Thank You Ugat for an Unforgettable Summer

Now that my time in the Philippines has ended, it is difficult to concisely put my experience into words. Maybe in six months, I’ll be able to write holistically about it, but I’ll give it a go. I am so thankful for this experience and all the people I met while working at Ugat. Their approach to improving health in their community is so attuned to what people need and full of compassion, which are two of the most important qualities of successful public health work. I saw firsthand the success of the sexual health education classes, where students went from believing that jumping up and down after sex would prevent pregnancy to knowing where to access free condoms in their community. I was deeply inspired by everyone on the Youth Team and bouncing ideas off each other was one of my happiest memories there.

Pride Parade in El Nido, Palawan

I was also struck by the beauty of Palawan. On the island, you can find one of the seven natural wonders of the world, an underground river that runs through a cave. You could see for miles in the clear, light blue water and witness some of the most amazing sunsets in the world. But while experiences like swimming with whale sharks will be awe-inspiring forever, it’s the intangible moments of beauty that I will really miss. I miss passing the same people every morning and saying hello to them, hailing the correct multicab to go to the mall, thrifting at the spot across the street from Ugat, singing in the office while making my PowerPoints, etc., because it was in those moments that Puerto became familiar.

Picture of the Youth Team at Ate Ami’s Birthday Dinner

On the first night of my stay in the Philippines, I woke up around 3 a.m. to the sound of heavy rain on the roofs around my apartment and loud singing coming from down the street. The singing helped calm my nerves and eventually lulled me back to sleep. I thought the singing was part of the Baragatan Festival that had just kicked off or some sort of party from one of my neighbors. But as I was adjusting to the 12-hour time difference, I would frequently wake up in the middle of the night and would regularly hear that loud singing. Around my second to last week, I finally found the man who had been singing karaoke the whole summer. It was a man who owned a shop down the street from my apartment, whom I had said good morning to on most mornings. During my final week, I heard a new voice singing, and as I peeked into the shop to see who the new voice belonged to, my neighbor popped out and invited me in to sing a round with them. This was around the time of my trip when the reality that I was leaving had started to sink in, and I couldn’t believe my luck that the man who had helped ease me into my new life was also the man helping me remember all the beautiful things about Puerto while easing me back to the U.S.

The view of a sunset outside of my apartment

~ Dana

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