221.635.81 CASE STUDIES IN PRIMARY HEALTH CARE
Introduces students to the origins, concepts and development of community-based primary health care through case studies from both developing and developed countries. Like clinical bedside teaching, the course uses real cases to help students develop problem-solving skills in practical situations. Participatory approaches in the organization and management of health services and other factors such as equity, socio-cultural change and environmental protection are discussed.
Upon successfully completing this course, students will be able to: 1) describe the key concepts of the SEED-SCALE and illustrate their use in a description of a plan for implementing Community Based Primary Health Care; 2) learn and demonstrate practical methods of promoting participatory activities in communities and action groups; 3) comprehend the methods for examining the conditions and practical techniques for developing partnerships to improve bottom-up participation of communities, top-down support by officials and outside-in stimulation by experts; 4) explore in depth and be able to describe concepts of equity, justice, sustainability, scaling up, the tilting point in community empowerment and challenges in promoting changes in behaviors and social norms; 5) describe strategies of multisectoral collaboration and integration within health services and demonstrate the methods for analysis of these strategies; 6) identify successes and failures or weaknesses of each case study and describe the lessons learned from them. Overall objectives of this course are: 1) to help students clarify their own values and attitudes in developing partnership relationships with communities and colleagues; 2) to facilitate students' ability to understand participatory methods in building community capacity to solve priority problems in varied health care settings; 3) to build on students' prior experiences and help them develop skills in learning how to use case studies in their own work and teaching; and 4) to facilitate students' ability to scale up community-based succeses from a local situation to general extension.