221.661.01 | AY 2013-2014 - 4th Term | 4 Credit(s)
MW 3:30:00 PM
  • Course Learning Objectives

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

    • write realistic, appropriate and measurable project objectives
    • develop an implementation strategy for a primary health care project
    • create a health monitoring and evaluation component for the project
    • write a budget and the narrative summary for the project you have designed
    • conduct a 30-cluster household survey measuring child health indicators
  • Course Description

    Supplements 220.601 by focusing on the practical problems in the planning, design, implementation, and evaluation of primary health care programs in developing countries. Students design a primary health care program addressing community participation, needs assessment, training and supervision of CHWs, approaches to sustainability, logistics of service delivery, monitoring, and evaluation, and present them to the class.

  • Contact Information
    Gilbert Burnham
    Anbrasi Edward
    Teaching Assistant
    Casey Branchini
  • Intended Audience

    This course is intended for students who will be designing and implementing Primary Health Care (PHC) projects in developing countries and writing proposals.

    Students may elect to pass/fail the course, but auditors are not permitted due the course's participatory nature. 

  • Prerequisites

    220.601 (Introduction to International Health) is required for students without international health experience

  • Course Schedule

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

  • Assignment Descriptions

    In this course you will design a primary health care program given predetermined budgetary and local constraints. Working groups of 3-5 students will be formed, and each group will select either of the country scenarios. You will consider the following areas in the design of your PHC program:


    • Community participation
    • Needs assessment
    • Setting goals and objectives
    • Staffing
    • Selection and training of community health workers
    • Selection and integration of interventions
    • Budgeting
    • Information system
    • Monitoring & evaluation


    Key readings related to these topics are included in the online library and listed in the class sessions section of courseplus. These are for your reference in designing the project, and you may want to think of downloading them for future reference. As your project takes shape your group will present its plans to the class for feedback and discussion, twice during the course and then the final presentation on your work. 


  • Methods of Assessment


    Student evaluation will be based on the a midterm and final exercise, a group exercise (PHC proposal) and participation (both group and in class).  The percentage contribution of the assignments is as follows: 

    Assignment (% of course grade) Due Submission Instruction
    Midterm Exercise (20%) 4/21 Due in DropBox by 3:20 pm. Bring a paper copy to class.
    Final Exercise (20%) 5/12 Due in DropBox by 3:20 pm. Bring a paper copy to class.
    Final group assignment (40%) 5/12 Proposal and PPT due to DropBox by 2:30 pm (one per group). Bring a paper copy to class.
    Participation (20%) 5/12 Peer evaluations completed and submitted by 11:59 pm.

    For the midterm and final exercises, you will be asked to conduct a constructive review of an actual PHC proposal. 

    Participation grades will be based on both your efforts to actively contribute to class discussion and your peer's assessment of your contribution to the group exercise. You will be asked to evaluate your peers (anonymously) at the end of the course.  

    Final group assignment will consist of the PHC proposal described above as well as your in-class presentation. Please submit only one powerpoint and proposal per group. The proposal should be no more than 15 single-spaced pages (12 point font). Please only submit one PowerPoint and Proposal per group.

  • Required Text(s)

    There are no required textbooks 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.

  • Disability Support Services
    If you are a student with a documented disability who requires an academic accommodation, please contact the Office of Student Life Services at 410-955-3034 or via email at