The Spring!

We have been working heads-down, diligently this spring. Every group is on time and on track, finalizing curricula, books, or health projects for our trip to Belize in June. This spring has brought so many new things. First and foremost, our lovely director Mrs. Hall welcomed a new baby boy into this world! Within the program, we have been challenging ourselves to question the sustainability, monitoring and evaluation, and organization of our projects.

A visitor, Tara Eskander (NA ’03), came to speak with us about Logic Models! She led us in a serious intensive that helped us take a step back from our projects and see them from the outside. We left the lesson with valuable, constructive, comments and questions to address about our projects.

Other than that, everyone has been working extremely hard on their Belize projects. Everything that needs to be ordered has been ordered, curricula have been critiqued to take their final form, and the future travelers are getting closer to their trip. It’s all exciting! The seniors are sad to be missing the trip this summer, but we are working on a scrapbook to be passed down to future generations of Global Health Fellows. The end of the year is approaching us quickly; here’s to a spring of hard work!

Duke FIP Conference

Written by Madeleine Munn ’19.

Nine of our lovely GHFs attended the Duke Fitzpatrick Institute for Photonics for their 2019 FIP Symposium of Science and Photonics Technology. The symposium is two days of speakers, photo sessions, and panels. The GHF group left NA at 6:00 Tuesday morning (fueled by donuts from Mrs. Goodson), and left after lunch and shopping at the Duke student store. It was a wonderful day of early morning driving, interesting new knowledge from the world of public health and engineering, presentations about our projects, and fun road trip riddles on the way home. Here are some more details from a few of our students today…

Part One: Panel

Written by Erin Clayton ’21.

We were greeted by the staff and faculty hosting the conference and reconnected with Dr. Robert Malkin. Dr. Malkin is a Professor of Biomedical Engineering and Global Health at Duke and is also the Director of the Global Public Service Academies, or GPSA, who the fellows travel with to Belize over the summer.

GHFs gather before the panel at the FIP Conference

We were soon shuttled into a panel discussion, focused on Global Health STEM Outreach and using students in public service settings. The panel was moderated by Brittany Ploss, the project manager at the Duke Center for Applied Genomics and Precision Medicine and the Assistant Director at GPSA. Panel members included the aforementioned Robert Malkin, Leslie J. Calman, and Tamara Fitzgerald. Leslie J. Calman is the CEO of Engineering World Health, a nonprofit focused on using undergraduate and graduate students to fix equipment in developing settings. Tamara Fitzgerald is the Assistant Professor of Surgery and Assistant Research Professor of Global Health at the Duke School of Medicine.

Panelists discussing students working in global health

The hour-long panel began with a question on the impact on communities with global health work as well as the impact on students. When regarding impact on the community, all three panelists agreed that impact is greater when it is a local community led campaign instead of outside forces. The conversation then transferred into capacity building, discussing the difficulty of finding jobs and salaries for people once they are trained. Next up was the question of the biggest issues the panelists were presented with. They discussed finding information from reliable and trustworthy sources. Next, Dr. Malkin touched on culture shock for students and the importance of patient interaction and support. The discussion came to a close with a question by Sahib Chandi (GHF ‘20) on the “brain drain” and how to prevent trained doctors from leaving. Brain Drain is a term coined by global health experts to describe when affluent, educated people leave a developing country and move to a country with access to better resources and higher salaries. While the panelists admitted they had no solution to doctors moving to developed countries, they agreed that investment from governments and private organizations is the best way to provide enough incentive for educated people to remain in countries lacking certain benefits. The panel provided an excellent opportunity for the fellows to continue to expand their knowledge of global health and I am thankful to have had the opportunity to attend the conference!

Part Two: Poster Presentation

Written by Sahib Chandi ‘20.

After we attended the panel discussion with Dr. Calman, Dr. Fitzgerald, and Dr. Malkin, we presented posters of our project work in Belize to those attending the Global Health section of the FIP conference. Our project presentations included our Health and Nutrition curriculum, Women’s Empowerment Curriculum, Technological Literacy, Community Exercise Initiatives, and advocacy and support of Community Health Workers. As graduate students and professionals in the field came to our posters, we had some very interesting discussions that we did not expect to have. Particularly, as my group presented our work with Nutrition Education, new conversations ranged from food deserts, approaches to sustainability, and the language barrier of working on the field.

