Monica D’Angelo is a Public Health Major at Oregon State. This fall term, Monica completed an international internship in New Delhi, India with MAMTA.

My trip to India has become one of the best decisions I have made. It was a positive and enriching experience that I never could have imagined. When the MAMTA internship was presented to me during class, I was quickly drawn to the subject. It sounded like something that I should learn more about. After attending a few information sessions, I was convinced that this was the internship I needed. Once the ball started rolling, time flew by, and soon enough I was packing for the trip of a lifetime.

When I arrived, I found out I would be living with two Oregon State interns and ten other interns from all over the world. It is safe to say that the culture shock set in quickly, and lasted about two weeks. Once I started to feel more comfortable with my surroundings, I became much more open-minded about my experiences. Simple activities that we are all accustomed to in the United States became huge struggles that I had to relearn in my new environment. Plugging in appliances were never a simple task and power outages were common. Lighting the stove on our single gas burner made cooking a challenge. Grocery stores were almost non-existent in comparison to what we have access to in America. If and when we decided to buy food, it was coming from what is most similar to a convenient store. It is not hard to imagine that our diet was not on-point during these three months, while most days we would eat our or order in simply because the convenience and lack of access to well-balanced home cooked meals.

Our mentors on site at MAMTA Health Institute were very accommodating to the ideas and passions that I have for Public Health. There were able to tailor projects to each of our interests in order for us to work directly with adolescents in the slums. We created a risk analysis in order to understand the health risks facing these 100 adolescents, as well as how their activities of daily living in the urban slums may affect them in years to come. Working with the community and being hands-on in this way opened my mind to so many things that I had never encountered before, including a life of poverty that is so normal for many people in India. The poverty and filth I saw in these areas was overwhelmingly powerful, real and eye opening It is sad to say that with the internship only lasting ten weeks not much could be done as far as creating changes within the community. In reality, outreach and awareness is something that I would have loved to become more involved with in order to allow for positive changes to help these families with their overall health and wellness.

On our off time, we were able to travel and learn more about the country that we were living in. Aside from the initial tasks that we learned while getting to and from work every day, like crossing through lanes of traffic on the overcrowded streets of Delhi, catching a rickshaw or bartering with our drivers, we also learned a lot from the other students we lived with; simply though the differences and experiences we each have by being from different countries and cultures.

We were able to take amazing and unforgettable trips like to The Taj Mahal, camping on the beach in Rishikesh, and rafting on the Ganges River. We had the chance to paraglide through the Himalayas during a weekend trip to Manali and Kasol, and ride elephants and camels in Jaipur.

 

It is difficult to encompass everything that I was able to experience in words during my trip. However, I know that it was an experience and adventure that I would never want to change. I am so thankful to have had this opportunity present to me by Oregon State and their partnership with MAMTA. It allowed me to work abroad hands-on with the community in order to set the framework for me to preform international Public Health outreach and awareness to underprivileged children and families.

Connie Lee is a senior at Oregon State University, majoring in Microbiology with a minor in Chemistry. Connie interned abroad at the Center for Social Medicine in India through IE3 Global Internships.

As I learn more about microorganisms, my interest in the medical field grew. The medical field can be broadly divided into two fields: clinical work or research work. I have researched in a laboratory setting as well as volunteered in a hospital. However, I have not been able to experience clinical work with doctors in order to gain a true feeling of what doctors do. Besides my background knowledge of medicine from science courses, I grew an interest in learning about cultural differences from my anthropology classes. Thus, in summer 2012, I participated in the public health and medical internship at Center for Social Medicine in Loni, India.

This internship was a great opportunity for me to experience the public health and medical fields in a completely different cultural setting. I participated in a huge variety of interesting programs, such as social programs for sex workers and mobile clinic services. However, the most life-changing experience occurred at the operation theaters, particularly the posting at the maternity ward.

To say the least, the experience at the maternity ward was very intense. I was already anxious about observing my first delivery. Half way through the delivery, I started to feel nauseous and dizzy to the point where I left the labor ward. However, I challenged myself to go back into the labor room and finish observing the entire birthing process. It was self-rewarding to return to the labor ward, because at that moment I grew personally.

The environment setting is very different for pregnant women in India compared to the United States. I noticed that the maternity ward was a lot more crowded, the resources were very limited, the deliveries were usually rushed due to the number of patients, and women did not normally receive individualized care during the actual labor. Ultimately, the standards in both of these countries are on completely different scales.  However, I learned to respect that, although the delivery environment is very different through an outsiders’ lens, the system works for the local villagers. The services are provided with no charge to the patients, and babies are still born healthy. Although there are many differences, some even shocking, between the two medical systems, both strive for the same goal of providing health care to people in need.

