Summer School Ascona 2008 Courses in Public Health Policy and Management

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1 SSPH+ PhD Program Public Health Page 1 Summer School Ascona 2008 Courses in Public Health Policy and Management Ascona (Ticino, Switzerland), from 21 July to 1 August 2008 University of Lugano Université de Montréal Swiss Tropical Institute

2 Basel Zürich Bern Lausanne Genève Ascona Locarno Lugano

3 SSPH+ Summer School Ascona 2008 Page 3 Preamble Generally summer schools are still not part of the ordinary supply of Swiss University training. Yet they give a privileged opportunity to organise topics and groups of participants with unusual modes, therefore they have a special added value, regarding exchange but also exploring new territories. Health economics and public health policy cannot be called new topics but they have acquired great importance all over the world. Both in the more developed countries, where the ageing of the population and the surge of health care costs require new knowledge and solutions, and in emerging countries, for which the intimate connection between policies concerning health, the family, education and the status of women and other topics too is recognised as being important for a sustainable growth of the society. A considerable amount of pragmatism has to be added to the scientific approach to these topics. The complexity is such as to further the preference of a global vision to the knowledge of the details specific to each discipline. In short the borderline lies between science and ideology. Without a precise cultural choice of the hierarchy of the values to be referred to in looking for solutions to these problems every data and every experiment risk being an end in themselves. Mauro Dell Ambrogio State Secretary for Education and Research Préface En général, les écoles d été ne font en Suisse pas partie intégrante des programmes universitaires. Et pourtant, elles offrent une unique opportunité de rencontre de personnes de divers horizons et sur divers sujets. Elles apportent une valeur ajoutée importante dans les échanges et l exploration de nouveaux thèmes. Bien entendu, l économie de la santé et la santé publique ne peuvent être considérés comme de nouveaux thèmes, mais ces sujets ont acquis une grande importance globale. Dans les pays économiquement développés, l accroissement de l âge de la population et l explosion des coûts de la santé demandent de nouvelles connaissances et de nouvelles solutions; dans les pays émergeants, le lien étroit entre les politiques de santé, de famille, d éducation, du statut de la femme et de bien d autres thèmes est reconnu comme un élément essentiel pour une croissance durable de la société. Il convient donc d ajouter une bonne dose de pragmatisme aux connaissances scientifiques sur ces sujets. L immense complexité du domaine requiert de donner la priorité à la vue d ensemble sur les détails de chaque discipline. En fait il s agit de la frontière entre la science et l idéologie. Sans un choix culturel précis de la hiérarchie des valeurs en cherchant des solutions à ces problèmes, on court le risque que les données et les expériences ne restent finalement que de la science pour la science. Mauro Dell Ambrogio Secrétaire d Etat à l éducation et à la recherche

4 Page 4 SSPH+ Summer School Ascona 2008 Introduction The Summer School Ascona is organised by the Swiss School of Public Health+ (SSPH+), the University of Lugano s Institute of Microeconomics and Economics of the Public Sector (MecoP), the Swiss Tropical Institute (STI), and the Department of Health Administration (DASUM) of the Université de Montréal. It is aimed at professionals and managers working in the health sector who are interested in learning tools for a variety of challenges facing the health care system. It is also open to participants in any of the education programs, which are coordinated and supported by SSPH+. The Summer School Ascona is an opportunity to meet new colleagues and peers; to exchange knowledge, build networks, and share insights. The emphasis will be on participative approaches, complemented by formal teaching. The SSPH+ programs recognise the Summer School Ascona courses within the framework of credits required for a degree. The courses of the main program are rated with 1,5 ECTS, the PhD courses with 1 ECTS, respectively. Participants passing the final assessment of the courses will receive a certificate signed by SSPH+. An attendance certificate will be given to all the participants who have regularly attended the courses. Introduction L Université d été à Ascona est organisée par la Swiss School of Public Health+ (SSPH+), l Institut de microéconomie et d économie publique (MecoP) de l Università della Svizzera italiana, l Institut Tropical Suisse (STI) et le Département d administration de la santé (DASUM) de l Université de Montréal. Elle s adresse à des professionnels et à des cadres actifs dans le domaine de la santé et désireux d apprendre les techniques nécessaires pour maîtriser les défis du système de santé. Elle est également ouverte à tout participant suivant des cours coordonnés et promus par la SSPH+. L Université d été facilite de nouvelles rencontres et la reprise de contacts entre collègues pour un échange d expérience et de connaissances et pour créer un réseau de contacts. Le travail se fait principalement par des approches participatives complémenté par de l enseignement traditionnel. Les cours de l Université d été sont reconnus par les programmes soutenus par la SSPH+, dans le cadre de l obtention de crédits ECTS en vue d un diplôme. Les cours du programme principal sont dotés de 1,5 ECTS, ceux des programmes PhD le sont de 1 ECTS. Un certificat signé par la SSPH+ est remis aux participants ayant atteint le niveau requis pour les examens terminaux. Tout participant à droit à une attestation s il a suivi les cours régulièrement.

