Unexpected Lessons in Global Health

It seems like just last week I was getting ready to start my practicum, and now suddenly I’m here wrapping everything up. As I begin to reflect on another summer work experience, I always enjoy realizing how out of all the things I’ve learned, very few are actually the things I was expecting to learn. Sure, I’ve learned plenty about intrapartum care in low-resource settings… I’ve read dozens of articles about patient experience, provider care, facility administration, and community involvement. I’ve had Zoom calls with a Haitian physician and program director and other midwives and researchers. I’ve written a literature review and a communications plan. And these are all good things—things I expected out of this summer.

But, this summer has been about so much more than those things. This summer I have also sat in on non-profit board meetings and consortium updates. I’ve been a part of engaging with donors and updating records. I’ve been active in supporting local health, even while working for a global organization. From my little desk in my Chapel Hill condo, I’ve been able to engage in far more than a research project, and I’ve learned some things I didn’t expect.

Some of the St. Antoinne school children enjoying the playground.
Some of the St. Antoinne school children enjoying the playground.

As part of their work in Haiti, Family Health Ministries supports children in an orphanage and school in Fondwa. This support would not be possible without the generosity of hundreds of donors from all across the United States. I’ve been sending each donor updates—a letter and some photos—on how the students are doing, and it struck me that global health work, especially in the NGO world, relies on contributions and support from all sorts of different people and places. Thus, the work is not just global in its destination, but also in its source. We all have the chance to be a part of global health work in some way, degree or not, which means wherever we are, we can be part of building a healthier world.

I’m about one third of the way through my cross-state trek… and I’m excited to “arrive” in Winston-Salem soon!
I’m about one third of the way through my cross-state trek… and I’m excited to “arrive” in Winston-Salem soon!

Back in May my preceptors shared that they wanted to be intentional about supporting local health alongside their global mission, especially during the pandemic. We all signed up for the Blue Ridge to the Beach virtual race—a 6-month, 475-mile challenge that takes you across the state of North Carolina from Asheville to Wrightsville. So far, I’ve gone about 150 miles, I passed through Charlotte, and I’m on my way to Winston-Salem. I enjoy walking and running, and I’m grateful for the motivation and reminder that taking breaks and getting outside is really good for me. But I didn’t only commit to getting in 2.6 miles per day til December for my own benefit. We chose to participate in the race because all proceeds go to fighting food insecurity in North Carolina. In a time when it seems like life is dictated by all the things we cannot do, this is something that we can do. We choose to move our bodies each day because that choice gives someone else better access to food. We choose to put in the work of improving our own health, so that we will be able, prepared, and healthy enough to help others with theirs. I’ve been reminded that global health work isn’t always glamorous or extreme. Sometimes, it’s as simple as choosing to go for a walk.

Sunset is one of my favorite times to get a walk or run in because it’s not as hot and the views are great!
Sunset is one of my favorite times to get a walk or run in because it’s not as hot and the views are great!

All those extra things, those lessons found between the expected moments and between the lines of my practicum agreement—those are the things I’ve enjoyed most about my summer. Those are the things you cannot learn in a classroom, and those are the things I will take with me into my career. The skills are important, but the life experience is even more so.

Ellery

PS—The Blue Ridge to the Beach challenge starts a new wave each month, and the next one kicks off August 1st. Check out their website to register and join us!

The End of a Practicum?

My dog, Shumaq, enjoying the summer days.
My dog, Shumaq, enjoying the summer days.

I am writing this while I sit on my bed with my dogs at my side, reflecting on my life over the past few months. I have spent a good deal of my time working on different projects, primarily through the SER (Salud, Estrés, y Resiliencia/Health, Stress, and Resilience) Hispano Project, which looks at the effects of acculturation stress on Latinx immigrant communities. I have spent my time translating survey items and IRB consent forms (so much translating!), writing, reading research articles, and occasionally meeting with other members of the research team. Some weeks I have had very little tasks and been able to perfect my Kombucha brewing skills while other weeks I feel the impacts of numerous Zoom calls and looming deadlines. Through it all, I have realized the importance of staying resilient and adapting to change. My original practicum plan was to finish my practicum and turn in my deliverables by the end of July, but some delays in research and data collection due to COVID-19 and other unrelated events have forced a change in my plans and I will continue to work through the fall semester.

Spending time in nature is great way to release stress.
Spending time in nature is great way to release stress.

Despite these setbacks, I find that I am more open-minded and flexible. Before, I may have felt discouraged, but now I recognize the fact that there are many things outside of my control and being able to continue working with the amazing people who are part of the SER Hispano team is a true blessing. Throughout my time in school, from elementary all the way to graduate school, there are few places that I could truly call home and feel welcome. Being a part of a team of majority Latinx folks has refreshed me and made me realize the importance of being part of an environment of people who are supportive and uniquely understanding of my life experiences. During my free time I enjoy taking walks with my family, meditating, and trying out new experiments in the kitchen. I hope to be able to continue some of these hobbies and stay grounded even as the stresses of the new semester take hold.

Andrea

 

A Different Kind of Summer

I was looking forward to my practicum even before I was accepted into the MPH program. As a marine biologist transitioning to public health, I knew the practicum would be essential for me to establish myself in the global health field. I dreamed of doing my practicum at an international humanitarian agency in Amman, Jordan and spending the summer with my family there. Just as soon as I had secured a position there in March, all international travel was restricted. As an aspiring global health professional, I was so disappointed to be confined to my home state for the summer.

It certainly felt like a loss at the time, but I quickly realized the loss was not just mine. With the world in a chronic state of emergency, you quickly learn to let go of your plans and expectations. You eventually stop mourning all the events, activities, trips and travels you were supposed to take. Instead, you yearn to merely be able to safely see your friends and family. You stop touching your face and start second guessing every cough.

Looking on the bright side, work from home has its perks!
Looking on the bright side, work from home has its perks!

Fast forward five months, I am in the last week of my practicum with only a week left before the fall semester begins. While my original practicum dreams dissolved, I was granted an amazing opportunity to do work I am extremely passionate. I am working with my faculty mentor (something which would not have been possible pre-COVID19) on a research project which examines the breastfeeding experiences of internally displaced Yazidi mothers in Iraq. The Yazidi are a Kurdish ethnic minority who were brutally and systematically targeted by the Islamic State (ISIS) in August 2014. Over a matter of days, 2.5% of the Yazidi population was either killed or kidnapped. Now globally recognized as a genocide, the events of 2014 have forever changed the lives and futures of this community. Through this project, we hope to better understand the unique challenges and needs of Yazidi women to ultimately improve the humanitarian response for displaced pregnant and breastfeeding women and their infants. Not only I am getting to work with a Middle Eastern population, I am also developing qualitative data analysis and manuscript drafting skills, all the while learning about a new topic area with which I was previously unfamiliar. A resounding theme that has stood out from this research is resilience. With so many tragedies constantly confronting the world today, my spirit is continually renewed by the resilience and strength of human beings. It’s a powerful reminder that nothing is ever guaranteed and that we must be grateful for every new opportunity and every new day.

Lein