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Online · School of Health Sciences · Public and Community Health

Primary Healthcare in Developing Countries

  • CG
  • Section 8WK
  • 11/08/2019 to 04/16/2020
  • Modified 01/13/2020

Course Description

This course addresses the delivery of essential healthcare to individuals, families and communities in lesser economically developed countries. Emphasis is on the utilization of community healthcare worker schemes and appropriate technology.





Infectious diseases, malnutrition, and complications of pregnancy continue to contribute to excess morbidity and mortality throughout developing regions of the world. This course evaluates the determinants of these health problems and investigates strategies to address them. The course will also discuss healthcare financing and sustainability in the context of underserved, impoverished people groups.

Measurable Learning Outcomes

Upon successful completion of this course, the student will be able to:

  1. Assess basic healthcare needs in a developing country.
  2. Determine the most cost-effective means for basic healthcare delivery in an underserved area.
  3. Design low-cost clinical venues to maximize patient flow and enhance healthcare delivery.
  4. Differentiate between vertical and horizontal healthcare delivery systems.
  5. Discuss the importance of direct observational therapy for TB.
  6. Discuss training strategies for village health workers.

Course Resources

Required Resource Purchase

Lankester T, Grills N. Setting Up Community Health Programmes in Low and Middle Income Settings.  4th ed. New York, NY: Oxford University Press. 2019. ISBN: 9780198806653.

Disclaimer: The above resource provides information consistent with the latest research regarding the subject area. Liberty University does not necessarily endorse specific personal, religious, philosophical, or political positions found in this resource.

Recommended Resource

Iverson C, Christiansen S, Flanagin A, et al. AMA Manual of Style: A Guide for Authors and Editors. Current ed. New York, NY: Oxford University Press.

 Additional Materials for Learning

    1. Computer with basic audio/video output equipment
    2. Internet access (broadband recommended)
    3. Blackboard recommended browsers
    4. Microsoft Office

Course Assignments

Textbook readings and lecture presentations

Course Requirements Checklist

After reading the Syllabus and Student Expectations, the student will complete the related checklist found  in Module/Week 1.

Discussion Board Forums (2)

The student is required to provide a thread in response to the provided prompt for each forum. Each thread must be 400 words and demonstrate course-related knowledge. In addition to the thread, the student is required to reply to 3 other classmates’ threads. Each student will then add a rebuttal to 3 classmates as well, resulting in 6 total replies. Each reply must be 250 words.

Proposal Paper


The student will create a detailed Logframe for the Final Submission on the Research Paper.

Annotated Bibliography

The student will research at least 10 scholarly journal resources that are no more than 5 years old. The student will cite the resources in current AMA format.

Final Submission

The student will write a 10-page research-based paper in current AMA format that focuses on the design of a primary health program to meet the maternal and child health needs of an underdeveloped village. The program must include policy content to fit within the national policies of the country setting of the village The paper must include at least 10 references in addition to the course textbooks and the Bible.


Quizzes (8)

Each reading quiz will cover the Reading & Study material for the module/week in which it is assigned. Each quiz will be open-book/open-notes, contain 10–15 multiple-choice, true/false, and 1 short-answer essay questions, and have a 1-hour time limit.

Course Grading

Course Requirements Checklist


Discussion Board Forums



(2 at 80 pts ea)



(2 at 80 pts ea)


Proposal Paper: Logframe


Proposal Paper: Annotated Bibliography


Proposal Paper: Final Submission



(8 at 50 pts ea)





Late Assignment Policy

Course Assignments, including discussion boards, exams, and other graded assignments, should be submitted on time.

If the student is unable to complete an assignment on time, then he or she must contact the instructor immediately by email.

Assignments that are submitted after the due date without prior approval from the instructor will receive the following deductions:

  1. Late assignments submitted within one week after the due date will receive up to a 10% deduction.
  2. Assignments submitted more than one week and less than 2 weeks late will receive up to a 20% deduction.
  3. Assignments submitted two weeks late or after the final date of the course will not be accepted outside of special circumstances (e.g. death in the family, significant personal health issues), which will be reviewed on a case-by-case basis by the instructor.
  4. Group projects, including group discussion board threads and/or replies, and assignments will not be accepted after the due date outside of special circumstances (e.g. death in the family, significant personal health issues), which will be reviewed on a case-by-case basis by the instructor.