5 SSPH+ Summer School Ascona 2008 Page 5 Courses of the main program Cours du programme principal First week from 21 to 25 July 2008 Première semaine du 21 au 25 juillet 2008 Second week from 28 July to 1 August 2008 Deuxième semaine du 28 juillet au 1 août 2008 Course 1 Page 14 Course 2 Page 16 Course 3 Page 18 Cours 4 Page 20 Health Care Financing and Incentives Teacher : Jane Hall (Australia) Management and Leadership of Health Care Organizations Teacher : Kenneth R. White (USA) Strategic Project Management The Process of Project Planning Teachers : Axel Hoffmann, Bernadette Peterhans (Switzerland) Le marketing social au service de la santé Enseignant : François Lagarde (Canada-Québec) Course 5 Page 22 Course 6 Page 26 Cours 7 Page 28 Health Technology Assessement Teachers : Brigitte Côté, Ingeborg Blancquaert (Canada-Québec) Health Planning and Management in Settings with Limited Resources Teachers : Marcel Tanner, Don de Savigny (Switzerland) Réformer le système de santé: un enjeu de société Enseignant : André-Pierre Contandriopoulos (Canada-Québec) > EVERY WEDNESDAY EVENING A LECTURER IS ORGANISED ON A TOPICAL THEME, FOLLOWED BY A WINE RECEPTION > UNE CONFÉRENCE SUR DES THÈMES D ACTUALITÉ, SUIVIES D UN APÉRO, A LIEU CHAQUE MERCREDI SOIR

6 Page 6 SSPH+ Summer School Ascona 2008 PHD COURSES IN PUBLIC HEALTH Part I from 28 to 30 July 2008 Part II from 30 July to 1 August 2008 PhD Course 8 Page 30 Policy and Practice of Screening Teacher : Fred Paccaud (Switzerland) PhD Course 10 Page 34 Health Planning and Management Teacher : Marcel Tanner (Switzerland) PhD Course 9 Page 32 Health Services Organization and Research Teacher : Kenneth R. White (USA) PhD Course 11 Page 36 Linking Research and Policy addressing Substance Use Teachers : Gerhard Gmel, Emmanuel Kuntsche (Switzerland) > ON WEDNESDAY A PHD MEETING IS ORGANISED FROM 11AM TO 1PM

