Peace Corps Volunteer, Community Health
Lauro Moro reports on findings of a health assessment she conducted in Sao, Senegal and provides recommendations for future health programming that she will undertake during her Peace Corps assigment in Senegal.
The Role of Contractual Health Care Delivery in Post-Conflict Health System Development: Transferrable Lessons from Afghanistan
Afghanistan has emerged as a model for health system development for post-conflict, underdeveloped, and deeply poor nations. As a part of the post-Taliban reconstruction plan, the Joint Donor Mission established a contracting-out policy that encourages domestic and international NGOs to deliver a preset Basic Package of Health Services to efficiently and equitably distribute care and resources. The success of the contracting policy has not only improved population health, but has also allowed the Afghan Ministry of Public Health to strengthen its own technical and managerial capacity. This successful contracting model lies upon three unique caveats that act as takeaway lessons for other emerging and post-conflict nations: (1) building a monitoring and evaluation plan into the model, (2) maintaining the Ministry’s role as the ultimate authority while still engaging them through the creation of an education model to increase their capacity, and (3) building basic healthcare packages to be delivered nationwide, aimed at alleviating the most pressing and common healthcare needs. Future missions are encouraged to examine and adapt the model for possible implementation in other poor, underdeveloped, or post-conflict nations.
Implementation of a Nutritional Intervention for the International Service Learning Program in Tanzania
A nutritional intervention for an international volunteer service organization to improve health and nutritional outcomes of mothers and children.
Design and implementation of health programs
This directed study focuses on developing proposals for a local non-profit international health organization that can be submitted to a donor for funding.
As a course developer and facilitator Cristin will explore the methodology and structures of successful proposal development, develop and capture key information for proposal development that can be viewed on –line using Camtastia software. She will also be responsible for working with the Boston based NGO Circle of Health International (COHI). This work will involve serving as a liaison for COHI, speaking for its needs, priority and history of past projects, and helping to integrate the COHI Director, Leilani Johnson, into the course. She will prepare materials to provide students with an understanding of COHI’s mission, vision, immediate needs, long-term prospects, and current operating situation.
Peace Corps Volunteer, Benin
Improving and encouraging gender sensitivity among boys
Colleen, an MI internationalist MPH student, is currently serving as a volunteer in the Peace Corps in Benin, West Africa. As her directed study she submitted a proposal to the Peace Corps Development Partnership Program to support Camp Espoir, or Camp “Hope,” a boys’ camp, focused on improving and encouraging gender sensitivity among boys.
The proposed Day camps, each spanning four days, will be held in July 2010 in the communes of Ouaké and Manigri in the Donga department of northwestern Benin. Sixty boys in total will learn about gender norms, gender-based violence, sexual health, and healthy lifestyle choices through lessons, activities, and sports that will both challenge and stimulate their critical thinking, leadership, and teamwork skills. The camps are meant to encourage boys to think about gender norms and their daily consequences in a fun and safe environment. Camp counselors and junior counselors will act as role models as they facilitate lessons and guide campers through discussions of the diverse subjects of both camps. Both communities will contribute space for lessons and activities as well as essential teaching aids. Community members will also donate their time to work as counselors or lead particular sessions. Partnership Program funds would be used to pay for basic teaching supplies such as flipchart paper, meals for campers and counselors, t-shirts, and per diem for career panel participants.
Colleen’s proposal including an executive summary, background information, a monitoring and evaluation plan, an implementation and sustainability plan, and a detailed budget was funded by the Peace Corps. The project will be implemented in the summer of 2010. Click here to see her proposal. Longacre MI Directed Study Grant Proposal.doc
Touch a life
In 2006, one-third of Ghanaian children were engaged in hazardous labor. More than half, 1.2 million, were working in agriculture, forestry and fishing. Although Ghana has enacted several laws and policies to eliminate the worst forms of child labor in the public and private sectors, ineffective and inconsistent enforcement have limited their impact.
The increasing incidence of child labor in Ghana has raised international concern. Several organizations committed to eliminating hazardous child labor, including the International Labor Organization, International Organization of Migration, and the United States Department of Labor, have begun collaborating with the government of Ghana to develop and implement programs to eradicate child labor. One successful collaborative effort to reduce child labor in the cocoa industry provides a template for other industries. The purpose of this paper is to examine how the techniques used by the International Cocoa Initiative to reduce child labor within the cocoa industry can be adapted and applied to reduce the incidence of child labor within the fishing industry on Lake Volta. Take a look at Emily George's CE.
