87435 - Topics In Global Health

Course Unit Page


This teaching activity contributes to the achievement of the Sustainable Development Goals of the UN 2030 Agenda.

Good health and well-being

Academic Year 2019/2020

Learning outcomes

The course aims to present to the students recent topics in the field of Global Health. The course will mainly focus on critical assessment of recent health care reforms in LMICs; efforts to extend coverage of health care and improve universal coverage; issues in financing schemes of health care in LMIC; definition of healthcare policy priorities and the assessment of economic burden of disease in LMICs; the role of NGOs and multilateral institutions; key policy interventions on prevention, workforce planning, capacity building.

Course contents

TOPICS IN GLOBAL HEALTH - Module I (Prof. Armin Fidler)

  • Global Health And The Global Health Architecture
  • The global health architecture and the role of international organizations
  • Public-private partnerships in international health – the example of the Global Fund, GAVI.
  • The health sector within economic development and the role of investments in a macroeconomic context
  • The role of innovative financing instruments in global health and access to new expensive technology in poor countries.
  • Conditional cash transfer programs and their role in economic development.
  • Case studies in global health and the performance of middle income countries on the examples of Mexico, Chile, Turkey and Thailand.
  • Ethical dimensions of investments in health and development.

TOPICS IN GLOBAL HEALTH - module II (Prof. Fabrizio Tediosi)

Health and economic development

  • Relevance of an economic perspective to global health challenges

Health system perspective to global health challenges

  • Definitions and objectives of health systems health systems frameworks
  • Relevance of a health systems approach to address global health challenges

The Global Burden of Disease

  • Global estimates of health indicators
  • Major trends in global burden of disease
  • Understanding national burden of disease

Financing Health Systems for Universal Health Coverage

  • Policy instruments to improve health system performance through better health financing policy.

Social health protection systems in low- and middle-income countries

  • Governance of social health protection systems
  • Challenges in scaling up health insurance schemes in low- and middle-income countries


Readings for TOPICS IN GLOBAL HEALTH - module I (Prof. Armin Fidler)

Towards public health ethics: Royo-Bordonada and Román-Maestre; Public Health Reviews (2015) 36:3; DOI 10.1186/s40985-015-0005-0

Health in the sustainable development goals: ready for a paradigm shift?

Buse and Hawkes Globalization and Health (2015) 11:13; DOI 10.1186/s12992-015-0098-8

European Observatory: Health System Efficiency; Edited by Jonathan Cylus, Irene Papanicolas, Peter C. Smith

European Observatory: Making the economic case for investing in health systems

What is the evidence that health systems advance economic and fiscal objectives?

Jonathan Cylus; Govin Permanand; Peter C. Smith


Political Strategies for Health Reform in Turkey: Extending Veto Point Theory

Susan Powers Sparkes, Jesse B. Bump & Michael R. Reich


Market-Based Solutions and Innovative Finance: New Approaches to Addressing Humanitarian Needs. Overseas Development Institute, London, United Kingdom 28 November 2017

International profiles of healthcare systems: ___media_files_publications_fund_report_2016_jan_1857_mossialos_intl_profiles_2015_v7


Deloitte: gx-lshc-2016-health-care-outlook

Readings for TOPICS IN GLOBAL HEALTH - module II (Prof. Fabrizio Tediosi) 

Health, economic development and household poverty [electronic resource] : from understanding to action / edited by Sara Bennett, Lucy Gilson and Anne Mills. - London : Routledge, 2008 [http://sol.unibo.it/SebinaOpac/Opac?action=search&thNomeDocumento=UBO3995927T] . Chapter 1 and Chapter 2

Frenk J [http://www.ncbi.nlm.nih.gov/pubmed?term=%22Frenk%20J%22%5BAuthor%5D] .The global health system: strengthening national health systems as the next step for global progress. PLoS Med. 2010 Jan;7(1):e1000089. Epub 2010 Jan 12. http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000089

Kassebaum, Nicholas J et al. Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015The Lancet , Volume 388 , Issue 10053 , 1603 – 1658. http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)31460-X/fulltext

The world health report - Health systems financing: the path to universal coverage. World Health Organization 2010 http://www.who.int/whr/2010/en/index.html

WHO/WB Tracking Universal Health Coverage - http [http://www.worldbank.org/en/news/infographic/2017/12/12/tracking-universal-health-coverage-2017-global-monitoring-report]:// [http://www.worldbank.org/en/news/infographic/2017/12/12/tracking-universal-health-coverage-2017-global-monitoring-report]www.worldbank.org/en/news/infographic/2017/12/12/tracking-universal-health-coverage-2017-global-monitoring-report

Iddy Mayumana, Jo Borghi, Laura Anselmi, Masuma Mamdani, Siri Lange, Effects of Payment for Performance on accountability mechanisms: Evidence from Pwani, Tanzania. Social Science & Medicine, Volume 179, 2017, Pages 61-73, ISSN 0277-9536, https://doi.org/10.1016/j.socscimed.2017.02.022 . (http://www.sciencedirect.com/science/article/pii/S0277953617301119 )

Paul E, Albert L, Bisala BN, et al. Performance-based financing in low-income and middle-income countries: isn’t it time for a rethink? BMJ Global Health 2018;3:e000664.


Teaching methods

The course will introduce the topics, using readings from the global health and economics literature. The instructor will introduce the topics, present the main theoretical and empirical elements and student will be asked to challenge the evidence and methods presented.

Assessment methods

The final exam will consists of two parts: a short essay to deliver to Prof. Armin Fidler for the first module, and a closed-book in-class exam of short-answer questions that assess the understanding of the topics discussed in class.

Teaching tools

Presentations and plenary discussions.

Office hours

See the website of Fabrizio Tediosi

See the website of Armin Fidler