7 SSPH+ Summer School Ascona 2008 Page 7

8 Page 8 SSPH+ Summer School Ascona 2008 Practical Information ADDRESS : Seminar Centre Monte Verità CH-6612 Ascona (Switzerland) Phone Fax VENUE The courses take place at the Monte Verità Seminar Centre in Ascona near Locarno in Switzerland. This tourist region is well known for the beauty of its landscape, lakes, mountains and Mediterranean vegetation. The seminar centre is in a hillside park, where a community searching for new forms of art and expression formed at the beginning of last century. The numerous prominent guests from the world of art, culture and science have made Monte Verità internationally famous. ACCOMMODATION The participants have the option of staying in the building of the Monte Verità Seminar Centre. The individual rooms offer ensuite bathrooms, direct phones, radios and minibars. Prices (including breakfast) : Single room CHF 120. / CHF 140. Double room CHF 210. Availability for the participants of the Summer School Ascona is guaranteed until May 31, There are also a large number of hotels and boarding houses in the Ascona, Locarno region. GO! Participants are responsible for the booking of their own hotel accommodation. LANGUAGES The courses are held in English and French. Translation is not provided. An excellent knowledge of the language is required. For the French courses (4 and 7) a basic knowledge of English is necessary to comprehend certain reference materials used. MAIN PROGRAM The main program courses (1 to 7) are aimed at professionals and managers working in the health sector, and at participants in one of the continuous education programs coordinated and supported by SSPH+. Each participant can attend one course per week only. The main program runs from 21 July to 1 August During this time one or two courses can be attended. The number of participants is limited to a maximum of students per course.

9 SSPH+ Summer School Ascona 2008 Page 9 COURSES OF THE PHD PROGRAM The courses of the PhD program (8 to 11) are for PhD students only. They are offered in the second week from 28 to 30 July 2008 (Part I) and from 30 July to 1 August 2008 (Part II). Registration can be made for one or two courses. The number of participants is limited to a maximum of 8 PhD students per course. ECTS, CERTIFICATE OF SUCCESS The courses of the main program (1 to 7) are rated with 1,5 ECTS. The PhD courses (8 to 11) are rated with 1 ECTS. Those who participate actively and pass the final assessment are awarded a certificate of success by SSPH+. An attendance certificate will be given to all other participants who have regularly attended the teaching. COURSE FEES This includes the course itself and all teaching materials. Travel and accommodation are not included. Main program (courses 1 to 7): External participants CHF 850. Students enrolled in SSPH+ programs CHF 750. PhD program (courses 8 to 11): PhD students CHF 300. MEALS The Monte Verità Centre restaurant serves excellent lunches (international cuisine). CHF 180. for a course week (5 days), including mineral water and coffee CHF 108. for a PhD course (3 days), including mineral water and coffee Weekday evening meals, and weekend lunch and dinner meals are not organised by the Summer School Ascona. Excellent restaurants can be found locally. REGISTRATION Fill in the attached registration form or download the appropriate registration form at (main program or PhD program) and send it to : Istituto MecoP Università della Svizzera italiana «Summer School Ascona» via G. Buffi 13 CH-6900 Lugano (Switzerland) Phone Fax

10 Page 10 SSPH+ Summer School Ascona 2008 The closing date for registration is 31 May The number of participants is limited. Priority will be given to those who register first. You will receive confirmation of your registration together with a pay-in slip. Documentation to prepare for your chosen course will be sent a few weeks before the beginning of the course. Registration is valid upon receipt of the registration form and payment of the full registration fees. The amount must be paid by 31 May 2008 at the latest. By postal transfer in favour of the bank : Banca UBS SA CH-6900 Lugano Current postal account number: In favour of the account: Y As reference include SSMV and your name. Bank charges are at the expense of the participants. Full refunds will be made for cancellations received by 30 June After this date fees cannot be reimbursed. MEANS OF PAYMENT, CANCELLATION By bank transfer in favour of the bank : Banca UBS SA CH-6900 Lugano Account no.: Y Code SWIFT/BIC UBSWCHZH69A IBAN Code CH Y As reference include SSMV and your name.

