PGEducation

Wednesday, December 22, 2004

Public Health Administration

At JIPMER we wish to start a fellowship program in Public Health Administration after PG. The duration will be for one year. Outlined below is the broad course content. Please give your opinion on teh content, weightage to be given to various topics, teaching learning experiences to be undergone and possible evaluation methods.

The Public health administration Program offers the following areas of concentration: Community Health Practice, Epidemiology, Health Education, Public Health Policies & Management and Biostatistics,
The fellowship Program is to prepare public health professsionals to assume public health leadership roles in the identification of community health problems, and in the planning, implementation and evaluation of programs and policies essential for the promotion of health and the alleviation of illness and disease.
Thus, a candidate with this program will have a broad and general knowledge of these basic areas of public health:
1. Managing Health Service Organizations, including planning, policy analysis and administration of health programs.
2. Collection, storage, retrieval, analysis and interpretation of health data.
3. Basic Epidemiology & Basic Statistical Methods in Public Health.
4. Fundamentals of Budgeting and Financial Management.
5. Develop leadership skills
Core Competencies developed in the fellowship Program
Management Science Competencies
Describe the organization and structure of a health service system
Evaluate basic models of health delivery systems
Assess major approaches to managing and improving health services organizations, including approaches to process improvement, strategic planning, and organizational design
Apply performance improvement concepts and tools in revising a specific process within an organizational setting
Apply key concepts of human resource management to achieving the strategic objectives of health service organizations
Prepare a basic budget

Competencies in Computer Application
Basic practical concepts and computer techniques for analyzing health-related research. Topics include introduction to commonly used software systems in public health, simple statistical analysis, and interpretation of results.
Ø Demonstrate mastery of SPSS/Excel using Windows operating systems
Ø Utilize SPSS/Excel to select and transform data in the data editor
Ø Utilize SPSS/Excel to conduct statistical hypothesis testing and modeling
Ø Demonstrate how to open an existing data file in SPSS/Excel, read and import ASCII and other common files
Ø Select and implement appropriate statistical tests used in analyzing healthcare data
Ø Define measurement scales and discuss properties of each scale; explain appropriateness of each scale to statistical testing methods
Ø Select appropriate procedures for summarizing distributions, describing univariate sample data, bivariate associations, testing hypotheses, assumptions underlying use of statistical tests, etc.
Ø Describe classification of variables from measurement perspective

Biostatistics and Epidemiology Competencies
Provides a general overview of statistical methods commonly used in the collection and analysis of health research data.
Topics include descriptive statistics, basic concepts of probability, statistical inference, analysis of variance (ANOVA), correlation, regression, distribution free methods, and introduction to use of a statistical software.
Emphasis is on understanding and applying statistical concepts intuitively to the interpretation of health research data.
Identify, access, and display in tables or graphs data relevant to disciplines of public health
Evaluate the quality and comparability of data and utilize appropriate methodology for combining relevant data from different sources
Understand basic demographic techniques used in measuring the health of populations
Understand the major study designs for obtaining quantitative information relevant to public health qustions from surveillance data, other observational studies, community-based research, or controlled trials
Design a surveillance system for a disease condition of public health importance
Understand commonly used public health measures, such as relative risk, attributable risk and relative hazards, and select appropriate statistical methods for estimating such measures in the presence of covariates
Interpret descriptive and inferential statistics resulting from data analysis and draw relevant conclusions
Critique the study design and quantitative methods used in published literature and appropriately interpret the findings
Attain a minimal level of competence in the effective access of frequently used literature databases, government databases, and appropriate software packages
Apply ethical principles to the collection and use of data emanating from public health, epidemiologic and community intervention research
Health Policy & Financing Competencies
The curriculum focuses on health policy analysis and formulation; financing, organization, and oversight of health systems; and policies and programs for disease prevention, injury control, and other public health priorities.
This concentration area is aimed at developing skills, knowledge, and attributes for policy-makers, policy analysts, and senior managers of health systems. The concentration emphasizes planning and managing national and international programs, institution building, teaching, and research in these areas.
Emphasis will be on the topics such as: the role of government in the health sector; sources of revenue for the health sector; health insurance systems; provider organization and payment methods; and access to health care.
Health Leadership and Management Competencies
Dilemmas health care managers encounter in managing large numbers of professional people, beginning with personnel policy and organizational strategy, forces the student to struggle in a practical way with personnel and leadership issues that top management staff face in health care organizations. Concepts and techniques useful for managers in improving effectiveness of human resources through leadership skills, job design, job hanalysis, selection, job evaluation, compensation, supervision, communication, training, and development examined as management tools. Based on the premise that every manager is dependent on his/her people and their competence, spirit, and support and that a manager bears responsibility for the well-being of those people.
Students will gain a fundamental understanding of the management of health service organizations in a range of settings in both India and other countries (especially low and middle income countries), covering the following topics:
Ø Understanding the health care environment
Ø Leadership development, including building a shared mission and vision
Ø Organizational design
Ø Strategic positioning and strategic planning
Ø Organizational stakeholders and governance
Ø Human resources
Ø Managing conflict
Ø Quantitative tools for management
Ø Budgeting and financial management
Ø Approaches to process improvement, including continuous quality improvement
Ø Measuring and monitoring organizational performance
Ø Change management and transformational leadership


Wednesday, December 01, 2004

Tuberculosis: RNTCP India

I would like to have answers to the following questions. Please give references and or web links.
a) What is the diagnostic algorithm for paediatric TB under RNTCP?
b) How is external quality assurance of sputum microscopy carried out?
c) What are the incentives for DOTS agents?
d) What is the funding pattern for RNTCP implementation?