Lietman Fellows Reflect | Global Health Experiences in Peru & Bangaldesh
In June 2016, Dr. Bansar Shah traveled to Bangladesh in order to conduct a needs assessment of a community-based acute/emergency care program with the partner organization the Center of Injury Prevention and Research, Bangladesh (CIPRB). Dr. Shah was funded by the Center for Global Health's Paul S. Lietman Global Travel Fellowship for Residents and Fellows. Dr. Shah explains the overarching goal of the project is "to create a community-based acute/urgent care program" that "would be sustainable and fit for the rural parts of Bangladesh. Dr. Shah and her colleagues from CIPRB embarked on one of the first steps, a needs assessment, which entails:
visiting the healthcare facilities at each level and interviewing the healthcare providers about their ability to provide emergency care, what they see as barriers and what would help their situation. The other piece is the thoughts, perceptions, and needs of the community for which we are holding focus groups. In order to make sure we get to hear from all parts of the community, the focus groups are held with men, women, and the elderly separately.
When reflecting on her colleagues at the CIPRB office in Bangladesh, Dr. Shah wrote:
The local CIPRB office had done such a perfect job in coordinating our proposed schedule that the challenges one would expect in the rural area (I.e. road blocks, participation hesitation, Ramadan challenges) were non-existent. To say I was impressed would be an understatement.
Dr. Kaniz and Burhan (the two research associates who traveled with me from Dhaka) conducted all of the interviews. Their abilities to engage each participant and expand the suggested question list was skillful. I don't think I could have done it as well even if the groups were conducted in English.
Read Dr. Shah's full reflection on her time in Bangladesh!
The Paul S. Lietman Fellowship brought Dr. Robert Klapheke to Iquitos, Peru during May 2016 to work on a project with Margaret Kosek, MD at the Johns Hopkins Bloomberg School of Public Health developing an enzyme and study how it's actions may be linked to diarrheal microbes and the severity of infection. Much of Dr. Klapheeke's time was spent working at the Hospital Regional de Loreto. Dr. Klapheke had previous experience in Peru but believes that from this trip he "walked away with a wealth of new knowledge about tropical infectious diseases from the residents, faculty and patients." Of his time there, he wrote:
Working with the infectious disease team on the medical floor and in the emergency department, I was fortunate to see a great variety of cases. Malaria, dengue, tuberculosis and leptospirosis found their way onto more differential diagnoses than I had ever formulated in Baltimore. Zika virus became less of a newspaper headline and more of an immediate clinical consideration in the patient in front of us.
Dr. Klapheke wrote of the larger global perspective this rotation instilled in him:
of course, I made friends from Peru and all over the world I’ll never forget. I returned home, but I continue to carry all of this with me, with the inspiration to spread that same sense of community and open perspective to others.
Read Dr. Klapheke's full response after returning from Peru!