Unexpected Lessons in Global Health

It seems like just last week I was getting ready to start my practicum, and now suddenly I’m here wrapping everything up. As I begin to reflect on another summer work experience, I always enjoy realizing how out of all the things I’ve learned, very few are actually the things I was expecting to learn. Sure, I’ve learned plenty about intrapartum care in low-resource settings… I’ve read dozens of articles about patient experience, provider care, facility administration, and community involvement. I’ve had Zoom calls with a Haitian physician and program director and other midwives and researchers. I’ve written a literature review and a communications plan. And these are all good things—things I expected out of this summer.

But, this summer has been about so much more than those things. This summer I have also sat in on non-profit board meetings and consortium updates. I’ve been a part of engaging with donors and updating records. I’ve been active in supporting local health, even while working for a global organization. From my little desk in my Chapel Hill condo, I’ve been able to engage in far more than a research project, and I’ve learned some things I didn’t expect.

Some of the St. Antoinne school children enjoying the playground.
Some of the St. Antoinne school children enjoying the playground.

As part of their work in Haiti, Family Health Ministries supports children in an orphanage and school in Fondwa. This support would not be possible without the generosity of hundreds of donors from all across the United States. I’ve been sending each donor updates—a letter and some photos—on how the students are doing, and it struck me that global health work, especially in the NGO world, relies on contributions and support from all sorts of different people and places. Thus, the work is not just global in its destination, but also in its source. We all have the chance to be a part of global health work in some way, degree or not, which means wherever we are, we can be part of building a healthier world.

I’m about one third of the way through my cross-state trek… and I’m excited to “arrive” in Winston-Salem soon!
I’m about one third of the way through my cross-state trek… and I’m excited to “arrive” in Winston-Salem soon!

Back in May my preceptors shared that they wanted to be intentional about supporting local health alongside their global mission, especially during the pandemic. We all signed up for the Blue Ridge to the Beach virtual race—a 6-month, 475-mile challenge that takes you across the state of North Carolina from Asheville to Wrightsville. So far, I’ve gone about 150 miles, I passed through Charlotte, and I’m on my way to Winston-Salem. I enjoy walking and running, and I’m grateful for the motivation and reminder that taking breaks and getting outside is really good for me. But I didn’t only commit to getting in 2.6 miles per day til December for my own benefit. We chose to participate in the race because all proceeds go to fighting food insecurity in North Carolina. In a time when it seems like life is dictated by all the things we cannot do, this is something that we can do. We choose to move our bodies each day because that choice gives someone else better access to food. We choose to put in the work of improving our own health, so that we will be able, prepared, and healthy enough to help others with theirs. I’ve been reminded that global health work isn’t always glamorous or extreme. Sometimes, it’s as simple as choosing to go for a walk.

Sunset is one of my favorite times to get a walk or run in because it’s not as hot and the views are great!
Sunset is one of my favorite times to get a walk or run in because it’s not as hot and the views are great!

All those extra things, those lessons found between the expected moments and between the lines of my practicum agreement—those are the things I’ve enjoyed most about my summer. Those are the things you cannot learn in a classroom, and those are the things I will take with me into my career. The skills are important, but the life experience is even more so.

Ellery

PS—The Blue Ridge to the Beach challenge starts a new wave each month, and the next one kicks off August 1st. Check out their website to register and join us!

A Different Kind of Summer

I was looking forward to my practicum even before I was accepted into the MPH program. As a marine biologist transitioning to public health, I knew the practicum would be essential for me to establish myself in the global health field. I dreamed of doing my practicum at an international humanitarian agency in Amman, Jordan and spending the summer with my family there. Just as soon as I had secured a position there in March, all international travel was restricted. As an aspiring global health professional, I was so disappointed to be confined to my home state for the summer.

It certainly felt like a loss at the time, but I quickly realized the loss was not just mine. With the world in a chronic state of emergency, you quickly learn to let go of your plans and expectations. You eventually stop mourning all the events, activities, trips and travels you were supposed to take. Instead, you yearn to merely be able to safely see your friends and family. You stop touching your face and start second guessing every cough.

