Remote work on remote regions

If you had asked me a year ago what I planned to do for my practicum experience after the first year of my master’s program, I probably would have laughed and said that I was just happy to have finished my undergrad degree and to have survived the final few weeks of online classes. I wasn’t expecting to spend the past year fully remote, and I definitely wasn’t expecting to be working on a globally focused practicum from the comfort of my Chapel Hill apartment. What I did know a year ago, however, is that my passion for environmental health, clean water and sanitation, would drive me toward a career that allows me to work with communities on global projects for the purpose of improving public health overall.

Even as a child I felt a deep sense of belonging to the natural world around me – growing up in rural North Carolina, I always felt safest surrounded by trees and bugs and the smell of wet leaves. I felt it was my duty to protect this place that also protected me. I now know that our relationship with the environment is symbiotic: by protecting the environment and improving environmental health, we also improve human health. Perhaps the most important resource to sustain this human-environment relationship is water; without it, we would simply not exist. Global access to clean water and sanitation is of utmost importance; for this reason, I decided to take on this practicum opportunity researching interventions targeting sanitation-related behavior change in the developing world – particularly the safe disposal of child feces in the Asia-Pacific region. Poor child feces management is a public health problem of particular importance in this region, especially due to the high risk of enteric infections among children, whose immune systems are not fully developed. Some of the health outcomes associated with these unsafe disposal practices may include diarrheal disease, soil-transmitted helminth infections, and stunting. This project will involve collaboration between Gillings and the humanitarian organization World Vison, which works closely with communities most impacted by the health outcomes associated with inadequate water and sanitation. Thus, I will be exposed to real-world interventions that incorporate the type of community engagement that I want in a career.

My three cats – Grandpa (top left), Franklin (right), and Rosemary (bottom left)
My three cats – Grandpa (top left), Franklin (right), and Rosemary (bottom left)

I always feel proud to tell people that I’m working on my MPH at Gillings, the top public school of public health in the nation, though I never really know what to say with regard to what I actually do on a daily basis. I typically tell people that I work in environmental public health, which is usually met with an “Oh! That’s a really important field nowadays!” Which is especially evident in the era of COVID-19, but I would argue that public health is always important, or was perhaps even more important just before the pandemic as we failed to protect our most vulnerable from this deadly disease. Plus, “I work with child feces” doesn’t really make for good dinner table conversation.

Although I used to dread all this remote work, I’ve actually found it more rewarding to set my own schedule and goals. I also get to spend a lot of time with my cat and foster kittens! With three cats I’ve definitely gotten a lot of real world experience with feces management.

Feeling hopeful for a productive and rewarding summer!

-Lauren

Silver Linings and Working Remotely

 A family of ducks I encountered on a recent lunch break kayaking trip!
A family of ducks I encountered on a recent lunch break kayaking trip!

Although I certainly did not see us doing remote practicums when I committed to come to Gillings in March 2020, I continue to try to find the silver linings in things being remote. One of my favorite silver linings is being able to prioritize being outside with family and friends, this also helps keep me motivated and energized when it comes to my practicum work.

My name is Sydney McIntire and I am a rising second year MPH Student in the Global Health Concentration. I am originally from Bradford, Vermont, where I am doing my remote practicum work this week. My background is in Community and International Development and the projects that I previously worked on have focused on nutrition and agriculture with primary school aged youth. Going into the MPH program I knew that I wanted to shift towards maternal and child health, so I am very excited to be working with UNC and Kybele on the Making Every Baby Count Initiative 2.0. MEBCI 2.0 is working towards improving advanced newborn care in four tertiary hospitals in Ghana by using quality improvement, systems thinking, and implementation strategies. These strategies are used to work on systems strengthening of healthcare facilities in which interventions to reduce neonatal mortality will eventually be implemented. During my practicum I’ll be working to create PowerPoint slides and a training manual for the quality improvement foundational training for staff at the four high referral tertiary hospitals.

The neighborhood cows and sunset after finishing up work on 6/4!
The neighborhood cows and sunset after finishing up work on 6/4!

I have always wanted to work in an organization that utilizes systems thinking so I am really excited that my practicum combines this with a focus on maternal and child health, it feels like the perfect match. My preceptor is a Gillings alum and it’s great to have someone who understands that position we are in and is dedicated to making it a mutually beneficial experience. I’m also looking forward to just having the opportunity to apply the skills we have begun to learn in classroom settings to real-world settings.

Here’s to always trying to find the silver linings

Sydney

Focusing on the bigger picture

My favorite walking trail (Bolin Creek Trail in Chapel Hill)
My favorite walking trail (Bolin Creek Trail in Chapel Hill)

As I was searching for a practicum, I knew I would be working remotely and that my global experience would remain local this summer. Regardless, I was overjoyed and excited when I was brought on to work with a research team from Argentina. This summer, I am assisting in an ongoing research study that is supported by the Institute for Clinical Effectiveness and Health Policy (IECS), an organization located in Buenos Aires that develops research, education, and technical support activities in Latin America and around the world. The IECS project I am assisting with this summer is studying the effects of calcium-fortified water and flour on hypertensive disorders of pregnancy (HDP), such as preeclampsia. I will be writing concept notes promoting the fortification initiative and contributing to a literature review on the mechanisms by which calcium intake influences the development of preeclampsia. As someone with a background in nutrition science, I am thrilled to be a part of such an amazing project, while also gaining experience in the area of maternal health— another passion of mine.

From the beginning, I was so excited to start my practicum and could not wait for a summer of learning and growth. However, when my practicum began a few weeks ago, life felt very similar to my typical school routine—wake up, log on to Zoom, work, take my daily walk (see photo on the right), make dinner, watch Netflix documentaries with my roommates, and go to bed. Right away, I started to feel disconnected from my work and a bit disappointed in myself for feeling this way. I quickly realized that it was my own responsibility to change my perspective and find a way to become more engaged in my practicum experience. From then on, I have integrated daily gratitude and affirmations into my work routine. Every day, I remind myself that my practicum work is no less meaningful as a result of being remote and that I am contributing to something bigger than myself. These affirmations are so important because sometimes, they get lost in the mundane when working remotely. Since beginning this “perspective-shifting” work, I have seen a difference in my attitude and mental outlook because I am truly excited and grateful to engage in the work I am doing! In only the first few weeks, I have learned the importance of keeping a steady mindset focused on the big picture and remembering that I am responsible for my practicum experience, especially in these unprecedented times.

For anyone beginning their practicum, here are a few of my daily affirmations that you can use as you begin your practicum experience:

  • My work is no less meaningful as a result of being remote
  • I am contributing to something bigger than myself
  • I am grateful for this opportunity because it will help me grow professionally and personally
  • I accept responsibility for my own practicum experience and personal development
  • I am doing my best and am proud of myself!

Good luck!

-Paulina