Sláinte (Cheers), Galway! Until next time

My dear colleagues surprised me with a sweet going-away celebration. The day started with homemade cookies and ended with a 3-Dimensional cut-out of Galway which really put my skills to the test
My dear colleagues surprised me (third from the left) with a sweet going-away celebration. The day started with homemade cookies and ended with a 3-Dimensional cut-out of Galway which really put my skills to the test

While my time at the Heath Promotion Research Centre (HPRC) is coming to a close, I know it’s not the end of my work with them (as promised, I’ll certainly be back!). The influential research that is being done at the HPRC is tangibly changing the scope of health across the entire population of Ireland, and I am so honored to have played an incredibly small role in it. At the start of this journey, I never could have imagined it would be so hard to say goodbye, but I suppose that’s what happens when you’re adopted with open arms into a ‘family’!

Conference minions at work!
Conference minions at work! (I’m on the far right)

Much has transpired since my last blog post. On June 16th, the Health Promotion Research Centre hosted its 26th annual Health Promotion Conference. Quite fittingly, this year’s theme was Health Inequity. Delegates from all over the country joined for the first face-to-face conference in two years (including Minister of Health Frank Feighan and keynote speaker Michael Marmot from the Institute of Health Equity)! I quickly learned that a national conference requires a lot of behind-the scenes operations and planning. I was honored to act as a minion during the preceding week — meeting with caterers, organizing guest lists, and laminating signs (oddly satisfying). On the day of, I had the opportunity to join some incredibly stimulating plenary sessions and workshops with Health Service Executive (HSE) executives, PhD students, and faculty of NUI Galway. Some of my favorites included: ‘reducing inequity using social prescribing’ and ‘a cautionary tale of community involvement in action for health equity’.

Beyond the conference, most of my time has been spent writing the advocacy report for the recently established NUI Galway Student Pantry. This has involved a literature review on food insecurity in university settings (spoiler alert – it’s not looking good), qualitative analysis of the student feedback during the pantry’s 10-week pilot launch, and actionable recommendations for both university and pantry management/leadership moving forward. Some of my research and analysis from the report was even included in a presentation at the Conference! Writing this advocacy report has been an invaluable experience which has highlighted for me the need of knowledge translation in research. I have become extremely invested in the Student Pantry, as food insecurity is an extremely pressing (yet often overlooked) issue in university settings. I’m excited to share the final piece once it’s officially published!

Over the past few weeks, I have also had the opportunity to visit a handful of local public health and social services agencies/organizations that put into action what the HPRC reports on: Comhairle na Nog (Youth Advocacy Council), Westside Youth Project (Youth Service Provider), and the Galway Traveller Movement. As a future public health professional, I found it invaluable to first-handedly witness the ways in which another country’s systems operate and I am eager to translate and adapt what I have absorbed into future settings.

Cheesy as it may sound, I’ve learned just as much outside of my practicum as in the office. It’s easy when locals were always willing to answer my question: “what is one thing I can’t leave without doing?” Through these serendipitous conversations, I cycled the 7 castles of Galway county with a group of Irish cyclers, hiked 18km from the wind-surfing city of Lahinch to the Cliffs of Moher (unobstructed views all to myself!), cycled the most gorgeous Greenway from the city of Westport to the island of Achill, cheered on Galway in the Hurling championship (native Gaelic sport), climbed ‘Diamond Hill’ — a mountain in Connemara National Park, took a day-trip to Athlone with a group of new friends (each of which represented a different county of Ireland!), jumped off the Blackrock Diving Board and into the Atlantic Ocean (Galwegian right-of-passage), and so much more! Galway is truly a magical place, and I know I’ll be back! Thank you, HPRC, for giving me the opportunity to explore my role in Public Health and the world. Now I’m off to spend the rest of the summer with family and friends across Europe!

This is how I will remember Ireland. Until next time!
This is how I will remember Ireland. Until next time!

Learning About Sustainable Collaborations in Global Health

When writing my first post, I had just started to settle into life in Lilongwe, Malawi. Time flew by and I am already back at the airport, about to embark on my second learning experience of the summer, working as a Peacock Fellow with Carolina for Kibera (CFK) Africa in Nairobi, Kenya.

