sharepoint.louisville.edu · Web viewMerit and quality assurance are visible in the recruitment of students and the implementation of training programs at FMS. The FMS College of

SPHIS Academic Program Proposal for Lahore, Pakistan

PROPOSAL TO ESTABLISH PUBLIC HEALTH DEGREE PROGRAMAT FATIMA MEMORIAL SYSTEM

LAHORE, PAKISTAN

ABSTRACT

The proposed academic program based in Lahore, Pakistan is an extension of the existing Master of Public Health (MPH) program offered by the University of Louisville (UofL) School of Public Health and Information Sciences (SPHIS) at its Louisville, KY campus. It is based on a philosophy of social determinants of health and incorporates the full array of core instructional programs in public health: epidemiology, biostatistics, health management and policy, social and behavioral sciences and environmental health.

Pakistan is a developing country with substantial human capital but nearly non-existent public health infrastructure. The country has faced enormous impact of natural disasters in the past several years and continues to struggle with infant and maternal mortality rates that are unacceptably high, poor water quality and other environmental exposures. In the developing world, with an overt shortage of public health infrastructure, far too many opportunities to favorably impact key population health parameters are missed.

There is currently a scarcity of trained public health professionals in Pakistan. The primary goal of making UofL’s MPH program available in Lahore is to prepare a public health workforce in Pakistan to meet this demand. Currently, students who desire to obtain sound training in any area related to public health must complete their education in Europe, the U.S. or Australia. Establishing a U.S. degree granting public health program in will provide a mechanism to increase the numbers of formally training public health professionals and substantially improve access to the profession for those who cannot afford to travel internationally to obtain such a degree.

Graduates of public health programs internationally work for local or state public health departments, federal health agencies, and other health-related public and private sector organizations, such as hospitals, health maintenance organizations, pharmaceutical companies, clinics, and nonprofit health-related organizations. It is precisely this widespread impact on many systems that suggests a formal training program would lead to eventual infiltration of public health graduates within the country’s public and private sectors. By establishing a US degree granting public health program in Lahore, we will establish a mechanism for dramatically increasing the numbers of formally training public health professionals in the region and substantially increase the reach of the profession to many who currently could not afford to travel internationally to obtain such a degree. Ultimately, it is believed that this new program will contribute to an accelerated establishment of a public health infrastructure in Pakistan.

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EXECUTIVE SUMMARY

The University of Louisville (UofL) School of Public Health and Information Sciences (SPHIS) is seeking authority to establish an academic program in Lahore, Pakistan. The School will begin with two MPH degrees in Epidemiology and Biostatistics, and then expand over a ten year period to build a comprehensive array of public health academic programs equivalent to a small school of public health. The country of 180 million has two public health training programs currently—one is well regarded but very small and at the other end of the country, the other is not well regarded and small. We seek to help build that training infrastructure in a country with substantial need. Further, this initiative will a presence for the university in a strategic area of the world where tapping into public health and medical issues would lead to greater teaching, service, and research opportunities for our Louisville based faculty and students as well,

Our partners in Lahore

We propose to partner with the NUR Foundation (NUR) and Fatima Memorial System (FMS). NUR is a private philanthropy that has a longstanding history of supporting health related services and professional training. NUR has worked closely to establish FMS, a nonprofit, non-governmental organization working in the field of social development, health care, and health professions education and research relating to advancing population health. It consists of the 510-bed Fatima Memorial Hospital, College of Medicine, College of Dentistry, College of Nursing, Institute of Allied Health Sciences, the Center for Postgraduate Training and a Center for Health Research. FMS also operates an integrated community development outreach program in seven locations in and around the city of Lahore, home to 13 million residents. The proposed collaborative will establish a professional public health school within FMS.

The International Push to Establish a Global Public Health Infrastructure

The Association of Schools of Public Health in the United States (ASPH), the Association of Schools of Public Health in the European Region (ASPHER), the Association of Schools of Public Health in Africa (ASPHA), the Asia-Pacific Academic Consortium for Public Health (APACPH), the Network of Schools of Public Health in Canada (NSPH-Canada) and the Latin American Association of Schools of Public Health (LAASPH) renewed their joint commitment to foster collaboration in education, research, and capacity-building in global health at the Third Global Summit of Schools of Public Health at the 2011 ASPH Annual Meeting in 2011. The development of collaborative instructional programs of the nature proposed herein was among the activities supported. This proposal is responsive to such commitments.

Advantages to the University of Louisville and Kentucky

As a relatively young school seeking to gain national recognition, playing a visible role in building the public health infrastructure in s Pakistan will place SPHIS at the table with other leading schools of public health including Johns Hopkins, Harvard, North Carolina and Tulane, solidifying our place among the leading schools engaged in major global health initiatives. It will likely bring financial rewards as well. We have already had interest from the USAID in both the Pakistan Office and the U.S. Office to fund a maternal and child health program. In addition, this partnership could lead to incredible opportunities for our medical, dental, and nursing programs to experience clinical cases that are not present in the U.S. any more. Further, these international activities will provide resources to begin to build local UofL programs in both global public health and maternal and child health.

