommend in the medium run to address child deaths in Skolnikland? • In order of priority, what would you recommend in the long run to address child deaths in Skolnikland? Where will you get the money in the short, medium, and long run to do what you recommend? Make sure to provide plenty of facts and proper citations for them You must have at least 3 references for the case study Examples of health policy meros Policy Memo-Price Transparency in health care industry You can also prepare a briefing memo The Health Impacts of Gambling Expansion in Greater Sudbury
webapps/blackboard/content/listContent.jsp?course id= 231618_1&content id= 3011918 18mode-reset Paraphrasing Tool 5 April 4- Individual Assignment 2- Skolnikland Child Survival Case • Respond to the specific asks in the case study Prepare a 1 page (max) briefing memo addressing the questions raised • The case study should be prepared with double-spaced, size 12 font, and 1" margins Anything more than 4 pages will result in an automatico (Title page & citations pose do not count towards the poor) • Make sure to include citations as needed • Provide a fact-based argument or rationale for your stated response. Be sure to consider not only the policy, but the broader . Case-Country Background for Cases.pdf A Skolnikland Child Survival Case Skolnikland is in East Africa. It has 12 million people and a GDP per capita of only $500. Ninety percent of the people live in The total fertility rate is 45. The maternal mortahty ratio is 560. The under-five child mortality rate is 100 HIV prevalence among adults is 6.7% The public health system is exceptionally weak, although immunization coverage has greatly expanded There is a growing coverage You will watch a few short video clips, to inspire you about what can be done to improve child health in Skolnikland: Neonates in Nepal/Malawi: • Ethiopia SAM: ThxFfRu8 • ORT videos Cambodia commercial TL_D9sIY PBS: http://www.pbs.org wohlvexforsurvival/series/video/d_dia1_dis_oralretherapy.btrol • Haiti "The Pneumonia Song" You will then develop as a new child health policy for Skolnikland that can be presented to the President the following week w Ti
Richard Skolnik Discussion Cases
Chapter 5 – Discussion Case on Health Systems, RBF, CCTs, and Contracting In/Out Background Country Description
Skolnikland is in Eastern Africa. It has 30 million people. The country has a plains region, a hill region, and a region with high mountains. It has a number of ecosystems. The plains are dry for much of the year, there is some rainforest, and the rest of the country includes both hills and mountains. There are two seasons of heavy rainfall.
The people come from several ethnic groups that tend to live in their own regions and speak different languages. The ethnic groups largely follow one of three different religions. The large cities are mixed ethnically. One ethnic group is economically and socially very dominant. The national language is the language of this dominant ethnic group.
According to World Bank criteria, Skolnikland is among the poorest countries in the world. The economy has been growing at about 4% per year on average over the last decade, but the economy had very slow economic growth in the decades prior to that. The richest 10% of the population controls 80% of the national income.
About 80% of the people live in rural areas and 20% in urban areas. The number of people living in urban areas has been growing recently at an increasing pace. Most people earn their livelihood in agriculture, but there is an increasing garment manufacturing industry in the two largest cities. There are also a number of mining industries. Other export industries are beginning to grow in number, mostly focused on the export of commodities to China.
The total fertility rate is about 4.5 and it has declining slowly over the last two decades, from over 6. There are an almost equal number of men and women in the population. Infant mortality is about 90 per 1,000 live births. Maternal mortality is about 500 per 100,000 live
© 2016 Jones & Bartlett Learning, LLC 1
Global Health 101, Third Edition
Richard Skolnik
Discussion Cases
births. Thirty-five percent of the children are underweight for age.
The adult literacy rate is about 40%. The educational enrollment rate, especially for girls at the primary and secondary levels, has been growing slowly, but steadily. Most recently, this rate has been growing at an increasing pace and about 75% of the girls now attend school regularly, although many of them are of very low quality.
Only about 50% of the people have access to safe water. Only about 30% have access to sanitary disposal of human waste.
HIV prevalence is 7% of the adult population. The number of new HIV cases annually has begun to plateau. About half of the people eligible for treatment for HIV are on treatment. Malaria is rampant in the plains.
Investments in the road system have been growing rapidly and the use of private automobiles has begun recently to increase more rapidly.
Skolnikland has a pluralistic health system that is made up of public and private institutions, publicly financed providers, licensed private providers, unlicensed medical practitioners, and traditional healers. There is no health insurance, except for some free services for the poor in the few publicly financed hospitals, to which the better off people do not go. The health system is not very effective or efficient and is largely of low quality. The HIV, TB and malaria programs are not effective or efficient and they are just beginning to adopt paradigms for services that follow global best practices.
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webapps/blackboard/content/listContent.jsp?course id= 231618_1&content id= 3011918 18mode-reset Paraphrasing Tool 5 April 4- Individual Assignment 2- Skolnikland Child Survival Case • Respond to the specific asks in the case study Prepare a 1 page (max) briefing memo addressing the questions raised • The case study should be prepared with double-spaced, size 12 font, and 1" margins Anything more than 4 pages will result in an automatico (Title page & citations pose do not count towards the poor) • Make sure to include citations as needed • Provide a fact-based argument or rationale for your stated response. Be sure to consider not only the policy, but the broader . Case-Country Background for Cases.pdf A Skolnikland Child Survival Case Skolnikland is in East Africa. It has 12 million people and a GDP per capita of only $500. Ninety percent of the people live in The total fertility rate is 45. The maternal mortahty ratio is 560. The under-five child mortality rate is 100 HIV prevalence among adults is 6.7% The public health system is exceptionally weak, although immunization coverage has greatly expanded There is a growing coverage You will watch a few short video clips, to inspire you about what can be done to improve child health in Skolnikland: Neonates in Nepal/Malawi: • Ethiopia SAM: ThxFfRu8 • ORT videos Cambodia commercial TL_D9sIY PBS: http://www.pbs.org wohlvexforsurvival/series/video/d_dia1_dis_oralretherapy.btrol • Haiti "The Pneumonia Song" You will then develop as a new child health policy for Skolnikland that can be presented to the President the following week w Ti