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Title: Economics and financing for healthcare services in a developing country
Keywords: Health systems
Health economics
Health Policy
Country: Vietnam
Institution: Vietnam - Hanoi University of Public Health (HUPH)
Course coordinator: Assoc. Prof. Nguyen Quynh Anh, Msc., PhD
Date start: 2024-09-09
Date end: 2024-09-20
About duration and dates: Two weeks, Monday to Friday Application deadline: 4 weeks prior to first presence course day. Pre-reading materials will be distributed 2-4 weeks prior to course commencement.
Classification: advanced optional
Mode of delivery: Face to face
Course location: Hanoi University of Public Health (HUPH)
1A Duc Thang Road, North Tu Liem district, Hanoi, Vietnam
ECTS credit points: 3 ECTS credits
SIT: Student Investment Time = 90 hours consisting of:
Contact time: 30 hours
Private study time (includes pre-reading): 40 hours
Assisted tutorial: 4 hours
Assessment/assignment time: 16 hours
Language: English
Description: At the end of the module, the student should be able to:
● Critically appraise the health financing system in low and middle-income countries (LMICs) context;
● Explain the fundamental economic principles and concepts relevant to health economics;
● Analyse specific features of markets for health care and markets for other goods and services and examine the potential for market failure in the health sector;
● Analyse different alternatives of revenue raising and purchasing for healthcare services.
Assessment Procedures: Students are required to participate at least 80% of the contact time (the class participation is not marked, but it is a prerequisite to be assessed). Assessment will be based on test and group exercise:
Individual examination (50%)
2-hour open book examination using multiple-choice questions and short essay questions. The questions cover topics related to health economics.
Group exercise (50%)
Students will work in groups of 3 to 5 people to prepare a group presentation. The course coordinator will assign each group a topic. Each group will search for information and prepare a 15-to 20-slide presentation covering the following content: (1) Review the current practice of the topic in your countries or developed countries; (2) Compare with the situation in Vietnam or other low and middle-income countries (LMICs); (3) Draw the lesson learnt and recommendations for LMICs. Examples of a topic are: raising revenue for health prevention/healthcare; defining and revising health benefits package; pros and cons of alternative provider payment methods, etc.

Each group will present their work in class within a maximum of 30 minutes and respond to other groups' and course facilitators' comments and discussions.

Students need to achieve the pass mark of 5.5 (according to The Vietnamese grading system, the mark is based on a 0 to 10 point scale). If students fail the individual examination, they will be offered a re-sit in the same format. If students fail the group exercise, they will be offered a re-sit in the form of an individual essay (also marked on a 0 to 10 point scale). This should be done within four weeks and will be reassessed by the course organizer.
Content: This module covers the following topics:
Part 1: Health economics
● Introduction to economics and health economics (4 hours)
● Macro-economics and health (4 hours)
● Micro-economics and application in healthcare (4 hours)
● Market failure in healthcare. Examples of market failure from the context of a developing country (4 hours)
Tutorial (2 hours) and individual examination (2 hours of assignment time)
Part 2: Health financing
● Introduction to health financing and three core functions of health financing. Universal health coverage (UHC) and the requirement of a health financing system toward UHC goals (4 hours)
● Overview of healthcare sources. Primary sources for healthcare in developing countries (3 hours)
● Introduction of health purchasing: defining health benefits package and provider payment methods (3 hours)
● Seminar 1: Vietnam Social Health Insurance: Current situation and challenges (2 hours)
● Seminar 2: Financial protection in Vietnam health system (2 hours)
Tutorial (2 hours); Group discussion and presentation (14 hours of assignment time)
Methods: Various methods are used, including lectures, seminars, group discussions, tutorials, individual work, and student presentations.
● Part 1 includes 16-hour lectures to introduce health economics and related issues and a 2-hour tutorial for revision and discussion.
At the end of Part 1, students are required to take a two-hour examination.
● Part 2 includes 10-hour lectures to introduce health financing and related issues; 2 seminars (2 hours each) to give an overview of health financing issues in the LMICs context; 2-hour tutorials for revision and discussion; Students will give presentations on a health financing topic (14 hours).
Prerequisites: English requirements: TOEFL 60- 78, or IELTS 6.0, or English native speaker, or completed higher education in English (with written proof). We also accept students from TropED core courses.
Attendance: The number of students is limited to 20, max no. of tropEd students is 10.
Selection: First come/ first serve
Fees: 600 Euro
Scholarships: Not available
tropEd accreditation: This course was accredited in Munich in February 2023. This accreditation is valid until February 2028.
Remarks: Here also key reading (references from the literature) can be mentioned (limited list, e.g., 4-5 key references).
1. Witter S, Ensor T, Thompson R, Jowett M. Health Economics for Developing Countries. A Practical Guide. Part 1: Ỉtroduction to health economics. MacMillan Education; 2000.
2. Schieber G, Baeza C, Kress D, et al. Financing Health Systems in the 21st Century. In: Jamison DT, Breman JG, Measham AR, et al., editors. Disease Control Priorities in Developing Countries. 2nd edition. Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2006. Chapter 12. Available from: Co-published by Oxford University Press, New York.
3. McIntyre, D and J Kutzin (2016). Health financing country diagnostic: a foundation for national strategy development. WHO/HIS/HGF/Technical Report/16.1. Geneva: World Health Organization. diagnostic
4. Teo, Hui Sin; Bales, Sarah; Bredenkamp, Caryn; Cain, Jewelwayne Salcedo. 2019. The Future of Health Financing in Vietnam: Ensuring Sufficiency, Efficiency, and Sustainability. World Bank, Washington, DC. © World Bank. License: CC BY 3.0 IGO.
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Date Of Record Creation: 2023-03-21 08:11:39 (W3C-DTF)
Date Of Record Release: 2023-03-21 14:19:43 (W3C-DTF)
Date Record Checked: 2023-03-21 (W3C-DTF)
Date Last Modified: 2023-03-21 14:21:46 (W3C-DTF)

Fifteen years of the tropEd Masters in International Health programme: what has it delivered? Results of an alumni survey of masters students in international health

L. Gerstel1, P. A. C. Zwanikken1, A. Hoffman2, C. Diederichs3, M. Borchert3 and B. Peterhans2

1 Royal Tropical Institute, Amsterdam, The Netherlands
2 Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland
3 Institute of Tropical Medicine and International Health, Charite – Universit€atsmedizin Berlin, Berlin, Germany