CORE PUBLIC HEALTH 2024-2025

Course Description

Public health aspires to create a population where we can all live our healthiest possible life, to realize our full human potential. This lecture aims to serve as an introduction to public health for anyone interested in this ideal. This course is designed to introduce the graduate MPH student to the fundamentals that they will need either to build a career in public health or simply to know enough about public health to inform a career in other health sectors. The course is meant to illustrate our bringing together science and practice.  Population health science helps us understand how health is generated in populations. Population health science is the foundation of public health practice that takes that understanding and makes populations healthier. Therefore, this course serves as an introduction to the science of population health, leading directly to the practice of public health.


Learning Outcome

At the end of this course student is expected to be able to:

  1. compare public health and population health by understanding the process of health and disease, 
  2. estimate the level of measures of health and disease in populations and disease burden which combine the mortality and morbidity effects of diseases into a single indicator Global Burden of Diseases (GBD),
  3. describes the epidemiologic features of the infectious diseases of greatest public health significance in low- and middle-income countries (LMICs) and details available strategies to prevent and control them, 
  4. asses on social determinants of health and health equity in the LIMICs, 
  5. formulate what causes the health of populations using an eco-social and life course approach, 
  6. appraise the roles of prevention to population health, especially to equity of health, 
  7. appraise community engagement and advocacy to promote and protect the health, 
  8. formulate an eco-social approach as the social determinant of health that explains the causes of health and what we can do about it, 
  9. appraise across the life course theory that can help to formulate cause ills health and intervention to prevent it, and 
  10. formulate a method of public health practice, including how to differentiate efficacy and effectiveness, and explain the importance of each in translating research into practice using the concept of evidence-based public health.

Introduction to Biostatistics: Basic for Public Health 2024-2025

Introduction to Biostatistics: Basic for Public Health

Part 1: Course Information

Instructor Information

Instructor                : Professor dr. Siswanto Agus Wilopo, S.U, M.Sc., Sc.D.

Office                        : Gedung IKM Room 001, Jl. Farmaco 1, Bulaksumur, Yogyakarta
Office Hours           : 08.0-10.00 & Monday and Wednesday
Office Telephone : 62-274-548-156 or 5656076
E-mail                       : sawilopo@ugm.ac.id

Teaching Assistant

Coordinator            : dr. Amirah Ellyza Wahdi, MSPH

Office                         : Gedung IKM Room 008, Jl. Farmaco 1, Bulaksumur, Yogyakarta
Office Hours            : 08.0-10.00 & Tuesday and Thursday
Office Telephone  : 62-274-548-156 or 5656076
E-mail                        : amirahellyzawahdi@ugm.ac.id


Course Description

Biostatistics is the development and application of statistical reasoning and methods in addressing, analyzing, and solving problems in public health, health care, and biomedical, clinical, and population-based research. This course will cover descriptive statistics, probability theory, and a wide variety of inferential statistical techniques that can be used to make practical conclusions about empirical data derived from public health works. We will use two approaches to the mastery of the course materials: a) students will look in some detail at how statistical procedures are employed and b) students will conduct several basic procedures by exercising with real data to fully understand the logic and application of statistics.  In addition, the student will learn how to use a computer package, Stata, to quickly perform statistical analyses in more complex situations and how to interpret the results of the data analyses. Using this approach will enable students to be educated users and producers of statistical knowledge in the real world, which is the application of statistics in public health and medical settings. This course is mandatory for Graduate and MPH students.  

Prerequisite

Students should be familiar with basic mathematical calculation, probability, and the use of a computer.


Textbook & Course Materials

Required Text

  1.  Pagano, M. Gauvreau, K. and Mattie, H (2022). Principles of Biostatistics. Third Edition CRC Press:  6000 Broken Sound Parkway NW, Suite 300, Boca Raton, FL 33487-2742
  2.  Rosner B (2016). Fundamentals of Biostatistics, 8th ed. California: Cengage Learning pp:1-888.
  3. Copies of the lecture notes (pdf) may be obtained at the Web Course (Elok or Gamel).


