Tuesday, December 14, 2010
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北의료체계 붕괴, 장마당서 의약품 구입 - JoinsMSN
北의료체계 붕괴, 장마당서 의약품 구입
입력 2010.10.21 07:36
"국제기구 등이 지원한 의약품 외에 중국산 의약품도 장마당 유통"
[노컷뉴스 안윤석 대기자] 북한에서 의료체계가 붕괴되면서 주민들은 장마당에서 의약품을 구입하는 등 자구책을 모색하고 있다고 미국의 전문가들이 전했다.
미 국의 소리 방송에 따르면 미국 존스홉킨스 의과대학 ‘난민과 재난 대응 센터’의 길버트 번햄 소장은 19일 워싱턴의 민간단체인 미국평화연구소(USIP)에서 열린 토론회에서 "북한에서는 1990년 이래 의료체계에 대한 투자가 거의 이뤄지지 않아 특히 가정의와 군 보건소 등 1차 의료기관의 붕괴가 가속화 되고 있다"고 말했다.
번햄 소장은 "이 때문에 주민들은 시설이 나은 도나 시 단위 인민병원을 선호하고 의사들이 공공연히 돈을 요구해, 환자들은 진료비와 선물을 줘야 한다"고 밝혔다.
번햄 소장은 "특히 의약품 부족이 매우 심각해 세계보건기구와 유엔아동기금가 북한에 의약품을 지원하고 있지만, 북한 의사들에 의해 곧바로 매매되기 때문에 약이 필요한 사람들은 장마당에서 직접 구입해야 한다"고 말했다.
번햄 소장은 지난 2004년 270명의 탈북자들을 상대로 보건 문제에 대한 설문조사를 실시한 바 있으며, 여러 차례 북한을 방문해 의료 시설을 살펴보는 등 북한의 의료체계를 연구해 온 전문가로 알려져 있다.
한편, 이날 토론에 참석한 미국평화연구소의 존 박 연구원은 "중국에서 밀수된 의약품이 장마당에서 유통되는 것은 주민들이 장마당을 통해 자구책을 찾고 있기 때문"이라고 말했다.
존 박 연구원은 또 "장마당이 활성화 되고 있는 가운데, 물건을 구입하러 북-중 국경을 넘는 사람들도 늘고 있어 북한 이탈 형태에 영향을 주고 있다"고 지적했다.
이날 토론회에서 주민들의 탈북 추세에 대해 발표한 존스홉킨스 의과대학 ‘난민과 재난 대응 센터’의 코틀랜드 로빈슨 박사는 "중국 동북지역에 거주하는 탈북자 수가 지난 10년간 급격히 줄었다"고 말했다.
로빈슨 박사는 "중국 내 탈북자 수는 북한 내 이른바 `고난의 행군’ 시절인1998년 당시만 해도 7만5천 명에 달했지만 이후 2002년 6만5천 명에 이어 현재는 1만 명에 불과하다"고 분석했다.
로빈슨 박사는 특히 "베이징의 스페인대사관에 25명의 탈북자가 진입한 사건이 일어난 2002년이 중국의 탈북자 단속이 대폭 강화된 중요한 분기점"이라고 말했다.
로빈슨 박사는 "탈북자들은 갈수록 중국에 짧게 머무는 추세를 보이고 있으며, 이는 국경 단속이 강화되고 한국에 정착하는 탈북자들이 늘며, 장사를 위해 북한으로 돌아가는 사람들도 있는 등 다양한 이유 때문"이라고 설명했다.
로빈슨 박사는 1999년부터 2008년 베이징올림픽 이전까지 지린, 랴오닌, 헤이롱장 성의 1백8개 지점에서 탈북자들과 조선족들을 통해 탈북자 추이를 파악해왔다.
ysan@cbs.co.kr
Tuesday, December 7, 2010
Public Health Informatics Certificate Training Program
Bloomberg School Offers Online Public Health Public Health Informatics Certificate Training Program
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Faith-Based Organizations: Serving and Uniting the Health Sector | CapacityPlus
Faith-Based Organizations: Serving and Uniting the Health Sector
Recently on the HIFA2015 listserv there has been discussion on the role of mission and faith-based health care facilities in the developing world. Statistics vary from country to country, and even region to region within a country, but the most common statistic for countries in sub-Saharan Africa is that mission and faith-based health facilities provide approximately 40-70% of health care.
