Smart Family Life Planning in Action with the Kenan Asia Foundation

About Me

Hello everyone! I’m Michelle, and I am a second-year MPH student in the Nutrition concentration. I’m originally from Houston and completed my B.S. in Nutrition with minors in Public Health and French in 2020 at Texas A&M University. Afterwards, I took a gap year in Dunkirk, France to work with a local NGO that provides aid to displaced people and refugees in northern France. Some of my public health interests include food insecurity, migrant health, and eating disorder treatment across minority populations.

Partner engagement meeting with local public health officials in one of the provinces The Smart Family Life Planning project is taking place.

About the Smart Family Life Planning in Action Project

This summer, I am doing my practicum with the Kenan Asia Foundation, an organization based in Bangkok, Thailand that provides educational programming and capacity building to marginalized communities across Thailand and Vietnam. The Smart Family Life Planning in Action project’s goals are to build local capacities for young women, work on high-level policies to support smart family life planning, and decrease the number of unplanned pregnancies in female factory employees and migrant workers. Given my interest and experience in working with refugee and migrant populations, this practicum seemed like the perfect opportunity to learn more about how different countries address concerns from their immigrant communities and the health disparities that exist among lower-income residents.

In Thailand, approximately 51% of pregnancies are unplanned, many due to the lack of sexual and reproductive health (SRH) education, stigma and attitudes toward SRH, and shortages in SRH services. The Kenan Foundation Asia hopes that through train-the-trainer programs, mobile outreach, and SRH education, young women in Thailand will be able to make more informed decisions about their future. One aspect that drew my attention to this project was how it wasn’t only focused on women who wanted children in the future, but rather women’s health as a whole. Meeting an individual where they’re at is crucial in community health work, and I admire how Kenan included all women in their intervention design.

As the project is still in its early stages, I am currently doing research on international best practices for capacity building in migrant and factory worker communities and mobile outreach and will later summarize my findings in a paper that includes recommendations on how we can reach our expected outcomes. I’ve really enjoyed my work so far; it’s interesting to learn about which methods the communities respond to well and which ones they don’t. Although having to find out how to apply these findings to the context of this project is a little daunting, I welcome the challenge and am eager to present them to my team.

The other component of my practicum is developing nutrition curriculum for the migrant women and female factory employees. I’m particularly excited to use what I’ve learned in my Nutrition Counseling, Communication, and Culture class I took my first semester at Gillings to create content that is culturally relevant and appropriate.

The food hall right next to our office building.

Work and Life in Bangkok

Although I’ve visited Thailand before with my family, working here in Bangkok has a completely different feel. The culture at Kenan is extremely welcoming, inclusive, and laid-back. My coworkers are passionate about their work, and I’ve had great conversations with them about life in Thailand and the U.S. Our high-rise office building is only steps away from a huge tented food hall that thrives off us employees grabbing meals to-go. Everyone works a hybrid-remote schedule, so I spend my days working from Bangkok’s endless number of coffeeshops when I’m not in office.

Living in Bangkok is synonymous with living in constant, insufferable heat. While I wouldn’t think twice about going on a 15-minute walk in Chapel Hill, the moment I step outside here, my sweat glands go into overdrive. It’s no wonder that, along with its intricate and beautiful temples, Bangkok also is famous for its multistory air-conditioned malls that serve as the city’s social and entertainment hubs. However, getting to live in the midst of Bangkok’s vibrancy and diversity makes enduring the weather well worth it. And if there’s one thing I’ve learned about life in Thailand, it’s that unless you’ve slurped down a big steaming bowl of noodle soup while sitting in a makeshift restaurant on the side of the road in 95-degree heat, you haven’t truly experienced living here.

– Michelle

Data Analysis and Advocacy Storytelling: Occupational and Environmental Health of Fishermen Communities in Salvador, Bahia Brazil

Oí gente (Hello, everyone!). My name is Jaquayla Hodges, and I am an approaching second-year MPH student at UNC Gillings School of Global Public Health in the Applied Epidemiology concentration. Within my public health career, my main foci are health inequities that exist across the African Diaspora, Latinx, and rural communities.

