Syllabus EPH

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DEPARTMENT OF EPIDEMIOLOGY AND PUBLIC HEALTH

CENTRAL UNIVERSITY OF TAMIL NADU

THIRUVARUR

M.Sc., EPIDEMIOLOGY AND PUBLIC HEALTH (EPH)


(2 year course, Semester pattern)

Course Contents  
2016 Onwards
Rules, Regulations & Syllabus

1
DEPARTMENT PROFILE
The Department of Epidemiology and Public Health was established in August 2016. It
offers two years Master Degree in Epidemiology and Public Health. Provides teaching,
research, and service activities that helps public health practitioner, health care providers, and
researchers to develop and apply population based approaches to maintain and improve the
public’s health in the heartland and the nation.
The M.Sc., degree in EPH (Epidemiology and Public Health) is offered through the
Department of Epidemiology and Public Health, at CUTN. Known as the first University
offering M.Sc in Epidemiology and Public Health, in the Country, this programme provides
students with strong foundation in Epidemiology, Biostatistics, complemented by Qualitative
and Behavioural Sciences.
Mission of the Department: To provide trans-disciplinary research approach to students to
create and communicate knowledge on the causes and prevention of disease in the
population, to promote health and health services
Vision of the Department: Our mission is to provide a friendly, productive environment,
training in academics, provide greater exposure to industry and real time experiences, to
develop students as health care professionals. 
Student Eligibility Criteria: Students with graduation in any discipline such as Arts,
Sciences, Humanities, Engineering, Medical Sciences, Agriculture, Allied Health Sciences,
AYUSH, Veterinary, Commerce and Management are eligible to apply.
Candidates should have secured a minimum of 60% mark or 6.5 CGPA (on a 10 point scale)
in the qualifying degree examination for General category, 55% marks or 6.0 CGPA (on a 10
point scale) for OBC (Non- Creamy Layer) and 50% aggregate marks or 5.5 CGPA (on a 10
point scale) for SC/ST/TWD candidates. Entrance exam will be conducted in subjects such
as, Mathematics, English, Epidemiology, Public Health, General Knowledge and Logical
Reasoning.

Total strength of the students allotted 15


Total number of seats filled in 2016 10

Duration of the Course: The duration of the course is TWO academic years (Semester
pattern).   
Medium of Instruction: English shall be the medium of instruction for all subjects of study
and examinations of the Course.
Attendance Required For Appearing For Examination: A candidate shall be permitted to
appear for the end semester examination in any particular subject only if the candidate
secures not less than 75% of the attendance (in terms of the total number of contact hours for
the subject) during the year.

2
DEPARTMENT OF EPIDEMIOLOGY AND PUBLIC HEALTH INAGURATION ON 28.8.2016

3
FACULTY PROFILE

Name : Dr. Jayalakshmi Krishnan


Designation: Coordinator
Address for Communication:
Department of Epidemiology and Public Health
Assistant Professor – Dept. Life Sciences
Central University of Tamil Nadu,
Thiruvarur, Tamil Nadu, India, 610 005
[email protected], 8300677814

CONSULTANTS 2016-2017

Name : Dr. Priya Mohan, MDS


Designation: Consultant
Address for Communication:
Department of Epidemiology and Public Health
Central University of Tamil Nadu,
Thiruvarur, Tamil Nadu, India , 610 005
[email protected] ; 8270145538

Name : Dr. Thiyaga Priya , MD (Homeo)


Designation: Consultant
Address for Communication:
Department of Epidemiology and Public Health
Central University of Tamil Nadu,
Thiruvarur, Tamil Nadu, India, 610 005
[email protected]; 9894497256

4
EVENTS CONDUCTED FROM 2016-2017
1. NATIONAL LEVEL WORKSHOP ON DENGUE AWARNESS

Name of the Event : National Workshop on Dengue Awareness


Date : 11th November 2016
Director : Dr.Jayalakshmi Krishnan
Co-Directors : Dr. Sigamani P
Dr. E.M. Shankar
Co-ordinators : Dr. Priya,
Dr.

Thiyagapriya

2. SCHOOL HEALTH AWARENESS PROGRAMME

Name of the Event : Health Awareness Programme for KV School Students


Date : 11th & 12th January 2017
Director : Dr. Jayalakshmi Krishnan
Organizing Secretary : Dr. Thiyagapriya
Co- Organizing Secretary : Dr. Priya

5
3. WORKSHOP ON BASIC LIFE SUPPORT

Name of the Event : Workshop on Basic Life Support


Date : 22 nd February 2017
Director : Dr. Jayalakshmi Krishnan

Organizing Secretary : Dr. Priya


Co- Organizing Secretary : Dr. Thiyagapriya

4. NATIONAL SEMINAR ON EMERGING AND REEMERGING INFECTIOUS DISEASES

Name of the Event : National Seminar on Emerging and Reemerging Infectious


Diseases
Date : 21st April 2017
Director : Dr. Jayalakshmi Krishnan
Organizing Secretary : Dr. Priya
Co- Organizing Secretary : Dr. Thiyagapriya

6
PUBLICATION AND PRESENTATION

I. FACULTY PUBLICATIONS

A. International Journal : Dr. Priya M

 Mohan P and Lando H (2016). Oral Tobacco and Mortality In India. Indian
Journal Of Clinical Medicine, 7 5-12 doi:10 4731/IJCM.S25889 Libertas
Academica.
 Priya Mohan, Harry A Lando, Panneer Sigamani (2017). Taxation on
Tobacco in India. Economic & Political Weekly, Vol. 52, Issue No. 15, 15
Apr, 2017

Papers presented in Seminars/Conferences etc.,


with details of Name of the Programme,
Organizer, Dates, Level (National/International)

1. Dr. Jayalakshmi

 Jayalakshmi Krishnan, Aedes Aegypti and


Dengue Transmissiom at Winter school
workshop – One Day National level
Workshop on Dengue Awareness held on 11th
November 2016, Jointly organized by the
department of Epidemiology and Public
Health, Department of Social Work and
Department of Life Sciences, at Central
University of Tamil Nadu, Thiruvarur district,
Tamil Nadu India.

 Jayalakshmi Krishnan, Smokeless Tobacco Induced Neurological Events: An


Update at TEQIP sponsored International conference on “Trends and

7
Innovations in Pharmaceutical Industry”, held on 2nd to 4th February 2017,
organized by Anna University, Thiruchirapalli, India

2. Dr. Priya

 Mohan Priya "Descriptive Analysis of the Occupational Hazards Associated


with Beedi Workers in India" at the National Conference on Health, Safety &
Well-Being of the Workers in Unorganised Sector / Informal Economy, on 23rd &
24th March 2017, organised by the Department of Social Work, Central University
of Tamil Nadu, Thiruvarur.

 M.Priya, Smokeless Tobacco Induced Neurological Events: An Update, at


TEQIP sponsored International conference on “Trends and Innovations in
Pharmaceutical Industry”, held on 2nd to 4th February 2017, organized by Anna
University, Thiruchirapalli, India.

 M.Priya, Clinical Aspects of Dengue Infection at winter school workshop – one


day National level workshop on Dengue awareness held on 11 th November 2016,
jointly organized by the department of Epidemiology and Public Health,
Department of Social Work and Department of Life Sciences, at Central University
of Tamil Nadu, Thiruvarur district, Tamil Nadu India.

 Mohan Priya, "Analysis of the Dengue Associated Public Health Burden In


India" at the 13th Conference on Vectors and Vector-Borne Diseases held Between
27th February -1st March 2017, organised by Central University of Tamil Nadu and
National Academy of Vector Borne Diseases.

3. Dr. Thiyagapriya

 Thiayagapriya C., Epidemiological background of Dengue Fever at Winter


school workshop – one day National level workshop on Dengue awareness held on
11th November 2016, Jointly organized by the department of Epidemiology and
Public Health, Department of Social Work and Department of Life Sciences, at
Central University of Tamil Nadu, Thiruvarur district, Tamil Nadu India.

 C.Thiayagapriya et al., 2016 Assessment of Developmental Milestone among


Children with Autism Disorder in Coimbatore INCLEN National Conference,
organised by SRM University and INCLEN, Chennai, Tamil Nadu, India.

 C. Thiyagapriya., Tick and Tick Borne Diseases in India at the 13th Conference
on Vectors and Vector-Borne Diseases held between 27th February -1st March
2017, organised by Central University of Tamil Nadu and National Academy of
Vector Borne Diseases.

Papers published/presented by Students:


Keerthiga
Public Health Significance of Dengue Viral Infection at 13th conference on
Vectors and Vector Borne Diseases on 27th to 1st March 2017

Santhiyadevi

8
Dengue Epidemic – A Global Health Challenge at 13th conference on Vectors and
Vector Borne Diseases on 27th to 1st March 2017

SYLLABUS EXPERT COMMITTEE, 17th MAY 2016 AT NIE CAMPUS,


CHENNAI

 Prof .A.P. Dash,


Vice - Chancellor
Central University of Tamil Nadu
Thiruvarur

 Dr. Sanjay Mehandale,


Director,
National Institute of Epidemiology,
Chennai

 Dr. P.L.Joshi,
Ex. Director,
National AIDS control Programme & NVBDCP
Delhi
9
 Dr Jayalakshmi Krishnan,
Assistant Professor, Department of Life Sciences,
Coordinator, Department of EPH
Central University of Tamil Nadu
Thiruvarur

MEMBERS OF BOARD OF STUDIES OF EPH


S.No Name of the Member Designation Photos

Coordinator, Department of
Dr Jayalakshmi
1 Epidemiology and Public Health,
Krishnan
CUTN

Scientist D , National
2 Dr Tarun Bhatnagar
Institute of Epidemiology, Chennai

Scientist D , National
3 Dr Manickam P
Institute of Epidemiology, Chennai

10
Associate professor and Head,
4 Dr V Madhurima
Department of Physics, CUTN

Associate professor and Head,


5 Dr Sigamani Panner
Department of Social Works, CUTN

Associate Professor, Department of


6 Dr Mohandas
Chemistry, CUTN

Assistant Professor, Department of


7 Ms Sumalatha Economics, CUTN

SYLLABUS OF EPH
Curriculum for M.Sc in Epidemiology and Public Health-2017-2018 (Revised)
Programme Structure

Semester (s) Papers Course Title Credits Teaching


Hours/weeks
(including 1
hr tutorial)
Semester- I
Semester- I EPH-S1-01 Principles and Practice of Public Health 4 4 hours
Semester- I EPH-S1-02 Determinants of Health 3 3 hours
Semester- I EPH-S1-03 Foundations of Epidemiology 3 3 hours
Semester- I EPH-S1-04 Reproductive and Sexual Health 3 3 hours
Semester- I EPH-S1-05 Epidemiology of Diseases of Public 3 3 hours
Health Importance
Semester - I EPH-S1-P1 Practicals - I 2 3Hours
Semester - I EPH-S1-P2 Practicals - II 2 3 Hours
Total Credits 20 credits
Semester II
Semester- II EPH-S2-06 Epidemiological Methods 3 3 hours
Semester- II EPH-S2-07 Biostatistics for Public Health 3 3 hours
11
Research Methodology for Public
Semester- II EPH-S2-08 Health 3 3 hours
Semester- II EPH-S2-09 Health System Management 3 3 hours
Semester- II EPH-S2-10 Internship 4 3 hours
Semester- II EPH-S2-E1 Health Economics and Health Financing 3 3 hours
Sem`ester- II EPH-S2-E2 Population Studies 3 3 hours
Semester- II EPH- S2-P3 Practical – III 2
Total Credits 24 credits
Semester - III
Semester- III EPH-S3-11 Health Policy, Programmes and 4 3 hours
Legislation
Semester- III EPH-S3-12 Environmental and Occupational Health 3 3 hours
Semester- III EPH-S3-13 Vector Biology and Management 3 3 hours
Semester- III EPH-S3-14 Health Communication 3 3 hours
Semester- III EPH-S3-15 Dissertation Protocol 3 3 hours
Comparative Health Systems and
Semester- III EPH-S3-E3 Policies 3 3 hours
Semester- III EPH-S3-E4 Hospital Management 3 3 hours
Semester- III EPH- S3-P4 Practical - IV 2
Semester- III EPH-S3-P5 Practical - V 2
Total Credits 26credits
Semester IV
Semester- III EPH-S4-16 Public Health Ethics 3 3 hours
Semester- III EPH-S4-17 Global Health Diplomacy 2 2 hours
Semester- III EPH-S4-18 Dissertation 10 9 hours per
Week
Total Credits 15 credits

Total credits: 85
1 credit hour: 1 hr in theory & 1 credit hr is equivalent to 1.5hr in practicals

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SEMESTER-I

EPH-S1-01- PRINCIPLES AND PRACTICE OF PUBLIC HEALTH

Unit-I: Public health concepts and goals:


Public health, concept, definition and history, Theoretical foundations and approaches of
public health, Conceptual understanding of health and medicine, Review of modern public
health- Evidence based health policy and History and development of public health in
industrialised and emerging economies.

Unit-II Health Care Delivery Models:


Introduction to health systems, Global burden of diseases and illness, Review of health
systems around the world and Dimensions of comparative perspectives of health
systems performance, MDGs, SDGs, Bilateral and Multilateral organizations and Best
practices

Unit-III: Health promotion and diseases prevention:


Health behavior and health education- concepts, principles and models, Process and
significance of health promotion, Investing in health promotion and disease prevention and
Strategies and Evidences in health promotion and disease prevention

Unit-IV: Core Competencies to Practice Public Health:


Public health preparedness-core concepts, Public Health Response-public, private, NGOS
participation in health service delivery, Public health surveillance, health impact assessment
and Public health ethics and future challenges in public health.

References
1. Teutsch, S. M., & Churchill, R. E. (2000). Principles and practice of public
healthsurveillance. Oxford University Press, USA.
2. Suchman, E. (1968). Evaluative Research: Principles and Practice in Public
Serviceand Social Action Progr. Russell Sage Foundation.
3. Bennett, J. E., Dolin, R., & Blaser, M. J. (2014). Principles and practice of
infectiousdiseases (Vol. 1). Elsevier Health Sciences.
4. Brownson, R. C., Fielding, J. E., & Maylahn, C. M. (2009). Evidence-based public
health: a fundamental concept for public health practice. Annual review of publichealth, 30,
175-201.
5. Petersen, A. (1997). Risk, governance and the new public health. Foucault, health
andmedicine, 189-206.
6. Gerdtham, U. G., & Jönsson, B. (2000). International comparisons of health
expenditure: theory, data and econometric analysis. Handbook of health economics, 1, 11-53.
7. Lennox, N. (2002). Health promotion and disease prevention. Physical health of
adultswith intellectual disabilities, 230-251.
8. Park, and Park (2015). Text book preventive and social medicine.
9. Leavell, H. R., & Clark, E. G. (1958). Preventive Medicine for the Doctor in his
Community. An Epidemiologic Approach. Preventive Medicine for the Doctor in
hisCommunity. An Epidemiologic Approach.

13
EPH-S1-02- DETERMINANTS OF HEALTH
Unit-I: Social and cultural determinants:
Health and society, Determinants of health and Social and cultural determinants of health

Unit-II: Gender issues in public health/Health equity:


Health equity, Gender disparities in health, Women, gender and health and Major causes of
death in India by gender

Unit-III: Behavioural determinants of health and diseases:


Concepts, methods and models, Behavioral determinants and life style diseases, Behavioral
modification, theories and methods and Patient/client center therapy

Unit-IV: Ecological, Genetic and immunological determinants:


Concepts and components, Ecological, Genetic and immunological determinants, Myths and
realities and Genetic counselling

Unit-V: Globalization and health


Economic development, Strategies of globalization, the health impacts of globalization and a
systems framework for analysis and action

References:
1. McKeown, T. (1978). Determinants of health. Life, 60(40), 3.
2. Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099-
1104.
3. Commission on Social Determinants of Health. (2008). Closing the gap in a generation:
health equity through action on the social determinants of health: final report of the commission on
social determinants of health.
4. Evans, R. G., Barer, M. L., & Marmor, T. R. (1994). Why are some people healthy and
othersnot?: The determinants of health of populations (pp. 27-64). New York: Aldine de Gruyter.
5. Wilkinson, R. G., & Marmot, M. G. (2003). Social determinants of health: the solid facts.
World
6. Wilkinson, R. G. (1997). Socioeconomic determinants of health. Health inequalities: relative
or absolute material standards?. BMJ: British Medical Journal, 314(7080), 591.
7. Uplekar, M. W., Rangan, S., Weiss, M. G., Ogden, J., Borgdorff, M. W., & Hudelson, P.
(2001). Attention to gender issues in tuberculosis control [Unresolved Issues]. The
InternationalJournal of Tuberculosis and Lung Disease, 5(3), 220-224.
8. Green, L. W., Hiatt, R. A., Detels, R., Beaglehole, R., Lansang, M. A., & Gulliford, M.
(2009). Behavioural determinants of health and disease. Oxford textbook of public health, Volume
1:the scope of public health, (Ed. 5), 120-136.
9. Ferguson, N. M., Galvani, A. P., & Bush, R. M. (2003). Ecological and immunological
determinants of influenza evolution. Nature, 422(6930), 428-433.
10. Wearing, H. J., & Rohani, P. (2006). Ecological and immunological determinants of dengue
epidemics. Proceedings of the National Academy of Sciences, 103(31), 11802-11807.
11. Bundy, D. A. P., & Medley, G. F. (1992). Immuno-epidemiology of human geohelminthiasis:
ecological and immunological determinants of worm burden. Parasitology, 104(S1), S105-S119.
12. Kawachi, I., & Wamala, S. (Eds.). (2006). Globalization and health. Oxford University Press.
13. Martin, G. (2005). Globalization and health. Globalization and health, 1(1), 1-2.

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EPH-S1-03 – FOUNDATIONS OF EPIDEMIOLOGY
Unit I: Introduction to Epidemiology (Tools, Objectives,Uses, Natural history of
disease):
Definition, Tools, Objective and uses of epidemiology. Historical aspects of Epidemiology
and Evolution. Concept of Health, Concept of Disease and Concept of Prevention. Definition
and understanding.
Unit II: Dynamics in Disease Transmission
Dynamics in Disease Transmission. Reservoirs and Route of Transmission. Incubation Period
and Immunizing agents. Natural history of Disease and its concept.

