From our Student President: Join us at National Conference!
Dear AMWA Enthusiasts,
It's not too late! Register to join us for AMWA's Annual Meeting on April 13-15, 2012 in Miami, Florida. AMWA's Annual Meeting is the leading strategic career and personal development conference for women physicians, medical students, and residents.
Being a medical student truly encompasses many areas: study, patient care, and pursuits such as research, leadership, and service. For Annual Meeting, AMWA has designed a mix of student-oriented programming, with mentoring sessions, hands-on skills workshops, and a poster competition, to enhance your educational experience in a variety of areas. You'll also get to hear keynote speakers like Gloria Steinem and Rachel Naomi Remen, MD and sit in on session topics range from mentoring and breaking the glass ceiling at all career stages to issues in global women's health such as stroke risk, cardiovascular disease, the human papilloma virus, and advances in imaging.
I personally invite you to join us at Annual Meeting and get more involved with AMWA. After all, AMWA exists to support you, and to give us all opportunities to make a difference in medicine!
Student President, American Medical Women's Association
Breastfeeding: A Failing Report Card
Brittany Jackson, AMWA Advocacy Chair
In January 2000, the U.S. Department of Health and Human Services began working towards its “Healthy People 2010” goals focusing on health promotion and disease prevention. Among its objectives were several focusing specifically on breastfeeding including breastfeeding initiation, exclusivity of breastfeeding until six months of age, and worksite lactation support. The American Academy of Pediatrics (AAP) released an updated Policy Statement on “Breastfeeding and the Use of Human Milk” this month which states that, although there has been some increase in the rate of “any breastfeeding” between three and six months of age, we as a nation have failed to reach any of the Healthy People 2010 goals for breastfeeding.
The barriers to achieving these goals are many and diverse, including, but not limited to, an acceptance among the public and health care workers that breastfeeding and infant formula are comparable, lack of breastfeeding support training of hospital employees, unfavorable working conditions for lactating mothers, promotion of infant formula in hospitals in the form of free samples, and variable prioritization across cultural lines. The latter barrier is evident in the rates of breastfeeding initiation and continuation across different racial and ethnic groups. Overall, the U.S. had a breastfeeding initiation rate of 75% in 2007, but here’s a snapshot of how different racial and socioeconomic groups stacked up:
The implications of reform in favor of increasing breastfeeding initiation and continuation are profound. However, improvement is both achievable and desirable, if not necessary! Breastfeeding provides benefits for the infant, mother, and to society that are NOT achievable with infant formula, which you can read about below! Improving the health of children (who grow up to be adults!) nationwide can also start with you, the future health care professional.
80.6% among Hispanic/Latina women
58.1% non-Hispanic black/African-American women
37% low-income, non-Hispanic black women
67.5% low-income/mothers eligible for WIC versus 84.6% in those ineligible for WIC
How you can help: Check out our Breastfeeding Counseling Guide for Medical Students, also available online on the Advocacy page.
More resources: CDC Breastfeeding Report Card. Healthy People 2020. American Academy of Pediatrics Policy Statement on Breastfeeding.
Engeye Experience: Reflections on Uganda from an Anne C. Carter Global Health Fellow
Savitha Bonthala, MS3 at Touro Univ. College of Osteopathic Medicine and Anne C. Carter Global Health Fellow
Recent visiting Carter Fellow, Savitha Bonthala, with Sadat, Engeye Scholar, at Sydney Paul Primary School. Sharing the wonder of a heart beating on Valentine's Day 2012. Savitha and Nisha Viswanathan, also a Carter Fellow, visited all the schools where our scholars are enrolled (as well as other nearby schools) to present a video on malaria and malaria prevention. The video was made employing local residents and presented in Luganda. A Q&A in English followed.
Through the sponsorship of the American Medical Women's Association I had the wonderful opportunity to go to East Africa to work in a primary health care clinic from February 4-18, 2012. As a member of the Anne C. Carter Global Health Fellowship, I worked alongside another Carter Fellow, Nisha to promote health literacy and education in Ddegeya Village, Uganda. Our primary goal was to create a series of videos that would be displayed in the clinic for patients to watch while they waited for care. On ground Nisha and I created two videos -- an introduction to Engeye Health Clinic Video that oriented patients to the clinic and helped navigate their experience, and a malaria education video that would be shown not only in the clinic, but to surrounding primary schools.