My first day on the campus of Universidade Federal da Bahia at the Institute of Math and Statistics.

 

A plate of traditional Bahian food from a Candomblé fest following a celebration of the Orixá Xangô.

This summer, I began working with the Entre Mares Research group based in Salvador da Bahia, Brazil for my practicum. Our project was created following a mysterious oil spill that occurred in 2019 along the northeastern coast of Brazil. The team sought to analyze the effect of the oil spill on the fishing industry and communities of Salvador da Bahia, Brazil. Salvador is an incredibly historic city in the Brazilian state of Bahia. It has strong association of Portuguese colonization in Brazil and dark involvement in the Trans-Atlantic Slave trade. The detrimental effects of slavery are still seen socially and economically, especially in low-income and Afro/Black communities. Fishing communities include many people who work multiple jobs to support their families.

I love churros and stats!

The 2019 oil spill highlighted the disparities that existed within Salvador. Fishing communities are an important piece of the growing economy in the area. In Salvador, the ocean is everything. It sources seafood for their traditional dishes like Moqueca (seafood stew), unifies people across all socio-economic backgrounds on the beach for a day of relaxation, and is honored through the practice of Candomblé (an Afro-Brazilian religion of Orixá worship). These small-scale businesses prioritize the use of artisanal workers and contribute to more sustainable modes of fishing.

The first month of my work involves data analysis of responses collected from a questionnaire distributed by the research team of fellow UNC and Universidade Federal da Bahia professors and students. Though most of this experience has been through virtual and in-person meetings with the team, I have actively made efforts to engage with the fishing communities and Bahians daily. This practice is an important aspect of data collection and sharing. Epidemiology is often depicted as an independent aspect of public health; however, it is important to interact with and understand the lives of the people you observe for studies.

A community (comunidade) near the Bahia Museum of Modern Art in Salvador. Some people in the community fish for profit.

Current approaches to data analysis asks the questions: Who were affected by the spill (demographics including gender, socio-economic status, etc), What mode of exposure (skin, respiration, consumption) has been most frequent and may cause the most adverse health implications? At the moment, I am creating a table for the demographics of each region of the collected data to further determine inequities. My team consists of Universidade Federal da Bahia undergraduate students who work alongside Dr. Veronica Maria Cadena Lima. I assist the team in approaches to data analysis. Currently, I am observing a cluster analysis done to determine which mode of exposure has the most adverse health outcomes. This has been my favorite part of analysis so far! Results from this analysis will help protect communities from future occupational and environmental disasters.

The Entre Mares Research Group has grown to observe, engage and protect fishing communities in Salvador, and other affected communities in northeastern Brazil. Soon I will travel to Conde, another community in Bahia that has been affected by the spill. Conde is one of the areas that I am observing the data. This experience helps solidify the reality of the data we analyze apart from those involved. I am forever thankful for the opportunity to engage and collaborate with these passionate communities.

 

 

 

 

 

 

 

 

“Ádh mór na Gaeilge” – The Luck of the Irish

“Dia duit ó Éirinn” – Hello here from Ireland! As I embarked on my adventure to Galway, Ireland, I anticipated continuous cloud cover, sporadic rain, and lush green landscapes. However, only one of those statements proved correct thus far. Since my arrival in Dublin, I have been greeted by nothing but sunshine and warm weather. As I write this post, I am hoping I don’t jinx this fortunate fate. The team I’m working with for my practicum at the Health Promotion Research Centre (HPRC) in Galway shares my awe of the climate and blue skies. They jokingly tell me, “You must have brought this weather and are never allowed to leave.” Although I’ve never been a spiritual or religious person, this journey, and the experiences I’ve had, make me believe my Irish ancestors are guardian angels watching over me. As you read on, you might find yourself believing it too.

View from right next to NUI Galway campus!