Rural and isolated areas
As has been noted, these mission and faith-based health facilities have a long history of providing services in the most rural and isolated parts of the countries—places where government health care personnel often aren’t.
Great strides have been made over the past several years to strengthen the collaboration between the national health systems and the mission and faith-based health care provision through both awareness-raising and the signing of memoranda of understanding—for interventions specific to strengthening health care provision while maintaining the autonomy of mission and faith-based health care facilities. Although it is important to note that just because an intervention works in one country/region doesn’t necessarily mean that it will work in another.
The role of faith-based organizations
Many countries have umbrella organizations—often Christian Health Associations (CHAs)—that work directly with the mission and faith-based health care facilities to:
- Provide training for health care professionals
- Assist in resource development
- Serve as a voice to the national government to advocate for the needs of their member health facilities.
CHAs often represent the Christian voice of health care provision, however in some countries there are separate umbrella organizations for Protestant, Catholic, and Evangelical denominations. The Muslim community often has an umbrella organization for its health care facilities as well. And in many countries, the multiple umbrella organizations are working as a unified voice to present their needs to the national government.
Linking our work
CapacityPlus is working with the Africa Christian Health Associations Platform and its Technical Working Group on Human Resources for Health as it works with the various umbrella organizations across the continent. The Platform and Technical Working Group work to link together CHAs from country to country, and help to share approaches and lessons learned in order to strengthen the relationship and collaboration between the national government and mission and faith-based health care providers.
In January 2011, the Platform will participate in the Second Global Forum on Human Resources for Health, working to increase the visibility of the impact of mission and faith-based health care facilities. In addition, in February 2011 the Platform will hold the 5th Biennial Christian Health Associations Meeting in Accra, Ghana. This forum will be an opportunity for the CHAs from across sub-Saharan Africa to come together and share.
Photo by Trevor Snapp. (Friends Kaimosi Hospital, Kaimosi, Kenya)
Health Systems in Transition Country Profiles | HRH Global Resource Center
Health Systems in Transition Country Profiles
English
European Observatory on Health Systems and Policies
Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of each health care system and of reform and policy initiatives in progress or under development. [publisher’s description] Each report contains a section on human resources for health including an overview of the situation and specific health workforce statistics. Summaries of the reports are also available that provide a quick snapshot of the overall health system situation and usually include a partial page on the HRH situation.
There are reports for Albania, Andorra, Armenia, Australia, Austria, Azervaijan, Belgium, Bosnia and Herzegovina, Bulgaria, Canada, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Georgia, Germany, Hungary, Iceland, Israel, Italy, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Luxembourg, Malta, Mongolia, Netherlands, New Zealand, Northern Ireland, Norway, Poland, Portugal, Republic of Moldova, Romania, Russian Federation, Slovakia, Slovenia, Spain, Sweden, Switzerland, Tajikistan, Macedonia, Turkey, Turkmenistan, Ukraine, United Kingdom, Uzbekistan and Wales.
HRH Overview
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Geographic Focus
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Sunday, December 5, 2010
Amazon.com: The Primacy of Politics: Social Democracy and the Making of Europe's Twentieth Century (9780521521109): Sheri Berman: Books
The Primacy of Politics
- Paperback
Political history in the industrial world has indeed ended, argues this pioneering study, but the winner has been social democracy - an ideology and political movement that has been as influential as it has been misunderstood. Berman looks at the history of social democracy from its origins in the late nineteenth century to today and shows how it beat out competitors such as classical liberalism, orthodox Marxism, and its cousins, Fascism and National Socialism by solving the central challenge of modern politics - reconciling the competing needs of capitalism and democracy. Bursting on to the scene in the interwar years, the social democratic model spread across Europe after the Second World War and formed the basis of the postwar settlement. This is a study of European social democracy that rewrites the intellectual and political history of the modern era while putting contemporary debates about globalization in their proper intellectual and historical context.
