Seeing the lemur through the trees: adaptation and resilience amid a global health crisis

What started out as a summer full of plans… was ultimately turned upside down. Due to the COVID-19 pandemic, I—like many of my fellow Gillings MPH students—will be completing my practicum remotely from my home in North Carolina instead of abroad. While I am crestfallen that I am not able to travel as intended, it is safe to say that global health work does not begin and end with plane tickets to worldly destinations. Indeed, global health is “more than just public health somewhere else” . . . it is a collaborative effort that cuts across disciplinary and geographic contexts to achieve shared health goals – an endeavor that feels most salient amid the current health crisis, where global solidarity is critical.

Working under the mentorship of Dr. Nora Rosenberg, and collaborating with colleagues at UNC Project-Malawi and the Tingathe Program, this summer I am supporting several research projects focused on HIV testing, treatment, and prevention in Malawi. My experience thus far has underscored the ways in which global health practitioners must be resilient and adaptable, not only in directly responding to the current crisis, but also in finding innovative ways to continue other vital, ongoing work in global health. Existing health threats like HIV, tuberculosis, and malaria are expected to get much worse in the context of COVID-19, turning back the clock on decades of global health progress. Amid such challenges, we must find new and creative ways to problem solve.

Greetings from… my home desk!
Greetings from… my home desk!

Where my practicum work will inevitably be impacted by COVID-19, the scope of my summer projects may change in the coming weeks – responding to the needs of an ever-evolving situation. In addition to being flexible in my work, the current crisis has provided a reminder of how important it is to take care of our physical and mental wellbeing through activities that sustain us . . . as we do our best work when we care for ourselves. In the current moment, what sustains me is regular interactions with my colleagues on Zoom, going on long walks outside, and finding good news to be excited about—like this recent announcement from the Duke Lemur Center on the healthy birth of a critically endangered blue-eyed black lemur!

As we all find ways to adapt to the current situation—which can feel isolating as we work remotely—and while I remain uncertain about what the future holds, I am comforted knowing that I am not in this alone.

Stay safe and be well,

Hanna

My Global Health Experience in a Pandemic

By Shannon Applegate

In February, I bought a plane ticket to travel across the world to embark on a 10-week research experience. In March, the world shut down. This pandemic is a true representation of how connected, yet disconnected we are as a human race. The coronavirus has impacted every country but misinformation, denial, and lack of unity between countries persists. Public health research and interventions are needed now more than ever as this virus affects so many and health disparities increase.

The new normal… wearing a mask while taking a nature break with my dog.
The new normal… wearing a mask while taking a nature break with my dog.

Many people, including me, are now having to transition to working from home. I had originally planned to travel to Cebu, Philippines this summer to complete a research project at the Office of Population Studies (OPS) at the University of San Carlos. While I am no longer able to travel to Cebu to complete a formal qualitative research component, I will still be researching the same topic using data from the Cebu Longitudinal Health and Nutrition Survey (CLHNS), a collaboration project between UNC Chapel Hill and the University of San Carlos. The CLHNS is an ongoing study that has over 30 years of data from a now multigenerational cohort. The longitudinal study covers a wide range of topics including infant feeding practices, reproductive histories, socioeconomic factors, environmental factors, schooling outcomes, and more. With the mentorship of Dr. Linda Adair, I will be exploring the primary barriers to exclusive breastfeeding within this cohort. The unique multigenerational study will allow me to look at determinants of breastfeeding, such as education attainment and household income level, across generations and time.

My work from home set up
My work from home set up.

The current pandemic has caused this internship to look a bit different than expected, including using Zoom regularly to meet with Dr. Adair to discuss my project. We are able to share screens to look at the data sets together in Stata. I complete my work at home at my kitchen table where I am lucky enough to have reliable Wi-Fi, a laptop, and a quiet environment to focus. I like to split up my day by taking my dog on walks through nearby neighborhoods and trails and enjoying an afternoon tea or coffee. I am excited to continue my research and am thankful that I am still able to complete this internship during the pandemic.

Student Public Health Practice During A Pandemic

We are back for another summer of students blogging about their practicum (public health field experience), however, things look a bit different this year…

Due to the COVID-19 pandemic, our students are leading the charge on putting into practice our motto, global is local and local is global public health. They will not be traveling abroad this year and will be completing their practicum in the U.S. or their home countries.

Our students will be sharing not only what they are working on this summer, but how they have had to adapt and be nimble securing and working (remotely for a majority) on their global or local practica during a pandemic.

Introducing our bloggers: