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Exam (elaborations)

665 Quiz 3

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Exam of 18 pages for the course 665 at 665 (665 Quiz 3)

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December 3, 2024
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665 QUIZ 3 QUESTIONS & 100%
VERIFIED ANSWERS / LATEST UPDATE /
ALREADY GRADED A+

cWhy are coalitions and partnerships important to health policy making? What stages of the cycle have
they been most relevant or active? - Correct answer.In order to address complex issues and see long
term positive change partnerships have to share knowledge and resources through international
partnership is critical. So meaningful and sustained system strengthening can occur.



What are the six stages of successful partnership formation articulated in the Ramaswamy et al article? -
Correct answer.1.Recognizing and accepting the need for partnership 2.Develop clarity and reality of
purpose

3.Ensuring commitment and ownership

4.Developing and maintaining trust

5.Robust and clear working arrangements

6.Monitoring, measuring and learning



Why is a champion said to be important in the formation of health policy partnerships and coalitions? -
Correct answer.Champions are central to a program success and is involved in every element of program
planning and execution. A local champion provides knowledge on local requirements, medical licensure,
bureaucracy, legal issues, and culture, and lays the groundwork for the program to be successful and
well-received.



What are some of the main challenges with policy partnerships and coalitions? - Correct answer.Mutual:

Inadequate funding to achieve all goals

Securing institutional commitment

Staff shortages

Inadequate or ineffective communication

,Changing leadership in LMIC or HIC

Lack of appreciation of differences/cultural humility Lack of continuity

HIC:

Aligning with LIC priorities

Risk aversion of HIC institutions/individuals for activities in LMIC

Incentive, initiative, and investment in skills to meet LIC needs

LMIC:

Duplicative services/programs

Lack of shared power to jointly shape partnership goals Grant management

Lack of familiarity with requirements and differential indirect rates

Workforce migration to HIC

Communication of broader needs in education and skills training other than research

Common Challenges:

Inadequate or lack of local engagement

Cultural insensitivity

Culture shock

Unintended adverse impact of the partnership on the LMIC (Opportunity Cost)

Lack of continuity and inadequate funding for intended project



lWhat were the assumptions and convictions that led to the first attempts to eliminate Malaria? -
Correct answer.Traditional assumptions and a reliance on the medical technology advocated by some
experts.

-Some experts thought tech could overcome any obstacles posed by social conditions & processes like
water use and housing standards. And the malaria parasite & mosquito that spread it could be addressed
with technological fixes, namely insecticides, & antimalarial. Social and institutions factors were ignored
which created a lack of local cultural beliefs and intercultural education

-Diseases cause poverty but in actuality poverty causes diseases

-International givers thought they knew what was best for the local receivers and only experts could
manage tech

, What are the new elements in the modern argument for the elimination or eradication of Malaria such
as that advanced by Bill Gates and the Gates Foundation? - Correct answer.Bought $$$

Focused on African countries

More technology like vaccines



What have been the phases of the attempts to address Malaria in the global community and what has
been their strengths and weaknesses? - Correct answer.Mid 1960s - Magic bullet approach

WHO led worldwide malaria eradication campaign

Bilateral & priv orgs assumed a low profile, yielding center stage in terms of prestige & leadership to the
multilateral. The Who began to insist on better mechanisms for continuous surveillance of malaria and
criticized nationally. These technologically driven "vertical mass" campaigns were not sustainable. Then
from the mid 1960s they began to promote the development of basic health services at the local lever



How does the idea of global health impact the way that addressing the problem of Malaria is
approached? - Correct answer.The beginning of national malaria programs in developing countries

Saw the importance of alliances



What do the terms PPP and RBM refer to? - Correct answer.Public Private Partnership

Roll Back Malaria Program



.What were the reforms that Gro Brutland introduced to the WHO and the anti Malaria campaign? How
do they relate to neoliberalism? - Correct answer.Redefining role of government and saying private and
public sectors should be involved and Health is a commodity and the market should provide



.Who are the interest groups concerned with addressing the Malaria problem? - Correct answer.Both
public and private sectors, government ministries, NGOs, groups of individuals affected by the disease,
faith-based organizations, academic institutions, and leaders of countries especially LMC



What are the reasons that various approaches to addressing Malaria have not proven aseffective as
expected? What role do contextual factors play in limiting effectiveness? - Correct answer.Tech driven
interventions lead to periods of confusion

Thinking massive funding could fix all

Malaria not being the number 1 priority

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