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Instructions and exam questions
In the essay exam you should demonstrate understanding of key health system issues and apply this knowledge to
discuss real-world public health problems.

Please choose only 1 topic from the 2 topics listed below and write an essay of max 1,000 words on this:

1. Describe the key features of top-down vs bottom-up health sector governance and discuss the relative
merits of each approach in relation to the containment of COVID-19. Support your answer with
examples from one or more countries of your choice.

2. In early 2021, the WHO published the SCORE global report, which provides a rapid assessment of the
quality and reliability of health information systems in 133 countries. The report showed that, in the
African region, only 10% of deaths are registered and the cause of most reported deaths is unknown.
How can we explain these gaps and what are the health policy implications?

Writing criteria:
?
A well-structured essay which answers the question in a logical and systematic way
? A clear introduction, providing an explanation of the importance of the chosen topic
? Appropriate use of examples to support your arguments
? Accurate use of concepts and technical language
? Presentation of some quantitative evidence
? A clear conclusion, summarising key points in your essay and highlighting one or more issues that you could not
cover but would deserve further attention
? Citation of references and presentation of the bibliography following a standard format Health system building blocks

Essay questions – sessions 2 (health governance) and 5 (health information)

Lecturer: Dr Marco Liverani

The Essay will be due on 23rd March, Nagasaki time. However, you can submit your essay any time before this date. Please send your completed essay at the following address:

marco.liverani@lshtm.ac.uk

Instructions and exam questions

In the essay exam you should demonstrate understanding of key health system issues and apply this knowledge to discuss real-world public health problems.

Please choose only 1 topic from the 2 topics listed below and write an essay of max 1,000 words on this:

1.Describe the key features of top-down vs bottom-up health sector governance and discuss the relative merits of each approach in relation to the containment of COVID-19. Support your answer with examples from one or more countries of your choice.

2.In early 2021, the WHO published the SCORE global report, which provides a rapid assessment of the quality and reliability of health information systems in 133 countries. The report showed that, in the African region, only 10% of deaths are registered and the cause of most reported deaths is unknown. How can we explain these gaps and what are the health policy implications?

Marking criteria:

?A well-structured essay which answers the question in a logical and systematic way (20%)

?A clear introduction, providing an explanation of the importance of the chosen topic (10%)

?Appropriate use of examples to support your arguments (20%)

?Accurate use of concepts and technical language (20%)

?Presentation of some quantitative evidence (10%)

?A clear conclusion, summarising key points in your essay and highlighting one or more issues that you could not cover but would deserve further attention (10%)

?Citation of references and presentation of the bibliography following a standard format (10%)

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