Global Health Indonesia

2019-2020
Dit vak wordt in het Engels aangeboden. Omschrijvingen kunnen daardoor mogelijk alleen in het Engels worden weergegeven.

Doel vak

Learning objectives Global Health program include the following:
1. The student can identify the influence of urbanization, climate
change, ageing, reduced poverty, increased mobility and migration,
emerging patterns of diseases and new technologies on health and
healthcare in different parts of the world. Student is able to apply
this knowledge in case studies in low-, middle income countries and
emerging economies.
2. The student can discuss and explain issues related on interventions
on child diseases maternal and female health.
3. The student can describe and discuss the sustainable development
goals related to health; issues on communicable and non-communicable
diseases related (Global burden of disease) to international policy and
practice in response to the global changes. Can discuss the presence of
different health systems and water systems for a health population
4. The student can discuss and explain the presence and difference in
health systems, water systems and environment for a healthy population.
5. The student knows how and when to apply the qualitative research
method, can apply several qualitative research methods and can analyze
qualitative data.
6. The student is able to develop and present a qualitative research
proposal that meets the criteria of scientific research; is able to
formulate a research question based on literature and can critically
analyze publications.
7. The student has a Basic understanding of Bahasa Indonesia.

Learning Objectives for the 8-week program in Indonesia include:
1. Student is able to execute a scientific research based on a research
proposal previously written
2. Student is able to present research results (poster and presentation
research outcomes)
3. Student observes medical practice in a hospital in Indonesia
(Internal Medicine, Mental Health, Obstetrics & Gynecology, Pediatrics,
Pulmonology & Respiratory Medicine, Community Medicine)
4. Student can discuss and explain current health issues in Indonesia
(Health system in Indonesia from the community to district level
facilities, global health perspective, internal medicine, mental health,
Obstetrics & Gynecology, Pediatrics, Pulmonology & Respiratory Medicine,
Community Medicine)

Inhoud vak

This minor builds on recent developments and practices within the fields
of Global Health, the Healthcare system in Indonesia and research and
places these in a broader perspective (e.g. psychological, societal,
managerial, political and economic).
In this minor, students acquire knowledge and experience in research and
practices in developing countries (low and middle-income countries) with
regard to health care and culture. They will also obtain insight into
the practice of health care in Indonesia from Health Centre to hospital
and outpatient clinic. The students will obtain a strong focus on health
issues in community life outside of the hospital and prevention.

The minor consists of two parts:
1. Global Health program in the Netherlands: two months (September-
October), 12 ECTS
2. A research and educational program in Indonesia in collaboration with
the Gadjah Mada University in Yogyakarta (Universitas Gadjah Mada, UGM)
two months (November – December), 12 ECTS
The Global Health program in the Netherlands offers a broad spectrum of
topics from a global perspective. The program focuses on low- and
middle-income countries with a high burden of disease where people live
in resource-poor settings, with weak health systems. This demands for
specific strategies to prevent illness and effectively deal with
problems like child diseases, malnutrition and safe motherhood. Next to
this, students prepare a research proposal for the program in
Indonesia.
The topics which can be chosen from for the research are for instance:
Water and sanitation (WASH); TBC/HIV; Mother and Child care; Life style
(prevention); Tropical diseases; Dermatology.
After this two-month program in the Netherlands, students participate in
a two-month program in Indonesia. The Indonesia program consists of
roughly one month in Yogyakarta and one month in the field. The program
in Yogyakarta will cover lectures, case studies, ward observation visits
in hospital, and outpatient clinic visits. Furthermore, the students
carry out a qualitative research in one of the demand-driven topics.
In this way, students will obtain a better insight into the everyday
world of patients in low-and middle-income countries.

Content Global Health program in the Netherlands
The Global Health program offers lectures from researchers and global
health practitioners from different scientific backgrounds like
clinical, public health, epidemiology, social sciences, environmental,
medical anthropology and biomedical sciences. The lectures cover global
health in view of the United Nations Sustainable Development Goals
(SDGs), notably: Health (SDG 3), Gender equality and women’s empowerment
(SDG5), Water and Sanitation (SDG 6) and Sustainable consumption and
production (SDG 12). Topics covered are amongst others: Health systems,
Blindness, Malaria, Tuberculosis, Leprosy, Child diseases, Gender and
health, Nutrition, Sexually Transmitted Diseases, HIV and AIDS, Safe
motherhood, Mental health, Disability, Female genital mutilation, Water
and sanitation, Tropical medicine, Neglected diseases, Essential
surgical care, Environment and health, Access to medicine and Female
cancer, Childhood cancer, and Corruption and hospital detention
practices. In the lectures interactive case studies are presented. These
will give students a better understanding of the interaction between
theory and practice in a global health context.

Next to the lectures, in 7 tutorials, the knowledge on qualitative
research methods will be deepened. The focus of the tutorials is on
qualitative research methods for instance photo voice and lifelines.
During the tutorials, the students write a research proposal. For the
participants in the Global Health Indonesia minor, predefined topics as
mentioned above are available based on demands from participating
community health centers (Pusat Kesehatan Masyarakat - Puskesmas), in
consultation with UGM.