Recommended Texts & Other Readings

  1. Etzioni, Ruth; Mandel, Micha; Gulati, Roman (2021). Statistics for Health Data Science An Organic Approach. Gewerbestrasse 11, 6330 Cham, Switzerland: Springer Nature Switzerland AG.


Course Requirements                                                       

The course requirements are intended to help students understand and apply for the course material. The weekly discussion with the teaching assistant will test students’ understanding of the readings. The written assignments focus on the application of the course material to specific health development projects. Students should upload each assignment to the appropriate Elok discussion thread by the deadlines posted. The student should have the following:

  • Internet connection (DSL, LAN, or cable connection desirable).
  • Access to Website/Other
  • Software Stata which can be accessed at the Medical Library.


Course Structure

This course will be delivered in lectures and discussions during laboratory sessions using an online and hybrid approach (when it is possible). The lecture will be given twice weekly or depending on the department’s schedule. In each topic, the lecturer will present statistical theory or concepts and will discuss them within the class. The instructor will assign the exercises (homework) at the end of each laboratory session as stated in the lecture module. Exercises reinforce quantitative skills and specific content areas. During the course, students will experience and apply their knowledge through the development of data analysis given in the exercise or laboratory module.


Enrolment

This course is open to a limited number of individuals outside of the MPH's programs.  Preference is given to UGM-affiliated students, including doctorate students. We regret that auditing is not permitted. To apply for this course please fill out and apply available at the study program. The cost and submission information is in the application form.


Lecture Topics

The lecture will cover statistical theories and their application to health research. It will be given at least twice a week (Tuesday and Thursday: 10.00-12.00). Each session is about 100 minutes. There will be 14 sessions of lectures during this class and 12 Laboratory modules.


Laboratory Exercise

Students will be allowed to explore further details of the lecture materials in the form of discussion and exercise in the class. The teaching assistant and computer programmer are assigned to lead this class discussion and exercise. Their tasks provide student’s better understanding of the lecture materials and problem sets for the previous homework.


Problem Sets for Homework

Problem sets require the use of Stata (or a comparable statistics package, such as R). You will need to submit a Stata code (or code from an equivalent package. If you are using Stata, the code is automatically generated for you as a log file. You need to cut and paste the relevant code from this automatically generated code into your homework (which will take some understanding of the code itself). 


Online Resources

All lecture and laboratory materials are distributed in the Web class. These resources are available in Elok or Gamel.   

 

Part 2: Student Learning Outcomes

Learning Objectives

This course will explain how to:

  1. Formulate the proper statistical technique to be used in analyzing data sets
  2. Apply statistical knowledge to designing research studies, including computing the sample sizes necessary to show the statistical significance and analytical techniques for the certain study design.
  3. Analyze public health data with proper statistical techniques using a computer statistical software package (Stata).
  4. Interpret computer outputs for the more commonly used statistical tests in the public health field.
  5. Appraise public health and scientific journal articles that frequently rely heavily on statistical procedures, such as linear regression, logistic regression, and survival analysis.


Learning Outcomes

By the end of this course, students should be able to:

  1. Describe the roles biostatistics serves in the discipline of public health.
  2. Describe the basic concepts of probability, random variation, and commonly used statistical probability distributions.
  3. Describe preferred methodological alternatives to commonly used statistical methods when assumptions are not met.
  4. Distinguish among the different measurement scales and the implications for the selection of statistical methods to be used based on these distinctions.
  5. Apply descriptive techniques commonly used to summarize public health data.
  6. Apply common statistical methods for inference.
  7. Apply descriptive and inferential methodologies according to the type of study design for answering a particular research question.
  8. Apply basic informatics techniques with vital statistics and public health records in the description of public health characteristics and public health research and evaluation.
  9. Interpret results of statistical analyses found in public health studies.
  10. Develop written and oral presentations based on statistical analyses for both public health professionals and educated lay audiences.