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Potential risk

The typical course will be offered in a face-to-face format with local Pakistan faculty providing instruction. The establishment of a campus in Lahore, Pakistan represents a substantial distributive extension of existing instructional models, but in many respects, just an extension. Faculty and administrators from SPHIS will travel to Pakistan on a regular basis to provide program oversight and quality assurance. While in Pakistan, the faculty will be instructed to operate with good situational awareness, avoiding crowds, and keeping a low profile. Further, Pakistani hosts have typically provided lodging at private, secure settings, rather than at typical international-use hotels.

It is also the case that this partnership represents a potential risk in that we are just now beginning a new working relationship. But the relationship is based on a strong business plan and a substantial track record of success by the NUR/FMS group. It is our belief that this program represents reasonable risks, that we have done due diligence in seeking to mitigate these risks, and that the outcomes that can accrue to both organizations, their students, and their respective communities will be significant.

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PROPOSAL

We seek support to provide access to the Master of Public Health (MPH) degree program at a site outside of Louisville, KY. The MPH is a high quality program and the proposed expansion will maintain high standards, meet documented needs, and be delivered at a reasonable cost. The MPH program and concentrations proposed herein are already approved and available on the university’s Health Science Center campus. The program is in good standing with all appropriate review and accreditation organizations. In spring 2013, the SPHIS successfully completed its reaccreditation with the Council on Education for Public Health, which places the school in good standing for seven years.

A. Program site

The proposed program will be offered in Lahore, Pakistan at the Fatima Memorial System (FMS) campus. This site was chosen because of the identified public health workforce needs, the partnership that has already been established between the Dean of the SPHIS and the principals of the NUR/FMS institutions, and the substantial academic infrastructure the FMS campus currently maintains as they offer degrees in medicine, nursing, dentistry, pharmacy and allied health.

The FMS campus is known for its convenient and serene environment and is located in the heart of Lahore. As an institution FMS is equipped with the most modern teaching facilities and latest equipment in country to impart an extremely vigorous curriculum. The learning resource center consists of a library and 100 computer work stations equipped with all necessary facilities including high speed internet connectivity and online research journals availability. All lecture halls are fully air conditioned and equipped with modern teaching aids. The campus is guarded with comprehensive security arrangements and closed-circuit television monitoring. A vibrant range of extracurricular and co-curricular activities are also conducted regularly to make the student life at FMS more enriching.

B. Need for public health expansion in Pakistan

Health is higher on the international agenda than ever before in Pakistan, and improving the health of the poor is a central issue in all development circles. The poor suffer from substantially worse health conditions and die younger than their more well-to-do counterparts. They experience higher than average child and maternal mortality rates, higher incidence of disease, and have more limited access to healthcare and social protection. Health is also a critically important economic asset, particularly for the poor, because their livelihoods depend on it. When the poor become ill or injured, their entire household can become trapped in a downward spiral of lost income.

A review of the current state of health in Pakistan identifies a variety of compelling needs for public health academic and research programs. For example, the health status of Pakistan is characterized by a high population growth rate, high incidence of low birth weight babies and high maternal mortality rates. In addition, communicable, infectious, and parasitic diseases remain a severe burden, and chronic diseases are increasingly a concern. Further, the country has suffered from an unusual number of natural disasters, without the infrastructure in place to adequately respond.

Communicable diseases remain the leading cause of morbidity and mortality especially in children. Pakistan is at high risk for epidemics because of many overcrowded cities, unsafe drinking water, inadequate sanitation, large number of refugees, and low vaccination coverage. These conditions promote the spread of infectious diseases and consequently every year a large number of outbreaks occur in different parts of the country, which result in increased morbidity and mortality.

Pakistan’s health outcomes are poorer than desirable and are unlikely to meet many of the targets set out in the World Health Organization’s (WHO) Millennium Development Goals (MDG). Far-reaching measures to improve the performance of the health system are essential for the timely achievement of MDG health-related goals. In Pakistan, a typical district health infrastructure comprises basic health

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units, rural health centers, and a referral hospital. In many rural settings, however, staffing levels are inadequate and referral systems function poorly. A significant percentage of births take place at home, usually attended by a midwife.

There are significant weaknesses in the health system in Pakistan, which lacks a robust public health and prevention capacity. According to WHO, the dissolution of the federal Ministry of Health in 2011 has created significant burden on the provincial departments of health. Development of focused programs for outbreaks of infectious disease, chronic disease prevention (e.g. smoking), and environmental health problems are needed. Innovative thinking in new public health courses will enable them to teach population health concepts in medical and nursing schools, and strengthen those institutions by building bridges to revitalize population health.

The proposed partnership with NUR and FMS will also enhance the culture of quality research in public health and medicine that is virtually non-existent in the major academic institutions of the country. Our ability to collaboratively train public health professionals as well as conduct and report collaborative public health-related research on a global scale will be a significant benefit to all partners and ultimately the people of Pakistan. It will also raise the national and international recognition of UofL as an urban academic and research university and allow us to seek global funding opportunities from organizations such as the USAID, the CDC, the NIH Fogarty International Institute, the Bill and Melinda Gates Foundation, the WHO, the World Bank, and others.