Wednesday, December 1, 2010
MBC뉴스 - iMnews.com
'미국의 건강보험 개혁과 시사점'
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시간 : 2분 36초 |
건강보험심사평가원은 11일, 미국의 오랜 개혁과제였던 건강보험개혁안과 관련해 미국 건강보험개혁의 개요와 보험적용인구 및 보험급여 확대, 노인의료 관련 개혁, 재원조달방안 그리고 의료의 질 향상과 관련된 세부 주제를 바탕으로 함께 논의함으로써 국민건강보험에 대한 시사점을 찾아보고자 포럼을 개최했습니다.
MBC뉴스 - iMnews.com
'미국의 건강보험 개혁과 시사점'
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시간 : 2분 36초 |
건강보험심사평가원은 11일, 미국의 오랜 개혁과제였던 건강보험개혁안과 관련해 미국 건강보험개혁의 개요와 보험적용인구 및 보험급여 확대, 노인의료 관련 개혁, 재원조달방안 그리고 의료의 질 향상과 관련된 세부 주제를 바탕으로 함께 논의함으로써 국민건강보험에 대한 시사점을 찾아보고자 포럼을 개최했습니다.
Essentials of Global Community Health
Essentials of Global Community Health
| Author(s): | Jaime Gofin, MD, MPH, Professor, Department of Health Promotion, Social, and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, Professorial Lecturer Prevention and Community Health, School of Public Health and Health Services, The George Washington University, Washington D.C. Rosa Gofin, MD, MPH, Associate Professor of Social Medicine, Hebrew University-Hadassah School of Public Health and Community Medicine, Jerusalem, Israel, Professor, Department of Health Promotion, Social, and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, Adjunct Professor, Department of Prevention and Community Health, School of Public Health and Health Services, The George Washington University, Washington D.C. |
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| Price: | Find Your Sales Rep International Sales $74.95 US List Add to Cart |
Overview
Instructor Resources: Instructor's Manual, TestBank, PowerPoints
Student Resources: Companion Website with Interactive Glossary, Flashcards, WebLinks, Crosswords, Matching Questions
Essentials of Global Community Health offers current and future clinicians, public health professionals, and administrators a comprehensive resource on providing community-oriented health care.
This essential reference delves into the individual, family, social, and global determinants that shape a community’s health. Combining theory with practical application, Essentials of Global Community Health provides step-by-step guidance on interventions that promote health and prevent disease at the community level.
With 16 structured case studies that span the globe—from Cambodia and Chad, to Moldova, Israel, Spain, and others—Essentials of Global Community Health explains and illustrates how principles of Community-Oriented Primary Care (COPC) and Community-Oriented Public Health (COPH) work in diverse settings worldwide.
Jaime and Rosa Gofin bring 40 years of academic and field experience to bear in this text by offering a complete framework for putting community health into practice.
Essentials of Global Community Health features
• A step-by-step framework for integrating individual care and public health
• A comprehensive resource on COPC and COPH
• Illustrative examples and summary tables, plus study and review questions to reinforce concepts
• A complete package of instructor and interactive student resources available online.
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Chapter 1 Meaning and Definitions of Community Health
Chapter 2 Community Health Interventions
Chapter 3 History and Principles of COPC
Chapter 4 The Methodology of the Community Oriented Primary Care – COPC – Process
Chapter 5 Community Oriented Public Health (COPH)
Chapter 6 Community Participation in Community Health
Chapter 7 Integration of Health Services in Community Health
Chapter 8 Epidemiology as a Tool for Community Health
Section II Global Application of Community Health: Case Studies
Case 1 Developing Community-Oriented Primary Care (COPC) in Contemporary Rural South Africa: The Case of Stroke
Case 2 COPC and Refugee Participation in a Humanitarian Crisis: The Chad Experience
Case 3 Multi-Sector and Coordinated Intervention to Reduce Child Trafficking in Benin-West Africa
Case 4 Averting Childhood Deaths in Resource-Constrained Settings through Engagement with the Community: An Example from Cambodia
Case 5 Common Pathways: Worcester’s Healthy Community Initiative
Case 6 Parkland Health & Hospital System: Community Oriented Primary Care (COPC) in Action
Case 7 Preventing Diabetes in American Indians: Cherokee Choices
Case 8 The Health Commons: An Expansion of the Community Health Center Concept, in New Mexico, USA
Case 9 Addressing Health Disparities in Hispanic Elders in the United States. A Community Oriented Primary Care Approach
Case 10 A Community Oriented Multi-Sector Intervention to Improve Sexual and Reproductive Health and Reduce Violence in Moldova – Eastern Europe
Case 11 Community Oriented Public Health: The Case of Catalonia, Spain
Case 12 Community Oriented Primary Care (COPC) – Atencion Primaria Orientada a la Comunidad (APOC) – and the Development of a Network of Community Oriented Health Services: The Case of Catalonia, Spain.