Epidemiologi 1|2024|HPM

Epidemiologi untuk kesehatan masyarakat memperkenalkan konsep dan prinsip dasar dari epidemiologi untuk diaplikasikan ke tantangan di kesehatan masyarakarat. Fokus utama mata kuliah ini adalah mengenai prinsip dan metode dari investigasi epidemiologi, menyimpulkan dan menyajikan data, serta penggunaan pendekatan statistik dasar untuk mendiskripsikan kesehatan populasi. Topik yang termasuk dalam evolusi epidemiologi: penggunaan rates, rasio dan proporsi untuk mengukur frekuensi penyakit, termasuk metode direct and indirect adjustments dan tabel kehidupan klinis (clinical life table) yang mengukur dan mendiskripsikan keparahan dari suatu penyakit. Variasi dari desain studi epidemiologi untuk menginvestigasi asosiasi antara faktor risiko dan keluaran penyakit akan dikenalkan pada kuliah ini. Selain itu, kami akan memperkenalkan aplikasi epidemiologi di lingkungan pelayanan kesehatan, skrining, genetik, dan kebijakan lingkungan.

Kuliah ini akan dilaksanakan sepenuhnya daring dengan kombinasi penyampaian sinkronus dan asikronus. Sebagian besar materi akan disampaikan dalam bentuk video agar mahasiswa dapat mempelajari kembali materi kuliah. Sesi tutorial akan dilakukan secara sinkronus, sehingga mahasiswa dapat berdiskusi dan bertanya dengan tutor dan mahasiswa lain secara langsung. 

Keluaran pembelajaran

  1. Menjelaskan konsep epidemiologi
  2. Analisis data menggunakan metode epidemiologi yang sesuai. 

Struktur modul
  • Jumlah modul dalam satu semester : 4
  • Jumlah unit dalam satu modul: maksimal 4 unit


Modul 1

Aplikasi epidemiologi dalam kesehatan masyarakat

Unit 1. Aplikasi epidemiologi dalam praktik kesehatan masyarakat.

Unit 2. Mengukur dan membandingkan frekuensi penyakit  

Unit 3. Diagnosis dan skrining

3 minggu

Modul 2

Dinamika Penyakit 

Unit 1. Perjalanan alamiah penyakit dan tingkat pencegahan.  

Unit 2. Dinamika transmisi penyakit dan laju reproduksi (reproductive rate

2 minggu 

Modul 3

Desain studi epidemiologi

Unit 1. Desain studi epidemiologi: Pendahuluan dan desain observasional - 1 

Unit 2. Desain studi epidemiologi:  Desain observasional - 2 

Unit 3. Desain studi epidemiologi: Desain experimental

3 minggu

Modul 4

Mencari kausalitas

Unit 1. Pendekatan epidemiologi untuk asosiasi dan kausalitas 

Unit 2. Bias dan perancu (cofounding)

Unit 3. Modifikasi pengukuran efek (Effect Measures Modification)

Unit 4. Membaca artikel ilmiah epidemiologi (critical appraisal)

4 minggu


Kesimpulan: (tugas dan ujian akhir)                                                          




Epidemiology 1|2024|IH

Epidemiology for public health provides concepts and basic principles of epidemiology for public health challenges. The main focuses of the course are the methods and principles of epidemiology investigation, summarise and present epidemiological data, and basic statistics application to describe population health. 

Specific topics included in the course:

1. Use of rates, ratio, and proportion for diseases frequency calculation, 

2. Direct and indirect adjustments methods 

3. Clinical life table for disease severity measurement and description 

Students will also learn various epidemiology study designs to investigate the association between risk factors and disease outcome.  In addition, in this course application of epidemiology in healthcare services, disease screening, genetic study, and environmental policy will also be introduced. 

The course is fully online with a combination of synchronous and asynchronous sessions. The majority of study material is in video format. Thus students can review the course material anytime. Tutorial sessions are synchronous, and students can discuss with tutors directly. 

Learning outcome

  1. Students can explain the concept of epidemiology.
  2. Students can conduct data analysis using a proper epidemiology method.

