MCH Paired-Practica Program

Amanda Howell, MPH Candidate

UNC Gillings Global SPH

Sieka Siklo, Public Health Undergrad

Howard University

Promoting Awareness and Effective Messaging About Preconception Health

Facilitating Focus Groups Among Local Staff

Robeson County Health Department

Lumberton, NC

Summer 2015

Amanda Howell: Maternal & Child Health Paired Practica Program 2015

Amanda Howell, Director of SHAC’s Classroom to Community

awarded the Ronald W. Hyatt Public Service Award

In recognition of training health sciences students

to provide health education lessons to middle school students in East Durham

Amanda Howell: Award Winning Training Program in East Durham, NC

2015

Ronald W. Hyatt Public Service

Award

A Study of the Influence of Culture and Family on Second

Generation Afghan Women Aged 18-25 Living in the United States

2016 Master’s Paper by Yasameen Panjshiri

Gender Differences in Relationships

“…If the guy is in the relationships then they’re like ‘oh he’s just looking for a wife so it’s all good’

but if the girl is in the relationship everyone starts talking about her and what’s wrong with her.”

Cultural Views on Dating/Relationships Outside of Marriage

“I feel like that [dating] just doesn’t exist…It’s just a really bad stigma. Yeah, it just doesn’t

exist. Either you’re single or you’re engaged or you’re married.”

Hesitancy to Discuss Reproductive Health

“We never talk like seriously about sex or contraceptives or having sex, because we’re all um…single

and Muslims so it’s not really allowed.”

Raising Funds to Support Access to Comprehensive Reproductive Healthcare

UNC’s Maternal and Child Health Students – They’ll Bowl You Over

Support the 2016 Annual Bowl-a-Thon for NC’s State Abortion FundContact: jpercher@live.unc.edu

Meet the 2015 Cervixens!

Maheret Mamo, (2nd Yr MPH Student) Develops Training Manual:

Overcoming Challenges to Lactation for NICU Moms

Lactation Tracking and Follow-up Manual

NC Children’s Hospital Newborn Critical Care Center (NCCC)

A training manual developed to

introduce NC Children’s Hospital

NCCC nurses and lactation consultants

to newly developed lactation tracking

and follow-up materials. The proposed

materials aim to identify lactation

challenges as well as provide necessary

support to mothers in the NCCC.

Maheret Mamo, (2nd Yr MPH Student) Develops Training Manual:

Overcoming Challenges to Lactation for NICU Moms

Lactation Tracking and Follow-up Manual

NC Children’s Hospital Newborn Critical Care Center (NCCC)

Maheret Mamo, (2nd Yr MPH Student) Develops Popular Clinical Tool:

Overcoming Challenges to Lactation for NICU Moms

Lactation Tracking and Follow-up Manual

Nurses and Staff Give High RatingsTracking Materials Are :

• Easy to Implement

• Relevant to Needs of NCCC Mothers

• Clear and Easy to Understand

• Will Improve Lactation in the NCCC

Manju Kunwar: Addressing Acute Malnutrition in Nepalese Children

2015 Practicum

Interning with the UNICEF Community-Based Management of Acute Malnutrition (CMAM) Field

Team

Preceptor:

Anirudra Sharma, Nutrition Specialist

UNICEF Country Office Nepal

Manju Kunwar

MPH Candidate 2016Maternal and Child Health

Department

Manju Kunwar in Nepal with UNICEF: Identifying Acutely Malnourished Children

(6 months to 5 years) and Referring for Treatment in the Local Community

2015

Ronald W. Hyatt Public Service

Award

UNC’s Manju Kunwar, MPH candidate, visits a family’s home and refers a child for

treatment in the local community health facility’s Outpatient Therapeutic Program (OTP)

Manju Kunwar in Nepal Weighs Child to Assess Nutritional Status

Increasing access to treatment for acutely malnourished children in different

districts and ecological zones in Nepal by identifying and referring to nearby

Outpatient Therapeutic Centers in the local community’s health facility.

Manju Kunwar in Nepal with UNICEF: ID Acutely Malnourished Children

(6 months to 5 years) and Referring for Treatment in the Local Community

2015

Ronald W. Hyatt Public Service

Award

UNC’s Manju Kunwar, MPH candidate, referring an acutely malnourished child for

treatment in the local health facility’s Outpatient Therapeutic Program (OTP)

Rebeccah Bartlett, Certified Nurse Midwife and MPH Candidate

Delivers the Address at Xavier University LA

2016 Health Disparities Conference

Beccah Receives Award at the Health Disparities 2016 Conference

Rebeccah, a Registered Nurse-Midwife, is a World Peace Fellow with Rotary

International

Rebecca Bartlett, Nurse-Midwife Volunteered

with Remote Area Medical in Knoxville, Tennessee

“Tennessee,

…The Volunteer State

Welcomes You”