Case 13 Community Oriented Primary Care (COPC) in Maternal and Child Health: The Jerusalem experience
Case 14 A Community Oriented Primary Care (COPC) Program on the Control of Cardiovascular Risk Factors in a Family Practice: The Jerusalem Experience
Case 15 The Healthy Municipalities Movement in Nocaima- Cundinamarca, Colombia: Academia-Community Partnership in Action
Case 16 Community-Oriented Primary Care (COPC) in the Integrated Health Care System of Uruguay
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Global Health
Global Health, Third Edition
Diseases, Programs, Systems, and Policies
| Author(s): | Michael H. Merson, MD, Director, Global Health Institute, Duke University Robert E. Black, MD, MPH, Johns Hopkins Bloomberg School of Public Health Anne J. Mills, MA, DHSA, PhD, University of London - London School of Hygiene and Tropical Medicine, London, England |
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| Price: | Find Your Sales Rep International Sales $124.95 US List Add to Cart |
Overview
Designed for use in graduate level MPH programs, Global Health: Diseases, Programs, Systems, and Policies, Third Edition examines the wide range of public health issues facing the many world populations today and the various approaches nations adopt to deal with them.
- Chapter contributions from leading experts in global public health
- Case studies throughout
- Discussion questions in each chapter
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IntroductionChapter 1 Measures of Health and Disease in Populations - Adnan A. Hyder, Prasanthi Puvanachandra, and Richard H. Morrow
Chapter 2 Culture, Behavior, and Health - Susan C. Scrimshaw
Chapter 3 The Social Determinants of Health - Michael P. Kelly and Emma Doohan
Chapter 4 Reproductive Health - M. Omar Rahman and Jane Menken
Chapter 5 Infectious Diseases - Arthur L. Reingold and Aubree Gordon
Chapter 6 Nutrition - Keith P. West
Chapter 7 Chronic Diseases and Risks - Derek Yach,George A. Mensah, Corrina Hawkes, JoAnne E. Epping-Jordan, and Krisela Steyn
Chapter 8 Unintentional Injuries and Violence - Robyn Norton, Adnan A. Hyder, and Alexander Butchart
Chapter 9 Global Mental Health - Vikram Patel, Alan J. Flisher, and Alex Cohen
Chapter 10 Environmental Health - Tord Kjellstrom, Anthony McMichael, Kirk R. Smith, and Sudhvir Singh
Chapter 11 Complex Emergencies - Michael J. Toole, Ronald J. Walman, and Anthony Zwi
Chapter 12 The Design of Health Systems - Anne J. Mills and M. Kent Ranson
Chapter 13 Management and Planning for Public Health - Andrew Green, Charles Collins, and Tolib Mirzoev
Chapter 14 Pharmaceuticals - Kara Hanson, Benjamin Palafox, Stuart Anderson, Javier Guzman, Mary Moran, Rima Shretta, and Tana Wuliji
Chapter 15 Health and the Economy - Jennifer Prah Ruger, Dean T. Jamison, David E. Bloom, and David Canning
Chapter 16 Evaluation Science - Cesar Victora, Damian Walker, Benjamin Johns, and Jennifer Bryce
Chapter 17 Global Cooperation in International Public Health - Gill Walt, Kent Buse and Andrew Harmer
Chapter 18 Globalization and Health - Kelley Lee, Derek Yach, and Adam Kamradt-Scott
Global Surgery and Public Health: A New Paradigm
Global Surgery and Public Health: A New Paradigm
| Author(s): | Catherine R. deVries, MD, MS, FACS, FAAP, Professor of Surgery and Adjunct Associate Professor, Department of Surgery and Department of Family and Preventive Medicine, Division of Public Health, University of Utah, Salt Lake City, Utah, President, IVUmed, Salt Lake City, Utah Raymond R. Price, MD, FACS, Intermountain Surgical Specialist, Intermountain Healthcare, Co-Director Surgical Education, Intermountain Medical Center, Salt Lake City, Utah, Adjunct Associate Professor of Surgery and Adjunct Associate Professor of Public Health, Department of Surgery and Department of Family and Preventive Medicine, Division of Public Health, University of Utah, Salt Lake City, Utah, Medical Director, Dr. W.C. Swanson Family Foundation, Ogden, Utah |
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| Details: |
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| Price: | Find Your Sales Rep International Sales $79.95 US List Add to Cart |
Overview
Instructor Resources: PowerPoints, Image Bank
(Available in December, contact your account specialist for more information.)
