About The Course
Welcome Message

Welcome to the CoursePlus Web site for HEALTH SYSTEMS IN LOW AND MIDDLE INCOME COUNTRIES (221.646.01), a course offered by the Department of International Health at the Johns Hopkins Bloomberg School of Public Health.

Course Description

Explores health systems in low and middle income countries (LMICs), and examines approaches to improving the performance of health systems. Focuses on frameworks, tools, skills, and strategies to understand, influence, and evaluate health systems in LMICs. Identifies key institutions, functions, and performance issues for national and local health systems. By using frameworks and tools, students gain experience in systematically analyzing health systems and methods to plan, implement, and evaluate changes in health systems in a variety of settings, including countries in various levels of demographic, epidemiologic and economic transitions. Covers key controversies in health systems, including issues in monitoring health systems performance, the role of the public sector, dealing with unregulated private health markets, linking priority health programs and health systems, raising accountability in the health system, etc.

Course Learning Objectives

Upon successfully completing this course, students will be able to:

  • describe health systems frameworks, strategies and tools to analyze and evaluate health systems and their reforms in LMICs
  • explain and assess key systems, functions and institutions: oversight (e.g. governance, policy, regulation, public information), health care organization, and health financing
  • explain the role of different factors that contribute to health systems performance and health reforms
  • debate health systems issues concerning the roles of communities, public sector, markets, and other key institutions

Course Time

Mon Wed   1:30 PM to 2:50 PM


220.601, Introduction to International Health

Intended Audience

Health Systems MHS and PhD students, MPH students

Grading Policy & Grading Restrictions

Grading Policy: Attendance (10%); participation in group work and discussion (40%); three exercises and one paper (50%)

Grading Restrictions: Letter grade

Administrative Contact

M. Hafizur Rahman
E-mail: hrahman@jhsph.edu

Additional Faculty Notes:

TA: Taufique Joarder,
E-mail: tjoarder@jhsph.edu

TA: Manuela Villar,
E-mail: mvillaru@jhsph.edu