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Health Financing in Low and Middle Income Countries

East Baltimore
3rd term
International Health
3 credits
Academic Year:
2017 - 2018
Class Times:
  • M W,  1:30 - 2:50pm
Auditors Allowed:
Yes, with instructor consent
Grading Restriction:
Letter Grade or Pass/Fail
Course Instructor :
Krishna Rao

Biostatistics 140.611/612 or 140.621/622 or 140.651/652 or experience using Stata. 313.639, Microeconomics, or 313.641, Health Economics I are recommended but not required to take the course.


Introduces students to concepts and methods in health financing with a focus on low and middle income countries. Examines four themes of financing health systems: financing, pooling, purchasing and provision of healthcare. Surveys health financing practices across countries with different political and economic contexts. Enables students to use household survey data to estimate essential health financing metrics such as out-of-pocket payments, headcount ratio, poverty gap, and catastrophic health expenditures. Prepare students with health financing toolsets for a career in international health.

Learning Objectives:

Upon successfully completing this course, students will be able to:

  1. Explain basic health financing concepts and how they are applied in low and middle income country settings
  2. Assess the strengths and weaknesses of different healthcare financing functions: financing, pooling, purchasing and provision mechanisms
  3. Analyze household survey data to measure out-of-pocket payments, headcount ratio, poverty gap, and catastrophic health expenditures
  4. Describe and evaluate the health financing systems of select low or middle income countries
Methods of Assessment:

Students will be graded based on the following:
o Assignment 1 – 20%
o Assignment 2 – 20%
o Assignment 3 – 20%
o Final Exam – 30%
o Paper Discussion – 10%

Instructor Consent:

No consent required