C. Program demand and job market need

National public health is a recent innovation in Pakistan. National health planning began with the Second Five-Year Plan (1960–1965) and continued through the Eighth Five-Year Plan, but public health training was not heavily emphasized. As a result, there are very few public health-related academic programs in the country. The health care system of Pakistan has just begun to recognize the critical role of public health professionals and potential jobs are many.

The stimulus for this proposed program is not only related to student demand, but also to availability of training. Currently in Pakistan there is a limited availability of training in any of the five disciplines that make up public health. In April 2005, the USAID Mission in Pakistan saw a need to improve the country’s public health infrastructure and agreed to fund a proposal to establish a Field Epidemiology and Laboratory Training Program (FELTP) with the Centers for Disease Control and Prevention (CDC). Based in Islamabad, FELTP provides a comprehensive approach to improve capacity in epidemiology, surveillance and response, public health laboratories and information systems for surveillance. As a result, about 110 FELTP trainees were available to answer the call for help during the devastating floods in July 2010. These very few, trained public health workers helped provide vital public health services for a national disaster, including planning, coordination, data collection, analysis, and interpretation for emergency preparedness and response. The involvement of these trained personnel was of paramount significance to the Pakistan national public health response.

Another recent example can be found in the Pakistan dengue outbreak. Lahore has recently been in the throes of a dengue outbreak, and it is struggling to cope. With a population of nearly 13 million, it is the second largest city in Pakistan and the capital of the country's most populous province, Punjab. Poor hygiene is the most common cause for the spread of the disease, but heavy rainfall provides a breeding ground for the mosquitoes. Due to the high cost of treatment, the disease spread more rapidly in 2011 than in previous years. It attracted the attention of the Government of Pakistan. As of November 2011, it had killed over 300 people in the last several months and over 14,000 were infected by this mosquito born disease. The majority of the people infected are from the Lahore area in Punjab, Pakistan.

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The problem for Pakistan is that there is a limited availability of training in any of the five disciplines that make up public health. The proposed expansion of the UofL MPH program will bolster the public health infrastructure and provide trained prevention health professionals to address the serious health needs of Pakistan. In large part, the scarcity of well-trained public health professionals in Pakistan is the result of the current situation whereby students who desire to obtain sound training in any area related to public health must complete their education in Europe, the U.S., or Australia. According to one estimate Pakistan needs 6,000 new public health professionals graduating each year to meet the basic health needs of the country. The FMS reports that many of their students in medicine and nursing are interested in this academic program. In addition, this will be the only opportunity for Pakistanis to obtain a MPH degree from an accredited U.S. institution without having to leave the country. It is anticipated that the demand for training will be especially great particularly among non-physicians and women (nurses).

In June of 2010 a delegation of officials from the U.S. and Pakistan gathered to discuss the current state of Pakistan's health system during the U.S.-Pakistan Strategic Dialogue. This was the second Strategic Dialogue between the two countries on the topic of health, and underscored the U.S. commitment to a long-term partnership with Pakistan. Pakistan’s (former) Minister of Health, Makdoom Shahabuddin, emphasized that the partnership was based on the fundamental principle that health is a prerequisite for Pakistan's citizens to achieve their social, developmental, and economic goals. The U.S. delegation confirmed that the relationship between the United States and Pakistan has never been more important in our shared histories. A key focus was the importance of Pakistan's National Health Policy, which outlines the priorities for the nation, that include family planning, maternal and child health, workforce development, infectious diseases in Pakistan, and meeting the Millennium Development Goals by 2015. SPHIS wants to respond to this call for improved health outcomes and infrastructure in Pakistan through our collaboration with the NUR Foundation and the FMS.

D. Fit with institutional mission

The mission of the SPHIS is to be an internationally recognized center of excellence for the creation, sharing, and application of knowledge for the public’s health. The school promotes healthy communities and environments through collaboration with organizations, other academic institutions, professionals, and citizens; strengthens the capacity of health professionals to enhance the health of the public through consultation, skill development, and education; pursues high quality basic and applied research to strengthen public health knowledge and interventions; and supports the provision of public health and health services. Pakistan provides the school with an opportunity to dramatically expand its international platform and aligns with and ensures that the academic priorities are consistent with the strategic directions of the school and university.

The rationale for this initiative is to create a presence for the university in areas of the world where addressing significant public health and medical issues would lead to greater teaching, service, and research opportunities, and where the benefits to the local population and UofL of that presence would be substantial. The SPHIS seeks to develop and strengthen its institutional capacity in public health training and research by expanding its efforts in the training of public health professionals in relevant public health areas in Pakistan along with professional development and training opportunities for its faculty. This initiative will also establish linkages with international institutions and developing degree programs in public health.

