I’m a Tulane SPHTM ’12 graduate from the Global Community Health and Behavioral Sciences Department. Following graduation, I spent a bit of time as an HIV study coordinator for Pre-Exposure Prophylaxis (PrEP) trials among young men-who-have-sex-with-men (MSM) at Johns Hopkins School of Medicine. As career trajectories often do, circumstances took a turn and I spent the next three years working on fraud, waste, and abuse protections granted by the Affordable Care Act at The Centers for Medicare & Medicaid Services (HHS-CMS). While these ventures were satisfying enough, I felt as though my time at Tulane specifically prepared me for a global health role and so I left the “safety” of federal government for an ASPPH/CDC Allan Rosenfield Global Health Fellowship position in Lusaka, Zambia (now called the PHI/CDC Global Health Fellowship).

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After completing a year with the CDC in Zambia, I am now living in Beijing with CDC-China and working hands-on with the ever-changing President’s Emergency Plan for AIDS Relief program (PEPFAR). Given that millions of individuals have already been tested, placed on treatment, and carry undetectable viral loads, this timing presents a unique opportunity to combine my psycho-social background with the MPH’s “hard skills” (such as monitoring & evaluation) to design sustainable programs targeting key populations. I’ve felt very fortunate to be “working toward an AIDS-free generation” by implementing sustainable programs in partnership with the Zambian or Chinese governments specifically as it relates to MSM, sex workers, and injection drug users (as they are the most high-risk for HIV/AIDS yet historically under-served populations). I’m very thankful to Tulane SPHTM’s professors who contributed in shaping my path to where I am today.

Changemaker Catalyst Award Recipient Madeleine Nicholson completed her practicum research in Phnom Penh, Cambodia, with World Vision International. As an international health and development student in the Department of Global Community Health and Behavioral Sciences, Madeleine  focused her field practice on the country’s high rates of child malnutrition.  

In early June 2017, I hopped on a plane to Phnom Penh, Cambodia to complete my Master of Public Health (MPH) practicum requirement with World Vision International. Over the course of 10 weeks, I worked under Dr. David Raminashvili in World Vision’s Health and Nutrition department. From community participation policy analysis to breast-milk substitute research to nutrition experimental trial data collection, I was able to immerse myself in many different aspects of global health and community-based programming under the guidance of an organization that knows it well.

Within my first week on the job, I traveled to Kampong Speu province to observe a community mobilization meeting of local Village Health Volunteers (VHVs). The meeting was conducted in the national language of Khmer, so my coworker Bong Sopheap translated the VHVs’ plans for community mapping and health education.

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Several weeks later, I traveled north to Preah Vihear province for several days of observations and program implementations. I missed our first Area Program (AP) Office visit in Chhaeb due to illness. But after some rehydration, I jumped in to visit the Chey Saen AP and Sangkum Thmey AP offices as well as their associated village projects the rest of the week. World Vision is working to implement Positive Deviance/Hearth, or SKL (an acronym in Khmer). SKL seeks to fight Cambodia’s high rates of child malnutrition with nutrition education sessions and cooking demonstrations. The classes provide caregivers with the capacity to sustainably prepare and serve nutrient-dense meals for their children. Weighing sessions take place regularly to monitor the weight gain of participating children as well as caregivers’ adoption of healthy cooking behaviors.

At the end of July and early August, I accompanied the team for nearly two weeks in Cambodia’s second largest city, Siem Reap, made famous for the ancient temples of Angkor Wat nearby. We spent our days training local enumerators to collect endline data for the Funky Foods experimental trial. Funky Foods seeks to combat malnutrition using easily accessible supplements made from crickets and moringa plants. Caregivers were instructed to provide their children with meals cooked with these powders, which provide substantial amounts of protein, magnesium, iron, and other nutrients not present in rice, the country’s most prevalent food. We took a weekend break to explore some wildlife and temples before returning again the next week to assist in the collection of blood and stool samples. Another intern and I were responsible for cleaning the data using statistical software and reporting back to the project managers.

When the work was done, my team returned to Phnom Penh while I stayed behind an extra weekend on my own to explore the ancient temples and run the Angkor Wat Half Marathon.

While these adventures in the field are exciting, most of my days with World Vision were spent in the national office pouring over policies, reports, and data in the glow of my laptop. I assisted my Khmer coworkers in developing and adapting IQA (Implementation Quality Assurance) tools for several project models to best serve our Cambodian context. I conducted literature review of LQAS (Lot Quality Assurance Sampling) for the monitoring of a new health program and even created a user-friendly manual for program managers to implement the sampling protocol. I researched and analyzed Cambodia’s current breast-milk substitute policies as well as various misleading marketing violations being committed by formula companies, which hinder breastfeeding and nutrition efforts. (You can find my report on this research published on World Vision’s site here). I did a lot of other jargon-filled public health activities in my time here, but mostly, I learned – about health, about history, about culture and connection – from some of the kindest coworkers in the field.

With the approval from my World Vision and Tulane advisor, I decided to extend my stay and internship past my practicum’s end date to gain more global health experience. I surprised my family back home in Chicago on Thanksgiving Day, rounding out nearly six months away – studying, learning, exploring, and eating too much rice in beautiful Cambodia.

I feel so grateful for the Phyllis M. Taylor Center for Social Innovation and Design Thinking not just for the Changemaker Catalyst Award, but in many ways for this incredible learning opportunity. It was through Taylor’s “Taylor Your Life” course with Ms. Julia Lang that I learned the skills necessary to confidently network and connect with established professionals in my field. Using these skills, I was able to reach out to a distant connection working for World Vision here in Phnom Penh. She then connected me with Dr. David, the health & nutrition technical lead and my supervisor.

With my MPH complete, I am excited to begin an internship with the Chicago Council on Global Affairs’ Food and Agriculture team this winter and spring.

Taylor’s mission: TAYLOR cultivates a diverse learning community of Changemakers who use their skills, humility, expertise, gifts, and power to affirm the humanity of all people in the pursuit of a more just, sustainable, and equitable society. Our university-wide initiatives are globally-aware, community-oriented, and interdisciplinary. Our programs are grounded in the teaching, research, and practices of design thinking, social entrepreneurship, and social innovation.

Changemaker Catalyst Award: The Changemaker Catalyst Fund is open to all undergraduate and graduate Tulane University students interested in pursuing opportunities related to social innovation, social entrepreneurship, design thinking, and changemaking. Students are eligible for up to $1,500 over the course of their studies to support learning in relevant fields. This award is an opportunity to learn from and work collaboratively with effective changemakers and allies to better understand problems.