Unit III: Measurements in Epidemiology (Measuring the occurrence of disease)

Rates, Ratios and Proportions. Measures of morbidity: Incidence rate, Attack rate,
Prevalence, Relationship between incidence and prevalence and sources of morbidity
statistics. Measures of Mortality: Mortality rates, Crude death rate, Specific death rate, case
fatality rate, proportional mortality rate, survival rate, adjusted and standardized Death rates
and Problems with mortality data.

Unit IV: Epidemiological study designs-Obsevational and experimental


Classification of epidemiological study designs, Descriptive Study. Cross-sectional study
and Cohort Study, case-Control -its Design, advantages and disadvantages of Study,
Design, Selection of cases and controls, Matching, Randomized controlled trials-Design,
blinding, types of Randomized controlled trials, non-randomized trials, sample size,
randomization and conducting the experimental study designs. Compliance, Contamination,
Co-Intervention, Adverse events.

Unit V: Measures of association and impact:


Measures of association –Absolute risk, Relative risk, calculating relative risk in cohort
study, odds ratio and its calculation in case-control studies. Measures of impact –
Attributable risk, Population attributable risk

References:
1. Lilienfeld, D. E., & Stolley, P. D. (1994). Foundations of epidemiology. Oxford University
Press, USA.
2. Dworkin, S. F., Huggins, K. H., LeResche, L., Von Korff, M., Howard, J., Truelove, E., &
Sommers, E. (1990). Epidemiology of signs and symptoms in temporomandibular disorders: clinical
signs in cases and controls. The Journal of the American Dental Association, 120(3), 273-281.
3. Bhopal, R. S. (2007). Ethnicity, race, and health in multicultural societies: foundations
forbetter epidemiology, public health, and health care. Oxford University Press.
4. Fried, L. P., Borhani, N. O., Enright, P., Furberg, C. D., Gardin, J. M., Kronmal, R. A., ... &
O'Leary, D. H. (1991). The cardiovascular health study: design and rationale. Annals ofepidemiology,
1(3), 263-276.
5. Merrill, R. M. (2015). Introduction to epidemiology. Jones & Bartlett Publishers.
6. Mackenbach, J. P., Kunst, A. E., Cavelaars, A. E., Groenhof, F., Geurts, J. J., & EU Working
Group on Socioeconomic Inequalities in Health. (1997). Socioeconomic inequalities in morbidity and
mortality in western Europe. The lancet, 349(9066), 1655-1659.
7. Case, A., & Paxson, C. (2005). Sex differences in morbidity and mortality. Demography,
42(2), 189-214.
8. Thorogood, M., & Coombes, Y. (Eds.). (2010). Evaluating health promotion: practice
andmethods. OUP Oxford.
9. Aschengrau, A., & Seage, G. R. (2013). Essentials of epidemiology in public health. Jones &
Bartlett Publishers.
10. Abdel-Aal, R. E., & Mangoud, A. M. (1998). Modeling and forecasting monthly patient
volume at a primary health care clinic using univariate time-series analysis. Computer Methods
andPrograms in Biomedicine, 56(3), 235-247.

15
EPH-S1-04- REPRODUCTIVE AND SEXUAL HEALTH

Unit-I: Introduction to reproductive and sexual health:

Reproductive and sexual health- public health perspective, Sexual health, human rights and
law, Convention on the Elimination of All Forms of Discrimination Against Women and UN
guidelines on reproductive health

Unit-II: Sexuality and Sexual health and rights:

Foundations in sexuality and sexual health, Construction of sexuality, Control of Sexually


Transmitted Infections, HIV/AIDS and Current sexual health (e.g STIs) and reproductive
health issues (infertility, abortions, maternal mortality, FGM)

Unit-III: Reproductive health and rights:

Reproductive health rights-concepts and components, Family planning programmes in India,


National population policy and Evidence based approaches to research of reproductive, sexual
health issues, Role of bilateral and multilateral organisations in protecting the rights, Gender-
based violence (including medical violence, eg forced sterilisations, forced abortions, harmful
treatments of fertility) and Accountability for sexual health and human rights.
Unit-IV: Surrogacy and public health significance:

Surrogacy and women’s rights to health, Current Issues in Safe Motherhood & Perinatal
Health, Surrogacy ethical and legal issues and Surrogacy- issues and perspectives

References:
1. Khan, S., & Mishra, V. (2008). Youth reproductive and sexual health.
2. Golding, J. M. (1996). Sexual assault history and women's reproductive and
sexual health. Psychology of Women Quarterly, 20(1), 101-121.
3. Sawyer, S. M., Tully, M. A. M., & Colin, A. A. (2001). Reproductive and sexual
health in males with cystic fibrosis: a case for health professional education and
training. Journal of Adolescent Health, 28(1), 36-40.
4. Corrêa, S. (1997). From reproductive health to sexual rights achievements and future
challenges. Reproductive Health Matters, 5(10), 107-116.
5. Glasier, A., Gülmezoglu, A. M., Schmid, G. P., Moreno, C. G., & Van Look, P. F.
(2006). Sexual and reproductive health: a matter of life and death. The Lancet, 368(9547),
1595-1607.
6. McCaffrey, M. (1995). Female genital mutilation: consequences for reproductive and
sexual health. Sexual and marital therapy, 10(2), 189-200.
7. Bearinger, L. H., Sieving, R. E., Ferguson, J., & Sharma, V. (2007). Global
perspectives on the sexual and reproductive health of adolescents: patterns,
prevention, and potential. The lancet, 369(9568), 1220-1231.
8. Edwards, W. M., & Coleman, E. (2004). Defining sexual health: a descriptive
overview. Archives of sexual Behavior, 33(3), 189-195.
9. Parker, R. G. (2007). Sexuality, health, and human rights. American Journal of
PublicHealth, 97(6), 972.
10. Cook, R. J., Dickens, B. M., & Fathalla, M. F. (2003). Reproductive health
andhuman rights: integrating medicine, ethics, and law. Clarendon Press.
11. Smerdon, U. R. (2008). Crossing bodies, crossing borders: international surrogacy
between the United States and India. Cumb. L. Rev., 39, 15.

16
EPH-S1-05- EPIDEMIOLOGY OF DISEASES OF PUBLIC HEALTH
IMPORTANCE

Unit I: Epidemiology of Communicable diseases (CD):

Concept, CD typology, Risk factors for CDs, Epidemiology of CDs in India, burden of CD in
India, Public health interventions for CDs and Research topic, Literature review and Concept
paper

Unit II: Epidemiology of tropical diseases:

Introduction to tropical diseases, Neglected tropical diseases, Elimination and eradication of


tropical diseases, Emerging and re-emerging tropical diseases and spatial epidemiology of
tropical diseases

Unit III: Epidemiology of non-communicable diseases & injuries:

Concept, NCD typology, Risk factors for NCDs, Epidemiology of NCDs in India,
Epidemiology of intentional and unintentional injuries in India, Epidemiology of congenital
diseases in India, Public health interventions for NCDs and Research topic, Literature review
and Concept paper

Unit: IV: Public health emergencies and response:

International health regulations, Public health preparedness and response during mass
gatherings, Outbreak investigation, Disaster management and Risk assessment, Investigation
of an epidemic

References:
1. Fleming, D. T., & Wasserheit, J. N. (1999). From epidemiological synergy to public
health policy and practice: the contribution of other sexually transmitted diseases to sexual
transmission of HIV infection. Sexually transmitted infections, 75(1), 3-17.
2. Gubler, D. J. (2002). The global emergence/resurgence of arboviral diseases as public
health problems. Archives of medical research, 33(4), 330-342.
3. Baker, R., & Martinson, C. A. (1970). Epidemiology of diseases caused by
Rhizoctonia solani. Rhizoctonia solani, biology and pathology.
4. Cook, G. C., & Zumla, A. (2008). Manson's tropical diseases. Elsevier Health
Sciences.
5. Shultz, J. M., Russell, J., & Espinel, Z. (2005). Epidemiology of tropical cyclones: the
dynamics of disaster, disease, and development. Epidemiologic reviews, 27(1), 21-35.
6. Hood, R. I. (1960). EPIDEMIOLOGY OF COMMUNICABLE DISEASES.
American Journal of Public Health and the Nations Health, 50(2), 271-272.
7. Park, K. (2011). Epidemiology of communicable diseases. Text book of
preventiveand social medicine. Jabalpur: Banarsidas Bhanot Publ, 332-335.
8. Lee, I. M., Shiroma, E. J., Lobelo, F., Puska, P., Blair, S. N., Katzmarzyk, P. T., &
Lancet Physical Activity Series Working Group. (2012). Effect of physical inactivity on
major non-communicable diseases worldwide: an analysis of burden of disease and life
expectancy. The lancet, 380(9838), 219-229.
9. Smith, A. H., Lingas, E. O., & Rahman, M. (2000). Contamination of drinking-water
by arsenic in Bangladesh: a public health emergency. Bulletin of the World
HealthOrganization, 78(9), 1093-1103.

