Global is Local (and on Zoom).

Bridger making a peace sign in front of some large dinosaurs
A positive side-effect of doing a practicum remotely practicum: getting to visit your parent’s new home in Utah (and making some new friends).

In some ways my 2021 practicum summer, like many things in a school year defined by the pandemic, is a lot different what I would have expected before enrolling. Having been unceremoniously removed from my life in Panama at the onset of the pandemic, I had always envisioned my practicum as a chance to dive back into working overseas, forming and learning from international partnerships in community settings. Instead, I’m conducting a practicum entirely via Zoom, working remotely with a public health organization based in Colorado.

However, in other ways, my position has been providing me the exact kind of experiences and challenges I was always hoped for in a practicum. My interest in Public Health and global practice began during four years of service with the Peace Corps in Panama. This form of grassroots development and health education has shaped the way I view and engage in Global Health work, learning and working alongside community-driven programs. However, in partnering with the United Nations Development Programme in the Darien gap, I became interested in developing the skills to identify ways to leverage large-scale resources to support community-driven efforts. My practicum so far has placed me at this nexus of community outreach and institutional power.

I’m interning with Pitkin County Public Health in Colorado, filling a position through a Preventative Health Block Grant seeking to address significant health inequities in their health and community infrastructure exposed by the pandemic. Specifically, the grant and the team I’ve joined of members of three neighboring public health departments and community stakeholders, is intended to improve health equity, especially for the Latinx and immigrant population in the area. As an intern I’ve taken on facilitating the development of deliverables such as a mental health awareness and promotion campaign, resource guides, and internal trainings for county organizations to apply an equity lens towards their services.

There’s a clear equity gap in Pitkin County and the surrounding area. Aspen, the largest town in the area, is a well-known resort community with high cost of living, and a population that more than doubles during the winter ski season. However, there’s a significant population of service and industry workers who support this resort lifestyle, including a large Latinx and immigrant population. Many locals struggle with high cost of living and services in the greater Aspen area, and many live in neighboring counties of Garfield and Eagle—however, the pandemic has helped illuminate the level of existing inequity in many regards, including access to health services and information.

It’s been an interesting challenge gaining contextual knowledge around the Pitkin County area and going through the process of making connections and building relationships all remotely. The virtual format has pushed me well out of my comfort zone, cold-joining lots of Zoom meetings with different agency partners, sending out emails to make connections with individuals, and not ever visiting the spaces I’m attempting to serve. It has struck me as an odd sensation to be discussing programs for a community I haven’t visited since I was 3 years old, but strangely enough, Global Health organizations do that all the time—as such, I’ve taken this challenge as a way to practice combining a community-centered approach to program development within the types of higher up, NGOs and Government agencies I could find myself working in someday after my degree, far removed from the field.  While many of the mediums I’ve been using have been out of my comfort zone, when in doubt I’ve relied on some practices learned the hard way during my time with Peace Corps: 1) ask an endless stream of questions, 2) prioritize relationships over producing results, 3) defer all expertise to my local partners.

Applying these approaches has definitely come into conflict with larger realities of my practicum position at times. For one, there’s simply limited time to share and learn in the punctual and itemized Zoom meetings of a government agency. Secondly, the grant I’m working under has very real deadlines around deliverables and progress. With June about to be over, time limitations have forced relationship building and production to be a simultaneous process. The organizational practices fueled by fiscal infrastructure are something I’ll need to be able to navigate effectively, and I think this practicum is giving me great preparation in that regard.

Running from a T-rex
(Note all of them play nice).

It’s exciting after a year of school to be facilitating the development of materials with the potential for real world impact again. Even though just on Zoom, I’ve enjoyed the early relationships with work and community partners in this position. I’ve also appreciated the opportunity to apply skills acquired in Peace Corps to work with international populations in a domestic space. While so much is different than I would have expected a year ago, an early takeaway for me from my practicum is that core elements of learning exchange and collaborative partnership are universal with work addressing gaps in health equity, regardless of miles traveled or hours zoomed.

