University of Technology Sydney

92484 Strengthening Global Health Systems

Warning: The information on this page is indicative. The subject outline for a particular session, location and mode of offering is the authoritative source of all information about the subject for that offering. Required texts, recommended texts and references in particular are likely to change. Students will be provided with a subject outline once they enrol in the subject.

Subject handbook information prior to 2025 is available in the Archives.

UTS: Health
Credit points: 6 cp

Subject level:

Undergraduate

Result type: Grade and marks

Requisite(s): ( 90 credit points of completed study in spk(s): C10360 Bachelor of Public Health OR (92574 Introduction to Public Health AND 92566 Introduction to Health Care Systems AND 92571 Principles of Primary Health Care))
These requisites may not apply to students in certain courses. See access conditions.

Description

This subject aims to enhance students' skills in applying a systems approach to the analysis of health systems in lower–middle and lower income countries and related strategies to strengthen such systems with the goal of achieving universal access to health care. Inter-linkages between health system components and the characteristics of well-functioning health systems are examined through comparative case study work and lessons learned to address gaps in equity and access are explored. This includes the exploration of evidence-based strategies to improve health governance, financing, information, human resources and the procurement and distribution of medical commodities to scale up access, quality, safety and coverage of health care.

Subject learning objectives (SLOs)

Upon successful completion of this subject students should be able to:
A. Describe components of health systems in lower-middle and lower income countries with reference to key actors, roles and intended outcomes.
B. Apply a systems approach to identifying and understanding the linkages between components of health systems in lower-middle and lower income countries.
C. Analyse health system challenges and opportunities in real-world settings.
D. Investigate the impact of health system strengthening on equity and access to health, including for vulnerable populations.
E. Apply a systems perspective to evaluate health systems interventions and performance.

Course intended learning outcomes (CILOs)

This subject also contributes specifically to the following graduate attributes:

  • Respect and respond to the needs of diverse groups to improve health outcomes (1.2)
  • Promote and enhance the health of diverse groups through evidence-based advocacy strategies and techniques (1.3)
  • Develop creative and innovative responses to health issues (2.2)
  • Reflects on the ethical implications for public health research and practice (4.1)
  • Uses theoretical frameworks to strengthen community action and create supportive environments (4.3)
  • Demonstrates critical thinking in the development and practice of public health (5.1)
  • Translate public health policy into evidence-based strategies (5.2)
  • Assess and evaluate the relevance and quality of research in the context of specific health issues and populations (5.3)

Contribution to the development of graduate attributes

1. Advocacy and Social Justice: Advocate for and engage with individuals and communities to reduce health inequities and promote social justice in a global context: 1.2; 1.3

2. Adaptability: Demonstrate creative and adaptive thinking within a changeable social, political and technological environment: 2.2; 2.5

4. Ethics and diversity: Are ethical and responsible professionals who value the diversity of people and communities: 4.1; 4.3

5. Critical thinking and practice: Translate research and evaluation into social and professional practice through critical thinking and knowledge integration: 5.1; 5.2; 5.3

Teaching and learning strategies

This subject will be delivered using a variety of teaching and learning strategies to actively involve students and support the development of practical skills in systems approaches to strengthening health services in lower-middle and lower income countries. Online and in-class activities will engage students in the application of evidence-based strategies and systems theories to real-world program case studies. Pre-class work will introduce students to the concepts to be explored in-depth during lectures and tutorials and will include mixed media such as TED talks, YouTube videos, online short courses and quizzes, and journal articles. In-class sessions will provide formative assessment and allow collaborative discussion of the concepts canvassed during pre-class work and the application of this learning to more complex practice and case studies. The lecture and tutorial series will be interactive and incorporate group discussion, small group collaborative exercises and role play.

UTSOnline will provide a venue to discuss course content, concepts and assignments at any time. Early and continuing feedback will be provided both in-person and through the UTSOnline discussion board.

