Faculty in South Africa

Blog post by Kurt Ribisl, Professor and Department Chair, Department of Health Behavior

Greetings from South Africa!

I am spending 10 days in South Africa (Johannesburg and Cape Town) and Zambia (Lusaka) to meet our research and practice partners.

My days have been filled with meeting UNC undergraduate students taught by Alex Lightfoot in Cape Town and visiting their internship sites. I gave talks on e-cigarettes and vaping at the University of Witwatersrand and the University of Cape Town. I have also been meeting with researchers doing cutting edge work in HIV and gender-based violence. On Sunday, I fly to Zambia to meet with Dr. Ben Chi (UNC Gillings) and his colleagues at the University of Zambia including the dean of their School of Medicine, Dr. Fastone Goma who leads some exciting CVD and tobacco control work.

Alex Lightfoot and I also met with the leaders of Black Sash, a group started by a white middle-class woman who opposed apartheid in the 1950s. They are still going strong and now advocate for social policies to benefit vulnerable populations in South Africa. We then visited the Red Cross War Memorial Children’s Hospital in Cape Town, which is regarded as South Africa’s leading center for postgraduate specialist pediatric medical and surgical training. We met with a student who shadowed health care providers carrying out trauma surgeries to basic family medicine. She saw 30 burn patients and is the only specialized pediatric burns unit in Africa. Several were burned by hot water and others by cooking oils. She wants to learn more about public health and injury control programs that could prevent these devastating injuries. She saw two very young children were being treated for lipoid pneumonia, a condition brought on from inhaling oils in the home. I immediately thought of the 6 people who have died from vaping over the past 2 weeks, most of whom also had lipoid pneumonia from vaping THC and CBD oils.

Deborah Baron gave me her copy of Trevor Noah’s book, Born a Crime. I can’t recommend this book enough – it provides an insightful look at what it is like to grow up under Apartheid. Alex assigned this to all of her students taking her Apartheid class and we have referred back to it several times.

Just before I left, two events have shaken South Africa. First, there have been numerous xenophobic attacks against foreigners and their businesses. Many people are being forced to flee back to their home countries.

I met with Dr. Mutale from the University of Zambia the day before I left Chapel Hill and he mentioned that they had to repatriate all of their students from South Africa. Refugees filled the Scalabrini Centre on my visit there. Volunteers were creating resumes for them, helping them find jobs and fill out asylum paperwork. I watched a room full of migrants taking online courses at the University of Southern New Hampshire to earn their AA degree. One woman lost her livelihood when looters torched her business. Like others in our group, I bought one of her remaining 15 handmade bags to help her raise funds to start over. We were also saddened to hear of an African migrant whose asylum was rejected by a panel of 3 white male judges ‘because she had not been raped enough times.” Scalabrini workers are doing all they can to advocate for migrants during these tough times.
Finally, Uyinene Mrwetyana, a Univerity of Cape Town student was raped and murdered at a Post Office. Crowds of protestors are speaking out against gender-based violence. You can see images I have seen all over campus and town. I am so proud that many of our faculty also work in addressing gender-based violence. Like most of public health, this trip is exhausting and totally inspiring. I look forward to forging stronger ties with our colleagues and partners here in Southern Africa.

Warm regards,
Kurt

Salamat, Philippines

Guest blogger, Areej Hussein, undergraduate student in nutrition

Typical fruit vendor in the streets of Cebu city where the infamous and tasty Cebuano mangoes are sold.

As a recipient of the Class of 1938 Summer Abroad Research Fellowship, I had the opportunity to travel to the Philippines this summer to explore my Honors thesis research topic: the impacts of early childhood malnutrition on young women’s reproductive health and childbearing. I traveled to the Philippines extremely nervous at first because I had never done anything like this before. Deciding to spend two months in a country I had never seen before to pursue a research project was something that challenged my comfort zones. Nevertheless, I was excited to embark on this journey where I could meet new people, learn new things, and experience a new way of life.

While there, I was mentored by amazing researchers from the Office of Population Studies Foundation (OPS) at the University of San Carlos in Cebu, whose Cebu Longitudinal Health and Nutrition Survey (CLHNS) is a collaboration with UNC’s Carolina Population Center. My OPS mentor, Ms. Josephine Avilla, has been extremely supportive and a pivotal part of this research project.  Without her guidance and connections, this would not have been possible. My research included engaging in focus group discussions and in-depth interviews with young Filipina women on topics related to relationships and childbearing decisions, an effort to contextualize my quantitative data analyses.

The participants of the focus group were women from Ritazo, a community-based initiative run by women in an urban poor neighborhood in Mandaue City, Philippines. These talented women take scraps of materials donated to them by a furniture company and turn them into beautiful bags and merchandise to generate a source of income for themselves and families. These women, in addition to raising children and maintaining their homes, were earning money for their families and taking on leadership roles in their community. I am forever grateful to these women who trusted me enough to share stories of their livelihoods as they participated in this research project.

In addition to the focus group discussion, I conducted in-depth interviews with young women most of whom work as research assistants at OPS. Unlike the women of Ritazo, these women were closer in age to me and it amazed me how much I was able to relate to them in these interviews. These interviews felt more like conversations I was having with my friends rather than a research-participant style of interaction. These conversations were also insightful and brought to light many themes that would add perspective as I am analyzing the quantitative data. I am currently drafting a detailed summary of my findings, including these themes, intending to disseminate this information to all of the women who participated in this study. I strongly believe that the goal of research should be to benefit the community who graciously agreed to take part in it and who without the research would not exist.

