This concentration provides the knowledge, skills, and practical experience needed to work with communities, community-based and nongovernmental organizations, and local government agencies to promote the health of at-risk populations, with a focus on immigrant, refugee, internally-displaced, and other vulnerable populations. It emphasizes development and oversight of participatory approaches to assessing community health needs, designing appropriate programs and policies to address those needs, and evaluating the effectiveness, efficiency and equity of public health interventions targeted towards vulnerable populations.
This concentration is intended to train public health leaders, advocates, researchers, clinicians, and educators with advanced degrees to:
- Assess the extent and nature of preventable public health problems among diverse population groups in low-income communities and developing countries, as well as among immigrant and indigenous populations in the United States;
- Identify social, cultural, linguistic, economic, environmental, political, and institutional factors that contribute to preventable and modifiable health risks among diverse international and immigrant populations;
- Develop and oversee educational and other community-based intervention strategies to reduce morbidity and mortality and to improve the quality of life; and
- Apply evidence-based participatory approaches to the development, implementation, and evaluation of international health policies and programs to promote health and prevent disease.
Francesca Gany (Concentration Leader), Jyotsna Changrani, Beth Dixon, Sally Guttmacher, Allen Keller, James Macinko, Marion Nestle, Domingo Pinero, Rama Rao, Renata Schiavo

1. U10.2210 - Migrating Populations and Health
Spring, 3.0 credits, Francesca Gany
This course will provide an overview of key topics in public health for migratory persons: demographics; specific population groups and their circumstances and rights, including refugees, immigrants, asylees, and migrants; epidemiologic issues of displaced persons, including the shifting burden of disease, nutrition, environmental and occupational concerns; health and human rights; ethics; torture and other violence; PTSD, and other acute and chronic mental health concerns. Immigrant and Migratory Health will be approached from various perspectives, including historical, demographic, epidemiologic, access(economic, legal, linguistic, cultural, and institutional), life cycle, environment, including occupation and nutrition, and policy. The course will impart to students the skills necessary to develop an integrated approach to the care of immigrant and migratory populations.

2. U10.2218 - Assessing Community Health Needs
Fall, 3.0 credits
Cross-listed with E33.2318 (Steinhardt), prerequisites U10.2106, U10.2160
This course is devoted to flexible forms of inquiry suited to the local context of global public health research. Sometimes known as 'action research', 'rapid assessment, and 'community-based participatory research' these approaches share a commitment to working closely with and in communities to identify health risks and effective interventions for ameliorating them. Although field research may include surveys and other forms of quantitative research, the emphasis in this class will be on qualitative methods with mixed method approaches included where appropriate. The focus will be on introducing the basic content/skills of on-the-ground field research under challenging conditions, i.e., shortages of time and resources as well as cultural/ linguistic differences. There are additional aspects to learning these methods (e.g., data analysis) that require much more time and skill development than is possible in this brief introductory course. Interested students are strongly advised to take additional coursework in qualitative methods.

3. U10.2220 - Cross-Cultural Health Communications
Fall, 3.0 credits, Renata Schiavo
Communication is increasingly considered as one of the most important disciplines of health care in the 21st century. Ready access to relevant, clear, reliable, culturally appropriate and audience-specific information enables consumers, patients, healthcare providers, public health professionals, policy makers, advocacy groups and others to address personal and community public health concerns far more effectively. This course will address special topics in cross-cultural health communications including socio-economic, geographical, ethnic, literacy, age, population and gender factors that influence the way health information is understood and accepted as well as people's behavior and attitudes toward health problems and their potential solutions. The course will also provide an overview of the field of health communication, and its current issues, theoretical frameworks and trends. Special emphasis will be placed on specific communication areas (including community mobilization and constituency relations), global health threats (such HIV/AIDS, obesity), communication in emergency situations, and key issues (such as health literacy, health equity and the emergence of e-health). All topics will be discussed within a multidisciplinary and participatory model for strategic health communications. Case studies, mini-lectures, guest speakers, videos, on-line resources, examples of communication channels and vehicles, and student-facilitated discussions will be used to illustrate and discuss all topics.

4. U10.2230 - Global Non-Communicable Disease Epidemiology & Control
Spring, 3.0 credits
This course will focus on the considerable and increasing burden of disease due to chronic diseases, mental health, substance use (alcohol, tobacco, other drugs), risk factors (obesity, lack of physical activity), and injuries within the developing world. It will present methods for measuring the burden of non-communicable disease, review approaches to program and service development to modify risk factors, present lessons learned from successful developing country programs, and discuss implications for health services development and international development policies.