The students may combine different qualitative research approaches (as
mentioned above) in their proposal. Students will make use of scientific
publications to formulate a research question and afterwards will
present their work orally and in writing. In this way the students
practice interdisciplinary methods to obtain a better view on global
health problems.

Finally, a basic language course Bahasa Indonesia is integrated in the
program.

Content program in Indonesia
Right after the completion of the Global Health program in the
Netherlands, students travel to Indonesia.
The program consists of 8 weeks of activities including lectures, case
studies and hospital visits where students will observe patients during
the ward rounds.
Note: Students are not allowed to perform any clinical procedures.
Furthermore, the student will execute a research assignment.
The lectures and case studies provide knowledge and information about
internal medicine, pediatric, and obstetrics & gynecology in relation
with tropical medicine and infectious diseases as the main problem in
Indonesia, including the epidemiology, diagnosis, and management. Aside
from the infectious diseases, non-communicable diseases in the context
of developing countries are covered. During the ward and community
health center visits, students observe the Indonesian health system in
practice and the basic concepts of community medicine.

As indicated above, for the research assignment the research proposals
are already written in The Netherlands during the Global Health program.
Students will visit a Puskesmas, to obtain basic knowledge of the health
system. Furthermore, they travel to the communities surrounding the
Puskesmas as part of the field work, to conduct interviews. In this way
students execute a research project and implement it as a group working
with district health management teams. In the field, students will work
together with Indonesian and foreign students.

Onderwijsvorm

Interactive lectures, tutorials

Toetsvorm

The assessment consists of separate gradings for the Netherlands and
Indonesia programs.

Global Health program in the Netherlands
Tests 1 and 2 are assessed with pass or fail
The CAT for the two months Global Health program in the Netherlands
consists of two separate assessments:
• Test 1 – Tutorial assignment, consisting of:
o Test 1a. - Writing assignment ‘qualitative research proposal’.
o Test 1b. - Oral presentation of the proposal
• Test 2. Written exam with open questions
The grade for each of these two tests should be 5.5 or higher for pass.
The final assessment for these two months consists of the rounded off
mean of the two separate grades for assignment + presentation on the one
hand and exam on the other.
Final mark of the Global Health program NL must be 5.50 or higher
(pass)
If necessary, a resit for the written exam will be planned in January
2021, after the students return from Indonesia.
Important: Please mind that in case students do not pass the exam,
students will not be automatically registered for a re-examination. In
order to sign up for a re-sit, students will need to send an email to
studentbalie@vumc.nl. Make sure to do this before the final registration
date (which is two weeks before the re-examination).

Indonesia program
The assessment for the two-month Indonesia program consist of 3
elements:
• UGM Summer course group - poster assignment
o Graded pass / fail– grading is done by UGM staff
• Health System Assignment, a paper consisting of two parts:
o Part 1 - Patient interview in local health centre
o Part 2 - Patient interview in hospital / outpatient clinic
This paper will be graded by VUmc. Minimum grade is 5.5 (passed) This
paper represents 30 percent of the of the total grade of the Indonesia
Program.
• The VUmc research report. Grading elements are:
o Research process / practical work 30% - grading by UGM;
o Research report 50% - grading by VUmc;
o Research presentation 20% - grading by VUmc (pending on availability
VUmc staff to travel in December);
Minimum grade is 5.5 (passed).
The VUmc Research will be 70 percent of the of the total grade of the
Indonesia Program.
The overall grade for the Indonesia Program should be 5.50 as a minimum
for pass.

Assessment total Minor Minor Global Health Indonesia 2020
• Global Health constitutes 1/2 of the final assessment of the Minor.
• Global Health Indonesia program score will be 1/2 of the assessment.
De Minor GHI is passed with an overall grade of 5,5 or higher (pass).

The minor has been passed provided that a pass has been given for all
tests.

Literatuur

An overview of the study material for the Global Health program in the
Netherlands will be placed on CANVAS. For the Indonesia program the
literature will be provided in collaboration with UGM.

Doelgroep

Target group for this Minor Global Health Indonesia are 3rd year
Bachelor’s students from VUmc.

Overige informatie

Number of students
A limited number of students (24) can be placed in the Minor Global
Health Indonesia 2020. The application procedure for this minor is
selective and selection will be based on an assignment, motivation and
grades.

Practical information
When selected, the costs of the tuition fee at UGM will be covered by
VUmc, but flight tickets, accommodation, insurance and living costs will
be at the student’s own expense. Students will also be asked for a
financial contribution to the Bahasa Indonesia language course (this
language course will be partly sponsored by VUmc/IOO).

Toelichting Canvas

This minor is supported by CANVAS, which contains all of the required
information of this minor including an overview of the required articles
and assignments. The CANVAS course will also be used to post
announcements relevant to the program. Students will automatically have
access to the CANVAS course.

Algemene informatie

Vakcode M_BGHI19
Studiepunten 24 EC
Periode Semester 1
Vakniveau 300
Onderwijstaal Engels
Faculteit VUmc
Vakcoördinator dr. M. van Elteren-Jansen
Examinator dr. M. van Elteren-Jansen
Docenten dr. M. van Elteren-Jansen

Praktische informatie

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Werkvormen Werkcollege, Studiegroep, Practicum