Disability Assistance

Students with a disability and those with medical conditions associated with pregnancy may contact Liberty University’s Online Office of Disability Accommodation Support (ODAS) at [email protected] for accommodations.  Such accommodations require appropriate documentation of your condition.   For more information about ODAS and the accommodations process, including how to request an accommodation, please visit Requests for accommodations not related to disabilities or pregnancy must be directed to the Registrar’s Office, which generally handles medical needs support.

If you have a complaint related to disability discrimination or an accommodation that was not provided, you may contact ODAS or the Office of Equity and Compliance by phone at (434) 592-4999 or by email at [email protected].  Click to see a full copy of Liberty’s Discrimination, Harassment, and Sexual Misconduct Policy or the Student Disability Grievance Policy and Procedures.

Course Attendance

In an effort to comply with U.S. Department of Education policies, attendance is measured by physical class attendance or any submission of a required assignment within the enrollment dates of the course (such as examinations, written papers or projects, any discussion board posts, etc.) or initiating any communication with one’s professor regarding an academic subject. More information regarding the attendance policy can be found in the Academic Course Catalogs. Regular attendance in online courses is expected throughout the length of the term. Students who do not attend within the first week of a sub-term by submitting a required academic assignment (such as the Course Requirements Checklist, an examination, written paper or project, discussion board post, or other academic activity) will be dropped from the course. Students who wish to re-engage in the course are encouraged to contact Academic Advising to discuss their enrollment options. Students who begin an online course, but at some point in the semester cease attending, and do not provide official notification to withdraw, will be assigned a grade of “FN” (Failure for Non-Attendance). Students wishing to withdraw from courses after the official start date should familiarize themselves with the withdrawal policy.

Grading Scale

A- B+ B B- C+ C C- D+ D D- F
940-1010 920-939 900-919 860-899 840-859 820-839 780-819 760-779 740-759 700-739 680-699 679 and below

For courses with a Pass/NP final grade, please refer to the Course Grading section of this syllabus for the assignment requirements and/or point value required to earn a Passing final grade.

Add/Drop Policy

The full policy statement and procedures are published in the Policy Directory.

Honor Code

Liberty University comprises a network of students, Alumni, faculty, staff and supporters that together form a Christian community based upon the truth of the Bible. This truth defines our foundational principles, from our Doctrinal Statement to the Code of Honor. These principles irrevocably align Liberty University’s operational procedures with the long tradition of university culture, which remains distinctively Christian, designed to preserve and advance truth. Our desire is to create a safe, comfortable environment within our community of learning, and we extend our academic and spiritual resources to all of our students with the goal of fostering academic maturity, spiritual growth and character development.

Communities are predicated on shared values and goals. The Code of Honor, an expression of the values from which our Doctrinal Statement was born, defines the fundamental principles by which our community exists. At the core of this code lie two essential concepts: a belief in the significance of all individuals, and a reliance on the existence of objective truth.

While we acknowledge that some may disagree with various elements of the Code of Honor, we maintain the expectation that our students will commit to respect and uphold the Code while enrolled at Liberty University.

Adherence to the principles and concepts established within facilitates the success of our students and strengthens the Liberty community.

The Code of Honor can be viewed in its entirety at


HLTH 622

Textbooks:  Lankester & Grills, Setting Up Community Health and Development Programmes in Low and Middle Income Settings (2019).


Reading & Study




Lankaster: chs. 1–4

1 presentation

Course Requirements Checklist

Class Introductions

DB Forum 1 Thread

Quiz 1






Lankaster: chs. 5–7

1 presentation

DB Forum 1 Replies

Quiz 2




Lankaster: chs. 8, 10–11, 13

1 presentation

Proposal Paper: Logframe

Quiz 3




Lankaster: chs. 14–16

1 presentation

DB Forum 2 Thread

Quiz 4




Lankaster: chs. 17–18

1 presentation

DB Forum 2 Replies

Quiz 5




Lankaster: chs. 19–20

1 presentation

Proposal Paper: Annotated Bibliography

Quiz 6




Lankaster: chs. 9, 21

1 presentation

Proposal Paper: Final Submission

Quiz 7




Lankaster: chs. 12, 26

1 presentation

Quiz 8




DB = Discussion Board

NOTE: Each course week begins on Monday morning at 12:00 a.m. (ET) and ends on Sunday night at 11:59 p.m. (ET). The final week ends at 11:59 p.m. (ET) on Friday.