Content (topics)

  • Systems thinking for health
  • Universal Health Coverage
  • Health systems components
  • Relative health systems performance
  • Health systems in Lower-middle and lower income countries
  • Access and equity through health systems
  • Governance and leadership in global health systems
  • Service delivery in global health systems
  • Financing global health systems
  • Human resources for global health systems
  • Health commodities for global health systems
  • Health information systems for global health systems
  • Strategies for strengthening global health systems

Assessment

Assessment task 1: Identifying workplace skills for strengthening global health systems

Intent:

This assessment task will encourage students to develop an understanding of global organisations involved in health systems strengthening and an appreciation of the applicability of skills for health systems strengthening to global health programming. Such understanding will highlight to students the transferability of health systems strengthening strategies to future careers in global health.

Objective(s):

This assessment task addresses subject learning objective(s):

A

This assessment task contributes to the development of graduate attribute(s):

5.1 and 5.3

Type: Report
Groupwork: Individual
Weight: 15%
Length:

Students will be provided with a template for their assessment.

Assessment task 2: Mapping health systems to identify assets and gaps

Intent:

This assessment task will allow students to practically apply their knowledge of health systems strengthening to a real world scenario. Students will demonstrate their understanding of individual Health Systems Building Blocks and their inter-linkages by sourcing grey and research literature on health assets and gaps within a lower-middle or lower income country. Information gathered from these sources will be mapped against a particular health issue.

Objective(s):

This assessment task addresses subject learning objective(s):

A, B and C

This assessment task contributes to the development of graduate attribute(s):

.5, 1.3, 2.2, 5.1, 5.2 and 5.3

Type: Report
Groupwork: Individual
Weight: 40%
Length:

Students will be provided with a template for their assessment and should complete details of each component as they are covered in the lectures and tutorials.

Assessment task 3: Case study report

Intent:

Students will apply a systems perspective to evaluate a health systems intervention and its impact on health and equity outcomes. In doing so, students will demonstrate their understanding of the interactions which occur within health systems and the practical implications, challenges, limitations and benefits of implementing an intervention within complex structures.

Objective(s):

This assessment task addresses subject learning objective(s):

A, B, C, D and E

This assessment task contributes to the development of graduate attribute(s):

.5, 1.2, 1.3, 2.2, 4.1, 4.3, 5.2 and 5.3

Type: Case study
Groupwork: Individual
Weight: 45%
Length:

2000 words.

Other resources

UTS Student Centre
Building 10

Monday to Friday: 9am - 5pm
Tel: 1300 ASK UTS (1300 275 887)

Details for student centres: www.uts.edu.au/current-students/contacts/general-contacts

For other resources/ information refer to the Faculty of Health website (www.uts.edu.au/about/faculty-health), the Health Student Guide (www.uts.edu.au/sites/default/files/uts-health-student-guide.pdf) and UTSOnline at: https://online.uts.edu.au/webapps/login/

UTS Library
The Library has a wide range of resources, facilities and services to support you including textbooks, subject readings, health literature databases, workshops and bookable study rooms. There is also a team of librarians to help you with your questions available via online chat, phone and in person. W: lib.uts.edu.au, Facebook: utslibrary, Twitter: @utslibrary Tel: (02) 9514 3666.

Improve your academic and English language skills
Marks for all assessment tasks such as assignments and examinations are given not only for what you write but also for how you write. If you would like the opportunity to improve your academic and English language skills, make an appointment with the HELPS (Higher Education Language & Presentation Support) Service in Student Services.

HELPS (Higher Education Language & Presentation Support)
HELPS provides assistance with English language proficiency and academic language. Students who need to develop their written and/or spoken English should make use of the free services offered by HELPS, including academic language workshops, vacation intensive courses, drop-in consultations, individual appointments and Conversations@UTS (www.ssu.uts.edu.au/helps). HELPS staff are also available for drop-in consultations at the UTS Library. Phone (02) 9514 9733.

Please see www.uts.edu.au for additional information on other resources provided to students by UTS.