17
10. Keim, M. E. (2008). Building human resilience: the role of public health preparedness
and response as an adaptation to climate change. American journal of preventivemedicine,
35(5), 508-516.
11. Nelson, C., Lurie, N., Wasserman, J., & Zakowski, S. (2007). Conceptualizing and
defining public health emergency preparedness. American journal of public health,
97(Supplement_1), S9-S11.
12. Frumkin, H., Hess, J., Luber, G., Malilay, J., & McGeehin, M. (2008). Climate
change: the public health response. American Journal of Public Health, 98(3), 435-445.

18
EPH-S1-06- PUBLIC HEALTH ETHICS

Unit-I Ethical Principles:


Theoretical orientations to bioethics for public health – utilitarianism, libertarianism and
communitarianism, Global history of ethics in biomedical research, Principles and its role in
ethical evaluation: Moral reasoning

Unit II Research ethics:


Important conceptualizations in ethics of research: Privacy and confidentiality, Informed
consent, Standards of care in research on health care interventions in developing countries,
Analysis of risk and benefit, Integrity and conflict of interest in biomedical research and
Publication ethics

Unit III Ethics in delivery of public health:


Ethics of public health interventions and human rights, Ethics of allocation in health, Ethics of
mass based public health interventions, including screening, Ethics in disaster management
and Ethics for a public health professionals

Unit IV Contemporary issues in ethics:


Ethics of large scale screening of communities, Ethics of interventions in reproduction,
including IVF, PCPNDT, etc, Ethics of health systems research

References:
1. Holland, S. (2015). Public health ethics. John Wiley & Sons.
2. Dawson, A. (2011). Public health ethics. Blackwell Publishing Ltd.
3. Baylis, F., Kenny, N. P., & Sherwin, S. (2008). A relational account of public health
ethics. Public Health Ethics, 1(3), 196-209.
4. Childress, J. F., Faden, R. R., Gaare, R. D., Gostin, L. O., Kahn, J., Bonnie, R. J., ... &
Nieburg, P. (2002). Public health ethics: mapping the terrain. The Journal of Law,Medicine
& Ethics, 30(2), 170-178.
5. Bayer, R., & Fairchild, A. L. (2004). The genesis of public health ethics. Bioethics,
18(6), 473-492.
6. Kass, N. E. (2001). An ethics framework for public health. American journal of
publichealth, 91(11), 1776-1782.
7. Kass, N. E. (2004). Public health ethics from foundations and frameworks to justice
and global public health. The Journal of Law, Medicine & Ethics, 32(2), 232-242.
8. Kass, N. E. (2001). An ethics framework for public health. American journal of
publichealth, 91(11), 1776-1782.
9. Jonsen, A. R., Siegler, M., & Winslade, W. J. (1982). Clinical ethics a practical
approach to ethical decisions in clinical medicine.
10. Upshur, R. E. (2002). Principles for the justification of public health intervention.
Canadian Journal of Public Health/Revue Canadienne de Sante'e Publique, 101-103.

19
EPH –S1 – P1-PRACTICAL FOR EPIDEMIOLOGICAL METHODS

1. Identify Study Designs


2. Calculate Measurements of Exposure
3. Lab Workout with Computers
4. Design appropriate epidemiological studies to address population health
questions 
5. Critically appraise published papers dealing with epidemiological studies
and clinical trials 
6. Summarise, analyse and present basic epidemiological data appropriately 
7. Interpret and critically appraise basic epidemiological and statistical
information that they have collected/ produced themselves or that has been
presented by others 
8. Preparation of survey data for statistical analysis
9. Collecting information, Obtaining valid information, Study designs to
measure repeatability, Maximising participation in follow-up
10. Selection of subjects for case-control studies and Selection of subjects for
cohort (longitudinal) studies

20
SEMESTER II

EPH-S2-07 EPIDEMIOLOGICAL METHODS

Unit I: Systematic Errors in Epidemiological Studies:


Matching, Biases in case-control studies, measure of association, nested case-control study.
Decision Analysi
Unit II: Screening:
Definition, basis of screening, screening tests vs diagnostic tests, types and uses of
screening, criteria for choosing a screening test, error in screening tests, validity, sensitivity,
specificity, accuracy, predictive values, likelihood ratio, reliability, kappa statistics, receiver
operating characteristics analysis (ROC), evaluation of screening tests.
Unit III: Surveillance:
Definition, functions, various forms of surveillance, surveillance system design and
operations, analyse and interpret surveillance data, dissemination of surveillance findings.

Unit IV: Infectious disease modeling/forecasting

Basic concepts in mathematical epidemiology, modeling transitions between compartments, SIR


model, epidemic threshold and disease-free equilibrium in infectious disease epidemiology

Unit V: Epidemiological approach to data analysis:


Methods of data analysis in different types of epidemiological studies, important measures
of frequency and effect.
References:
1. Lilienfeld AM, Lilienfeld DE. Foundations of epidemiology. 2nd ed. New York:
Oxford University Press; 1980.
2. Bonita, R., R. Beaglehole, and Tord Kjellström. 2006. Basic epidemiology. Geneva:
World Health Organization.
3. Leon Gordis, Epidemiology. 5th edition. Elsevier Health Sciences, 2013
4. Clayton, D., & McKeigue, P. M. (2001). Epidemiological methods for studying
genes and environmental factors in complex diseases. The Lancet, 358(9290), 1356-1360.
5. Reid, D. D., & Reid, D. D. (1960). Epidemiological methods in the study of
mentaldisorders (No. 2). Geneva: World Health Organization.
6. Dimaggio, C. (2013). Introduction. In SAS for Epidemiologists (pp. 1-5). Springer
New York.
7. Breslow, N. E., & Day, N. E. (1987). Statistical methods in cancer research (Vol. 2,
pp. 89-81). W. Davis (Ed.). Lyon: International Agency for Research on Cancer.
8. Woodward, M. (2013). Epidemiology: study design and data analysis. CRC press.
9. Bendat, J. S., & Piersol, A. G. (2011). Random data: analysis and
measurementprocedures (Vol. 729). John Wiley & Sons.
10. Ioannidis, J. P. (2005). Why most published research findings are false. PLoS Med,
2(8), e124.

EPH-S2-08 BIOSTATISTICS FOR PUBLIC HEALTH

21
Unit-I: Types and Presentation of data

Qualitative and quantitative data, Cross sectional and time series data, Discrete and
continuous data and Nominal, ordinal, ratio and interval scales. Frequency distribution and
cumulative frequency distribution, Diagrammatic and graphical presentation of data,
Construction of bar, pie diagrams, histograms and Frequency polygon, frequency curve and
ogives

Unit-II Probability and Non-Probability Distribution of Data

Random experiment/trial, Sample point, sample space, operation of events, Exhaustive,


equally likely and independent events, Definition of probability, Addition & multiplication
laws of probability, Probability function, probability mass function, probability density
functions and Distribution function and its properties

Unit-III: Descriptive Statistics

Mean, Median, Mode, Range, inter quartile range, quartile deviation, coefficient of quartile
deviation, Mean deviation, coefficient of mean deviation, standard deviation, coefficient of
variation and Properties of the above measures.

Unit-IV: Inferential Statistics


Set up data, from a suitable quantitative study, for data analysis using Excel, SPSS, and other
statistical software. Summarize a set of data using appropriate descriptive statistics. Use
Analysis of Variance (ANOVA) or Analysis of Covariance (ANCOVA) where appropriate to
analyze and interpret data collected from  factorial designs. Use the multiple linear regression
(MLR) procedures to compute partial and semi-partial correlation analyses and interpret the
results.
Unit-V: Sampling and Sample Size

Elements of the Sampling Problem : Probability samples, simple random sampling, sample-
size estimation, systematic sampling, ratio estimation, regression estimation.
References:
1. Goon A.M., Gupta M. K., Dasgupta B (2008): Fundamentals of Statistics, Published
by Prentice Hall, 2nd edition.
2. Gupta S.C.& Kapoor V.K, (2000): Fundamentals of & Mathematical Statistics, Sultan
Chand Sons 10th edition.
3. Croxton F.E., Cowden D.J. & Kelin S, (1967): Applied General Statistics, Prentice
Hall.
4. Hogg and Craig, Introduction to Mathematical Statistics, (2013): Prentice Hall, 7th
edition.
5. Steel and J H Torrie, Principles and procedures of statistics, (2007): McGraw Hill,
2nd edition.
6. Last, J. M., Abramson, J. H., & Freidman, G. D. (Eds.). (2001). A dictionary
ofepidemiology (Vol. 141). New York: Oxford University Press.
7. Sullivan, L. M. (2011). Essentials of biostatistics in public health. Jones & Bartlett
Publishers.
8. Lawson, A. B., & Kleinman, K. (Eds.). (2005). Spatial and syndromic surveillance for
public health.
9. Kirch, W. (2008). Encyclopedia of Public Health. 2 Vol (Vol. 1). Springer Science &
Business Media.

22
EPH-S2-09- RESEARCH METHODOLOGY FOR PUBLIC HEALTH

Unit-I Research Process:

Research process, steps, Framing research question and formulation of hypothesis, scientific
literature review, choosing research theme/topic, Research, Data collection, Data Analysis and
Data Management.

Unit: II Designing Data Collection Instrument (Qualitative and Quantitative)

An introduction and approaches to mixed methods, History and philosophy of mixed methods
research, Epistemological underpinnings of both mixed methods designs and In-depth qualitative
interviewing, ethnography, social network analysis

Unit III Data Analysis and interpretation

Concept, data editing, process, code sheet, code book, data entry, analysis, output and data
interpretation

Unit-IV Writing Concept Paper/ Research Protocol


1. Data analysis vs data interpretation-myths and realities
2. Report writing-concept, process and relevance
3. Data presentation, process and types
4. Sharing/publication of research papers

Unit-IV Principles & Practice of Data Management

Introduction to the software, required data format, Tables, Descriptive measures, Graphs &
charts and Presentation of the tables/charts

References:

1. Creswell, J. W., & Clark, V. L. P. (2007). Designing and conducting mixed methods
research.
2. Rice, P. L., & Ezzy, D. (1999). Qualitative research methods: A health focus (Vol. 720).
Melbourne.
3. Diez-Roux, A. V. (2000). Multilevel analysis in public health research. Annual reviewof
public health, 21(1), 171-192.
4. Baum, F. (1995). Researching public health: behind the qualitative-quantitative
methodological debate. Social Science & Medicine, 40(4), 459-468.
5. Breslow, N. E., & Day, N. E. (1987). Statistical methods in cancer research (Vol. 2, pp.
89-81). W. Davis (Ed.). Lyon: International Agency for Research on Cancer.
6. Newman, I., & Benz, C. R. (1998). Qualitative-quantitative research
methodology:Exploring the interactive continuum. SIU Press.
7. Marczyk, G., DeMatteo, D., & Festinger, D. (2005). Essentials of research design
andmethodology. John Wiley & Sons Inc.
8. Neuberger, J. (1992). Ethics and health care The role of research ethics committees in the
United Kingdom.
9. Smith, S. A., & Blumenthal, D. S. (2012). Community Health Workers Support
Community-based Participatory Research Ethics:: Lessons Learned along the Research-to-
Practice-to-Community Continuum. Journal of health care for the poorand underserved, 23(4
Suppl), 77.

23
10. Faden, R. R., Kass, N. E., Goodman, S. N., Pronovost, P., Tunis, S., & Beauchamp, T. L.
(2013). An ethics framework for a learning health care system: a departure from traditional
research ethics and clinical ethics. Hastings Center Report, 43(s1), S16-S27.

24
EPH-S2-10- HEALTH SYSTEM MANAGEMENT
Unit-I Management-Relavance to Healthcare:

Management, concept, definitions, principles, functions, Management theories (classical,


behavioural, human relations, systems model and contingency models), Functional areas of
management-human resource, organisational behaviour, social marketing, finance and Quality
management, standardisation, regulation and quality control.

Unit-II Healthcare Management:

Health services organisations, definition, types, components, Healthcare service delivery


organisations at different levels, National and international organisations-types, relevance and
Health Information Management Systems.

Unit-III Systems perspective to healthcare management:

Systems model-concept, theories, Principles and strategies for Successful Health Systems
Integration, Critical thinking of systems perspective on understanding management practice
and management behaviour and Essentials of systems approach

Unit-IV Leadership Development:

Personality- concept, types, theories and relevance to healthcare, Leadership- concept, types,
theories and relevance to healthcare, Motivation - concept, theories and relevance to healthcare
and Team building – concept and relevance to healthcare

Unit-V New Public Health Management:

New Public Management-concept, definition, components, PPP in health- concept,


classification and Taxonomy of PPP models in healthcare, Networking governance in public
health management: models and strategies and Strategic management in health systems
management.

References:

1. Bali, R. K. (2006). Healthcare knowledge management: issues, advances


andsuccesses. Springer Verlag.
2. Griffith, J. R., & King, J. G. (2000). Championship management for healthcare
organizations. Journal of Healthcare Management, 45(1), 17.
3. Walshe, K., & Smith, J. (Eds.). (2011). Healthcare management. McGraw-Hill
Education (UK).
4. Baldwin, L. P., Eldabi, T., & Paul, R. J. (2004). Simulation in healthcare management:
a soft approach (MAPIU). Simulation Modelling Practice and Theory,
12(7), 541-557.
5. Hartman, S. J., & Crow, S. M. (2002). Executive development in healthcare during
times of turbulence: top management perceptions and recommendations. Journal
ofmanagement in medicine, 16(5), 359-370.
6. Nolte, E., & McKee, M. (Eds.). (2008). Caring for people with chronic conditions:
ahealth system perspective. McGraw-Hill Education (UK).
7. Wager, K. A., Lee, F. W., & Glaser, J. P. (2009). Health care information systems:
apractical approach for health care management. John Wiley & Sons.

25
8. Chow, C. W., Ganulin, D., Haddad, K., & Williamson, J. (1998). The balanced
scorecard: a potent tool for energizing and focusing healthcare organization
management. Journal of Healthcare Management, 43(3), 263.
9. McDaniel, R. R., & Driebe, D. J. (2001). Complexity science and health care
management. Advances in health care management, 2(S 11), 37.
10. Stock, J. R., & Lambert, D. M. (2001). Strategic logistics management (Vol. 4).
Boston, MA: McGraw-Hill/Irwin.
11. Porter, M. E. (2010). What is value in health care?. New England Journal
ofMedicine, 363(26), 2477-2481.

26
EPH-S2-11- INTERNSHIP

Internship outline:

Placement organizations:

Fieldwork days:
One month fulltime- all working days of the organization.

Individual conferences with the faculty supervisor:


Once in a week (minimum).

Group conference:
The group conference which will be held in the second week of November (exact
dates/months will be decided by the field work committee).

Learning objectives and tasks:


1. Familiarization with the organization, its structure, management dimensions.
2. Establishing rapport with personnel.
3. Familiarization with overall functioning of health service delivery systems.
4. Understanding of health policies and programmes relating to the relevant field area.
5. To learn various determinants of health.
6. To understand essential components of community health services.
7. Identification of research problem, completion of review of literature chapter and data
collection.
8. To learn the relevance of conducting synthesis of research findings.
9. Active participation in organisational activities to learn public health practice skills.
10. To learn to work as part of an interdisciplinary team and
11. To develop analytical skill in report writing.

Field work report content:


The weekly report must include- a brief description of activities planned, activities carried
out, observations, self-learning and future plan.

27
EPH-S2-E1- HEALTH ECONOMICS AND HEALTH FINANCING

Unit-I Introduction to health economics:


Concept, definitions and models, applied microeconomics for healthcare, applied
macroeconomics for healthcare and Managerial economics for healthcare

Unit-II Econometrics, Evaluation and methods:


Econometrics-concept, significance and models, Econometrics for evaluative research,
concept and process, New Econometric techniques and use of computer software’s in data
analysis

Unit-III Healthcare financing and management:


Healthcare financing, concept, models and overview, Fundamentals of budgeting, Healthcare
financing efficiency and equity and Healthcare financing and sustainability

Unit-IV Healthcare negotiations:


Healthcare negotiations- concepts, theories, process and strategies, Game theory, essential
components of negotiations strategies, Negotiations strategies for healthcare professional and
Significance of individual and team negotiations.

Unit-V Pharmaceutical economics and policy


Pharmaceutical industries, brief overview, Public policy and its impacts on drugs and Trade
policy and its impact on drug policy.

References:
1. Folland, S., Goodman, A. C., & Stano, M. (2007). The economics of health and
healthcare (Vol. 6). New Jersey: Pearson Prentice Hall.
2. Gerdtham, U. G., Søgaard, J., Andersson, F., & Jönsson, B. (1992). An econometric
analysis of health care expenditure: a cross-section study of the OECD countries.
Journal of health economics, 11(1), 63-84.
3. Wagstaff, A., & Van Doorslaer, E. (1992). Equity in the finance of health care: some
international comparisons. Journal of health economics, 11(4), 361-387.
4. DiMasi, J. A., Hansen, R. W., Grabowski, H. G., & Lasagna, L. (1991). Cost of
innovation in the pharmaceutical industry. Journal of health economics, 10(2), 107-142.
5. Fuchs, V. R. (2011). Who shall live?: health, economics and social choice. World
Scientific.
6. Cohen, D. R., & Henderson, J. B. (1991). Health, prevention and economics.
OUPCatalogue.
7. Doorslaer, E. V., Wagstaff, A., & Rutten, F. (1992). Equity in the finance and
deliveryof health care: an international perspective. Oxford University Press.
8. Cooper, M. H., & Culyer, A. J. (1973). Health Economics: selected readings. Penguin
Books.
9. Gottret, P. E., & Schieber, G. (2006). Health financing revisited: a
practitioner'sguide. World Bank Publications.
10. Gilson, L., Russell, S., & Buse, K. (1995). The political economy of user fees with
targeting: developing equitable health financing policy. Journal of
internationalDevelopment, 7(3), 369-401.

28
EPH-S2-E2- POPULATION STUDIES

Unit-I: Introduction to demography:


Introduction to population and society, Methods of demographic data collection -Sources of
data -Population Census, Population composition -World population growth -Growth of
Indian population and Sources and management of demographic data.

Unit-II: Mortality measures:


Morbidity, Mortality and Public Health- brief overview, Mortality and morbidity determinants
and measurements, Data sources for measuring mortality and morbidity and Measures of
mortality - Crude death rate - Age specific death rate - SMR 5

Unit-III: Fertility measures:


Age sex distribution of population - Population pyramid - Sex ratio, dependency ratio -
Factors affecting demographic profile (fertility, mortality and migration), Measures of
fertility - Crude birth rate, child woman ration, general Fertility rate, age specific fertility rate,
total Fertility rate, gross reproduction rate, not Reproduction rate and Factors affecting
fertility

Unit-IV: Standardization techniques and Mobility and migration:


Population Policy, Programme Management and Evaluation, Methods of measuring internal
and external migration, Methods for data standardization and Techniques for standardization

Unit-V: Population policy in India:


Demographic transition - Rate of natural increase - Malthusian theory - Doubling time &
projections, Concepts and features of population policy in India. Critical review of national
population policy-2000 and Linkages of population on development

References:
1. Duncan, O. D. (1959). Human ecology and population studies.
2. Ehrlich, P. R., & Ehrlich, A. H. (1970). Population, resources, environment: issues
inhuman ecology (p. 383). San Francisco: WH Freeman.
3. McHugh, R. B. (1969). INTRODUCTION TO DEMOGRAPHY. American
Journalof Public Health and the Nations Health, 59(1), 188-188.
4. Sheil, D., Burslem, D. F., & Alder, D. (1995). The interpretation and misinterpretation
of mortality rate measures. Journal of Ecology, 331-333.
5. Coale, A. J., Hill, A. G., & Trussell, T. J. (1975). A new method of estimating
standard fertility measures from incomplete data. Population Index, 182-210.
6. Kocher, J. E. (1980). Population policy in India: recent developments and current
prospects. Population and Development Review, 299-310.
7. VA Pai Panandiker, & Centre for Policy Research (New Delhi, India). (1997).
Thepolitics of backwardness: Reservation policy in India. Konark Publishers.
8. Bongaarts, J. (1994). Population policy options in the developing world. East Asia,
5(2.3), 13-75.

29
EPH –S2-P2: PRACTICAL IN BIO-STATISTICS INCLUDING LAB COMPONENT

1. Calculating Measures of Central Tendency.


2. Chi-square Test, T-Test, Univariate and Multivariate Analysis.
3. Measures of Dispersion
4. Probability and Non-Probability Functions
5. Calculation of Sample size.
6. Survival Analysis, Life Table
7. Data interpretation of Analysis.
8. Software Handling- SPSS and Epi- Info
9. Creating Data Entry Forms Using Epi-Info
10. Randomization

References.
1. Smith (2013) Textbook of Bio-Statistics.
2. A.K. Sharma (2005) Text book of Biostatistics.
3. Khanal arun Bhadra(2015). Mahajan’s Methods in Bio-statistics for Medical students and
Research Workers.- 8th Edition.

30
Semester –III

EPH-S3-12- HEALTH POLICY, PROGRAMMES AND LEGISLATION

Unit-I Health Policy & Planning:


Health policy, concept, process, Institutional and non-institutional role in health policy
formulation and implementation, Health policy planning -conceptual framework and Brief
overview of Five year plans

Unit-II Health Policy Review:


Critical review of national health policy- 1983, Critical review of national health policy 2002,
National Rural Health Mission, 2005 and draft health policy report (2015),. National Health
Programmes In India.

Unit-III National Health Programmes In India.:


Background objectives, action plan, targets, operations, achievements and constraints in
various National Heath Programme. National Health Policy & Population policy, National
Health Policy & Inter-sectoral Co-ordination , National Population Policy , National Five
year plans, Census & its impact on health policy

Unit-IV Public Health Laws-I:


Public health, relevant laws, need and scope, important health Acts in India-I: Drug, birth and
death, important health Acts in India-II: Medical termination of pregnancy Act, the pre-natal
diagnostic techniques Act and the role of Community participation in effective enforcement
of these laws. Prevention of adulteration Act, Employee State Insurance Act, Consumer
protection Act and Factories Act 1948.

Unit-V Public Health Laws-II:


Global framework for health including UN Declarations and Covenants, Health as a right and
the global and Indian legal framework (including health as a state subject and the
requirements of state laws for national promulgations etc), Laws regarding HIV disclosure,
regulations regarding health care institutions (Structure and functioning), Article 377 and
Bio-medical waste rules, the transplantation of human organs Act.

References
1. Starfield, B., & Shi, L. (2002). Policy relevant determinants of health: an
international perspective. Health Policy, 60(3), 201-218.
2. Reich, M. R. (1995). The politics of health sector reform in developing countries: three
cases of pharmaceutical policy. Health Policy, 32(1), 47-77.
3. Murray, C. J., & Lopez, A. D. (1996). Evidence-based health policy--lessons from the Global
Burden of Disease Study. Science, 274(5288), 740.
4. Green, A. (1999). An introduction to health planning in developing countries (Vol. 2).
Oxford: Oxford University Press.
5. Walt, G., Shiffman, J., Schneider, H., Murray, S. F., Brugha, R., & Gilson, L. (2008).
‘Doing’health policy analysis: methodological and conceptual reflections and challenges.
Health policy and planning, 23(5), 308-317.
6. Dever, G. A. (1976). An epidemiological model for health policy analysis. Social
indicatorsresearch, 2(4), 453-466.
7. Walt, G., & Gilson, L. (1994). Reforming the health sector in developing countries: the
central role of policy analysis. Health policy and planning, 9(4), 353-370.
8. Hanson, K., & Berman, P. (1998). Private health care provision in developing countries: a
preliminary analysis of levels and composition. Health Policy and Planning, 13(3), 195-211.

31
9. Bhat, R. (1996). Regulation of the private health sector in India. The International journal
ofhealth planning and management, 11(3), 253-274.
10. Harrison, M. (1994). Public Health in British India: Anglo-Indian Preventive Medicine
1859-1914. Cambridge University Press.
11. Reddy, K. S., Patel, V., Jha, P., Paul, V. K., Kumar, A. S., Dandona, L., & Lancet
India Group for Universal Healthcare. (2011). Towards achievement of universal health
care in India by 2020: a call to action. The Lancet, 377(9767), 760-768.
12. Textbook of Preventive & Social Medicine- Dr. K. Park
13. Textbook of community medicine: V. K. Mahajan
14. Population studies – Asha Bhendre

32
EPH-S3-13- ENVIRONMENTAL AND OCCUPATIONAL HEALTH AND DISEASE

Unit-I Foundations of Environmental Health Sciences


Environment, concept, types, components, Environmental health problems (Rural and
Urban)-water, air, food, housing, sanitation, safety, Emerging issues in environmental health-
Migration, Slums, Global Warming,

Unit-II Environmental factors and human health & Health Effects of Environmental
Contaminants
Environmental factors that can affect health - Physical - Chemical – Biological, Measurement
of exposure to physical and chemical agents, Prevention of environmental pollution, Injury
control in working environment - Air, Water, Soil and Food

Unit-III Fundamentals of Toxicology and Toxic substance and its impact on human
health
Foundations of Toxicology-concept, and components, Principles of Toxicology, Regulatory
Toxicology and risk assessment, Toxic substance-concept, typology, Carbon monoxide,
Cyanide, Acetaminophen, Salicylates, Opiates, Cocaine, Ethanol, Arsenic, Lead, Mercury,
Organophosphate pesticide, snake bite etc; Principles of Managing the Poisoned Patient

Unit- V Occupational Health and Disease:


Occupational health and safety-concept, classification, determinants’ of OH, OHS
infrastructure relevance; health and safety of workers in organised and unorganised sector,
national and international occupational health policy- critical review, injury prevention and
work life balance.

References:
1. Rom, W. N., & Markowitz, S. B. (Eds.). (2007). Environmental and occupational medicine.
Lippincott Williams & Wilkins.
2. Hallenbeck, W. H. (1993). Quantitative risk assessment for environmental and
occupationalhealth. CRC Press.
3. Mackay, D., & Boethling, R. S. (Eds.). (2000). Handbook of property estimation methods
forchemicals: environmental health sciences. CRC press.
4. Hardman, R. (2006). A toxicologic review of quantum dots: toxicity depends on
physicochemical and environmental factors. Environmental health perspectives, 165-172.
5. Brulle, R. J., & Pellow, D. N. (2006). Environmental justice: human health and environmental
inequalities. Annu. Rev. Public Health, 27, 103-124.
6. Salvendy, G. (2012). Handbook of human factors and ergonomics. John Wiley & Sons.
7. Colborn, T., vom Saal, F. S., & Soto, A. M. (1993). Developmental effects of endocrine-
disrupting chemicals in wildlife and humans. Environmental health perspectives, 101(5), 378.
8. Frumkin, H. (2001). Beyond toxicity: human health and the natural environment.
Americanjournal of preventive medicine, 20(3), 234-240.
9. Kampa, M., & Castanas, E. (2008). Human health effects of air pollution.
Environmentalpollution, 151(2), 362-367.
10. Harrington, J. M., & Gill, F. S. (1983). Occupational health. Blackwell Scientific Publications.
11. Last, J. M., Abramson, J. H., & Freidman, G. D. (Eds.). (2001). A dictionary of epidemiology
(Vol. 141). New York: Oxford University Press.