U10.2290 - Acute Public Health Emergencies
Spring, 3.0 credits, Rama Rao
This course discusses various acute public health emergencies due to manmade intentional and unintentional events, as well as to natural disasters; the distinction between the effects, preparedness and response to these events as they occur in developing versus modernized nations. The course will use case studies including specific events such as September 11, 2001 as well as the Indian Ocean Tsunami December 26, 2004. Students will understand the principles of preparedness, toxicology as it relates to terrorism, and humanitarian response. Table top exercises will be included.

U10.2212 - Community-Based Health Interventions
Cross-listed with E33.2410 (Steinhardt)
This course engages students in assessing, describing, selecting and evaluating community based health interventions. It traces the origins of community based approaches to improving health, examines the evolution of such approaches, and introduces students to the health promotion theories that underlie some of the most well-known community based health interventions. It considers the elements of such interventions and examines the debate about their effectiveness. In the second half of the course, students examine a variety of public health interventions addressing current health topics in the US today, focusing on factors influencing the design of interventions, the choice of methods selected, methods for assessing the magnitude of change effected by the intervention, and ethical and political issues raised by the interventions.

U10.2287 - International Nutrition
Fall [alternating years], 1 - 3 credits
Cross-listed with E33.1187 (Steinhardt); prerequisite Ð Introductory nutrition course
Introduction to world food problems and their nutritional, economic, and social effects. Objectives: 1. Identify environmental, social, behavioral and economic factors that affect the dietary intake and nutritional status of people of various countries, and compare the ways these factors operate in countries of varying income levels. 2. Define the causes and consequence of the "nutrition transition" that occurs when populations move from conditions of undernutrition to those of overnutrition. 3. Compare international and national food consumption, nutrient requirements, and dietary recommendations. 4. Analyze and evaluate food, nutrition, and other types of policy and program approaches to improve the food security and nutritional status of specific population groups. Examples: demographics, income and price, agricultural, fortification, health, educational, and marketing among others. 5. Identify, describe, and evaluate the work of governmental and non-governmental agencies and organizations concerned with international food and nutrition.

U10.2213 - Nutrition in Public Health
Fall, 3.0 credits
Cross-listed with E33.2213 (Steinhardt); Prerequisite U10.2106
Introduction to the concepts, principles, and scope of practice of public health nutrition. The course emphasizes the distinction between population-based and individual-based approaches to prevention and alleviation of diet-related conditions, and the societal, economic, environmental, and institutional barriers to improving the nutritional status and health of diverse population groups.

U10.2215 - Food Policy
Spring, 3.0 credits
Cross-listed with E33.2015 (Steinhardt)
Analysis of the economic and social causes and consequences of current trends in food production, marketing, and product development.

U10.2295 - Nutritional Epidemiology
Fall [alternating years], 3.0 credits
Cross-listed with E33.2192 (Steinhardt); prerequisite U10.2106
Fundamentals of nutritional epidemiology focused on the collection analysis, and interpretation of data on dietary intake and nutritional status of diverse population groups. The course emphasizes critical evaluation of dietary assessment methods and the results of research studies associating intake of foods and nutrients or food consumption patterns with the risk of cancer, coronary heart disease, and other chronic diseases.

U10.2214 - International Health and Economic Development
Summer, 3.0 credits
Cross-listed with E33.2314 (Steinhardt)
An introduction to the issues of health and health care on a global basis. The course focuses on the nature and scope of major worldwide health problems and the study of different national and international approaches to their solution.

U10.2283 - International Population and Family Health
Spring, 3.0 credits
Cross-listed with E33.2383 (Steinhardt)
A cross-cultural framework is used to compare the health status of populations and families and factors that affect their health in societal subgroups (for example, urban, rural, poor, women and children, and the elderly). The course emphasizes the effects of secular changes in women's roles and status and other societal, economic, and environmental trends on population and family health.
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| Fall Semester |
Spring Semester |
- Global Health Policy & Management
- Biostatistics I
- Global Issues in Social & Behavioral Health
- Ethical Issues and Decision Making in International Public Health
- Integrative Seminar: Foundations of Global Public Health
- Global Health Informatics Workshop I
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- Biostatistics II
- Qualitative & Field Methods
- Introduction to Epidemiology
- Global Environmental Health
- Global Health Informatics Workshop II
- Migrating Populations and Health
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| Summer Semester |
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- Can be used to complete Internship fieldwork hours
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| Fall Semester |
Spring Semester |
- Assessing Community Health Needs
- Cross-Cultural Health Communications
- Internship in Global Public Health
- Concentration Elective
- Capstone I
- Integrative Seminar: The Practice of Global Public Health I
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- Global Non-Communicable Disease Epidemiology and Control
- General Elective
- General Elective
- Capstone II
- Integrative Seminar: The Practice of Global Public Health II
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