Summer 2015

Section for Children and Youth with Special Health Needs (CYSHN)

Minnesota Department of Health

Paired Practica Program

Joanna Percher - Summer Practicum

Main Practicum Components:

1. Mentor undergrad practicum partner

2. Assist with Title V Needs Assessment

3. Research and write fact sheets for CYSHN

website

4. Help with Care Coordination Needs

Assessment as part of Federal Systems

Integration Grant

Joanna & Avonlea

Sponsored by:

Task 4: Help with Care Coordination Needs Assessment

as part of Federal Systems Integration Grant

5 Regional Mapping Meetings

84 STAKEHOLDERS

• Education

• Local Public

Health

• Parents

• Mental Health

• Head Start

• Health Plans

• Specialty Care

• Primary Care

Feasibility Matrix of “Wishes”

System Support Mapping

Section for Children and Youth with Special Health Needs (CYSHN)

Minnesota Department of Health

Paired Practica Program

Joanna Percher- Summer Practicum

Too Much of a Good Thing? Female Sterilization in India: A Literature Review

Joanna Percher

MASTER’S PAPER

Problem Statement:

-Female Sterilization (FS) accounts for 2/3 of all

contraceptive use among married women 15-49 in India

-Questions have been raised about reliance on permanent

method

Methods:

-Over 50 articles, papers, books, & reports

-Used soft literature in addition to peer-reviewed papers to

understand current program and policy materials and

research outside of academia

Themes:

-Use of incentives and targets in promoting FS

-Socio-demographic factors influencing FS use

-Quality of care in sterilization camps

-Sterilization regret

Conclusions/Recommendations:

-Vital to increase access to spacing methods & vasectomy

-Improve quality of care at sterilization camps

-Ensure informed choice of contraceptive methods

-More research on health implications of high FS use

A Student Group

Focused on Breastfeeding and

Birth Education and Advocacy

Projects:

• Diaper Drive & Volunteering at the Diaper Bank

• Safe Birth Kits

• Vessel Film Screening

• Tours of the Birth Center, Milk Bank, and UNC Women’s Hospital

• Sexual Health Trivia Night

Volunteering at the Diaper Bank

2,655 Diapers Donated!

Birthing Center Tour

Mother’s Milk Bank Tour

Wake Med

230 Safe Birth Kits Assembled!

Carolina Global Breastfeeding Institute (CGBI)

Paige Schildkamp Master’s Paper Assessing Infant Feeding Intentions

Analysis of the Acceptability and Immediate Impact of

"Ready, Set, BABY" (RSB) Prenatal Breastfeeding Education Sessions

My Master's Paper

was a secondary

analysis of RSB's

impact on a mother's

comfort with the idea

of formula feeding

and Infant Feeding

Intentions Scale

scores.

I am now working

on a qualitative

follow-up project,

interviewing and and

analyzing feedback

from the educators

at the clinics who

participated in this

RSB pilot study."

2,655 Diapers Donated!

2,655 Diapers Donated!

Holi Moli! MCH 2nd Year Students Enjoy Festive Play

Classroom to Community Professional Development

12th Annual Jean Mills Health Symposium

MCH Students Have Heart

Classroom to CommunityHealth Lessons at Our Partner School in Durham, NC

MCH students Lavanya Gupta, Liz Millar, Paige Schildkamp, Carolyn Lamere

UNFPA – Indonesia Reproductive Health Team

Field Practicum

Katie Starr

Nicole Kahn, MEd

2nd Year MCH Doctoral Student

Carolina Population Center Predoctoral

Trainee

Research Interests/ Dissertation Plan: Sexual experiences and health outcomes of populations with disabilities in the United States, from adolescence to young adulthood

Presenting a research poster at the Population Association of

America 2016 Meeting in Washington, DC with her advisor,

Dr. Carolyn Halpern

Photo courtesy of Carolyn Halpern

Wisnu Trianggono- Field Practicum 2015

Maternity Care Coalition in Philadelphia

Wisnu Trianggono, MPH Candidate 2016

Initiated nutrition program through school

gardening in our South Philadelphia Early Head

Start site with support from PNC Bank.

Classroom to CommunityWith MCC Staff of Early Head Start South Philadelphia

Wisnu Trianggono- Field Practicum 2015

Maternity Care Coalition in Philadelphia

Group picture with the Director and staff of

Maternity Care Coalition South Philadelphia

Early Head Start

Some of participants of parents training on

child health and safety at Maternity Care

Coalition South Philadelphia Early Head Start.

