The Warmth of Connection: Practicum Reflections from Mozambique

Two months ago feels like a lifetime ago, before I fell in love with the vibrant, charming city of Maputo. Before heading to Mozambique for my practicum, I was filled with nervous anticipation, and I had set a goal for myself that no matter how the whole of my practicum goes, that I would advance my life-skills of flexibility, adaptability, and self-sufficiency through this experience. I wanted to confirm that I had the commitment and ability to enter the field of global public health and be able to make meaningful contributions to the communities I worked with. I knew that it was easy to say that I am interested in working in a global setting, but of course an entirely different story when I am in a new country, navigating cultures and experiences that are unfamiliar to me.

With gratitude, I owe it to my parents for raising me as a global citizen. They raised me in a bicultural household in the United States and Japan, encouraging my travels and experiences in different countries, and fostering my love and never-ending curiosity of people and their cultures. My bachelors in Anthropology gave me the tools to lovingly interact with the core of people’s identities and taught me grave warnings of how curiosity without boundaries, permission, or consideration of power-dynamics brings considerable, tangible harm to individuals and their communities. My bachelors in Women’s and Gender Studies taught me that no work is done in a vacuum and no research can be objective so long as the identities we hold move us in the work that we do and the products we create. Both fields showed me that it is crucial to understand and reflect on the identities and beliefs I hold and taught me how to acknowledge this in the work I do, qualitative research, whose heart lies in the connection between people. Now, my studies in Public Health give me the language and skills to navigate the culture and landscape of global public health and connect the gap between understanding problems and creating meaningful solutions.

All of these parts of my identity and education are what I brought along with me in my journey to Mozambique, but one crucial part was missing, which was my ability to speak Portuguese. I realized that in contexts where I understood the language, I was receiving so much connection daily with others, through small interactions, that I was unable to do in this setting. But I also discovered how much I was able to communicate through body language and context clues (my beginner level Spanish also helped). Gratitude bloomed at every interaction where patience and effort were afforded to me and I was never treated with annoyance for my inability to speak. So despite the language barrier that existed with many of those I interacted with in my time in Maputo and Lichinga, the work I did was informed by community workers and local staff, which I was able to build relationships with. The many conversations I had over translation apps warmed my heart, knowing that despite the difficulty of communication, my coworkers and community partners were willing to sit and patiently create a bond with me.

Photo taken at the end of a training day for qualitative research.

 

From these connections was I able to offer my services in qualitative research, always deferring to the knowledge and experiences of the community facilitators who conducted focus groups with youth to understand what they wanted and needed from the Center for Reproductive Justice. There was of course another barrier, culture, but similar to how I adapted questionnaires and materials based on feedback, once the community facilitators understood the intent of our questioning, was able to adapt the language to something that was more appropriate for the setting. So, although at times I felt alone during my time in Lichinga (less so with my furry friends!), connections are what drive the heart of public health work we do with communities, and I hope to see Maputo again after I graduate. Tchau tchau until then!

Pretest for questionnaires being conducted by Ipas staff and community partners.

 

Anselmo Matambo (Ipas community facilitator), me, and my research assistant, Dr. Sandra Mulumba.

 

The lap cat at my guesthouse who often kept me company.

 

Alyssa

Reflections on my Practicum Experience in Paris

It’s hard to believe my practicum is already over! The past two months have gone by so quickly, and I felt mixed emotions leaving the hospital and the research team. While I felt happy about finishing my practicum, I felt sad to leave the wonderful people I’ve gotten to know this summer. Overall, my practicum was a very positive and formative experience that allowed me to learn and grow as a person and as a student. Getting a grasp on R programming, running statistical analyses, and writing a scientific article were all challenging in their own way, but I’m proud of what I accomplished throughout my practicum.

After completing our analyses, we found that consumption of growing up milk (a fortified milk given to children after breastfeeding cessation) in the second year of life was positively associated with a few neurodevelopmental outcomes, but the effect sizes were somewhat small. Contrary to our hypothesis, we did not observe an effect of socioeconomic status on this association. However, I still considered socioeconomic status when creating my evidence-based nutrition handouts for caretakers of young children. Growing up milk can be expensive, and since it isn’t necessary for adequate nutrition, my handouts emphasize iron-deficiency prevention, which includes feeding children iron-rich foods and being mindful of their dairy consumption.