11 SSPH+ Summer School Ascona 2008 Page 11 LIEU DES COURS Les cours ont lieu au Centre de séminaires Monte Verità à Ascona près de Locarno en Suisse. Il s agit d une région touristique connue pour la beauté de son paysage, ses lacs et montagnes et pour sa végétation méditerranéenne. Le bâtiment est situé dans un parc sur une colline où, au début du dernier siècle, fut fondée une communauté recherchant de nouvelles formes de vie et d expression artistique. Les nombreuses personnalités du monde de l art, de la culture et des sciences qui y ont séjourné ont donné au Monte Verità sa renommée internationale. LOGEMENT Les participants ont la possibilité de loger au Centre de Monte Verità. Les chambres individuelles ont toutes une salle de bain avec toilettes, téléphone direct, radio, minibar. Prix (petit déjeuner inclus): chambre individuelle CHF 120. / CHF 140. chambre double CHF 210. Des chambres libres sont garanties pour les participants des cours jusqu au 31 mai La région d Ascona et Locarno dispose également d un grand nombre d hôtels et pensions. GO! Les participants s occupent eux-mêmes de la réservation d hôtel. LANGUE Les cours sont tenus en anglais et en français. Une traduction n étant pas prévue, des connaissances approfondies de la/des langues sont requises. Pour les cours en français (4 et 7), des connaissances de base en anglais sont néanmoins nécessaires pour l utilisation du matériel de référence. PROGRAMME PRINCIPAL Les cours du programme principal (1 à 7) s adressent à des personnes actives dans la vie professionnelle portant des responsabilités dans le domaine de la santé et à tout participant suivant des cours coordonnés et promus par la SSPH+. Chaque participant ne peut suivre qu un seul cours par semaine. Vu la durée du programme du 21 juillet au 1 août 2008, l inscription peut être faite pour un ou deux cours. Le nombre de participants est limité à élèves par cours. ADRESSE: Centre de séminaires Monte Verità CH-6612 Ascona (Suisse) Tél Fax Informations pratiques

12 Page 12 SSPH+ Summer School Ascona 2008 COURS DU PROGRAMME DOCTORAL Les cours du programme doctoral (8 à 11) s adressent exclusivement aux étudiant(e)s doctoraux. Ils sont tous prévus dans la deuxième semaine; une première partie du 28 au 30 juillet 2008 et une deuxième partie du 30 juillet au 1er août On ne peut participer qu à un cours par partie. Le nombre de participants est limité à 8 étudiant(e)s PhD par cours. ECTS, CERTIFICAT DE REUSSITE La participation aux cours du programme principal (1 à 7) est honorée de 1,5 ECTS, celle des cours PhD (8 à 11) de 1 ECTS. Les participants ayant participé d une manière active à tous les cours et passé l examen final reçoivent un certificat signé par la SSPH+. Une attestation est remise à tout participant qui a suivi tous les cours. PRIX DES COURS Dans le prix sont inclus les frais pour l enseignement et la documentation du cours. Le logement et les coûts de voyage ne sont pas compris. Programme principal (cours 1 à 7) Participant(e) externes CHF 850. Etudiant(e)s des programmes SSPH+ CHF 750. Programme doctoral (cours 8 à 11): Etudiant(e)s PhD CHF 300. REPAS Le restaurant du Centre Monte Verità offre d excellents repas de midi (cuisine internationale). CHF 180. par semaine (5 jours), eau minérale et café compris CHF 108. pour un cours doctoral (3 jours), eau minérale et café compris Les repas du soir et ceux de samedi et dimanche (midi et soir) ne sont pas organisés par l Université d été. La région offre de très bonnes possibilités. INSCRIPTION Veuillez remplir le bulletin d inscription en annexe ou téléchargé du site pour le programme principal ou doctoral, et l envoyer à: Istituto MecoP Università della Svizzera italiana «Summer School Ascona» via G. Buffi 13 CH-6900 Lugano (Suisse) Tél Fax