Until recently, surgical services in developing countries have been neglected, despite the critical role they could play in preventing disease and saving lives. Over the last few years, world leaders, public health professionals, and surgeons have collaborated to discuss public policies, resource utilization, healthcare reform, surgical safety, and workforce issues in order to bring these life-saving services to those most in need.
Global Surgery and Public Health: A New Paradigm offers the most current information as well as a systematic approach to considering surgery in the context of a broader umbrella of public health. It is ideal for courses in Global/International Health, Public Health, Surgery, Medical Anthropology as well as for professionals in public policy and international health care and humanitarian groups serving the surgical needs of patients in under-resourced settings.
“This, in our view, is precisely what is needed to move surgery into its proper role as a cornerstone of global public health rather than, as we have argued elsewhere, its neglected stepchild.”
--Stephen R. Sullivan, MD, MPH, Plastic Surgeon, Partners In Health, Boston, MA
Assistant Professor of Surgery and Pediatrics, Brown Alpert Medical School, Providence, RI
and
--Paul E. Farmer, MD, PhD, Co-founder, Partners In Health, Boston, MA
Chief, Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA
Presley Professor of Social Medicine and Chair, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA
HideTable of Contents
Preface
Acknowledgements
Part I The Case for Global Health Surgery
Chapter 1 Advances and Disparities: The Current State of Global Surgical Care
Chapter 2 Surgery and Public Health: “Global Health Surgery”
Chapter 3 Surgery and Health Care Resources
Chapter 4 The Innovator’s Scalpel: Dissecting Innovation
Chapter 5 Disruption: Remodeling Surgery for the Community
Chapter 6 The New Surgical Ecosystem: Trends in Care Delivery
Chapter 7 Tailoring Delivery to Local Needs: Successful Strategies
Part II Approaching Equity in Global Surgery
Chapter 8 Who’s at Risk? Surgical Populations in the Community
Chapter 9 Contributions from Surgical Specialties
Chapter 10 Trauma: A Global Pandemic
Chapter 11 Beyond Infectious Disease: Surgical Sequellae of Chronic Diseases
Acronyms
Glossary
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Case Studies in Global Health: Millions Saved
Case Studies in Global Health: Millions Saved
| Author(s): | Ruth Levine, PhD, Senior Fellow and Director of Programs, Center for Global Development |
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| Details: |
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| Price: | Find Your Sales Rep International Sales $69.95 US List Add to Cart |
Overview
Instructor Resources: Instructor's Manual, PowerPoints
One of the greatest human accomplishments has been the spectacular improvement in health since 1950, particularly in developing countries. With death rates falling steadily, more progress was made in the health of populations in the past half-century than in many earlier millennia. A careful look at that success can yield important lessons about how to tackle the challenges of HIV/AIDS, child health, and global health inequities in the future.
This series of twenty case studies illustrates real-life proven, large-scale success stories in global public health. Drawing from a rich evidence base, the accessible case write-ups highlight experiences in scale-up of health technologies, strengthening of health systems, and the use of health education and policy change to achieve impressive reductions in disease and disability, even in the poorest countries. An overview chapter draws attention to factors that contributed to the successes. Discussion questions help to bring out the main points and provide a point of departure for independent student research.
Useful as a stand-alone text or as a complement to Essentials of Global Health, this book will give your students a clear and inspiring picture of how global public health efforts have made a difference in the lives of people around the world.