Outside of my practicum, it’s been a very exciting time to be in Paris with the Olympics! Thanks to my amazing host family, I had the opportunity to go with them to a women’s soccer game at the Parc des Princes (the teams were Brazil and Japan). It was an unforgettable experience, and I feel incredibly lucky to have had the chance to attend an Olympic game in person. On the weekends, I’ve had a lot of fun exploring Paris with my host family and with some new friends I’ve met here. I also got out of the city one weekend to visit Brittany and enjoy some time at the beach. I’ll be sad to pack up and leave Paris soon, but I’m grateful for my life-changing experience here and look forward to coming back again sometime in the future.

 

Me outside the Palais Royal on a rainy day in Paris.

 

Olympic women’s soccer game (Brazil vs. Japan) at the Parc des Princes.

 

-Caroline

À la prochaine, Democratic Republic of the Congo!

« À la prochaine » is a French colloquialism meaning “until the next time” or “till we meet again.” I intentionally used this phrase when saying goodbye to my family members, work colleagues, and fellow hostel guests because it felt like putting a semi-colon instead of a period to the end of my mission.

I was reluctant to give a conclusive goodbye because I knew I would find myself in the Democratic Republic of the Congo (DRC) once again. I hope to hold the aging hands of my precious grandparents once more, fill my plate with my aunt’s incomparable sweet plantains, and venture to other regions of the country including the magnificent waterfalls of Zongo Falls. I also hope to continue serving the DRC by supporting and leading efforts to strengthen public health capacity. Spending 5 weeks working alongside a hard-working team dedicated to minimizing infectious disease transmission, and consequently improving the nation’s public health, I have a more realistic perception of what a career in Global Health may look like for me.

This trip reaffirmed that I have a strong interest in improving inequities in health outcomes. I want to carry out this work by partnering with communities most impacted by public health inequities while cultivating and equipping leaders who are well-acquainted with the needs of their communities.

Not surprisingly, on the plane home, I found myself rewatching the 2018 Marvel film starring the late Chadwick Boseman, Black Panther. This film depicted the fictional African nation of Wakanda, which evaded the detrimental effects of colonialism and exploitation, allowing Wakandans to preserve their rich resources and thrive with technological innovations unbeknownst to the rest of the world. I didn’t realize how much satisfaction it brought me to see an African nation unhindered by a colonialist past, prospering from its abundant resources and ruled by a just leadership. I questioned why we accept inadequate healthcare and education access, violent conflict, poor governance, and pervasive poverty as an indefinite norm for any nation, and what would propel change.

This reflection fueled my desire to learn from and walk alongside people challenging the status quo, such as Dr. Chérie Rivers Ndaliko, a UNC professor who carries out work in eastern DRC within high-conflict zones to empower Congolese students to tell their own stories and advocate for change through artistic expression. Similarly, conversations with my brilliant colleague inspired me, who dreamed of opening his own business in the DRC but faced funding limitations and was discouraged by the lack of Congolese-produced goods. I gained hope from a new acquaintance from Burkina Faso who spent many years working with a local organization supporting peacebuilding efforts in the eastern DRC and is pursuing a degree in strategic peacebuilding and conflict transformation, refusing to accept what has become the norm and believing in the possibility for change. This hope extends to the young football players in front of my grandma’s house kicking up sand in an intense match among neighbors, perhaps a few may ascend to the world stage.

As I enter the final year of my master’s program, I am motivated to continue embracing discomfort and confronting complex challenges to redefine what’s considered normal. À la prochaine, DRC.

Team photo at the national Institute of Biomedical research (INRB) in Kinshasa, DRC. In gray, in the center, is Dr. Jean-Jacques Muyembe, a Congolese virologist, microbiologist, and leader of the INRB. He is revered for pioneering the first effective vac ine against the Ebola virus. I am in a gray blazer, 2nd from the left in the middle row.

 

Scenes from a drive into northern Kinshasa.

 

Nefer