Last but not least, my experience in the operation theater helped me confirm my interests in surgery medicine. I observed a variety of surgeries including, but not limited to, cataract surgeries, joint/hip replacements, medical termination of pregnancy, open/laparoscopic tubal ligations, kidney obstruction, hysterectomies and more. The experience was very eye-opening as I could never receive the same opportunity in the United States.

I enjoyed the environment in the operation theaters. It is a place where all doctors and anesthesiologist work together to help solve a patient’s problem. I saw how the surgeons work to find a solution, and their quick reactions to find alternative methods if the original method did not work. I found a passion for the human body; the human body consists of both delicate (eyes) and strong (bones) parts. Every part of the body works in harmony to allow an individual to function.

 

 

Elizabeth Ragan is a senior at Oregon State University. She is pursuing a degree in Public Health and Anthropology with a minor in French. Elizabeth recently returned from Kampala, Uganda, where she interned for Prometra Uganda through IE3: Global Internships. Below is a reflection summary from her blog.

My final day in the village. Waving goodbye as the last truck of traditional healers rounds the corner of the dirt road and disappears out of sight. I know that they’re going home, and I’m going home too. But I’m struggling, because I can’t help but feel like I’m going home and leaving home all at the same time.

As the sun dips below the surrounding hills, I set off down the road, needing to walk, needing to think and clear my head. All of my senses are magnified, like I’m trying to absorb every final memory with bound determination. The sounds of the night seem to keep time with the rhythm of my breath and the pounding of my heart, my heart which is in a silent struggle between happiness and sadness.

Making my way through the airport. Some internal instinct or motor memory instructs me through the motions, but I feel like a stranger in my own body, like I’m observing myself from a distance. Security checks, customs, gate transfers, coffee shops, loudspeaker announcements, the whirring sound of suitcase wheels on hard floors, small talk and strangers. I’m in a transition between worlds and I can’t help but feeling sickened at just how easily I’m slipping right back into it, all of the excess, the naivety, the ignorance. People living in their comfortable bubbles, happily ignoring the world around them. The population around me has changed so dramatically in the past 24 hours, from the morning I left Kampala on my way to Entebbe to where I sit now in Heathrow.

3am, laying in my bed at my parents’ home, staring at the ceiling. It’s not just the 10-hour time change and jet lag that is keeping my mind awake. The middle of the night and I have become familiar companions over the course of the summer, my mind busily milling over all of the experiences that I had, trying to make sense of it all. The one thing I simply can’t get myself past is the disparity and the blatant ignorance. How great the divide is between being concerned about when you’re going to get the new iPhone 4, that new pair of leather boots, or new dining room furniture, and the fear of not being able to feed your family or losing yet another child from a preventable cause.

We’re brought up in a fast-paced world. Our society has taught us to be concerned with what’s in front of us, and I’ve found that you have to work hard to learn about the problems of low-income nations. I force myself to remember all of the problems that Americans do face, like recession, unemployment, unaffordable health care, declining social services, rising costs of higher education – all serious problems that leave people powerless. But then I take these things and line them up to the concerns of people in Uganda, like infectious disease, hunger, clothing, drought, shelter, clean water, primary education. I believe that it’s our responsibility to be a world citizen and to treat everybody as human and to fight for their basic rights. We must become critical of ourselves and the lifestyles that we lead, accepting that our actions and decisions have ramifications that will trickle down far beyond our perceived reality.

Coming to a country like Uganda does something powerful to you. It is indeed a rare opportunity, one that many people will either never get the chance to take, or may decide not to take out of fear or apprehension. But there is great potential in taking such a step. If you allow it, Uganda will lay bare to you all of your weakness, misconceptions, ethnocentricities, and the blinders that America and all of the comforts of home have been allowing you to wear your whole life. Then you will be given an option, approach a crossroads of sorts. Do you stay on the same path that you have been walking along up until this point, knowing that you are ignoring what your eyes have been opened to about the world, or do you change your direction and become a person that has a deeper understanding that in this world, we are all human, and we are all connected. Travel the world, learn about the struggles of the people, and as a consequence, learn about yourself.

“There is nothing like returning to a place that remains unchanged to find the ways in which you yourself have altered.” – Nelson Mandela

Marissa Uriarte interned for Center for Social Medicine in Loni, India, through IE3 Global Internships in Summer ’12. She is pursuing a Bachelor of Science degree in Public Health with an option in Health Promotion and Health Behavior, and a minor in German. She is now working as an International Ambassador for the office of International Degree and Education Abroad (IDEA).

