ISSUES IN THE REDUCTION OF MATERNAL AND NEONATAL MORTALITY IN LOW INCOME COUNTRIES Syllabus
This course on “Issues in the reduction of maternal and newborn mortality in low-income countries” is designed so that students will understand the clinical and social causes of high maternal and newborn mortality and morbidity. In addition, students will be exposed to the clinical, program and policy interventions that address these issues, and will evaluate the strength of the evidence supporting these interventions. The course also offers students practical exercises in understanding the scope and epidemiology of both problems, and designing and assessing programmatic responses to address them. Upon completion of this course, students should have the knowledge base to be able to contribute to the program and policy responses needed to avert maternal and newborn deaths in different contexts.
The course meets two times per week from 3:30-5:20 pm in W 4030 with a ten minute break from 4:30 – 4:40. The course relies on lectures, participation in the class, 2 lab exercises, 1 reflection (a short essay) and one group project / paper. There are 18 Sessions: 13 lectures, two classes for group presentations on the final project, one optional movie day before Thanksgiving and one optional class on maternal causes of death for non-clinicians.
Course Learning Objectives
Upon successfully completing this course, students will be able to:
- list causes of maternal and neonatal deaths (from a biological/clinical, social and health systems perspective)
- list the key elements of antenatal care, essential obstetric care, essential newborn care, and postpartum care
- list and assess different types of interventions and approaches aimed at reducing maternal and neonatal morbidity and mortality within specific contexts
- address issues of monitoring and evaluation of interventions aimed at reducing maternal and neonatal morbidity and mortality
- discuss mechanisms to influence policy
Masters and doctoral students
Methods of Assessment
Student evaluation based on class participation, homework assignments and presentation of a designed intervention.
Additional Faculty Notes:
Date of distribution
Percent of final grade
Lab 1 Neonatal Mortality
Lab 2 Maternal Mortality
Maternal Mortality or Neonatal Reflection
11/07 OR 11/21, depending on which is selected by the student to complete.
11/18 OR 12/2
Group project outline
Group project presentation
12/16 or 12/18
Group project paper
Lab Exercises (10%):
There will be two lab exercises, each worth 10% of the final grade. These exercises involve simple analyses of basic data to calculate and interpret the key maternal and newborn mortality indicators. Time will be allowed in class for introduction of quantitative portion.
Maternal Mortality Reflection or Neonatal Mortality Reflection (25%):
Students will choose to write either a maternal mortality reflection piece or a neonatal mortality reflection piece. A reflection piece is a short essay. It should be 2-3 pages in length and will include the student’s 1) interpretation of key indicators, 2) design and description of appropriate program and policy response based on the data, 3) strengths and weaknesses of their strategy, 4) and justification of their proposal citing appropriately from the assigned readings and other literature.
Group project (35%) and group outline (10%):
Details to be announced.
Additional Faculty Notes:
There is no mandatory textbook required. However, for those interested, the book " Maternal and perinatal health in developing countries; edited by Julia Hussein, Affette McCaw-Binns, and Roger Webber, 2012; is available in eformat on the Welch library site at https://catalyst.library.jhu.edu/catalog/bib_4274803. The book contains chapters relevant to almost all the lectures in this course.
Course materials for this class consist of:
- Required and recommended readings; all of which will be available in PDF or Word document format in the CoursePlus website;
- Lecture slides will be available on-line in the CoursePlus website. All efforts will be made to assure that these are posted before class, though this cannot always be guaranteed. Handouts will not be distributed in class.
- Lab exercises, reflections and associated materials will also be available on-line.
Please see the course Session for a full list of dates and items for this course.
Academic Ethics Code
Students enrolled in the Bloomberg School of Public Health of The Johns Hopkins University assume an obligation to conduct themselves in a manner appropriate to the University's mission as an institution of higher education. A student is obligated to refrain from acts which he or she knows, or under the circumstances has reason to know, impair the academic integrity of the University. Violations of academic integrity include, but are not limited to: cheating; plagiarism; knowingly furnishing false information to any agent of the University for inclusion in the academic record; violation of the rights and welfare of animal or human subjects in research; and misconduct as a member of either School or University committees or recognized groups or organizations.
MODULE A: Maternal, Fetal and Newborn Mortality Epidemiology, Measurement & Mortality Prevention
Introduction to course;
Stillbirth and neonatal mortality, cause of death, how burden is estimated
Students will be asked to volunteer (n=4) to share their international experiences for 10 minutes in Session 4. (Another opportunity for additional students to present same will be made if demand is sufficient.)
Evidence based interventions to prevent fetal and newborn mortality
Lab 1 on newborn mortality posted on courseplus
(Due date Nov 7)
Optional class for non-clinicians: Causes of maternal death
Time: 12:15-1:25, Room E9519
Epidemiology of maternal mortality in low-income countries: who, what, when, where, why?
Strategies and interventions to prevent maternal mortality
Student experiences (n=4 x 10 minutes)
Lab 1 Due: Nov 7th
Newborn Mortality Reflection Posted
(Due date Nov. 18)
Community-based neonatal care packages, impact on mortality, and challenges for scale-up.
Neonatal indicator development and intervention coverage
Lab 2 on maternal mortality posted on courseplus
(Due date Nov. 20)
MODULE B: Maternal and Neonatal Mortality: Cross cutting issues and field case studies
Nutritional interventions to improve maternal and newborn health and survival
Parul Christian Linda Bartlett
Newborn Mortality Reflection Due
Group Outline Guidelines Posted
(Due date Dec. 2nd)
Using information for action: How to design a public health program
Lab 2 on maternal mortality Due
Maternal Mortality Reflection Posted
(Due date Dec. 2nd)
Abortion-related maternal mortality: Medical and social/political causes.
The impact of family planning
Day before Thanksgiving)
Optional class: Movies and discussion
Post-Partum Hemorrhage: Research, Prevention and Management: Lessons from the Field.
Maternal Mortality Reflection Due
Maternal and newborn health response in conflict settings
Group project Outlines Due
Health Care Financing for Maternal/Neonatal Health
Measuring maternal mortality, and verbal autopsy
MODULE C: Group project presentations
GROUP PRESENTATIONS on Project
GROUP PRESENTATIONS on Project
Final group paper is due on 20th December
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