CRITICAL CHALLENGES IN GLOBAL TUBERCULOSIS CONTROL AND RESEARCH Syllabus

340.652.01 | AY 2013-2014 - 2nd Term | 4 Credit(s)
TTh 1:30:00 PM
  • Contact Information
    Faculty
    Jaap Broekmans
    Jonathan Golub
    Teaching Assistant
    Liza Bronner
  • Course Learning Objectives

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

    • define the global disease burden and the status of the global response,
    • assess the public health dimensions of national tuberculosis programs,
    • address the challenges of TB-HIV/AIDS, X/MDR-TB, and PPM-DOTS,
    • recognize the importance of (operational) research into new tools and novel service delivery models and, in particular,
    • make strategic and operational decisions in implementing tuberculosis control and research programs
  • Course Description

    Addresses public health dimensions of global tuberculosis control and research. Examines global tuberculosis (TB) burden with special reference to the TB High Burden Countries. Describes the rationale, history & current status of the global response, including critical examination of the DOTS Strategy, the Stop TB Strategy, and the evolving role of global institutions (e.g. WHO, Stop TB Partnership, GFATM, Gates Foundation). Appraises the merits of performance based funding. Discusses concrete examples of national program implementation (Vietnam, China, Tanzania, Kenya, USA, Netherlands and Japan). Analyzes key technical components of national programs (e.g. treatment delivery, diagnostic services, monitoring and evaluation) and its public health dimensions (e.g integrated vs. categorical management, centralized vs. decentralized management). Describes challenges of TB-HIV/AIDS, X/MDR-TB, and Public Private Mix-DOTS. Highlights research into new tools and delivery models.

    Additional Faculty Notes:

    The laboratory exercise is based on a country case-study examining a real life, real time TB public health issue. Separate small groups are charged to develop a country strategic plan 1) to scale up TB-HIV services in Tanzania, 2) to scale up MDR-TB services in Vietnam, 3) to engage general hospitals and private providers with the National TB Program in Indonesia or 4) to develop a TB elimination plan for the Netherlands. Guest lecturers include Phillip Hopewell (San Francisco General Hospital), Amy Piatek (USAID), Eric Pevzner (CDC), Sarita Shah (CDC), de Vries and Max Meis (KNCV Tuberculosis Foundation), Donald Enarson (UNION): 2013 George W. Comstock Lecture.

  • Intended Audience
    Epidemiology, Infectious Disease, and International Health students interested in a more advanced course in TB control, policy, research, and implementation of large scale public health programs.
  • Methods of Assessment
    The presentation of a scientific paper, individual written formal case-study, and the group presentation of a country case-study.
  • Course Schedule

    Please see the course Session for a full list of dates and items for this course.

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