Marissa at the Taj Mahal
Marissa at the Taj Mahal

During my internship, I had the chance to work in a wide range of projects that focused on medical care, public health and social development in the rural and tribal areas of Maharashtra. Before I go more into depth about my work at Center For Social Medicine I wanted to note that I cannot sum up India in a single story. India is filled with a life full of color from the saris women wear to the the paints on the animals during a holiday. It is filled with noises from the people bargaining at the market to the honking on the streets, and it is filled with smells from the food cooking on the sidewalks.

However, I can tell you that interning abroad challenged every aspect of who I am; it revealed not only my strengths and weaknesses, but questioned my knowledge and beliefs. I met heart-warming people that I will keep dear to my heart and learned that life is precious and we all need a helping hand.

Nashik, India

There are an infinite amount of memories I will hold, but I would place working with the staff at the Mobile Clinic in one of my favorite. Here, I visited a daycare center for children under the age of five years old. I assisted the pediatrician in charting their growth development to prevent malnutrition. Also, I performed regular health check-ups for pregnant women, which consists of finding the position of the fetus, measuring the fetus length, listening to the fetal heart beat and checking the women’s health status.

Center for Social Medicine's Mobile ClinicThe Mobile Clinic was very impressive, because the doctors and nurses went to the people. It addressed the transportation barrier and really emphasized that the patient’s health is their number one priority.

I had the chance to do and see things that people only see on TV. And I don’t believe this is an exaggeration. The culture and atmosphere is new and enriching; it’s completely different from anything I have ever experienced.

The Center for Social Medicine truly offers unmatched opportunities for international interns. I was able to use the knowledge and skills I acquired at Oregon State University, as well as build new skills that will contribute to my professional aspirations as an international public health nurse.

I want to stress that I would not have acquired this chance to intern abroad without the support from the staff at International Programs Department and the scholarships I received, such as the Benjamin Gilman Scholarship and the Nicodemus Scholarship.  I believe that anything is possible if you are proactive in your career aspirations.

Lauren Forbes (Biology, ’11) went to South Africa in Fall ’09 through IE3 Global Internships and participated in a CFHI medical rotation internship in Durban and Cape Town. She is currently an MPH student at Drexel University in Philadelphia, PA. She is in the process of applying to the Fulbright program.

I always thought I wanted to be a doctor; in college at Oregon State University I was a pre-med student and I had aspirations of going on to medical school to become a pediatrician.  Little did I know the things that interested me most about the health field were more in line with public health than medicine.

Lauren and a future doctor

In my junior year, I had the opportunity to go to South Africa on an IE3 internship through Child and Family Health International.  I spent 10 weeks there, five in Durban and five in Cape Town, living with host families in both cities.  This was one of my first international experiences and it really sparked my passion for global health by showing me the stark reality of global poverty and how sociocultural and environmental factors influence the health of the community.  Spending time in both Durban and Cape Town allowed me to experience the best of both cities—Durban and its uniquely Zulu influences and Cape Town, an amazing city, rich in cultural diversity.  While the clinical experiences at the community health posts and hospitals provided me with invaluable health experience at the front lines, the stories and factors surrounding the patients, influencing their health status was what most intrigued me.  One elderly man that I attended to had a dangerously infected ankle wound and had walked nearly all day to reach the hospital for treatment.  For many people like him, the cost of treatment and the fear of an undiagnosed illness causes them to avoid seeking a doctor when they get sick.  These public health issues are just a few of the environmental factors that influence the health status and outcomes of the South African communities in which I worked.  The experience in South Africa was life changing and it helped me to grow personally and professionally, preparing me for other international experiences.

Lauren (r.) with her peers and colleagues in The Gambia

The opportunity for me to go abroad again came last spring; Drexel University had some existing ties with the Gambia, a small country in West Africa, and they wanted to send a group of public health students there to assist at a rural hospital.  Myself and four other students were selected to go; we came together and formed and organization called Leading Outreach Through Volunteer Endeavors (LOVE) Abroad to help support our mission to the Gambia. Because of my experience in South Africa, I was better able to process the things that I observed and heard about while in the Gambia, such as the blatant poverty, health disparities, and gender inequities.  In the Gambia, I saw the same abject poverty, but I also saw a baffling resilience and hopefulness in the communities in which I worked. This experience abroad not only allowed me to put my public health training into practice, but it also allowed for a mutually beneficial international partnership to be reinforced between Drexel University and the Gambia.

My international experiences in South Africa and the Gambia have been incredibly enriching, and have inspired me to pursue global maternal and child health as a career.  This year, I will be completing my MPH degree and I plan to pursue fellowship opportunities in these fields upon graduating.  I definitely encourage anyone who is considering studying abroad to go for it; the chance to experience another country through a service-learning opportunity is an invaluable experience that you will remember for the rest of your life.