From the beginning, including during the initial planning phase, I have felt a sense of serendipity. I became acquainted with the HPRC in early March and swiftly secured support, funding, housing, and even managed to replace a lost passport in less than two months! Upon my arrival, the HPRC welcomed me with open arms, just like Ireland itself. The people and the atmosphere here have far exceeded my expectations, and I never imagined such extraordinary experiences could unfold in just a few short weeks. The seasoned researchers such as my preceptor, Dr. Colette Kelly and mentor, Ms. Aoife Gavin, have been guiding me through potential and exciting new avenues for my future career in public health. Witnessing their passion has been truly inspiring. Despite the diversity in their backgrounds and research fields, they work harmoniously to explore the social and physical health determinants impacting young children’s behaviors.

The focus of my work here revolves around the World Health Organization’s (WHO) cross-national study, “The Health Behaviors of School Children,” which includes 51 different countries. I am primarily analyzing the survey responses and running analyses on the data specific to Irish children ages 10-17, to evaluate their priority concerns. This task can be quite amusing, as I come across responses like “I hate cold showers”, “No homework, no problems!” and “find the space not the face!” It’s fascinating to observe how children express what matters to them and how their daily lives influence their health. By identifying priority concerns to the children, themselves, such as mental health, vaping/smoking, obesity, and period poverty, it can directly help impact future program development. I am creating factsheets, infographics, and a comprehensive report that will be disseminated to policy makers, health promotion researchers, schools involved in the study, social media, and others interested in this research!

The second focus of my practicum is a qualitative research study called “Reducing the exposure of children and adolescents to digital marketing of unhealthy foods” alongside Dr. Elena Vaughan, where I help develop data protocols for interviews with children ages 2-16. This study analyzes the association between digital food marketing on social media platforms such as Tik Tok and Instagram and children’s relationships and attitudes towards food. Through learning about protocol development, I have been studying existing literature on food behaviors and social media exposure. We brainstorm specific sampling techniques including prompts (stills and videos) and a ‘talkback’ method by viewing ads and describing what they see to assess recognition of foods and their perceptions of ad narratives. The challenging part of this work is catering interview questions to the learning and communication capacities of children from different age groups. Luckily, my colleagues on this project share my same passion to examine fast pace and ever evolving social media trends and how it influences long term behaviors.

Cliffs of Moher hike

What has truly made this journey special are the outdoor adventures and people I’ve met along the way. This includes my colleagues at the HPRC, but also individuals I’ve met during spontaneous and unexpected moments. For instance, I biked along the coast of Inishmore Island, where the Award-winning movie, The Banshees of Inisherin was filmed. I’ve marveled at the ancient, stoned walls, some of which have existed for over 3,000 years. Listening to colleagues share Irish mythology, such as Tír na nÓg, the land of everlasting life, has been an enriching cultural experience. A life-changing highlight was hiking 10 miles along the Cliffs of Moher, guided by a local cattle farmer named Pat where he said “This is amazing! This is the real local experience of the Cliffs of Moher, all along here” as he peered too closely for my comfort over the cliff’s edge.

Tour guide, Pat overlooking the cliff’s edge!

Two notable lucky encounters I’ve experienced during my time here include obtaining free tickets to see a concert in Dublin from a kind stranger who was leaving town early. To my surprise, the Lumineers were performing, who were born and raised in my hometown of Denver, Colorado. Despite not knowing anyone in Ireland at the time, I accepted the offer and invited new “Galwegian” friends to make the long 12-hour journey in a single day! During a solo day tour to Connemara National Park, the tour bus had overbooked seats, prompting a last-minute change. Luckily, five of us solo riders were transferred to a smaller car. As unfortunate fate would have it, the tour bus ended up crashing on its way up, and passengers had to be taken to the hospital back in Galway. The small car I was in, however, remained untouched, allowing us to continue the journey to the National Park. Through this shared experience of narrowly avoiding a terrible crash, we created a unique bond and friendship.

Coworkers and friends from Lumineers concert!

My newfound friends here refer to me as one of the luckiest girls they have ever met. They even insisted I scratch a lotto ticket, unfortunately yielding no winnings. My belief in luck extends beyond strange coincidences, but as cheesy as it sounds, through the incredible people I have the privilege meeting and learning from. I genuinely feel that guardian angels are watching over my journey as I continue to learn more about health promotion, folklore, and the rich traditions here in Ireland.

“Go dtí an chead uair eile” – until next time!

Solo travelers and new friends from bus tour!

– Dawn