Looking on the bright side, work from home has its perks!
Looking on the bright side, work from home has its perks!

Fast forward five months, I am in the last week of my practicum with only a week left before the fall semester begins. While my original practicum dreams dissolved, I was granted an amazing opportunity to do work I am extremely passionate. I am working with my faculty mentor (something which would not have been possible pre-COVID19) on a research project which examines the breastfeeding experiences of internally displaced Yazidi mothers in Iraq. The Yazidi are a Kurdish ethnic minority who were brutally and systematically targeted by the Islamic State (ISIS) in August 2014. Over a matter of days, 2.5% of the Yazidi population was either killed or kidnapped. Now globally recognized as a genocide, the events of 2014 have forever changed the lives and futures of this community. Through this project, we hope to better understand the unique challenges and needs of Yazidi women to ultimately improve the humanitarian response for displaced pregnant and breastfeeding women and their infants. Not only I am getting to work with a Middle Eastern population, I am also developing qualitative data analysis and manuscript drafting skills, all the while learning about a new topic area with which I was previously unfamiliar. A resounding theme that has stood out from this research is resilience. With so many tragedies constantly confronting the world today, my spirit is continually renewed by the resilience and strength of human beings. It’s a powerful reminder that nothing is ever guaranteed and that we must be grateful for every new opportunity and every new day.

Lein

All Eyes on Health Security

As I finish up my practicum with the Office of Pandemic and Emerging Threats with the US Department of Health and Human Services, I have been reflecting on how my areas of focus – epidemiology, health security, pandemic preparedness – have suddenly become topics of interest for almost every individual around the world. These issues that used to be reserved for a small but growing group of public health experts have now become the domain of dinner table conversations and social media posts. This made my practicum working with countries around the world on the Global Health Security Agenda and antimicrobial resistance feel increasingly important as we not only combat the COVID-19 pandemic but also consider how to better prepare the world for future pandemics and public health threats.

Exciting to see my work make its way onto the GHSA website as a resource for countries.
Exciting to see my work make its way onto the GHSA website as a resource for countries.

Much of my practicum focused on collecting best practices of sustainable financing for emergency preparedness and response, providing countries with practical steps and examples to mobilize domestic resources for building preparedness capacity and having funds available for rapid response. I spoke with countries such as Argentina, Republic of Korea, Italy, Nigeria, and Thailand on how they have been able to use national plans, legislation, and innovative financing mechanisms to fight COVID-19 and invest in broader preparedness. What I learned was that there is not one “right” way to invest in health security, but there are certain mechanisms that are extremely important to have in place. These conversations also brought me optimism, as one of the biggest challenges noted in the past was that Ministries of Finance and other leaders outside of health often failed to see the value or return on investment of preparedness. Now, with the economic impact of COVID-19 reaching unseen proportions, the return on investment of preparedness and prevention versus response is clear. While my time supporting these global initiatives has come to an end, I look forward to seeing how countries use the COVID-19 pandemic to make the case for investment in preparedness, not just response and economic recovery.

The benefits of a remote practicum include making the most of North Carolina's beautiful hikes.
The benefits of a remote practicum include making the most of North Carolina’s beautiful hikes.

My practicum was also a great reminder that while the world is currently focused on COVID-19, it is by no means the only public health threat we are facing. I also spent much of my practicum researching global progress on antimicrobial resistance, and providing recommendations for future multilateral commitments to ensure that we can continue to make progress towards addressing it. More broadly, we are also seeing how COVID-19 is affecting the delivery of childhood immunizations and life-saving medicines for diseases such as HIV, TB, and malaria, and it will be important to not lose sight of these other global health challenges as we combat COVID-19. I believe there has never been a more important time to be pursuing careers in public health, and I look forward to returning to campus shortly to continue to build my knowledge and technical skills to further health security.

Kirsten