13 SSPH+ Summer School Ascona 2008 Page 13 Délai d inscription : 31 mai Le nombre de participants est limité. Les inscriptions sont retenues dans leur ordre d arrivée. La confirmation de l inscription sera accompagnée d un bulletin de versement. Les participants recevront la documentation pour la préparation du cours quelques semaines avant son début. L inscription sera retenue définitivement dès réception du bulletin d inscription et du versement du prix du cours. Délai de paiement : 31 mai Par virement postal en faveur de la banque : Banca UBS SA CH-6900 Lugano N de compte courant postal : En faveur du compte : Y Avec la référence SSMV et votre nom. Les frais bancaires sont à la charges des participants. En cas d annulation avant le 30 juin 2008, le prix complet est remboursé. Après cette date, il n y a pas de remboursement. MODE DE PAIEMENT, ANNULATION Par virement bancaire en faveur de la banque : Banca UBS SA CH-6900 Lugano N de compte : Y Code SWIFT/BIC UBSWCHZH69A Code IBAN CH Y Avec la référence SSMV et votre nom.

14 Page 14 SSPH+ Summer School Ascona 2008 Course 1 Jane Hall (Australia) Health Care Financing and Incentives INTRODUCTION This course provides an introduction to health care financing. It starts with an analysis of uncertainty as a source of failure in the health care market and how insurance develops as a means of risk pooling. It describes failure in the private insurance market and identifies alternative roles for government intervention. It describes different approaches to health care financing and the incentives that these provide. It provides a framework for understanding health care financing in terms of the distribution of risk. OBJECTIVES At the end of this course, students will be able to : Explain the complexities of the market for health care and the rationale for government intervention. Compare and contrast the main approaches to financing health care. Distinguish between the principal ways of paying providers ; and describe their advantages and disadvantages. PREREQUISITES Although the course uses a welfare economics approach, no previous knowledge of economics is assumed. Students should have some familiarity with health care financing issues, and the financing approach used in their own country. PEDAGOGICAL METHOD The course will consist of small lectures, group discussion and exercises. Some indiviudal reading will be required. ASSESSMENT PROCEDURE This will be based on : Active participation in class discussions and exercises (20%). Individual take home assignment, requiring short answers, on Wednesday evening (30%). Two hour, open book exam requiring short essays on Friday (50%). CURRICULUM VITAE JANE HALL is Professor of Health Economics and Director of the Centre for Health Economics Research and Evaluation (CHERE) of the Faculty of Business, University of Technology Sydney in Australia. She has a range of research interests which are best summarized as understanding the behaviour of individual decision-makers within the health system, and the consequences of this for the evaluation of health policy. Her particular current research topics include genetic testing and the value of information, informal carers, and asthma. With others at CHERE, she is developing the application of stated preference and experimental methods in health economics. She has a long standing commitment to the use of economic analysis in policy and has been an active member of numerous policy committees and working parties. She is currently a member of the Australian Medical Services Advisory Committee which is responsible for the recommending reimbursement of new medical services under Medicare. She is

15 SSPH+ Summer School Ascona 2008 Page 15 COURSE CONTENT AND STRUCTURE Teaching Days Monday Tuesday Wednesday Thursday Friday Morning from 9.00am to 11.00am and from 11.15am to 1.00pm Course overview Session1: Introduction to health care financing Session 2: Describing health care systems Lecture and class discussion Review of key concepts Session 4: The market for health care Session 5: Private health insurance Group exercise and lecture Review of key concepts Session 7: Incentives, agency and contracting Session 8: Managed competition and managed care Lecture and class discussion Review of key concepts Session 10: Government financed health care Session 11: Alternative means of paying providers Lecture and class discussion Review of key concepts Session 13: Consumer driven health care Session 14: Health care financing overview and summary Lecture and class discussion Afternoon from 3.00pm to 5.00pm Session 3: Markets and social welfare Lecture and group exercise Session 6: Problems with private health insurance Group exercise based on reading Session 9: Risk adjustment Lecture Session 12: Pay for performance Group exercise based on reading Session 15: Assessment the immediate Past President of the International Health Economics Association. In 2005, she was elected a Fellow of the Academy of the Social Sciences in Australia. Her areas of interest are the use of discrete choice experiments to investigate preferences for health services, health technology assessment and economic analysis for decision making, and health care financing and health policy. Her most important publications are : Hall, J., D. G. Fiebig, M. T. King, I. Hossain and J. J. Louviere (2006). What influences participation in genetic carrier testing? Results from a discrete choice experiment. Journal of Health Economics, 25; 3: Radhakrishnan, M., K. Van Gool, J. Hall, M. Delatycki and J. Massie (2007). Economic evaluation of cystic fibrosis screening: A review of the literature, Health Policy, forthcoming. Hall, J. and E. Savage (2005). The role of the private sector in the Australian health care system (invited chapter for) A. Maynard (ed), The Public-Private Mix for Health. Nuffield Trust. Radcliffe Publishing.