33
EPH-S3-14- VECTOR BIOLOGY AND MANAGEMENT

Unit I: Introductoryto Vector Borne Diseases:


Introduction to vector borne diseases, Vector taxonomy (mosquitoes, sand flies, fleas, ticks
and mites etc), Diagnosis of important vector borne diseases, Epidemiology and Climate
change impact on vector borne diseases

Unit II: Transmission biology:


Vector biology, Vector character, Disease transmission, Identification of pathogens in vectors

Unit III: Vector management:


Vector control methods, Integrated vector management, Insecticide resistance, New vector
control methods

Unit IV: Principles of Medical Entomology

Phyletic studies - Classification of animals of all phyla (except Porifera and Protochordata ) -
Animal groups of medical importance. Human Endoparasites, Comparative anatomy of
various insects

Unit III: Methods of Medical Entomology:


Demonstration of Collection and transportation of Entomological specimens, Identification of
mosquitoes/fleas/ticks/others, Demonstration of mounting entomological specimens and
reporting ,Interpretation of Entomological Survey findings and Vector indices calculation

References:
1. Service M. W, Medical Entomology for students. Chapman & Hall, London
2. Imms, A. D. A general text book of Entomology. ELBS, London
3. Marquardt, W.C. Biology of disease vectors (2nd Edition). Doody Enterprises, Inc.
USA
4. Service, M. W. Mosquito Ecology, Field sampling methods. Applied Science
Publishing Ltd., London.
5. Grafton-Cardwell, E. E., Stelinski, L. L., & Stansly, P. A. (2013). Biology and
management of Asian citrus psyllid, vector of the huanglongbing pathogens. AnnualReview
of Entomology, 58, 413-432.
6. Luckhart, S., Lindsay, S. W., James, A. A., & Scott, T. W. (2010). Reframing
critical needs in vector biology and management of vector-borne disease. PLoS Negl
TropDis, 4(2), e566.
7. Beier, J. C., Keating, J., Githure, J. I., Macdonald, M. B., Impoinvil, D. E., & Novak,
R. J. (2008). Integrated vector management for malaria control. Malaria journal, 7(1), 1.
8. Gubler, D. J. (1998). Resurgent vector-borne diseases as a global health problem.
Emerging infectious diseases, 4(3), 442.
9. Gratz, N. G. (1999). Emerging and resurging vector-borne diseases. Annual review
ofentomology, 44(1), 51-75.
10. Ewald, P. W. (1983). Host-parasite relations, vectors, and the evolution of
disease severity. Annual Review of Ecology and Systematics, 14, 465-485.
11. World Health Organization. (2004). Global strategic framework for integrated vector
management.

34
EPH-S3-15- HEALTH COMMUNICATION

Unit-I Principle of Health Communication and Media :Health Communication-concept,


types, need and significance, Mass media, definition, types, functions and significance to
public health practice; Health education and promotion, components, importance; Relevance
of Information, Education and Communication (IEC) in public health. Health promotion in
India, tools and programs for promotion of health status

Unit II: Communication through media:

Types of media, fundamentals of news media, role of news media in public health and soft
skills for handling media, effective strategies for dealing with the media.

Unit III: Advocacy for public health: Basic steps in dealing effectively with the
communications aspect of an emergency situation in a public health setting, Communicate
key scientific findings with policy makers.

Unit IV: Oral Scientific Communication : Science journalism; Working method of various
media e.g. newspapers, special journals, radio, TV and web, Basics of journalistic
communication, Scientific Interview technique

Unit V: Written Scientific Communication: Writing ability with a focus on formulation


and layout, insight into editorial work, publication in a popular science forum. Written
exercises, I) News item, II) Article and III) News item directed towards children. Editorial
post with written and oral presentation. To write an article, Presentation techniques,
reporting of scientific editorial posts.

References:

1. Berry D. Health communication: theory and practice. New York, NY: Open
University Press, 2007.
2. Renata Schiavo. Health communication: theory and practice. John Wiley & Sons,
2011.
3. Dutta-Bergman, M. J. (2005). Theory and practice in health communication
campaigns: A critical interrogation. Health communication, 18(2), 103-122.
4. Wanzer, M. B., Booth-Butterfield, M., & Gruber, K. (2004). Perceptions of health
care providers' communication: relationships between patient-centered communication
and satisfaction. Health communication, 16(3), 363-384.
5. Dutta-Bergman, M. J. (2004). Primary sources of health information: Comparisons in
the domain of health attitudes, health cognitions, and health behaviors.
Healthcommunication, 16(3), 273-288.
6. Piotrow, P. T., Kincaid, D. L., Rimon, J. G., Rinehart, W., & Samson, K. (1997).
Health communication: lessons from family planning and reproductive health.
7. Hornik, R. (Ed.). (2002). Public health communication: Evidence for
behaviorchange. Routledge.
8. Moorhead, S. A., Hazlett, D. E., Harrison, L., Carroll, J. K., Irwin, A., & Hoving, C.
(2013). A new dimension of health care: systematic review of the uses, benefits, and
limitations of social media for health communication. Journal of medical Internetresearch,
15(4), e85.
9. Freimuth, V., Cole, G., & Kirby, S. D. (2001). Issues in evaluating mass-media health
communication campaigns.

35
10. Backer, T. E., Rogers, E., & Sopory, P. (1992). Designing health
communicationcampaigns: What works?. Sage Publications.
11. Kass-Hout, T. A., & Alhinnawi, H. (2013). Social media in public health.
Britishmedical bulletin, 108(1), 5-24.
12. Thackeray, R., Neiger, B. L., Smith, A. K., & Van Wagenen, S. B. (2012). Adoption
and use of social media among public health departments. BMC public health, 12(1), 1.
13. Grier, S., & Bryant, C. A. (2005). Social marketing in public health. Annu.
Rev.Public Health, 26, 319-339.

36
EPH-S3-16- DISSERTATION PROTOCOL

Learning objectives and tasks:


1. Familiarization conceptualization of research problem, review of literature.
2. Familiarization with field area through pilot study.
3. To learn health services research process.
4. To learn the relevance of mixed methods in health services research.
5. Identification of research problem, completion of review of literature chapter and data
collection.
6. To learn the relevance of conducting synthesis of research findings.

Tasks:
1. Preparation of the dissertation synopsis/research protocol/synopsis.
2. Preparation of the review of literature chapter and research tool.
3. To conduct feasibility study/pilot study.
4. Prepare one research synthesis

Reports to be submitted:
1. Research proposal/protocol/synopsis
2. Review of literature chapter
3. Feasibility/pilot study report
4. Research synthesis report
5. Research tool

37
EPH-S4-17- GLOBAL HEALTH DIPLOMACY

Unit I Introduction to Global Health Diplomacy (GHD):


Conceptual framework, Phases of GHD, global health diplomacy in public policy, Equity on
health, health for all, health workers migration, human rights in GHD and medical tourism.

Unit II Theories and models of global health diplomacy:


Relevant international relations theories-realism, construction, liberalism and Kingdom’s
policy theory. New Public management-concept, characteristics and models, Relevance of
NPM in healthcare service delivery system-industrialised and emerging economics, NPM in
medical and non-medical services, critics and best practices.

Unit III Foreign policy & Globalization:


Foreign policy relevance to global health-industrialised and emerging economies. Ethics of
Recruiting Foreign-Trained Health Human Resources, how and why health is integrated into
foreign policy

Unit IV International health regulations (IHR):


Introduction to the IHR, IHR committees,core functions of IHR, IHR procedures and
implementation, and other reporting requirements under the IHR.

Unit-V Geopolitics in healthcare service delivery


Geopolitics-meaning, definition, Health systems, the influence of political ideologies, Critics
of political economy of global health, Geopolitical Issues and Responsibilities in evidence
based health policy and Political cultures, health systems and health policy.

References:
1. Kickbusch, I. (2011). Global health diplomacy: how foreign policy can influence health.
BMJ, 342(d3), 154.
2. Ozdemir, V., Husereau, D., Hyland, S., Samper, S., & Salleh, M. Z. (2009). Personalized
medicine beyond genomics: new technologies, global health diplomacy and anticipatory governance.
Current Pharmacogenomics and Personalized Medicine, 7(4), 225.
3. Kickbusch, I., & Ivanova, M. (2013). The history and evolution of global health diplomacy.
In Global Health Diplomacy (pp. 11-26). Springer New York.
4. Fidler, D. P. (2001). The globalization of public health: the first 100 years of international
health diplomacy. Bulletin of the World Health Organization, 79(9), 842-849.
5. Taylor, A. L., & Dhillon, I. S. (2011). The WHO Global Code of Practice on the International
Recruitment of Health Personnel: the evolution of global health diplomacy. Global healthgovernance,
5(1), 1-24.
6. Kickbusch, I., & Kökény, M. (2013). Global health diplomacy: five years on. Bulletin of
theWorld Health Organization, 91(3), 159-159.
7. Katz, R., Kornblet, S., Arnold, G., Lief, E., & Fischer, J. E. (2011). Defining health
diplomacy: changing demands in the era of globalization. Milbank Quarterly, 89(3), 503-523.
8. Emmerling, T., & Heydemann, J. (2013). The EU as an actor in global health diplomacy. In
Global Health Diplomacy (pp. 223-241). Springer New York.
9. Gagnon, M. L., & Labonté, R. (2011). Human rights in global health diplomacy: a critical
assessment. Journal of human rights, 10(2), 189-213.
10. Ingram, A. (2005). The new geopolitics of disease: Between global health and global security.
Geopolitics, 10(3), 522-545.