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PROGRAM DESCRIPTION

The SPHIS, in collaboration with the NUR and FMS, seeks to establish an instructional home in Lahore, Pakistan. The school will begin with two MPH-degree concentrations (in Biostatistics and in Epidemiology) and then expand over a five- to ten-year period to build a comprehensive public health array of academic programs equivalent to a fully-accredited small school of public health. This proposal provides a template to establish the initial five core MPH program concentrations required for accreditation as a school of public health. Once the five core MPH concentrations are in place, subsequent plans will be developed to add requisite doctoral programs of study and expansion of MPH concentrations to include one in maternal and child health.

A. Program Institutional Foundation

The FMS provides a platform for expanding the opportunities of the UofL faculty to operate in a global setting collaboratively with colleagues in Lahore, Pakistan. FMS is a nonprofit, non-governmental organization working in the field of social development, health care, and health professions education and research relating to advancing population health. It comprises the Fatima Memorial Hospital (FMH), the FMH College of Medicine and Dentistry, Saida Waheed College of Nursing and FMH College of Postgraduate Medicine, an integrated community development outreach program in seven locations in and around the city of Lahore.

The Fatima Memorial Hospital served as the initial NUR investment and remains the foundation of the FMS. The hospital was established in 1977 as a Women and Children’s Hospital and has since developed into a 510-bed Tertiary Care Teaching Hospital providing a wide range of specialized services. It was established by the Ferozsons Trust on a plot leased by the Government of Punjab (GoPb) and is registered under the Societies Act as a self-sustainable not-for-profit institution providing high quality free and subsidized services to the poor and underserved populations of the city and province. The institution has been fulfilling its commitment dedicatedly over the last 36 years and has provided medical and surgical care and primary health care.

The Community Outreach Program which started in 1985 as Anjuman-e-Behbud-e-Niswan-wa-Itfal was launched for taking primary healthcare services to seven rural and urban communities around Lahore. Since that time, the outreach program has matured into a full-fledged integrated community development institution.

The academic institutions of FMS have been established to contribute to the health and human resource needs of the health system within the province and country. Merit and quality assurance are visible in the recruitment of students and the implementation of training programs at FMS. The FMS College of Medicine and Dentistry is recognized by Pakistan Medical and Dental Council (PMDC) for Undergraduate training in Medicine Dentistry and the College of Physicians Surgeons (CPSP) and the Higher Education Commission (HEC) for Undergraduate, Post Graduate, and Post Graduate Medical Training. The FMS College is affiliated to University of Health Sciences, Punjab (UHS) for MBBS, BDS and B.Sc. in Allied Health Sciences. The Saida Waheed College of Nursing is recognized by the Pakistan Nursing Council (PNC) Post Graduate College of Nursing, and is affiliated with the Punjab Nursing Board.

B. Program content

The MPH degree in Pakistan will follow the same progression of courses in place in Louisville. It will require completion of 48 credit hours, anticipated to be completed over a two-year period for full-time students. The degree requirements will include 21 credit hours of core courses (including 3 credit hours of public health capstone), 21 credit hours in concentration, and 6 credit hours of practicum. As SPHIS

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courses, all will address the same competencies as the courses in Louisville, though explicit content may vary. The included courses are outlined in Tables 1 – 3 below.

Table 1: Core Coursework

Course # Course Title Credit Hours

Mode ofDelivery Course Development

PHEH-500 Introduction to Environmental Health Sciences (core) 3 Face-to-face

Course is developed but will require modifications to include examples from Pakistan.

PHMS-501Introduction to Public Health Practice and Administration (core)

3 Face-to-faceCourse is developed but will require modifications to include examples from Pakistan.

PHPB-501 Introduction to Health Behavior (core) 3 Face-to-face


PHST-500 Introduction to Biostatistics for Public Health I (core) 3 Face-to-face Course is developed.

PHEP-501 Introduction to Epidemiology (core) 3 Face-to-face


PHPH-614Critical Thinking and Program Evaluation (integrating experience)

3 Face-to-faceCourse is developed but will require modifications to include examples from Pakistan.

PHPH-630 Geographic Information Systems in Public Health (core) 3 Face-to-face


PHST-501 Introduction to Biostatistics for Public Health II (core) 3 Face-to-face Course is developed.

PHPH-679 Public Health Practicum Experience 6 Face-to-face


PHPH-697 Integrating Learning and Experience in Public Health 3 Face-to-face


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Table 2: Biostatistics Concentration Coursework



PHST-620 Introduction to Statistical Computing 3 Face-to-face


PHCI-624 Clinical Trials I: Planning and Design (includes Laboratory) 3 Face-to-face


PHST-640 Statistical Methods for Research Design in Health Studies 3 Face-to-face


PHST-680 Biostatistical Methods I 3 Face-to-faceCourse is developed but will require modifications to include examples from Pakistan.