16 Page 16 SSPH+ Summer School Ascona 2008 Course 2 Kenneth R. White (USA) Management and Leadership of Health Care Organizations INTRODUCTION This course identifies the function and role of health care managers in the context of managing and leading complex health care provider organizations. This course analyzes the current state of organizational and management of health care organizations with the objective of achieving a balanced development of both knowledge and skill in solving operations problems of health care organizations. The managerial process is critically examined with emphasis on leadership behavior and development, structure, and purpose of health care organization subunits, interfunctional coordination and organizational processes, in the context of an open systems perspective. OBJECTIVES At the end of the course, the student will be able to : Describe the functions of management and use the functions to make decisions, solve problems, and carry out an organization s mission. Describe health care institutions in terms of their component systems and performance indicators (size, population served, service mix, specialization). Describe governance and public policy perspectives that establish and implement an institutional mission, including population served, scope of activity, and source and level of financing. Identify major external forces shaping missions of various institutions (public, private, Catholic, and others). Describe various health professionals (physicians, nurses, others) and their role on the patient management team, including effective models of interprofessional collaboration and cooperation. Describe management of clinical services, including customer satisfaction, performance improvement (quality and safety), regulatory compliance and issues involving various health care professionals involved in delivering care. Identify issues involved in achieving excellence in health care organizations. TARGET AUDIENCE The course is intended for graduate students who have health care professional work experience, 3-5 years preferred. A basic understanding of health care terminology and organizational behaviour is desired. PEDAGOGICAL METHOD Lecture, readings, case studies, student presentations, short answer assignments and a short answer evaluation. CURRICULUM VITAE DR. WHITE is the Charles P. Cardwell, Jr., Professor of Health Administration and Director of the Graduate Program in Health Administration, Virginia Commonwealth University (VCU). Dr. White also holds a faculty appointment as Professor of Nursing at VCU and as Visiting Professor at Luiss Business School in Rome, Italy. Dr. White received his PhD in health services organization and research from VCU. He also has a Master of Public Health degree

17 SSPH+ Summer School Ascona 2008 Page 17 ASSESSMENT PROCEDURE Expected performance will be evaluated by the following methods: Individual performance on class assignments and participation in case study and other classroom discussions. Group performance on group assignments, case studies, and discussion questions. One-hour open note, open book examination using short answer, short essay, definitions and case studies. COURSE CONTENT AND STRUCTURE Teaching Days Monday Tuesday Wednesday Thursday Friday Morning from 9.00am to 11.00am and from 11.15am to 1.00pm Course overview, introductions, function and roles of management Types of health care organizations (HCOs); continuum of care; coordination and integration Governance; public vs. private ownership; mission. Executive function. Health professions: physicians, nurses, others; licensure and certification Issues in health care management: innovation, strategic planning, contingency planning, technology, service excellence, efficiency Afternoon from 3.00pm to 5.00pm Theories and models of management; leadership, theories; relationship of management and leadership Ways to describe HCOs; understanding external influences; stakeholder theory Professionalism and managerial ethics; codes of conduct Quality, safety and risk management Examination in health administration from the University of Oklahoma and a Master of Science in Nursing from VCU. Dr. White has extensive experience in hospital administration and consulting, particularly in the areas of leadership development, marketing, facility planning, and operations management. Dr. White is a Registered Nurse and a Fellow and former Governor of the American College of Healthcare Executives. His areas of interest are the management of health care organizations, health care sponsored by the Roman Catholic Church, and leadership. His most important publications are : Griffith, J.R., & White, K.R. (2007). The Well-Managed Healthcare Organization. (6thEd.). Chicago : Health Administration Press. Griffith, J.R., & White, K.R. (2005). The Revolution in Hospital Management. Journal of Healthcare Management 50(3), White, K.R. (2000). Hospitals Sponsored by the Roman Catholic Church : Separate, Equal, and Distinct? Milbank Quarterly 78(2),