Essentials of Global Health
| Author(s): | Richard Skolnik, MPA, The George Washington University, Washington D.C. |
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| Details: |
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| Price: | Find Your Sales Rep International Sales $77.95 US List Add to Cart |
Overview
Instructor Resources: PowerPoints, Sample Syllabus, TestBank, Policy Briefs
Student Resources: Companion Website with WebLinks
Now in use at over 300 colleges and universities, Essentials of Global Health is the first comprehensive text designed for introductory, undergraduate global health courses at two and four year colleges, as well those enrolled in online learning and others new to the field.
Essentials of Global Health is a clear, concise, and user-friendly introduction to the most critical issues in global health. It illustrates key themes with an extensive set of case studies, examples, and the latest evidence. While the book offers a global perspective, particular attention is given to the health-development link, to developing countries, and to the health needs of poor and disadvantaged people. Essentials of Global Health builds on the success of an introductory global health course taught by the author at the George Washington School of Public Health and Health Services. Essentials of Global Health is ideal suited for the the Association of American Colleges and Universities recommended course: Global Health 101.
Richard Skolnik is the winner of numerous honors for teaching, has taught global health for 8 years, and has more than 30 years of experience as a global health practitioner in multilateral, university, and NGO settings. He has been actively involved in dealing with critical issues in global health at country level and at the highest levels of international health policy making. Learn more about the author.
“Richard Skolnik's Essentials of Global Health is so comprehensive that it will be key reading in international health. In accessible language, he explains why good health is crucial to economic development, what indicators help track changes in global health, and requirements for good health systems. Approaches to solving world health problems must be under pinned by good ethics and human rights guidelines, he says, and local practices and cultures must not be ignored. Skolnik looks in detail at children's and women's health, and at the different challenges of tackling communicative and non-communicative disease in developing countries. He also maps out the key players in global health and looks ahead to future challenges.”
—The Lancet, October 2007
The book is organized in four parts:
- Principles, Measurements, and the Health-Development Link: The principles of Global Health; Health Determinants, Measurements, and Trends; and Health, Education, Poverty, and the Economy.
- Cross-Cutting Global Health Themes: Human Rights, Ethics, and Global Health; An Introduction to Health Systems; and Culture and Health.
- The Burden of Disease: The Environment and Health; Nutrition and Health; Women’s Health; Child Health; Infectious Diseases; Non-Communicable Diseases; and Unintentional Injuries.
- Working Together to Improve Global Health: Conflicts, Natural Disasters, and Other Emergencies; Cooperating to Improve Global Health; and, Science Technology, and the Public’s Health.
- Detailed Syllabus, updated each semester
- TestBank
- Comprehensive list of resources including links to global health presentations, videos, and global health references organized by chapter, updated each semester.
*Global Health 101 is one of three AAC&U recommended courses as part of their Educated Citizen and Public Health initiative. Download a curriculum guide and learn more about the initiative at http://www.aacu.org/public_health/index.cfm.
Millions Saved: Proven Successes in Global Health : Center for Global Development : Publications
Millions Saved: Proven Successes in Global Health
Ruth Levine and the What Works Working Group with Molly Kinder
11/30/2004
One of the greatest human accomplishments has been the spectacular improvement in health since 1950. In developing countries, life expectancy has risen from 40 to 65 years, and the chances that a child will survive to the age of five has doubled. In addition to directly improving people's lives, this progress contributes to economic growth. While some of the improvements in health is the result of overall social and economic gains, about half of it is due to specific efforts to address major causes of disease and disability -- such as providing better and more accessible health services, introducing new medicines and other health technologies, and fostering healthier behaviors.
Millions Saved: Proven Success in Global Health is about part of that success story: 17 cases in which large-scale efforts to improve health in developing countries have succeeded - saving millions of lives and preserving the livelihoods and social fabric of entire communities.
NEW EDITION! Case Studies in Global Health: Millions Saved published by Jones and Bartlett in 2007 contains 3 new case studies and updates to the 17 original success stories. The case book accompanies an undergraduate global health textbook by Richard Skolnik.
Buy or request a review copy of the new book
For information on copies of the original edition, email Publications
Read the Policy Brief of Millions Saved: Proven Successes in Global Health