Demographic and Health Analysis: Country Report & Analysis Overview

[606.601.86] Fundamentals in Global Health Practice

AY 2018-2019

Country Analysis and Report

Country:	Bangladesh
Topic:
Name:		Email:

Assignment instructions

This is a 3-part assignment with different due dates. You will sign up for a specific country in the spreadsheet posted on Courseplus. All assignments are due at 11:59 PM EST on the due date.

Task	Due date
Sign up for specific country	September 14, 2018
Part 1	September 23, 2018
Part 2	October 7, 2018
Part 3	October 26, 2018

Select one of the public health topics below. The topic you select will serve as a guiding framework for all 3- parts of this assignment.

Consultancy Theme:

You are a Technical Advisor at the World Health Organization, and you are based in Geneva. You have been sent from WHO headquarters as a technical consultant to the Ministry of Health of your chosen country. The Ministry of Health is developing its next five-year Health Sector Strategic Plan. Your role is to think about either improving (where population coverage is low, <70%) or sustaining (where population coverage is high, >70%) interventions for ONE of the following public health topics.

As a consultant to the Ministry of Health, consider the alignment of your selected interventions with global standards of practice, how feasible the selected interventions are to implement in the country, the indicators you would select to monitor progress on the selected interventions, the global and national data sources that you will use to calculate all the indicators, and the stakeholders to be involved in planning and implementation in the country.

PICK ONE of the topics below to guide your thinking, particularly for the 3rd assignment.

1. Childhood Immunization

2. Antenatal/Prenatal Care

3. Infectious Disease Treatment or Prevention (pick one: malaria, OR diarrhea, OR pneumonia)

4. Chronic Disease Treatment or Prevention (pick one: hypertension OR diabetes)

For each part, the assignment will consist of the following:

1. Look up the population, health and nutrition data from the websites and sources mentioned in the lectures and listed in the online library. Select and report indicators which help you develop your assigned section of the National Health Sector Strategic Plan and the short answer questions in the corresponding section.

a. In each assignment part, at least two indicators in your table should correspond to a subgroup (that is, disaggregated data) within the country (Examples of subgroups include: gender: male/female, location: rural/urban, wealth quintile or socio-economic status, etc.)

2. Using the data collected in the figure and tables, answer the short essay questions for the assignment in the template below. You should also use at least 2 peer-reviewed sources (i.e. a journal article) and appropriately cite and reference them in your answer. Approximate upper word limits are provided for each section – we encourage you to be concise.

3. In Part 3 of the assignment, we expect you to synthesize the information you gathered in previous parts of the assignment as you write up your section of the National Health Sector Strategic Plan for your country of choice. The questions in this section will help you organize your ideas.

4. Provide references for any materials you use in completing the assignment. References should be in Vancouver, or a similar (numbered) format. Provide in text citations in your responses. We have uploaded links to many helpful resources on the Course Plus Library. Please refer to these!

Part 1: Demographic, Epidemiologic and Economic Transition (Modules 1 & 2)

See the Courseplus Schedule for Due Date. All assignments are due at 11:59 PM EST on the due date.

Figure 1: Population pyramid – should be the most recent (Drag your picture file and drop it into the center of this box. These can be found at https://www.populationpyramid.net/)

Reference:      

Table 1: Demographic and economic indicators. Don’t forget to report at least 2 subgroup (disaggregated) indicators!
Indicators	Value	Year	Reference[footnoteRef:1] [1: Number corresponding to the list of sources on the last page.]
Demographic Indicators (select at least 5)
1.
2.
3.
4. Indicator by subgroup
a.
b.
5. Indicator by subgroup
a.
b.
c.
Economic Indicators (select at least 2):
1.
2.

Table 2: Burden of disease indicators (Select at least 5). Don’t forget to report at least 2 subgroup (disaggregated) indicators.
Indicators	Value	Year	Reference
1.
2.
3.
4. Indicator by subgroup
a.
b.
5. Indicator by subgroup
a.
b.
6. Indicators for Disability-Adjusted Life Years (DALYs)
i. DALYs lost to communicable, maternal, perinatal & nutritional[footnoteRef:2] [2: Note regarding DALY indicators: In the WHO DALY report, DALYs are reported at different sub-levels within the disease/condition categories. Report data for the top 3 DALY causes at the level that you feel is most appropriate/informative. Also, please pay attention to DALY units. They should be reported in thousands.]	(      %)
Top three causes of DALY loss for this category a.	DALYs
b.	DALYs
c.	DALYs
ii. DALYs lost to non-communicable diseases	(      %)
Top three causes of DALY loss for this category a.       b.       c.	DALYs       DALYs       DALYs
iii. DALYs lost to injuries	(      %)
Top three causes of DALY loss for this category a.	DALYs
b.	DALYs
c.	DALYs

Demographic and epidemiologic transition questions:

Answer the following questions based on figure 1, tables 1 and 2, and your own review of the relevant literature.

1. Provide an explanation for why you chose the indicators reported in Table 1 (200 words)

2. At what stage (or stages) is your country in the demographic transition? Provide evidence from the data to support your answer. (200 words)

3. Describe and explain any significant variation in the stage of demographic transition within the country by region, social class, or ethnic group. (hint: report on data over time) (200 words)

4. Is the concept of “epidemiologic transition” applicable to your country and, if so, at what stage is your country in the epidemiologic transition? (150 words)

5. Using your topic as a guide, describe direct or indirect evidence that different groups within your country (by region, social, or ethnic group) have distinct patterns of disease burden? (350 words)

Useful information:

Demographic Analysis Forms the Basis of this Assignment

Search Multiple Sources for Country Data

When conducting your country report and analysis you are expected to use at least 10 data sources in TOTAL over the 4 parts (two of which should be peer-reviewed). For example, DHS, World Bank and UNICEF have statistics available as seen below.

· DHS: http://dhsprogram.com/

· UNICEF: http://www.unicef.org/statistics/index_countrystats.html

· World Bank: http://data.worldbank.org/products/wdi

· WHO ...

· Country Data: http://www.who.int/countries/en/

· Global Health Atlas: http://www.who.int/GlobalAtlas/

· Global Health Observatory: http://www.who.int/gho/en/

· STEPwise approach to risk factor/Stroke surveillance:  http://www.who.int/chp/steps/reports/en/  

· Countdown to 2015: Fulfilling the Health Agenda for Women and Children:http://countdown2015mnch.org/

When researching via the Internet, please use with caution any data found whose source is not specified.

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