Working from Home with the World Bank

My work from home setup: complete with a makeshift standing desk, breakfast, and UNC memorabilia.
My work from home setup: complete with a makeshift standing desk, breakfast, and UNC memorabilia.

As I inch towards the end of my master’s program and the real-world beckons, it’s been challenging to articulate my immediate and long-term career ambition to friends and family. I am still working on my elevator pitch, and I can’t fault those for whom the words “development,” “social determinants of health,” and “malnutrition interventions” makes them nod in vague understanding. To begin with, the world of healthcare is esoteric, and until around March 2020, few laypersons had given any thought to what public health as a discipline was all about. When I am doing a good job of describing my career interests, I say something to the effect of, I want to focus on the challenges associated with reducing global health disparities and addressing upstream determinants of poor health outcomes. To the greatest extent possible, I believe healthcare systems should promote health, rather than treat disease. That is why I’m passionate about nutrition and the potential it has to spur improvements in the quality of life for individuals, families, communities, and nations. As evidence, take the World Bank’s estimate on economic loss due to undernutrition. The cost of undernutrition (defined as stunting, wasting, underweight, and micronutrient deficiencies) is projected to be 2-3% of gross domestic product (GDP) on average and as high as 11% of GDP in some African and Asian countries each year. Likewise, the costs of overnutrition, commonly manifest as overweight and obesity, are linked to expensive health expenditures associated with chronic non-communicable diseases such as type II diabetes and hypertension. Investment in nutrition is too important for governments and nations to ignore.

Given my passion for global nutrition and global health, this spring and summer I am partnering with the World Bank as a Short-Term Nutrition Consultant. The experience will serve as my Advanced Nutrition Experience for the MPH with registered dietitian training program. I will contribute to the report Positioning Nutrition within Universal Health Coverage: Optimizing Health Financing Levers. The project seeks to provide practical knowledge for policymakers about how health financing can be used to improve nutrition service coverage and quality.  I am responsible for conducting desk reviews for several low and middle-income countries (LMICs). The project’s final deliverables include a policy note and country case studies that will be presented at the 2021 Nutrition for Growth summit in Tokyo.

I’m excited by the opportunity to work with such an established and well-connected organization. During this experience, I look forward to working with highly intelligent, highly motivated people who are trying to solve some of the world’s most pressing issues around hunger, malnutrition, and overnutrition. I hope to walk away with a bird’s eye view of the nutrition situation in LMICs, and a deeper understanding of the day-to-day tasks of a nutrition specialist. Finally, I’m grateful to be working with a team of experts on the project! So much of the past year and a half has been spent in academic isolation. During my experience I will still work remotely, but I’ll get the opportunity to participate in weekly conference calls and collaborate on document drafts with the team. Hopefully by the end of the summer I will have my future plans elevator pitch perfected!

Until next time,

Ashley

New Year. New Blogs. Some remote. Some travel.

blue world globeGuess who’s back, back again. We are back for another summer of blogging by our Master of Public Health students working in public health practice! Last year our students had to pivot to all things remote due to the pandemic and you followed their journeys. This year, we still have most of our students working remotely, but do have a couple students abroad.

Meet our bloggers:

  • UNC Gillings Zambia Hub bloggers: Emma, ‘Desola, Melissa, Liana, Renee, and Olu
  • Global Practice Award bloggers: Keely, Katherine, Ashley, Tiffany, Lauren, and Jaclyn
  • Global Health Concentration Award bloggers: Rassil, Hadas, Ian, Erin, Sydney, Paulina, Abby, Gabbi, Alaa, Fouad, Miles, and Bridger

We hope you enjoy reading about their individual journey’s this summer!

Juggling a Practicum Alongside School

As the semester winds down and final assignments are being turned in, you can practically hear the collective sigh of relief from Gillings students over our Zoom calls. Though it does not look like class formats will be much different in the Spring, it is still a relief to have our first all-remote semester under our belts. And of course, next semester we will not have the added stress of election season, and hopefully the rollout of COVID-19 vaccines will help instill the optimism that has been waning over the last few weeks as case counts soar. But for me, there is yet one more reason the end of this semester stands out from others: I finally get to double down on my practicum with the National Institute of Environmental Health Science’s Disaster Research Response Program (I’m still trying to fit that into an elevator pitch. Any suggestions are welcome.) I am currently finishing my first deliverable, an asset and needs mapping report for the ASEAN region, and will soon be getting started with the second, a program plan for disaster research response.

I remember hearing from a second-year student last fall that she had started her practicum quite late and was still working on it. “That definitely won’t be me,” I remember thinking. Well the joke is on me. That is exactly what happened, although the circumstances were somewhat different and involved a pandemic.

That said, having an extended practicum has actually been, for the most part, a fantastic experience. For any first-year student reading this who is weighing priorities and struggling to make decisions, keep this in mind:

A longer practicum:

–       Gives you more networking opportunities

–       Allows you to apply even more skills that you will be learning in your third semester

–       Gives you time to absorb more

–       Gives you the option of taking on bigger projects

–       Looks better on a resumé (Disclaimer: I don’t have a job yet, so take this with a grain of salt)

Keep reading, though. Before you open a new tab to start booking that summer trip to Australia that you have been dreaming of every day since March while waiting for your sourdough to rise, keep the following points in mind.

Coupling a practicum with class coursework can:

–       Make it difficult to juggle additional extracurricular activities

–       Challenge your sleep schedule

–       Cause you to doubt whether there are actually 24 hours in a day

–       Make you forget that all your classes are in the same time zone

Partially completed "checklist" of tasks to keep me motivated while working on the assets and needs mapping report.
Partially completed “checklist” of tasks to keep me motivated while working on the assets and needs mapping report.

Juggling both coursework and a practicum has been difficult at times. I’ll admit, there were nights I did not get quite as much sleep as I should have, and on a couple assignments I started reciting the age-old wisdom, “Ps get degrees,” something you never would have heard me utter nine months ago. But the benefits have outweighed the costs. I came to my MPH program thinking the practicum would be the most important part of my time here, and I wanted to take full advantage of the opportunity. What better way to take full advantage of it than to make it three times longer than intended? I have had the opportunity to attend far more meetings, meet more professionals, do more research, and take on much larger deliverables than I could have done in the standard 5-week practicum. I have learned how to juggle completely different but simultaneous responsibilities, and to communicate openly when a suggested deadline just did not seem feasible. I have devised little tricks for keeping myself motivated, such as breaking up tasks into ridiculously little sub-tasks and posting them on my wall like one enormous checklist. And I have finally learned how to set aside “me” time.

While the semester has been great and I have enjoyed all my classes, I cannot wait to submit that final assignment so that I can truly focus on my practicum. With the extended winter break, it will be great to have something to occupy my time, and I look forward to taking advantage of even more benefits now that I can dedicate my attention to my work with my preceptor.

– Tamara