18 Page 18 SSPH+ Summer School Ascona 2008 Course 3 Axel Hoffmann and Bernadette Peterhans (Switzerland) Strategic Project Management The Process of Project Planning INTRODUCTION This course will cover an introduction to the following areas: Theory of Project Cycle Management and the Logical Framework Approach Problem identification using the Problem Tree Planning and designing a project related to health, following the Logical Framework Approach step by step in theory and practice, including a Monitoring and Evaluation framework. OBJECTIVES After successful completion of the course, participants will be able to: Know about the basic principles of Project Cycle Management (PCM) and Strategic Project Management. Have the first experiences with the Logical Framework Approach (LFA) and its utilization for writing a project proposal. CURRICULUM VITAE AXEL HOFFMANN is head of the Teaching and Training Unit of the Swiss Tropical Institute (STI) in Basel. He is responsible for the postgraduate master programme in International Health and activities of the STI in continuing education for several professions. He represents the STI postgraduate Master in International Health in the Swiss School of Public Health+ (SSPH+). Besides several teaching responsibilities in Switzerland and Europe he has consultancy appointments with the Swiss Center for International Health, the Swiss Agency for Development and Cooperation, GTZ and others in the field of teaching and training and curriculum development. In addition, he is working with several partners (WHO, GTZ, etc.) in the field of knowledge management and PREREQUISITES Health professionals with a basic knowledge of the functioning of health systems. Experience in project planning/implementation would be an asset. PEDAGOGICAL METHOD Besides theoretical input sessions the main part of the learning takes place in groups of 4 to 6 participants, where the students will develop a project proposal. Group work is supervised by the facilitators. ASSESSMENT PROCEDURE Individual assessment: Participants will have to write a short paper (two to three pages) on the rationale for choosing the respective problem as a reason for designing a project. Group assessment: Participants have to present the designed project; the presentation is assessed by the facilitators independently. knowledge transfer in the health sector. He is appointed as an external examiner ( ) by the University of Leeds for the Master programme in Health Management, Planning and Policy. His areas of interest are curriculum development for several health professions in the international context, monitoring and evaluation, and knowledge management for improving health systems. His most important publications are: Hoffmann, A., Mantel, C. (1999). Ausbildungsinitiative International Health. Public Health FORUM, Ausgabe April Hoffmann, A. (in press). Strategisches Projektmanagement. In: E. Hackenbruch: Going International. Bern: Huber.