PHEP-616 Disease Surveillance and Health Statistics 3 Face-to-face


Table 3: Epidemiology Concentration Coursework



PHEP-602 Epidemiological Methods 3 Face-to-face


PHEP-616 Disease Surveillance and Health Statistics 3 Face-to-face


PHEP-617 Field Epidemiology 3 Face-to-face


PHEP-655 Emerging Issues in Epidemiology 3 Face-to-face


PHST-640 Statistical Methods for Research Design in Health Studies 3 Face-to-face


C. Instructors

Building on the human capital available in Lahore, the implementation plan calls for SPHIS to identify and qualify faculty in Lahore who possess the expertise to teach each of the classes noted above. These individuals will go through the same review process at SPHIS in Louisville that a colleague in Louisville would go through when being considered to teach a course. They will be provided official adjunct status at SPHIS and thus have authority to teach SPHIS courses—in Lahore. We will then pair each identified

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Lahore based instructor with their counterpart who teaches the same course at UofL. See Table 4 for a list of Lahore faculty and SPHIS faculty partners.

Each course dyad will work together in preparing the syllabus and materials for course delivery in Lahore. Instruction will be in English, so basic language translation will not be necessary. However, specific material will be replaced with material relevant to the region. That is, competencies will be retained, but material will change. For example, a biostatistics course will require minimal materials change, though many illustrative articles will change. However, a policy course could change dramatically, as Pakistanis may not be interested in the Affordable Care Act in the United States. The dyads will interact via Skype and digitally with document exchanges in preparation for each class the months prior to instruction and then the SPHIS faculty member will remain available as a resource during the first instructional implementation of the course.

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Table 4: Course Dyads: Qualifications of Lahore faculty and SPHIS faculty partners

Name Courses To Be Taught

Relevant Academic Degrees and Course Credits Earned Other Qualifications SPHIS Faculty

Partner

Dr. Iram Manzoor PHPB-501 Introduction to Health Behavior (core)

Bachelor of Medicine & Bachelor of Surgery, Community Medicine, Fatima Jinnah Medical College, Lahore, Pakistan

M.Sc. Women & Gender Issues, Allama Iqbal Open University, Islamabad, Pakistan

Fellow, College of Physicians & Surgeons13 years of teaching in positions with progressively more responsibility.Public Health Education efforts for Women’s Health Project – PunjabNumerous short courses & seminars, including Problem-Based Learning, Outcome-based education & curriculum mapping, Health & Nutrition Education, Seminar on Vaccination, Developmental Health Planning, Hospital Management, Health & Biostatistics, Research Methodology, Educational Planning & Evaluation

Dr. Richard Wilson

Dr. Amanullah Khan(Part-time)

PHMS-501 Introduction to Public Health Practice and Administration (core)

PHEP-501 Introduction to Epidemiology (core)

Bachelor of Medicine & Bachelor of Surgery, King Edward Medical College, Lahore, PakistanMPH & TM Tulane UniversityPh.D. Health Services Management University of CaliforniaDPH University of the Punjab, Lahore, Pakistan.

Fellow, American Public Health AssociationFellow, Royal Society of Health, LondonFellow, Royal Society of Tropical Medicine & Hygiene, LondonDean, Institute of Public Health, Lahore, Pakistan (1999-2002)Deputy Director H.S.R., Pakistan Medical Research Council Shaikh Zayed Hospital, LahoreDeputy Secretary TechnicalWest Pakistan Family Planning Board LahoreChief, Central Ministry of Health, Tripoli Libya

Dr. Ray Austin /Dr. Barry Wainscott

Dr. Frank Groves

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Partner

Dr. Ayesha Humayun

PHMS-501 Introduction to Public Health Practice and Administration (core)

Bachelor of Medicine & Bachelor of Surgery, University of the Punjab, Lahore, PakistanPh.D. in progress – Community Medicine (Health Management)

Fellow, College of Physicians & SurgeonsAssociate Professor & Head of Department of Community MedicineTeaching Epidemiology, Biostatistics, Health System and Environmental Health.Coordinator, IRB & Scientific Review Board, FMS


Dr. Nasir Shah PHMS-501 Introduction to Public Health Practice and Administration (core)

Bachelor of Medicine & Bachelor of Surgery (Family Medicine), Aga Khan University, Karachi, Pakistan

Assistant Professor and Head of Family Medicine, Fatima Memorial Hospital,Member Academic and Curriculum Committee, FMHProject Director, Primary Health care center, Kalatuk, Turbat, Balochistan as part of flood reliefProject Director, University of Health Sciences Lahore for Masters in Family Medicine and Diploma in Family Medicine


Dr. Shaheena Manzoor (Part-time)

PHPH-614 Critical Thinking and Program Evaluation (integrating experience)

Bachelor of Medicine & Bachelor of Surgery, Fatima Jinnah Medical College, Lahore, PakistanDiploma In Public Health, Institute of Public Health, Lahore, PakistanDiploma in Women’s Studies, Allama Iqbal Open University, Islamabad, Pakistan

Fellow, College of Physicians & SurgeonsFormer Dean, Institute of Public Health, Lahore, Pakistan (2005-2009)33 years of teaching experience in Public Health & MedicineProject experience working with WHO, UNICEF, UNFPA, CIDA, World Bank, Asian Development Bank, Aurat Foundation, Family Planning Association of Pakistan, Medicines de Mont, National University of Science & Technology