Bridger

Finding the light in a remote internship

One of my co-workers for the summer
One of my co-workers for the summer

As a mother I am so passionate about children and their rights, when I was looking for a practicum, I was hopeful to be working with an organization whose mission is like mine. I believe that all children have the right to be safe and to access to basic needs especially water; this intersects with the UNICEF vision statement which is “to create a world where the rights of every child are realized.” My dream became true, and I was accepted to do my summer internship with the UNICEF where I am currently working with their Water and Sanitation team focusing on the Middle East which is the region where I came from. Since the beginning of the practicum, I was hoping that it will be in person, I miss meeting new friends and learning about their work experiences and networking. I feel being online makes it harder to open new conversations and its more challenging to deal with the online technical issues.  Despite those challenges I promised myself to make the best use of my time and to make my internship a fruitful one. Since the first day of the practicum, I set myself daily reminders which are:

  • Every day is a new day.
  • I will do the best of what I can.
  • I am always proud of my accomplishments
  • I will reach out and ask questions.

An opportunity to work with the Sanitation and Water for All (SWA) team is unique. This practicum is a great opportunity for me to use the knowledge and skills I gained from the first two semesters of my graduate program to help communities around the world. Through my 200 hours training I will be working with the Country Engagement team at UNICEF to develop an engagement strategy so we can expand UNICEF’s work in the Middle East. I will also write a report about the role different UNICEF partners play in different region and how we can expand their work beyond water Sanitation and Hygiene to focus on other areas such as COVID-19. In the first two weeks of the practicum, I enjoyed attending SAWA’s teams’ meetings and webinars on important topics. I have also participated in discussions on how to engage more countries from the MENA region (Middle East and North Africa) in SWAs’ work. It was very interesting to learn about the great work those teams are doing all over the world. I am so hopeful that by the end of the internship I will gain more practical skills which I can apply in my future career.

– Alaa

Zooming to Zambia

Out in nature
Out in nature

With the school not approving Summer travels, I knew it was highly improbable for me to travel to Lusaka, Zambia, for my practicum. Nevertheless, I had the tiniest hope that things would work out just in time to make the journey possible. I felt like I deserved the trip after a semester-long love-hate affair with virtual meetings and zoom (zoom fatigue). Somehow, my “tiniest hope” yielded nothing, as I am still here in the triangle, collaborating with the research team in Zambia via zoom. I call it Zooming to Zambia!

To cope with the disappointment, I decided to make a mental visit to Zambia. In my mind, I arrived in Lusaka (Zambia) on May 17, 2021, to commence my practicum, and since then, I wake up each day saying Zikomo kwambiri, a phrase in Zambia that means “thank you very much.” I say this phrase for a couple of reasons. First, it helps me stay focused on my practicum work. Waking up to this phrase gives me a mindset of rolling up my sleeves and working on my daily goals. Second, to express my gratitude for the opportunity to work on a project I am passionate about. I did not come about this latter reason arbitrarily. Having a heart of gratitude has defined my existence over the past year, and it has seen me through the endless days of zoom fatigue and feelings of isolation.

Taking in the scenery
Taking in the scenery

My practicum is qualitative research to assess the feasibility and acceptability of engaging family members to support HIV-positive mothers to practice recommended infant care and feeding practices, and adherence to antiretroviral therapy. We are using a formative research technique- the Trial of Improved Practices (TIPs) for this study. So far, the work has been gratifying and deeply rewarding. On weekdays, I have a regular work schedule. In addition, I have virtual meetings with my preceptor, Dr. Stephanie Martin, to assess the progress of the study, and I also meet with the research team to review the data and troubleshoot the various challenges and hurdles experienced by the data collectors. Through the research, I look forward to gaining a thorough understanding of the role of partners and other support systems in the prevention of mother-to-child transmission of HIV.

To rejuvenate and recharge, I ensure my Saturdays are work-free. I use this time off to hike with international friends and pursue other interests. I recently took a hike at the Raven Rock State Park (see the goofy pictures). Upcoming hikes will be all-day hikes at the Hanging Rock and Appalachian Trail.

For now, even though I am stuck with zoom and virtual meetings, I could not have asked for a better practicum, preceptor, and research team. So I am grateful for the opportunity, and the tech that make virtual collaborations possible. For these reasons, I say Zikomo Kwambiri.

Olu Adeniran

Zikomo Kwambiri is from the Nyanja language, which is spoken widely in Lusaka.