Relaxing during a weekend trip to Cape Maclear (Lake Malawi)
Relaxing during a weekend trip to Cape Maclear (Lake Malawi)

I’m so grateful that I was able to work with UNC Project-Malawi the past eight weeks for my MPH practicum. Malawi is known as the “Warm Heart of Africa” and I was pleased to be welcomed there by beautiful scenery and so many kind people. UNC Project-Malawi was really a special place for me to learn about sustainable academic partnerships. This is important to me because in our classes we have learned about the mistakes made in previous generations of international health work including groups from high-income countries doing harm in low-income countries despite often proclaiming they were there to help. We discussed in class the difference between intentions and impact. I have feared the possibility of making negative impacts in this field despite having good intentions.

I think that one key to working toward positive impact is long-term sustainable collaboration. UNC Project-Malawi seems like a good example, including having experienced UNC clinicians and researchers mentor early-career Malawian clinicians and researchers who may have historically not had accessed to the same caliber training that UNC is able to provide US-based trainees.

Sunset at Lake Malawi
Sunset at Lake Malawi

A major focus of my practicum became supporting partnerships in nursing across the UNC Chapel Hill School of Nursing (UNC SON), UNC Project-Malawi, Kamuzu Central Hospital (KCH), and the Kamuzu University of Health Sciences (KUHeS). Since nursing and midwifery makes up nearly 50% of the global health workforce, I was surprised to initially find that there was not more nursing collaboration happening between the UNC SON and UNC Project-Malawi. Focusing on this seemed like a great opportunity!

Luckily, there has been collaboration with the UNC SON since 2018 but the COVID-19 pandemic had largely stunted growth of the collaboration. Being on the ground in Lilongwe, I was able to be a catalyst to get things going again. I helped coordinate many meetings including with KUHeS nursing leadership, oncology nurses at KCH, faculty from the UNC SON, and staff from UNC Project-Malawi.

Taken from the UNC Project- Annex, the sun sets over the recently constructed Cancer Center at Kamuzu Central Hospital
Taken from the UNC Project- Annex, the sun sets over the recently constructed Cancer Center at Kamuzu Central Hospital

A previous goal of the collaboration was to hold regular Grand Rounds. One area of interest for KCH nurses from a prior needs assessment was Interprofessional Education and Practice (IPEP). I know the importance of this topic from my experience working clinically so was excited to make this a focus area. Thankfully, Dr. Meg Zomorodi – UNC SON professor and Assistant Provost for IPEP at UNC – agreed to lead the Grand Rounds! The first session focused on interprofessional education and then two weeks later a second session focused on interprofessional practice. Feedback from KUHeS faculty and KCH staff was very positive. Dr. Zomorodi and I hope to continue supporting IPEP initiatives in Lilongwe.

Finally, my other major focus was qualitative data analysis relating to perceptions of cancer care in Malawi and healthcare worker preparedness to work in oncology. Stay tuned for the findings to be published in coming months!

I look forward to continuing to support my practicum collaborators and projects as I am able, and hope that I can return to Malawi at some point. I am so grateful that pursuing my MPH at Gillings gave me this opportunity. For now though, on to Nairobi!

-Mitch

Summer at the Health Department

Sara G.
Sara G.

Hello. My name is Sara Green and I am a rising 2nd year MPH student in the Global Health concentration. I grew up in Massachusetts and attended George Washington University in Washington DC for college where I earned a BA in International Affairs with a minor in Arabic. I worked for a refugee resettlement agency for two years after college, where I was a Refugee School Liaison helping kids and parents navigate school in Virginia. I entered the Peace Corps in Morocco in 2018 and was evacuated due to COVID-19 in 2020. I was a Youth Development Volunteer in a small town near Marrakech. After the Peace Corps, I worked as a Contact Tracer for Partners in Health before I moved down to North Carolina to start my MPH. During my first year, I worked with the Humanitarian Health Initiative as an intern on a domestic project at a refugee resettlement agency in Durham.

This summer, for my practicum I am a Populations Health Intern at the Durham County Department of Public Health. I am supporting the health department’s re-accreditation, a process they must go through every four years to get certified by the state. I am also working on projects related to the department’s strategic plan. So far, it has been great to learn more about Durham County and the great work the health department is doing to do outreach to the community. The Population Health department is still relatively new in the health department, and it has been interesting to see how they are growing and using data to help different projects.

Currently, I am working on a Quality Improvement (QI) project for the Family Planning Clinic, creating activities around accreditation to get employees involved, and helping to organize the Health Department’s policies for the accreditation process.

I have been working a mix of in person and telework, and it has been good to get into an office environment again, which makes it a lot easier to interact with my coworkers and bosses. I look forward to the rest of the summer at the health department.

Outside of work, I have been enjoying swimming in Jordan Lake, lifting, and reading.

-Sara G.