Dr. Muriel Harris

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Partner

Dr. Rubina Sarmad (Part-time)

PHMS-607 Managing Healthy Communities

PHPB-612 Health Communication Campaigns

PHPB-615 Public Health Program Evaluation

Bachelor of Medicine & Bachelor of Surgery, Fatima Jinnah Medical College, Lahore, Pakistan

Fellow, College of Physicians & Surgeons, PakistanAssociate Professor & HeadDepartment of Maternal and Child Health, Institute of Public Health, Lahore, Pakistan

Dr. Rob Steiner

Dr. Scott LaJoie

Dr. Muriel Harris

Dr. Shakeela Zaman

PHST-500 Introduction to Biostatistics for Public Health I (core)

PHST-501 Introduction to Biostatistics for Public Health II (core)

Bachelor of Medicine & Bachelor of Surgery, King Edward Medical College, University of the Punjab, Lahore, PakistanPh.D. Epidemiology & Clinical Immunology (in progress), University of Göteborg, Göteborg, SwedenIntensive course on Biostatistics, London School of Hygiene & Tropical Medicine, London, England

Diploma in Epidemiology, London School of Hygiene & Tropical Medicine, London, England

Professor of Preventive Pediatrics, Institute of Child Health and Children’s Hospital, LahoreDean, Institute of Public Health, LahoreExecutive Director, Health Services Academy, Ministry of Health, IslamabadSupervisor for MPH, MSPH, MPhil and PhD students

Dr. Doug Lorenz

Dr. Doug Lorenz

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Partner

Dr. Noor Fatima (Part-time)

PHST-500 Introduction to Biostatistics for Public Health I (core)

PHST-501 Introduction to Biostatistics for Public Health II (core)

PHEP-501 Introduction to Epidemiology (core)

Bachelor of Medicine & Bachelor of Surgery, Allama Iqbal Medical College, Lahore, PakistanFellowship in Medical Education (Joint with Drexel University & ECFMG)

Professor of Community Medicine and Director Medical Education at Shalamar Medical & Dental College Lahore, Pakistan.Professor Community Medicine, FMH College of Medicine & Dentistry Lahore Pakistan.Global Faculty advisor FAIMER INSTITUTE, Philadelphia, U.S.A.

Dr. Doug Lorenz

Dr. Doug Lorenz

Dr. Frank Groves

Dr. Junaid Habib Ullah

PHEH-500 Introduction to Environmental Health Sciences (core)

Ph.D. Environmental Management, National College of Business Administration & Economics, Lahore, Pakistan

Director of Hospital Waste Management, Shalamar Hospital, LahoreTeaching Medical Physics to Nursing students.Participation in numerous meetings on hospital waste management internationally.

Dr. Bob Jacobs

Dr. Rashid Karim PHEH-500 Introduction to Environmental Health Sciences (core)

Ph.D. Environmental Science, Kennedy Western University, USA.M.S. Environmental Science & Waste Management, NYU – StonybrookDiploma, Petroleum Technology, Petroleum Institute of France, Paris.

30 Years’ experience in Health & Safety Management and Regulatory ComplianceNational Organization of Environmental Professionals (USA)American Institute of Chemical EngineersInstitute of Hazardous Materials

Dr. Bob Jacobs

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Partner

Dr. Syed Quamar Abbas Naqvi

PHEH-500 Introduction to Environmental Health Sciences (core)

Bachelor of Medicine & Bachelor of Surgery, University of Sindh, Pakistan

Advanced Training Certificate Course on Health, Safety & EnvironmentPost-graduate Diploma in Labour Administration, Training & Industrial Welfare.Certified Auditor/Lead Auditor in Food Safety Management SystemsCertificate in Safety, Health & Management

Dr. Bob Jacobs

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D. Administration

Since the mode of delivery for these classes is face-to-face weekly classes, the students will see and interact with their instructors each week. In addition, the faculty members who teach these courses will hold office hours at the Lahore campus just as faculty do on the Louisville campus. Students and faculty will also be able to communicate via e-mail, telephone, fax, and class web pages. All courses will have sections on the Blackboard Course Management System supported by UofL. Even though the instruction in the classes is in a face-to-face format, instructors will use the course management sections for communication, distribution of materials and innovative ideas, and other uses.

Administration of the MPH program in Lahore falls under the current SPHIS administration. The relevant Program Director and Department Chairs will be responsible for the MPH degree program and concentrations in each discipline at the Pakistan site. A Regional Assistant Dean for the Lahore program, Dr. Haroon, as well as individual assistant department heads, will serve as on-site administrators to provide oversight under the direction of the SPHIS Dean.

The governance of the new instructional program in Lahore will fall under the Dean of the school. The Associate Dean for Academic Affairs, the Director of Student Affairs, the Assistant Dean for Public Health Practice, the Assistant Dean for Finance and Administration and the Head of the Departments and a Regional Dean for the Lahore campus will report to the Dean on all matters relating to the Pakistan program. All administrative personnel will be supported with resources from the FMS and the NUR Foundation in Pakistan.