Christina Chauvenet, MCH PhD student

2015 Summer Practicum

• Evaluation of a double up bucks program for nutrition assistance recipients at the Columbia Heights Farmers Market in Washington, DC

• Conducted 163 surveys and 4 focus groups to assess barriers to participation in and benefits from participation in double up bucks program for WIC and SNAP recipients

Sample Results: 54% of CHFM Nutrition Assistance

Customers Surveyed Reported Increased Vegetable

Consumption Since the Opening of the Market

A lot less vegetables

1%

Less vegetables3%

About the same amount of vegetables

42%More vegetables38%

A lot more vegetables

16%

Vegetable Consumption Since CHFM Opening

Christina Chauvenet, PhD student

Next Steps from Practicum Research

• Presented preliminary findings from evaluation and provided ‘Evaluation 101’ Session at 2016 Wholesome Wave Summit

• Paper currently in preparation for peer review publication

• Results will be used in communication, marketing, and program efforts for Columbia Heights Farmers Market

Christina Chauvenet, MCH PhD student

Transition outcomes Among Hispanic/Latino Youth with Special Health Care Needs in Texas

Texas Department of State Health Services, Purchased Health Services UnitMCHB Graduate Student Epidemiology Program

Background

• Most children and youth with special health care needs (CYSHCN) survive into adulthood due to recent advances in healthcare. As such, they need services to facilitate their transition from pediatric to adult healthcare.

• Existing literature suggests racial/ethnic disparities may exacerbate poor health care transition outcomes.

Research Objectives

• Determine promoters of and barriers to transition to adult healthcare

• Determine where Hispanic/Latino CHSCN clients who do not qualify for Medicaid/SSI or are unable to purchase insurance turn to in order to receive medical care once they’ve aged out age 21.

• Develop a pilot program assessment to determine transition outcomes of Hispanic Latino youth with special health care needs.

Lavanya Gupta, MPH 2016

District SHR11 in Texas

Methods and Analysis

• In-depth Interviews; Participants (n=10): contractor and regional DSHS-employed case managers serving CSHCN clients in HSR 11.

• Participant responses transcribed and reviewed to develop a code book with operational definitions with examples.

Emerging themes:

• Benefit of joint clinics with pediatric and adult providers to transition process

• Lack of client involvement during transition planning and implementation period.

• Local organizations that provide assistance with medical supplies, prescriptions, housing, food; local Indigent health care programs for the uninsured.

• It is essential to establish a consistent, reliable line of communication before, during and after transition.

• Explanations of transition in Spanish were inconsistent and not comprehensive.

Recommendations:

Prior to developing a curriculum on transition for case managers, DSHS should create an assessment that all contractor and regional case managers in the state complete in order establish baseline data for this intervention.

Lavanya Gupta, Summer Practicum 2015

Understanding reactions to results of a self-sampling HPV test among White

and Black women infrequently screened for cervical cancer in North Carolina

Master’s Paper by Lavanya Gupta

Significance: Over 4,000 women die from cervical cancer every year in the United States. Over half are

due to lack of routine screening, which disproportionally affects racial/ethnic minority women. Home-

based HPV self-testing may increase screening among hard to reach women. Little is known regarding

women’s reactions to receiving HPV self-test results on the phone, an important consideration in

determining the feasibility of self-testing. This study’s objective is to determine women’s reactions to their

HPV self-test results, and the delivery method, stratified by race/ethnicity.

Methods :Under-screened, low-income North Carolina women from 10 counties were recruited. 202

women (78 White; 124 Black) collected and returned their self-test sample, and completed an acceptability

questionnaire. Analyses examined reactions based on HPV self-test results at baseline and follow-up, and

predictors of feeling afraid of what the HPV self-tests would say about their health.

Results: White women reported being more worried about getting cervical cancer compared to Black

women. Women who received positive HPV self-test results self-reported being more likely to feel

embarrassed, worried, depressed, and liking help understanding their results. Women underestimated the

need for help with interpreting their results. Women were more likely to report being afraid of what the

self-test results would say about their health if they had lower educational attainment; were divorced,

widowed, and separated; and self-reported history of genital warts.

Conclusions: These findings can inform cervical cancer messaging that emphasizes underserved

populations’ understanding of their heightened risk and the importance of screening.

Uganda Village Project Summer Practicum

Nicole Carbone with the Village Health Team and other interns

Nicole Carbone Master’s Paper:

A Systematic Review of the Impact of Menstrual Hygiene

Management Programs on School Attendance

• Reviewed 18 articles

• Most programs have significant,

positive impact on menstrual hygiene

management knowledge and

behaviors

• Non-significant impact on increasing

school attendance during

menstruation

• More research and high quality

evidence is needed

• Programs should be multipronged

and focus on sustainability of the

interventions