Modules structure
  • 4 modules in one semester
  • Each model consists of 2-4 unit


Module 1

The application of epidemiology in public health

Unit 1. The application of epidemiology in public health practices

Unit 2. Measuring and comparing diseases frequency

Unit 3. Diagnosis and screening

3 weeks

Modul 2

Disease dynamics 

Unit 1. The natural course of diseases  

Unit 2. Diseases transmission dynamics and reproductive rate 

2 weeks

Modul 3

Epidemiology study designs

Unit 1. Epidemiology study designs: Introduction and observational design - 1 

Unit 2. Epidemiology study designs:  Observational design - 2 

Unit 3. Epidemiology study designs: Experimental design

3 weeks

Modul 4

Causal inference

Unit 1. Epidemiological approach for association and causality 

Unit 2. Bias and confounding

Unit 3. Measure the Effect Modification

Unit 4. Read epidemiology research articles (critical appraisal)

4 weeks


End of modules: Assignment and Final exam




Epidemiologi 1|2024

Epidemiologi untuk kesehatan masyarakat memperkenalkan konsep dan prinsip dasar dari epidemiologi untuk diaplikasikan ke tantangan di kesehatan masyarakarat. Fokus utama mata kuliah ini adalah mengenai prinsip dan metode dari investigasi epidemiologi, menyimpulkan dan menyajikan data, serta penggunaan pendekatan statistik dasar untuk mendiskripsikan kesehatan populasi. Topik yang termasuk dalam evolusi epidemiologi: penggunaan rates, rasio dan proporsi untuk mengukur frekuensi penyakit, termasuk metode direct and indirect adjustments dan tabel kehidupan klinis (clinical life table) yang mengukur dan mendiskripsikan keparahan dari suatu penyakit. Variasi dari desain studi epidemiologi untuk menginvestigasi asosiasi antara faktor risiko dan keluaran penyakit akan dikenalkan pada kuliah ini. Selain itu, kami akan memperkenalkan aplikasi epidemiologi di lingkungan pelayanan kesehatan, skrining, genetik, dan kebijakan lingkungan.

Kuliah ini akan dilaksanakan sepenuhnya daring dengan kombinasi penyampaian sinkronus dan asikronus. Sebagian besar materi akan disampaikan dalam bentuk video agar mahasiswa dapat mempelajari kembali materi kuliah. Sesi tutorial akan dilakukan secara sinkronus, sehingga mahasiswa dapat berdiskusi dan bertanya dengan tutor dan mahasiswa lain secara langsung. 

Keluaran pembelajaran

  1. Menjelaskan konsep epidemiologi
  2. Analisis data menggunakan metode epidemiologi yang sesuai. 

Struktur modul
  • Jumlah modul dalam satu semester : 4
  • Jumlah unit dalam satu modul: maksimal 4 unit


Modul 1

Aplikasi epidemiologi dalam kesehatan masyarakat

Unit 1. Aplikasi epidemiologi dalam praktik kesehatan masyarakat.

Unit 2. Mengukur dan membandingkan frekuensi penyakit  

Unit 3. Diagnosis dan skrining

3 minggu

Modul 2

Dinamika Penyakit 

Unit 1. Perjalanan alamiah penyakit dan tingkat pencegahan.  

Unit 2. Dinamika transmisi penyakit dan laju reproduksi (reproductive rate

2 minggu 

Modul 3

Desain studi epidemiologi

Unit 1. Desain studi epidemiologi: Pendahuluan dan desain observasional - 1 

Unit 2. Desain studi epidemiologi:  Desain observasional - 2 

Unit 3. Desain studi epidemiologi: Desain experimental

3 minggu

Modul 4

Mencari kausalitas

Unit 1. Pendekatan epidemiologi untuk asosiasi dan kausalitas 

Unit 2. Bias dan perancu (cofounding)

Unit 3. Modifikasi pengukuran efek (Effect Measures Modification)

Unit 4. Membaca artikel ilmiah epidemiologi (critical appraisal)

4 minggu


Kesimpulan: (tugas dan ujian akhir)