The Dean is the chief executive and academic officer of the SPHIS. The Dean will be directly accountable to the UofL President, Provost and Executive Vice President of Health Affairs for the Lahore, Pakistan activities. The Dean oversees the governance of the school; monitors academic affairs; develops and implements budgets; oversees all financial matters; monitors all school-related publications; serves as Chair of the Executive Committee and the Administrative Council; and serves as liaison to senior management of the Health Science Center.

The point of contact for this program will be the Dean:

Dr. Craig H. Blakely, Ph.D., MPHProfessor and DeanSchool of Public Health and Information SciencesUniversity of LouisvilleLouisville, KY 40292Tel: 502-852-3297; Fax: 502-852-3291Email: [email protected]

The SPHIS Associate Dean for Academic Affairs will be responsible for planning, implementing, and evaluating the academic affairs of the program, including accreditation. The Associate Dean will be responsible for reviewing all degree plans and student and departmental petitions, coordinating new degree program proposals, oversight of the delivery of the remote site education, instructional technology, assisting educators in developing computing resources needed in their teaching efforts, monitoring all faculty recruitment efforts, managing the faculty appointments, overseeing course evaluation procedures, reviewing course evaluation results, instructional technology, maintaining the academic affairs section of the SPHIS website, reviewing all annual faculty evaluations, and overseeing all faculty records. The Associate Dean will coordinate data collection efforts necessary to prepare a variety of progress reports throughout the year required by the UofL, the Kentucky Council on Postsecondary Education, the Council on Education for Public Health, the Southern Association of Colleges and Schools, and the Association of Schools and Programs of Public Health. The Associate

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mailto:[email protected]


Dean will also serve as the liaison between the program and the HSC regarding issues related to both academic programs and faculty affairs.

The Director of Student Affairs will be responsible for all activities related to student records and admissions, recruitment and student relations, and commencement. These activities include organizing student recruitment activities, scheduling of courses, advising student organizations, managing student applications and student records, maintaining the student services website, and planning the annual commencement ceremony.

The Assistant Dean for Practice will be responsible for providing links between the program site faculty and students and practice partners in teaching, research, practicum/internship opportunities and the practice of public health. In addition, this Dean is responsible for oversight of the student practicum experience.

The Assistant Dean for Finance and Administration (ADFA) will be responsible for budgetary affairs of the program, including maintaining school and grant/contract budgets with NUR FMS, purchasing, payables, receivables related to the program. The ADFA advises the Dean on all budgetary matters.

E. Expected enrollment projections

Table 5 below provides details of the number of students the FMS/SPHIS team anticipate recruiting within each active MPH program concentration. Program attrition is projected to be approximately 10% for each incoming group of students, based on FMS’ experience with attrition in their existing health-related professional programs in Lahore. Table 5 also illustrates projected student counts and presumed departmental faculty needs in Lahore based on projected program growth.

Table 5: Five-Year Projected Enrollment

Year New Students

Attrition Cumulative Headcount

Graduation Continuing Students

1 20 2 18 0 182 25 3 40 18 223 30 3 49 22 274 30 3 57 27 275 30 3 57 27 27

The model proposed here provides for an initial class size of 20, with anticipated 10% attrition through the two year program. Growth within the concentration’s incoming classes is expected to grow to 25 the second year and be capped at 30 the third year. By introducing two MPH degree program concentration the first year, students on campus in the two concentrations would be double these numbers; in other words, 36 students would continue into the second year. The plan calls for introducing two additional concentrations the second year. Thus, there would be 40 new students in those two concentrations and 36 continuing in the initial two concentrations and 50 new students entering the initial two concentrations, resulting in a total of (18+18+20+20+25+25) 126 active students in the four operational MPH concentrations the second year of operation. Further, numbers combine to suggest that it will be project year four before operations are self-sufficient (see Table 6 below).

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F. Faculty support

No Commonwealth of Kentucky funding will be used for this endeavor. The human capital in Pakistan is quite strong. There are many potential faculty members with more than adequate to exceptional credentials. All instruction will be delivered live, on-the-ground in Lahore, by faculty residing in Lahore who will have adjunct academic appointments with SPHIS. The steps for establishing the academic appointment for these faculty members will follow the exact same process that we would use for a faculty member in Louisville. That is, the department will first propose an academic appointment and formally vote on same. It will then go to the school-level PAT committee for consideration. We do not anticipate complications with that process.

Once the appointment is in place, the department will establish teaching assignments and, as new instructors with SPHIS, we will require (1) school-level Curriculum Committee approval of the newly appointment faculty member as an instructor by reviewing credentials and the syllabus and (2) departmental observation of the new instructor in the classroom once underway.

All on-the-ground faculty salaries and other costs will be borne by NUR/FMS, with potential for significant supplements from sources such as USAID, the World Bank or private foundations. Additionally, all costs to the SPHIS will be covered by the NUR/FMS contract. The NUR Foundation will support SPHIS costs, which shall be inclusive of all UofL’s costs and fees for establishing, managing and operating the program in Lahore. The amount of the annual operating costs of the program in Lahore is set forth in the approved annual budget and includes but is not limited to, all salaries and wages, fringe benefits, materials, supplies and services. All funds necessary to pay the expenses of the SPHIS program in Lahore will be paid by the NUR Foundation to the UofL before the expenses are incurred. Funds will be deposited into an escrow account, from which the SPHIS will draw down our monthly expenses. All tuition revenues will be retained by FMS.