Evaluating the reach of the T 5 Program using social network analysis
Teaching the Teacher to Teach (T5) program is a partnership for faculty development with Boston University School of Public Health, the Indian Council of Medical Research (ICMR), and the Public Health Foundation of India (PHFI). It is co-directed by James Wolff, MD, MPH and Rob Schadt, EdD, Director of the Office of Teaching, Learning and Technology at BUSPH. Currently in its second yearselected faculty from PFHI and ICMR attend a three week session at BUSPH whose goal is to “develop in faculty the capacity to improve the learning environment in schools of public health in order to produce leaders who have practical competencies to act as change agents to improve public health.” (T5 Program Facilitators Guide)
The purpose of this project will be to evaluate the reach of the T5 Program through analyzing the social networks of the participants using the NetDraw software. In analyzing the networks, I hope to determine the reach of the program and how far the concepts and techniques taught in Boston have been disseminated. At the completion of the project, I will prepare a report with my findings. If I have found a positive result in the evaluation the report will also be disseminated to donors and stakeholders such as the PHFI and ICMR.
Cultural Competencies, online training module
The main objective of this project is to provide a resource to students which will better prepare them for the cultural challenges of an international practicum. I will use the knowledge I have gained through my experiences as a Peace Corps volunteer, corporate trainer, and a MPH student to create an online training module. This module will be aimed specifically at students who have very little to no international experience. The expected outcomes would be an initial exposure to specific issues students encounter as foreigners working in other countries/cultures.
Take a look at Rachel's completed project on cultural competence that is now available on the School of Public Health Website to provide cultural competency training to students who will be doing international practicums. http://sph.bu.edu/otlt/prax/html/home.aspx
Revising the Landscape: A Call for Customized Intervention to Combat the Root Causes of Violence against Namibia’s Women and Girls
One in three women in Namibia experiences sexual or physical violence in their lives. One in five has experienced this violence in the past year . These disturbing prevalence rates rise steadily each year in Namibia despite the fact that just five percent of all episodes of violence are ever reported. The great majority of Namibian women have been raised to accept male violence as a necessary byproduct of their patriarchal, polygamous world where male promiscuity is encouraged, police neglect is accepted, and violent traditions are deeply imbedded in culture and identity.
A successful public health response to violence against Namibia’s women requires commitment to justice and immense cultural sensitivity. A closer look at culture reveals Namibia’s patriarchy at the center of the nation’s legal structure, traditional customs, education system, media channels and gender roles. Because male dominance and privilege is so central to the culture and tradition in Namibia, any solution to female violence must acknowledge the role of patriarchy in propagating these human rights violations. While Namibian activists have primarily focused on female initiatives, new efforts must show an increased attention to the role of patriarchy and a commitment to educate men and inspire lasting behavior change.
This paper will describe the prevalence, causes and types of domestic violence in Namibia and make recommendations for an enhanced response to the repression and abuse of the nation’s female population. It will also draw specific attention to the role that patriarchal norms play in Namibian violence and suggest strategies for inspiring responsibility and behavior modification in male populations. Check out Jessica's blog created during her two year assignment with the Peace Corps in Botswana.
Emergency Medical Services in International Health
Global Emergency Medicine
Curriculum development for a course intended for international health students who have a specific interest and/or background in the field of emergency medical services. The class will benefit from the students’ different experiences related to EMS, both domestically and internationally but will need to be small enough to allow for intense analysis and group work.
Mayra I. Nicola
Cervical Cancer Screening Programs: A Latin American Perspective
Developed countries have dramatically reduced incidence and mortality rates of cervical cancer over the past 40 years. Well-organized screening and treatment programs, scientific advances in the understanding of the epidemiology of cervical carcinogenesis and the causal role of the human papillomavirus (HPV) have contributed to the impressive reduction of cervical cancer in developed countries. Despite medical, public health and health policy advances in reducing cervical cancer, the disease remains a significant public health problem in the countries of Latin America. Latin America and the Caribbean have some of the highest cervical cancer incidence and mortality rates in the world, being only surpassed by East Africa and Melanesia. (PAHO, 2004). Epidemiological studies suggest that incidence and mortality from cervical cancer are projected to increase in Latin America and the Caribbean by 2020. (Murray et al., 1996).
Teaching and Group Facilitation
IH887 Teaching and Group Facilitation for Planning and Managing Child and Maternal Health Programs with an Emphasis in Child Health
Improving and creating content and teaching methodologies and integrating field experience in Designing and Managing Maternal and Child Health Programs
Provide an analysis of the curriculum for Maternal and Child Health in developing countries with an emphasis on child health and make suggestions for improving or creating content and teaching methodologies, integrating field experience and knowledge to develop and deliver an improved curriculum, further developing expertise in MCH program planning and management,identifying and make suggestions for changing existing or creating new content for the courses, developing a framework for systematically improving teaching techniques for graduate level education.
Facilitating class discussion and working with students during the proposal development process