Andrew fielding questions on community health workers

James and Ella discussing their work with increasing activity level in adults

Madeleine and Anaiya discussing their curriculum

Connor and Leila fielding questions about their tech curriculum

Back to Madeleine… As you all can see, the conference was a fantastic opportunity not only for learning, witnessing, and supporting, but also for sharing our work with people who could offer valuable feedback. Now, back to work with eyes toward Belize 2019!

 

December/January

Hello all! This blog post is a combined look at the beginning of December and the entirety of January, considering both of those months were shortened by Winter Break. Here’s what we’ve been up to…

The seniors have been working hard on our Factfulness chapel. It is coming up in a few weeks and we are getting ready! We have created a Kahoot quiz for the Upper and Middle School students to take prior to the chapel, after which we will compile the data to convey it to everyone during the actual chapel. The seniors will be running through the chapel in front of the rest of the GHF’s to practice! We are eager to show the student body Hans Rosling’s look at our world more clearly to push back against the negative worldview that has become increasingly common.

The 20s and 21s continue presenting their case studies to each other. The 21s are gaining valuable insight into the public health field and the various interventions it has seen. Ells just presented a case study about an intervention for measles in South Africa.

The 20s have decided to dedicate the rest of the second semester (and possibly next year!) to creating a reference source for global health in the form of a book. They have broken it up into chapters and sections and are embarking on exciting research for their project. They have tackled this project in order to create a helpful source of information for the current fellows but also the future Global Health Fellows! An insider (the lovely Miss Julia Duarte) says that the book will cover everything from non-communicable diseases, to mental health, to refugee crises, and beyond! Much encouragement to our 20s on this new venture!

As a program, we are steady in our hard work on projects for Belize. The 20s and 21s have stepped up to continue these projects after the seniors graduate and the seniors are giving it their all in these last few months. Our projects continue to grow, even as they face challenges, much like us as students and Global Health Fellows.

As January comes to a close, we continue to work, heads down, grateful for this talented group and eager for our continued partnerships in Belize. Happy February!

Written by Madeleine Munn ’19.

Dr. Tiffany’s Neonatology Visit

Written by Ella Davis ‘21 and Erin Clayton ‘21.

The GHF ‘21 and ‘20 cohorts recently had the pleasure of enjoying a discussion with Dr. Kenneth Tiffany, a Neonatologist in the NICU at the Children’s Hospital of the King’s Daughters. His visit correlated with topics that the ‘21s are diving into. We are currently conducting interviews with mothers on pregnancy and birthing experience, as well as creating a better understanding for global maternal and infant health. Dr. Tiffany first told us about his career path to becoming a neonatologist and the many years of education that was required to become a doctor. This included a fellowship of two years working in the field of his choice – neonatology. After years of hard work, he began actually seeing patients at age 35. He also mentioned the various birth defects that he sees in his daily work, ranging from Gastroschisis to Cleft Palate. Additionally, we talked about the different physical features of these defects and how to notice them after birth: upward slanting eyes, small head, and short neck for Down Syndrome, and a smooth surface between nose and upper lip as well as an upward facing nose for Fetal Alcohol Syndrome. We particularly enjoyed Dr. Tiffany’s perspective on doctors’ shift hours. While many believe doctors should be given shorter shifts, he thinks this is a step in the wrong direction, for after certain amounts of time, their actions become instinctive. Without these longer hours, these instincts would be taken away, and surgeons run the risk of leaving the operating room mid-surgery, being replaced by newer (potentially less informed) doctors. Lastly, our favorite part of the presentation was when Dr. Tiffany shared his advice on preventing birth defects and prevention tips to share with the people we work with in Belize. One of these tips was preventing Fetal Alcohol Syndrome by educating mother’s to not drink during pregnancy. Thank You Dr.Tiffany for taking the time to help the fellows understand the work of a Neonatologist!

November

Written by Madeleine Munn ‘19.

Happy Thanksgiving and happy beginning of winter! This month has seen hard work for the Global Health Fellows. The boys’ team won the senior case competition and the prize of three Moe’s gift cards. We have broken up into project groups and begun project work! We have groups working on a family exercise class, a health and nutrition curriculum, a clinic, a technology curriculum, and for my group, women’s empowerment, two more books and finishing the empowerment curricula. The 19s are furthering their Factfulness chapel plans in their meetings, and the 20s and 21s are extensively studying and presenting case studies. Project groups have made deadlines and are working hard on these projects for June 2019. Every cohort continues their leadership development in leadership meetings. Recently, the 20s have sent ‘cold’ emails to their contacts and the 19s have taken a deeper look within the entire Fellows Program for an evaluation of a program we hold so dear. Things often seem to slow down in the winter, but not for the Global Health Fellows!

October

The Global Health Fellows are lucky to live in a world where there are Octobers, as LM Montgomery puts it. We have given our presentations on community health workers in the public and private sectors of Asia, Sub-Saharan Africa, and the Americas. Everyone did a unique job deciding what information to include in the presentation. Overall, we reached conclusions about the things that maintain a well functioning community health worker system and reinforced the effectiveness of having community health workers. We then focused ourselves back on Belize. Using the information we heard in the presentations, each group was tasked with creating a pitch tackling the community health workers in Belize. We had some extremely interesting pitches ranging from improving data collection, to tackling drug compliance, to improving the home visit system.

The 20s and 21s continue to meet together to present and discuss case studies in pairs. They are learning a lot about effective and ineffective public health interventions.

The 19s are in a heated case competition- boys vs. girls! Each team of three will study this case (link case!!!!!) and present it to the entire GHF program. Our wonderful faculty leaders will determine a winner and they will be able to hold it over the other group for the rest of the year. In all honesty, it is an extremely interesting case and I am eager to see what both groups come up with!

Happy end of October everyone. The Global Health Fellows are digging in!

 

20s Observe Cataract Surgery

Written by Sahib Chandi ’20

The Global Health Fellows class of 2020 departed early in the morning this last Thursday to the Virginia Eye Consultants. Along with Mrs. Goodson and Ms. Nasimiyu, we each had the rare opportunity to witness two cataract surgeries. Once we arrived to the Norfolk office, we were given a tour of their facility, which featured an array of administration offices, examination rooms, as well as a multitude of the latest technology for eye exams. Some of these machines were even able to determine certain topographical information, a clearly formative turn in Optometry. We were also shown a room dedicated to LASIK operations for eye correction surgery.

GHF 20’s enjoy a morning at Virginia Eye Consultants!

At the end of the tour, we were taken upstairs to the surgical units, where we each watched two cataract surgeries. Since we divided into smaller viewing groups, some of us saw the implementation of different lenses, of which included toric and multifocal lenses. I had the opportunity to view the multifocal lens, which, by indication of our hostess, had distinguishable rings in its appearance. This recent advancement, unlike monofocals, improves all aspects of vision along with cataract removal. Therefore, many patients no longer need to wear glasses or contacts after surgery. Since only three of us were allowed in a viewing room at a time, the other three of us sat in the lobby and discussed the surgeries we saw. Some of the discussions began with expressions of astonishment at the miraculous nature of this surgery. I especially expressed awe at the complete removal of the clouded lens, a quick, yet delicate process.

Personally, I was most astonished by the ease and speed at which the surgeon performed the cataract surgeries. Each surgery, took about 15 minutes in total, for the removal and replacement of the clouded lens. After seeing this process, I can say that this surgery has an extreme potential to improve the quality of life of those who live with cataracts, but have inequitable access to healthcare. Along these lines, the 20s will meet and discuss a specific case study in India which tackles this problem. Through our discussion, we hope to apply what we learned from this experience to a service-oriented context.

 

September

Written by Madeleine Munn ’19.

Hello all!

The Global Health Fellows have had a busy beginning of the new school year! We spent time discussing our time in Belize and our goals for this year. We have divided into mixed groups and are studying community health workers in Asia, Sub-Saharan Africa, and the Americas in the public and private sector. We are working toward presentations to the whole group at our next meeting, during the first week of October.

Individually, the 19s have come up with a plan to give an upper school and middle school chapel regarding the book Factfulness: Ten Reasons We’re Wrong About the World – and Why Things Are Better Than You Think by Hans Rosling. We plan to do it second semester after the college craziness dies down. Speaking of college, the 19s have crafted their addenda to their college applications explaining the Global Health Fellows. Only a few more months until applications are in…

The 20s and 21s meet together. At their most recent meeting, Mrs. Goodson introduced the case study protocol to the 21s and talked about the value of case studies. She highlighted the six elements of success, which we use to evaluate case studies, and the important points to touch on when presenting a case and its background. Sahib kicked off the season of case studies with his presentation on Maternal Mortality in Sri Lanka.