During my stay, I also had the opportunity to attend a two-day data analysis workshop led by my professor and mentor Dr. Linda Adair. This workshop brought together researchers from different institutions across the Philippines to discuss data dissemination and analysis for a national population study carried out by OPS as an effort to better understand the “Filipino child”. It was inspiring to witness the excitement in the room for this kind of work and how invested these researchers were in bettering their country. In this workshop, I also heard stories about research field workers risking their lives to obtain research data. These dedicated researchers would travel to some of the most inaccessible and dangerous parts of the Philippines manually collecting data using pen and paper, which then students and researchers, like myself, have the convenience of accessing on a computer with just a click of a button. Learning about the risks involved in data collection and witnessing the effort that goes into editing and coding the data in the OPS office made me appreciate the research data more.

Akong Pamilia (“my family”) –celebrating my birthday at the office. OPS

While the purpose of my trip was to conduct research, what I gained was far more valuable than data. Here I gained a family that made me feel more at home than an outsider! Many greeting me with “Assalamu alaikum” (a greeting that Muslims use translating to “Peace be Upon you”) even when they were not Muslims themselves was one of the many ways that people tried to welcome me. I also gained a small glimpse of a beautiful culture that embraces everything that is love and community! I gained stories of resilience and faith that left me more than inspired! During a time where I longed to go home to Sudan but could not because of the political unrest, the Philippines became my home! I saw my people in their hospitality and their love for one another! I had an extremely positive experience and I am forever grateful to Dr. Linda Adair, the Class of 1938 Fellowship, and Honors Carolina for their immense support throughout this experience and making it possible!

Beautiful waters of Moalboal,Cebu, Philippines.
In addition to research, I had the opportunity to experience island hopping and explore as much as I can of this beautiful archipelago.

– Areej

Once in a lifetime learning experience

Guest blog post by Caroline Nelson, MPH-RD student, Kenan Foundation Asia Joan Gillings Public Health Intern

This summer I’ve had the opportunity to live in Bangkok, Thailand for ten weeks to participate in the Kenan Foundation Asia Joan Gillings Public Health Internship in Asia NextGen Healthy Aging Program. Though challenging at times, this internship has been a once in a lifetime learning experience that I am very thankful to have accomplished.

When I arrived in Bangkok, I was rather nervous to spend ten weeks in a completely new environment, surrounded by a different language, culture, and way of life . This soon changed once I was introduced to the incredibly warm and kind people that make up this beautiful country. As soon as the other interns and I entered the Kenan Foundation Asia office on our first day, we were immediately welcomed with open arms. My preceptor, nicknamed K. Pop, has been very supportive of this educational experience, and has included me on several important projects and events.

My favorite event was a community health event that took place in the Khlong Toei community of Bangkok. This district contains some of the largest wealth gaps in Bangkok and a goal of the Kenan Foundation Asia is to improve health disparities for refugees and lower socioeconomic citizens. This event was led by community leaders and change agents who are working to provide better public health resources to their elderly neighbors. Thailand will be a super-aged society by 2030 and the geriatric population already is struggling with obesity, type two diabetes, and hypertension, so Kenan is aiding communities in preventative healthcare education. The community leaders led aerobics classes, meditation sessions, provided blood glucose and blood pressure checks, and massages. It was very informative to observe this health event and see how engaged the community is on their collective health. Participating in this event helped me realize that listening to the community and understanding their personal needs is more impactful than instilling one’s own desires or goals as an outsider.

Khlong Toei Community Health Event sponsored by the Kenan Foundation Asia. Pictured are community leaders and their families, Kenan employees, and the Khlong Toei district representative.

My main project as an intern is to create a Health Literacy Training Event for key change agents in Khlong Toei. This falls under the Pfizer Healthy Aging Project in which Kenan has focused on providing preventative interventions to the super-aging population in Thailand.

When we are not in the office, the other interns and I travel around Southeast Asia. So far, I have visited Laos, Cambodia, and various cities in Thailand such as Phuket, Chiang Rai, Chiang Mai, and Ayutthaya. The other interns and I get along very well, and we have enjoyed traveling throughout the area together.

(L-R) Jack Deering, Andrea Prego, Jessie La Masse, Alexa Young, Caroline Nelson, Catherine Sugg. All are UNC students interning with the Kenan Foundation Asia. Alexa and Caroline are master’s Students at Gillings and the others are undergraduate business students at Kenan-Flagler. Here we are visiting the temple ruins of Ayutthaya in Thailand.
Here we are attending the ASEAN SMEs Regional Conference on Health Tourism in Bangkok. These are various employees of the Kenan Foundation Asia, including the President, K. Piyabutr Cholvijarn. We are making the Korean hand sign known as the ‘mini chi’, aka small heart, that is very popular in Bangkok.
(L-R) Catherine Sugg (Undergraduate Business Intern), Caroline Nelson (MPH Nutrition Intern), Alexa Young (MPH Health Behavior Intern).
Here we are attending the WATS conference in Bangkok.

– Caroline