DEPARTMENT OF HEALTH AND COMMUNITY SERVICES                                     SPRING 2008

California State University, Chico                                                                                                               

HCSV 363-03 CHILD HEALTH

TR 6 – 8:50 PM in Butte 319

Instructor: Dr. Mary Rushka

OFFICE:                                 BUTTE 606

OFFICE HOURS:                  TR. 1 – 3 or by appointment

PHONE:                                 898-4620 

HCSV DEPT. OFFICE          Butte 607

 

DESCRIPTION OF COURSE:

 

            This course is part of the Upper Division Theme: The Child.  For this course to count towards the theme, you must have already completed 45 semester units. 

            Child Health is an examination of the status, needs and trends in the health of America's children, including selected racial/ethnic groups.  This course will present an overview of physical growth and development from prenatal period to early adolescence and include discussion of common health problems, causes, symptoms, treatment and prevention.  The course will also address selected health issues such as diet, physical activity, stress, violence, drugs, sexuality, and environmental risks faced by today's children.  An overview of historical, current and potential health services and prevention programs for children will be given.

 

REQUIRED COURSE READING MATERIALS:

 

1)         Most of the course readings are available on the weekly VISTA lesson page. 

2)         Mountains beyond Mountains by Tracy Kidder (available at Student Bookstore and in other retail booksellers.  This is Chico State’s Book in Common for 2007-08.

2)         Supplemental readings are available at Mr. Kopy, Main Street.

 

THEME OBJECTIVES:

 

This course, Child Health, includes principles and current knowledge from the Natural Sciences and Behavioral and Social Sciences.  The theme objectives will be met by using at least five of the six unifying concepts (the six Es).

 

  1. Epistemology: Students will explore alternative explanations of how children come to know or comprehend the nature of the physical universe and social world in which they live.

2.   Evolution: Students will investigate whether or not childhood and notions of childhood have actually evolved, and if they have, in what manner.  They also will delve into one the great controversies of the past three centuries: the contributions of heredity and environment to the development of thought, behavior, and personality. Finally, students will consider whether childhood is a true developmental stage in the ontogeny of an adult or merely a social construction of wealthy cultures.

3.   Economics: Students will consider the distribution of both wealth and power in a society and its implications for children and the nature of the impact of economic factors upon children and their development (especially the extremes of poverty and bounty).

4.   Ethnicity: Students will focus on questions such as the pros and cons of raising children to maintain their ethnic identities in pluralistic societies, and whether or not homogeneous societies are preferable to heterogeneous ones.

5.   Experience: Students will explore the significance of early experience and the extent to which early experiences set a child on a more or less irrevocable path, and the influence of numerous socializing agents in society (e.g., parents, teachers, peers), and experience in general.

6.   Epidemiology:  Students will study the factors that determine the origin, frequency, and distribution of diseases in children.  They will also learn ways to alter these factors to prevent or delay negative health outcomes.

 

COURSE OBJECTIVES:

 

The student will be able to:

 

1.         List the types of research utilized in the study of the health of the child and distinguish the scientific method from hearsay in interpreting material written about the health of children.

 

2.         Discuss the status and trends in the health of America's children with special attention to selected national studies.

 

3.         Distinguish the differences in health status and need among ethnic and racial subgroups and explore the variables affecting health status and need, giving special attention to the effects of poverty.

 

4.         Describe the stages that influence the physical development of the child from conception to early adolescence, including genetic and environmental influences. 

 

5.         Analyze the genetic and cultural influences upon the development of sexuality of the child from conception to adolescence, including issues such as homosexuality, sex education and child sexual abuse.

 

6.         List and discuss the common diseases and disorders occurring from conception to early adolescence: description, cause, prevalence, risk factors, symptoms, treatment, prevention and measures.

 

7.         Analyze the major factors influencing the health of the child (early experience, diet, physical activity, accidents, stress, violence, drug use and sexuality) and be able to list ways that parents, teachers, community workers and policy makers can enhance health promotion behaviors.

 

8.         Analyze the risks the physical environment places upon the health of the child and be able to discuss several advocacy efforts to counteract their negative influence.

 

9.         Address social influences and public policy regarding the quality and availability of health services for children, including past, current, and future directions, with special attention to the impoverished.

 

10.       Discuss the role of the parent, the school, the community and government programs and policies in enhancing the health of the child.

 

COURSE REQUIREMENTS AND GRADING

 

            This section of Child Health will meet both in the classroom AND on WebCT VISTA.  VISTA is an online environment that will supplement our course through the use of discussion, dedicated email, course calendar and live chat rooms. Each student must log on at least weekly and complete all online activities/assignments in order to successfully fulfill the course requirements.   You may find this course on your Chico State Portal page.

 

            *Availability of course materials online is NOT COMPREHENSIVE and will NOT SUBSTITUTE FOR ATTENDANCE IN CLASS.  Roll will be taken each class meeting and students who accumulate 3 or more absences will have their course grade reduced by one grade.

 

You are required to read each group of course packet readings for the day assigned (see course reading list), as well as the information presented on VISTA.   Reading of Mountains Beyond Mountains should be completed by March 15th. Please come to class prepared to ask questions, comment on what you're reading and demonstrate motivation to learn through active participation.  Specific course requirements include:

 

60-point Projects:  There will be five short projects (worth 60 points each) designed to help you perform directed research in selected child health issues.  These projects will not be as lengthy as course papers; some may be posted directly on the Discussion board, others will be completed in class.  All directions for completing these assignments will be posted on the corresponding five weekly modules. 

 

Quizzes:          Come prepared to take a short quiz on most Tuesdays.  Quizzes will cover the previous week’s material.  No make-ups.

 

Examinations:  There will be one final examination consisting of essay, multiple choice and true/false questions. You will need a #882 Scantron and a #2 pencil. 

 

Term Project: Mountains Beyond Mountains:   See completed description below.  You may work in groups of 3 when selecting your topic country.  Student groups may collaborate on research and presenting their findings, but each student writes his/her OWN 4-paged paper on the same topic, including a bibliography.  Paper is due April 1.  

 

Playground Observation:       Visit a local playground and observe the following: 

 

 1) physical development of the children;

 2) layout and safety of the play equipment;

 3) physical activity and interaction among children AND between children and adults;

 4) gender differences demonstrated during play.

 5) Conclude your paper by making some suggestions for improvement of this play environment.

 

Write your perceptions and summary (including suggestions for positive change) in a 2-page, double-spaced typed paper, using 12-pt font, written according to APA or MLA style guidelines.  BE SURE TO COMPLETE AND ATTACH THE PLAYGROUND SAFETY CHECKLIST FOUND IN YOUR READING PACKET.

Papers will be scored as follows:

            All of the above (5) observations described adequately:             25 points

            Meaningful use and incorporation of safety checklist:      25 points

            Overall quality of paper’s content:                                             25 points

            Presentation (grammar, punctuation, spelling) quality      25 points

                                                            TOTAL                                  100 points

 

 


 

EVALUATION/GRADES

 

PROJECT                                                      POINTS POSSIBLE

 

1.         Five WebCT-based projects                            300

 

2.         Quizzes                                                            100

 

3.         Final exam                                                        100

 

4.         Playground Observation                                    100

 

5.         MBM Term Project                                          100

            TOTAL                                                           700

 

Assignment of Course Grades

 

A =  658 - 700             A- = 630 - 657

B+ = 588 - 629            B  =  582 - 587

B- =  560 - 581           C+ = 525 - 559

C =   519 - 524            C- =  490 - 518

D+ = 469 - 489           D =   420 – 468

 

IMPORTANT DATES

 

Term Project (paper only) due Tuesday, April 1 in CLASS. Presentation dates TBA.

 

Playground Observation paper due: Tuesday, April 22 in class.

 

Final Exam: Consult CSUC Chico Academic Calendar for date and time of final.

 

Weekly readings are accessible through links on the VISTA lesson page for that week AND in Course Reading Packet. 

 

Dates of supplemental lectures and events related to child health will be posted on your VISTA calendar and/or discussed in class.  I encourage everyone to let us know of any related events of interest, also.   You may earn up to 10 points extra credit for attendance at these events when you submit a one-page typed summary of your impressions.


 

 

 

TERM PROJECT: MOUNTAINS BEYOND MOUNTAINS

(2 parts: paper and presentation)

 

DUE DATE:

            Tuesday, April 1 (individual paper)

            As scheduled for group presentations

 

OBJECTIVE: After reading the book, Mountains beyond Mountains, demonstrate your in-depth knowledge of the health of children in a developing country of your choice by collecting and analyzing available data relevant to its health and economic status.  This analysis should describe the health & economic problems that children face in your selected country, how the living situation might impact a child’s particular developmental stage, and long and short term health effects.  Demonstrate your ability to use professional journals and global health statistics to obtain information about child health in a developing country.

 

TASK: Choose from a list of “developing nations” and write a 4-page descriptive paper, 12 point font, double spaced, AND prepare a 5-10 minute lecture/discussion to present to the class. For your presentation, you may use any number of tools: Power Point, overheads, posters, or a class quiz to present your information. Expect to be able to answer questions from the class.

 

CONTENT:

 

Use the guidelines below for the content of your paper. Include a reference list of at least 5 resources from scholarly journals or professional web sites.  The paper must be typed in 12 point font; all citations to follow either the APA or MLA guidelines.

 

Your presentation should also include your reference list. Presenters are expected to be able to answer questions from the class about material presented.

 

SUGGESTED INFORMATION TO INCLUDE IN YOUR PAPER:

 

Brief history of political system (include brief discussion of colonial history, if applicable).

Brief description of geographic characteristics – location, topography, climate.

Annual per capita income.

Sources of income (How do most people make their living?)

Does current political system affect the health care of citizens?

Current health care system (if any) or sources of  health care – e.g., are there hospitals, health care centers, medical schools?  How do people pay for care?

Volunteer agencies working to improve health?

Adult literacy rate

Life expectancy at birth

Maternal mortality rate

Leading causes of death (general population)

HIV/AIDS infection rate

What are the most common health problems (if different from causes of death) – e.g. ,  parasite infections, nutritional deficiencies.

What do people eat and how do they obtain food?

What are the important nutritional health issues?

 

HEALTH INFORMATION SPECIFIC TO CHILDREN

Infant mortality

Leading causes of death (children)

Breastfeeding rate

Malnutrition rate

Childhood immunization rates

 

SUMMARY PARAGRAPH

Answer the question: How does the health of children in your selected country compare to that of children in one of the settings/countries where Dr. Paul Farmer and Partners in Health  provide health care?

 

 

GRADING:

The combination of paper (90 points) and presentation (10 points) is worth 100 points.  Your grade will not be influenced by any unease with the actual presentation, but only by the content.

 

Paper:

 

Description of selected country (thoroughness with respect to criteria above)                 15 points

            Thoroughness of health information                                                                                            15 points

            Short and long term effects on a child                                                                            10 points

            Effect on a specific developmental stage of childhood                                                    10 points

            References (at least 5 professional sources)                                                                               20 points

            General writing skill                                                                                                                   20 points

 

Presentation: Each of the following worth 2 points: Thoroughness, Factual Accuracy, Creativity, Preparedness, And Appearance of visual aids.