It’s been a great first month of school and Global Health (except for Hurricane Florence!), and we are so excited to keep up this great momentum!

Museum of Natural History’s Outbreak Exhibit!

GHFs visit the Museum of Natural History by Madeleine Munn (2019)

GHF 20s at the Outbreak exhibition!

On Saturday we visited the Smithsonian Museum of Natural History before hitting the road toward home. There was a fascinating exhibit called “Outbreak” about infectious disease and the way it is spread. Plus, we visited the rest of the museum- and some of us immersed ourselves in butterflies! What a perfect way to end a fabulous retreat. We had a long, hot bus ride back, just reaching home before it started storming. We are so grateful to all of the organizations we met with in DC this week- they are doing the work we are inspired by. This retreat was a perfect way to keep us moving forward into the school year. Here’s to a new season of life and learning!

 

 

GHFs Visit JHU’s Bloomberg School of Public Health

Friday’s Visit to Baltimore by Erin Clayton (2021)

Connor (’20), Ells (’20) and Ingrid (’19) stop to pose on their tour at JHU’s Bloomberg School.

On our 3rd day in DC, we boarded the bus for Baltimore at the early time of 7:15, already filled up on breakfast from our hotel. Everyone was tired after the long day of Thursday, but our excitement about visiting Johns Hopkins overpowered our lack of sleep. After a short 1 hour bus ride to Baltimore, we arrived to Johns Hopkins Bloomberg School of Public Health and were met by Taryn Mallonee and Lauren Black, the director and assistant director of recruitment, communications, and events for the school of Public Health. After they led us to our conference room, Ms. Mallonee and Miss Black asked us about our own interests in Global Health and our favorite experiences in the field. I thought this was unique and something that we had rarely been asked on the trip. We then had the opportunity to learn all about how the Bloomberg School operates and about the student body. One of the aspects of the conversation I found particularly interesting was how of the 10 divisions of the school, one of them was Mental Health. I thought it was interesting how Johns Hopkins is the only school of Public Health that has a specific Mental Health program. The admissions experts also informed us on the great extent of Johns Hopkins research. After our first session, Ms. Mallonee and Ms. Black took us on a tour of the Bloomberg school building and also John’s Hopkins Hospital. We saw everything from labs, classrooms, and lecture halls to the gym, coffee shop, and study rooms. The facilities were beautiful and it was a great opportunity to see the work in action.

GHFs learn about the research of JHU Public Health students around the globe.

After the tour and a quick break, we had a Q&A with faculty member Dr. Donna Strobino, a professor and vice chair of Education in the department of Population, Family, and Reproductive Health. Professor Strobino was very knowledgeable about topics especially related to our work on Women’s Empowerment in Belize. She also reassured everyone that is ok to not know what you want do, and even made the fellows all laugh saying she did not know what she wanted to do. After Professor Strobino’s educational discussion, we had a second Q&A with current doctoral student Justin Jacob, who is a part of the department of Biochemistry and Molecular Biology. Justin’s presentation described his unusual undergraduate path which involved multiple major changes, work at the Center for Disease Control that was unrelated to his studies, and ultimately ending up back at Johns Hopkins doing what Justin believed he was meant to do. This discussion continued our topic of how you do not really know where you will end up until you get there.

Madeleine Munn (GHF 19) asks Dayna Myers questions about Global Health NOW

After our morning at the University, we had a lunch break in the Hospital cafeteria followed by a break time, where my cohort went to  a coffee shop to discuss the morning’s events! We returned back to the Bloomberg School of Public Health and then had a fascinating meeting with Dayna Kerecman Myers from Global Health Now. Global Health Now is an online publication and subscription service where the most important Global Health related articles of the day are published or republished from other publications. All Global Health fellows subscribe to the website and so it was an amazing experience to hear about the behind the scenes aspect of the website. I was impressed how Ms.Myers wakes up at 5am every morning in order to publish the days newsletter. After meeting with Global Health Now, we loaded onto the bus to drive back into DC and to our surprise visit to the World Bank Group’s Visitor Center. We enjoyed a in depth and detailed tour by a volunteer tour guide, which outlined the World Bank’s efforts since its founding. We finished off our last night with a delicious dinner at Bar Louie and some ice cream from Haagen Daz.