Faculty in Pakistan will undergo the same degree of rigorous instructional oversight as faculty at the Louisville campus. New, non-tenure track, adjunct faculty members appointed at or below the rank of Assistant Professor are appointed with the approval of the Dean. All faculty appointments above the rank of Assistant Professor must be reviewed and approved by the PAT committee.

G. New anticipated costs

The long-term goal of this initiative is to establish a free-standing, possibly collaborative, internationally accredited school of public health in Lahore, Pakistan. The academic programs will initially be heavily subsidized by the NUR Foundation. While students will initially receive a UofL degree, the long term plan for the Lahore campus may be to transition to FMS degrees after five-to-ten years. Table 6 below provides a map of anticipated revenues and expenses demonstrating a positive cash flow four years into operations.

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Table 6 Anticipated Revenues and Expenses

CASH FLOWSAnnual Fee of US $10,000 in two equal installments with: an increase of 5% for new intake based on 20 students in Y1, 10% attrition, and 5 new

students per year (max. 30/year)Y0 Y1 Y2 Y3 Y4 Y5

Number of Programs 0 0 2 4 5 5Number of Students 0 0 40 126 211 262CASH INFLOW:Student Fee per year $- $10,000 $10,000 $10,500 $10,500 $11,025Total Student Fee per year $- $- $400,000 $1,323,000 $2,215,500 $2,888,550CASH OUTFLOW:Operational Expenses at UofL $50,000 $329,177 $510,822 $605,601 $640,731 $613,146

Operational Expenses at Lahore Campus $37,570 $469,860 $692,692 $922,857 $1,142,268 $1,262,914

Total Operational Expenses at UofL & Lahore Campus $87,570 $799,038 $1,203,514 $1,528,458 $1,782,999 $1,876,061NET SURPLUS/(DEFICIT) $(87,570) $(799,038) $(803,514) $(205,458) $432,501 $1,012,489ACCUMULATED SURPLUS/(DEFICIT) $(87,570) $(886,607) $(1,690,122) $(1,895,580) $(1,463,079) $(450,590)

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H. Operations

The NUR Foundation, through FMS and its schools and programs, has already amassed the vast majority of the infrastructure necessary to begin public health academic training. The proposed agreement formed between the NUR and SPHIS clearly articulates that NUR will provide the fiscal support for infrastructure and SPHIS will oversee the building of human capital, the curriculum, and its delivery.

Faculty recruitment and oversight will be orchestrated by Louisville-based administrators supported by assistant concentration directors on the ground in Lahore. Graduate assistantships will be established initially based on new project resources that faculty collaboratives will pursue (e.g. USAID support for a new maternal and child health program targeting at-risk pregnant women). Existing clerical and support staff at FMS will pick up the initial workload. These numbers will grow as the MPH program grows. FMS has an existing library, which will be supplemented by electronic access to UofL library resources. The IT infrastructure at FMS in Lahore is similar to what which is in place at SPHIS. The backbone is sufficiently large and fast. Their computer lab will handle the statistics packages that students will require. Storage capacity is ample to allow us to work with large datasets. The well-established track record of FMS and the fiscal commitment of NUR provide an excellent environment within which to establish the new public health training programs.

I. Budget

The NUR Foundation, a long-standing Lahore philanthropic entity, has a 40 year history of providing both start-up and growth support for health related academic pursuits. The NUR leadership developed the sustainability model outlines in Table 6 above. NUR is prepared to make the multi-million dollar investment in public health training in Lahore and is fully aware of the multi-year timetable to self-sufficiency. Tuition and fees will remain with NUR and SPHIS will operate with a gift agreement that will provide for our costs, regardless of the income stream. This is reflected in Table 6. We will operate on a cost reimbursable budget and provide the oversight and management for the entire operation.

Table 6 also provides a map of the five year commitment of NUR Foundation to the start-up of this emerging public health training program. NUR has successfully established a medical school, a nursing school, a dental school, and an allied health program. These programs have all been initiated independent of outside support. The partnership represented by this proposal will provide instant credibility to the new Lahore program and allow for a strong curriculum to emerge more quickly. While this will not be viewed by students on the ground in Lahore as a distance program, NUR does provide fiscal support to students in need in their existing programs and they will continue to do so across all their academic programs. Further, emerging research and service projects jointly developed by Lahore and Louisville based faculty will seek to provide other fiscally-supported experiences for the students.

A subsequent budget and work plan will be developed to follow this five year plan and will include establishment of the requisite doctoral programs and bachelors or masters programs in any other areas of expansion.

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Documents

sharepoint.louisville.edu · Web viewMerit and quality assurance are visible in the recruitment of students and the implementation of training programs at FMS. The FMS College of