EPH-S3-E3 COMPARATIVE HEALTH SYSTEMS AND POLICIES

38
Unit-I Health system- USA: Managed care system- concept, process: Relevance of national
health insurance system; USA healthcare from global perspective; Healthcare reforms in
USA.

Unit-II Health system- UK: National Health Service- concept, process; Relevance and
assessment of the UK model; UK healthcare from global perspective; Healthcare reforms in
UK –empowering patients and local communities

Unit-III Health system- Cuba: Brief introduction to the Cuba model; Genesis and historical
overview; Health care and education in Cuba; Cuba- A model for the World

Unit-IV Scandinavian Healthcare Service Delivery System


Brief introduction, Genesis and historical overview, Health care and education and Lessons.

References:
1. Evans, D. B., Tandon, A., Murray, C. J., & Lauer, J. A. (2001). Comparative
efficiency of national health systems: cross national econometric analysis. BMj,
323(7308), 307-310.
2. Squires, D. A. (2011). The US health system in perspective: a comparison of
twelve industrialized nations. Issue Brief (Commonwealth Fund), 16, 1-14.
3. Schoen, C., Davis, K., How, S. K., & Schoenbaum, S. C. (2006). US health system
performance: a national scorecard. Health Affairs, 25(6), w457-w475.
4. Woolhandler, S., & Himmelstein, D. U. (1991). The deteriorating administrative
efficiency of the US health care system. New England Journal of Medicine, 324(18), 1253-
1258.
5. Stevens, S. (2004). Reform strategies for the English NHS. Health Affairs, 23(3), 37-
44.
6. Stahr, H. (2001). Developing a culture of quality within the United Kingdom
healthcare system. International Journal of Health Care Quality Assurance, 14(4), 174-
180.
7. Doyle, Y., Bull, A., & Keen, J. (2000). Role of private sector in United Kingdom
healthcare system/Commentary. British Medical Journal, 321(7260), 563.
8. Sixto, F. E. (2002, August). An evaluation of four decades of Cuban healthcare. In
Presented at: Twelfth Annual Meeting of the Association for the Study of the Cuban
Economy (ASCE) (pp. 325-343).
9. Aitsiselmi, A. (2004). An analysis of the Cuban health system. Public Health, 118(8),
599-601.
10. McGlynn, E. A., Asch, S. M., Adams, J., Keesey, J., Hicks, J., DeCristofaro, A., & Kerr,
E. A. (2003). The quality of health care delivered to adults in the United States.
New England journal of medicine, 348(26), 2635-2645.
11. Betancourt, J. R., Green, A. R., & Carrillo, J. E. (2002). Cultural competence
inhealth care: Emerging frameworks and practical approaches (Vol. 576). New
York:Commonwealth Fund, Quality of Care for Underserved Populations.
12. Mohseni, M., & Lindstrom, M. (2007). Social capital, trust in the health-care system
and self-rated health: the role of access to health care in a population-based study.
Social science & medicine, 64(7), 1373-1383.

39
EPH-S3-E4- HOSPITAL MANAGEMENT

Unit-I Brief overview of Hospital management


Concepts, types of healthcare organisations, Hospital planning, architecture and project
management, Patient care planning and management, Supportive services and facility
management and Total Quality Management in hospitals

Unit-II Human Resource Management & Organizational behaviour


Human Resource Management- concept, definition, functions and significance, Training and
development, Compensation management, Talent management and retention strategies and
Role of human resource manager in healthcare organizations

Unit-III Financial Management


Financial management of healthcare organisations- Introduction to fundamental tools, Basic
financial management concepts, financial condition analysis and forecasting and Budget,
audit and Management Information Systems

Unit-IV Healthcare operations and supply chain management


Concept, process and methods, Materials management (Purchase, Equipment purchase and
management, Inspection, storage and distribution of materials and scientific inventory
management), new trends in healthcare supply chain management and Maximum-minimum
inventory control systems

Unit-V Marketing management


Hospital management- concepts, basics, approaches and 4 PS, developing customized
marketing plans for hospitals, Hospital product mix and Competencies for the marketing
managers in healthcare

References:
1. Cascio, W. F. (1986). Managing human resources. New york: McGraw-Hill.
2. Folger, R. G., & Cropanzano, R. (1998). Organizational justice and human
resourcemanagement (Vol. 7). sage publications.
3. Bratton, J., & Gold, J. (2012). Human resource management: theory and practice.
Palgrave Macmillan.
4. Kros, J. F., & Brown, E. (2012). Health care operations and supply
chainmanagement: Strategy, operations, planning, and control. John Wiley & Sons.
5. Collen, M. F. (1970). General requirements for a medical information system (MIS).
Computers and Biomedical Research, 3(5), 393-406.
6. McDevitt, P. (1987). Learning by doing: strategic marketing management in hospitals.
Health care management review, 12(1), 23-30.
7. FISK, R. P. (2013). lMPRESSION MANAGEMENT 26 IN SERVICES
MARKETING: A DRAMATURGICAL PERSPECTIVE. Impression management inthe
organization, 427.
8. Speranzo, A. J. (1984). Financial management of hospitals. American Journal
ofHealth-System Pharmacy, 41(5), 935-941.
9. Jangaiah, P. (2008). Financial Management for Hospitals. SRINIVASAN,
AV-Managing a Modern Hospital, Second Edition Sage Publications,, pg, 73-97.

40
EPH-S3 –P4 PRACTICALS ON ENVIRONMENTAL AND OCCUPATIONAL HEALTH/
FIELD TRAINING

1. Water Purification Plant –observation and Practicals


2. Solid waste Management.
3. Occupational Hazard Management and Pollution Control Measures
4. Environmental case study – Laboratory safety, injuriy prevention programs.
5. Integrated pest Management Vector – borne disease
6. Food safety Measure- food code, restaurants and other food Facilities. Compliance and
enforcement, Trans fat, salt and Labelling.

References:
1.Nicholas p. Cheremisinoff, Madelyn L, Graffia.(1995) Environmental and Halth and Safety
Management.- 1st.
2. Bill Taylor (2005) – Effective Environmental, Health and Safety Management using the Team
Approach.
3.Salvatore R.DiNadri, Editor, The Occpational Environment:
Its Evaluation, Control and Management.- 2nd Edition.

41
EPH- S3- P5 PRACTICALS ON VECTOR BIOLOGY

1. Blood meal Identification


2. Identification of mosquitoes
3. Dissection of mosquitoes.
4. Larvicidal test
5. Adulticidal test
6. Cone test
7. Pupicidal test.
8. PCR for identification of Pathogens and Identification of Mites, Ticks.
9. Viral Diagnostic Methods

References.

1. William H.Marquadrt et al., Parasitology and Vector Biology.(1999)- 2nd Edition.


2. Cherliyn Jose (2016)- Parasitology and Vector Biology.
3. http://www.who.int/whopes/guidelines/en/

42
EPH-S4-18- DISSERTATION GUIDELINES- PROJECT WORK

DISSERTATION

TIME FRAMEWORK- 4months.

Field work outline:

Placement:

Learning objectives and tasks:


 Familiarization with the organization, its structure, management dimensions.
 Establishing rapport with personnel.
 Familiarization with overall functioning of health service delivery systems.
 Understanding of health policies and programmes relating to the relevant field area.
 Identification of research problem and completion of dissertation.
 Active participation in organizational activities to learn public health practice skills.
 To learn to work as part of an interdisciplinary team
 To develop analytical skill in report writing.
Evaluation:
Dissertation outline:
 Development/finalization of the research synopsis.
 Formulate statement of the research problem, research questions, hypothesis, significance
of the research problems and operational definition.
 Conduct an intensive scientific literature review and research synthesis.
 To develop research tools, conduct the pilot study, pre-test and data collection.
 Develop detail research methods for conducting the study.
 Data analysis and interpretation of both primary and secondary data.
 Develop, chapter on main findings and discussion, summary and conclusion and
 Develop scholarly research paper for presentation and publication.
Dissertation format:
a. Front cover page or title page- Dissertation title – short (length is 10-12 words); reflective
of the content, problem, and the main variables to be studied; should be written in capital letters
(annexure II).
b. Author’s Name / Month and Year of Completion.
c. Certificate (explaining that the work is original and not submitted/published elsewhere) -
annexure III.
d. Acknowledgements (of people who contributed to the shaping of your research report)
e. Table of Contents
f. List of Tables
g. List of Figures
h. List of abbreviation used and
i. Preface
Chapter (s)
 Introduction
 Review of literature (use appropriate title for this chapter)
 Research Methodology
 Main Study (For example main case study)- data analysis and interpretation, Summary ,
Conclusion
Main findings and Recommendations
and discussion
 References
 Index (optional), Annexure, if any- for example research tool, a brief cases could be
enclosed in annexure.
43
References:
While writing the references please follow the American Psychological Association (APA) format
(http://library.flcc.edu/APA_FLCC.pdf). The student should be accurate with all the
references. Allcitations in the text/content must be included in the reference section. All
bibliographic references should alphabetically listed.

44

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