19 SSPH+ Summer School Ascona 2008 Page 19 COURSE CONTENT AND STRUCTURE Teaching Days Monday Tuesday Wednesday Thursday Friday Morning from 9.00am to 11.00am and from 11.15am to 1.00pm Strategic Project Management with the example of the Project Cycle Management (PCM) and the Logical Framework Approach (LFA); group work on situation analysis and «problem tree» as a tool Continue working on the problem tree and group presentation; theoretical input on goal, purpose, and outputs; project planning in groups Assumptions and risks; project planning in groups; theoretical input on indicators and means of verification Theoretical input on Monitoring and Evaluation (M&E) how to link a M&E-framework with the Logframe; developing a M&E-framework Feasibility and Sustainability; finalizing project proposals in groups; presentation and discussion of projects I Afternoon from 3.00pm to 5.00pm Identification and formulation of a health related problem in groups; introduction to the LFA Theoretical input on activities and inputs; project planning in groups Project planning in groups Project planning in groups; timeline and budgeting for the project Presentation and discussion of projects II; course evaluation BERNADETTE PETERHANS is since 1997 a course coordinator at the Swiss Tropical Institute in Basel. She was trained as nurse, specialised in emergency care in Switzerland, and involved in several missions for the International Committee of the Red Cross (ICRC). She did a master of science in public health for developing countries at the London School of Hygiene and Tropical Medicine in 1998/1999. Professional activities include: Coordinator in charge for a 3 months Diploma Course and advanced modules in health district management. Tutoring MIH students in their course planning and thesis work. Cooperating in international teaching/training network. Teaching assignments in different programmes at the University and the ICRC. Consultancy work for the ICRC, the Swiss Red Cross and Swiss Agency for Development and Cooperation mainly in assessment of health systems and project planning/evaluation for community based health care and training in project proposal development. Her areas of interest are community based health care project design and implementation in resource poor settings (including (post) conflict areas), monitoring and evaluation, and curriculum development in International Health. Her most important publications are: Peterhans, B. (2007). What has the troped network achieved since the establishment in 1996? Going International. Friedrich VDV, Linz, 68. Peterhans, B. (2006). Commentary to: P. Hoyt: Problem Solving for Better Health Nursing. Applied Nursing Research, 19, 112.

20 Page 20 SSPH+ Summer School Ascona 2008 Cours 4 François Lagarde (Canada-Québec) Le marketing social au service de la santé INTRODUCTION Dans le cadre de ce cours, les participants aborderont les principes et les outils de base du marketing social qui soutiennent les changements sociaux et comportementaux visant l atteinte d objectifs institutionnels, de gestion et de santé publique. Ces notions seront utiles pour planifier et mettre en œuvre des interventions propices à l adoption de comportements, de pratiques, d actions ou de mesures par des segments de la population ainsi que de divers professionnels et décideurs. OBJECTIFS Au terme de ce cours, les participants seront en mesure de : Comprendre les notions et les principes du marketing social ainsi que ses nuances et ses liens avec le domaine des communications et du plaidoyer. Reconnaître la contribution du marketing social à l atteinte des objectifs de santé publique et de gestion dans le domaine de la santé. Connaître les composantes d une stratégie de marketing social. Connaître les rudiments des méthodes de recherche formative. Être en mesure de procéder à l analyse des publics cibles et des contextes interne et externe; d établir des objectifs mesurables ; d élaborer une stratégie de marketing social (positionnement, offre et environnement, promotion, partenariats) ; de déterminer un cadre d évaluation ; d élaborer un plan de mise en œuvre. PUBLIC CIBLE Ce cours s adresse aux professionnels de la santé et aux gestionnaires qui cherchent à convaincre la population, d autres professionnels et des décideurs d adopter des comportements, des pratiques ou des mesures pour soutenir des objectifs de santé et institutionnels. PEDAGOGIE Exposés illustrés par des exemples d applications, discussions ainsi que travail en petits groupes suivi de plénières avec des échanges sur des situations concrètes amenées par les participants. Élaboration et présentation de plans de marketing social par les étudiants à partir de feuilles de travail. PROCEDURE D EVALUATION Présentation PowerPoint d une stratégie de marketing social (dépôt du document écrit et présentation de 15 minutes en classe, suivie d une période 10 minutes de discussion). CURRICULUM VITAE FRANÇOIS LAGARDE est expert-conseil et professeur associé au département d administration de la santé, Faculté de médecine de l Université de Montréal. Il est un leader reconnu dans le domaine du marketing social, tant au Canada qu à l étranger. Il a été vice-président de ParticipACTION, un organisme national de promotion de la santé, avant de devenir expert-conseil en Depuis, il a conseillé quelque 140 organismes de santé publique et à vocation sociale et philanthropique, dont plusieurs directions

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