To be honest, my first few days in Uganda were not pleasant. I was frustrated with the use of latrines (yes, I missed using toilets!), the widespread corruption of the Ugandan government, and the glaring poverty. It was evident by the myriad of children we saw with fuzzy red hair (due to vitamin deficiencies) and distended abdomens (due to Kwashiorkor), that the government didn't adequately address the needs of its citizens. An overwhelming majority of Ugandan citizens live in rural areas with no access to running water or electricity.
I began to ask myself: what is the point of helping a group of people that receive no help from their actual government? Would any work we do here be sustainable?
Then I started to slowly realize the impact that Engeye clinic and its foundation have provided for the people in Ddegeya. Every morning when I woke up, I would already see a row of patients lined up waiting to be seen by physicians as early as 6:30 am. The patients would dress in their best garb, despite their economic conditions, to look respectable to the physician. Patients traveled from not only Ddegeya village but surrounding villages to be seen because they realized even with transportation costs, their total costs would be considerably lower than attending a nearby clinic. The patient does not pay a fee to see a physician and the medications are heavily subsidized. Children as young as a few weeks old to adults in their 90's were being treated. Patients would wait patiently, often times many hours to see a physician with no complaints and exceptional gratitude. It was difficult for me to imagine an American patient waiting several hours to see a physician and still have feelings of gratitude for services provided to them. This was indeed a different experience.
As Nisha and I progressed through our first week together, we transitioned from working in the clinic to creating our series of videos. Creating the malaria video was incredibly fun although we definitely faced some challenges. It is absolutely true: anything you do in global health is considerably more difficult! We dealt with limited electricity, limited lighting, and problems with casting our local community. However, it came out wonderfully and we even added popular music from Jay-Z and Kanye West to the background to keep the children interested.
Malaria continues to be an incredible source of mortality and morbidity in Africa. In Engeye health clinic, it is our number one pediatric diagnosis. Any child presenting with a fever gets a blood smear and an overwhelming majority of these children test positive. Malaria health education was not only necessary for the children but a rewarding experience for me.
We started traveling to primary schools in the area: Sydney Paul, St. Gertrudes, and Bunyere. We went from classroom to classroom, showing the video we created about malaria that included the signs and symptoms, common myths about transmission, the actual route of transmission, preventative techniques and proper treatment. The children were glued to our computer screen and even mouthed the words of "Forever Young" by Jay-Z as it played in the background.
We then showed the students posters that we created in the United States about malaria (signs/symptoms, treatment, prevention) and tested their knowledge. The children were bright and caught on quickly. At the end, I asked how many children wanted to become physicians - about 70% of each class would raise their hand. I would chose a student and help them listen to my heart and lung sounds with my stethoscope. It was magical.
From seeing patients in Engeye health clinic to working with children in the primary schools, my trip to Africa was incredible. I went from being frustrated about the widespread poverty to realizing the immense impact that the Engeye foundation has for its community. Not only does the foundation run a clinic, but it also provides educational funding for children who are extremely bright with limited resources. Through Engeye Scholars, 25 students in the village are being funded to attend school via private donations from the first world. Next year the program is expanding to 50 children. We worked alongside many Engeye scholars through our malaria education and they are absolutely amazing children.
To help any society rise up from the devastating effects of poverty you must have two components: health care AND education. Without the two, you are not creating sustainable solutions for a community. The Engeye foundation does just that.
After coming back from Uganda, it was difficult for me to adjust back to the first world. I never realized how excited I would be to use a toilet or turn on a faucet to get warm water or turn on a light switch to get electricity. This trip definitely pushed me out of my comfort zone and gave me the opportunity to experience life in the third world. I was born in the third world (India) but the poverty in Africa was larger in scale and up-close. It made me view my life in a different manner: I have been blessed with an incredible life and a wonderful education, but how will I use it?
On a lighter note, much to my surprise, I was informed that all the malaria nets in the clinic were sold out within a few weeks after our return to the states. Whether this was due to our education or not, I will not know, but it did make me glow inside.
One of my favorite quotes of all time is by a doctor in India, founder of the non profit Aravind Eye Care System, named Dr. Venkataswamy. They perform thousands of free cataract surgeries for Indians who live below the poverty level. He states, "When we grow in spiritual consciousness we identify with all that is in the world. So there is no exploitation, it is ourselves that we are helping, it is ourselves that we are healing."
In many ways, I feel that this quote describes my experience in Uganda by working alongside adults and children of Ddegeya Village. So, thank you Ddegeya, for helping me heal just a little bit.
Savitha welcomes your emails to learn more about her experience with the Anne C. Carter Global Health Fellowship. You may contact her at firstname.lastname@example.org.
International Women's Day
March 8, 2012 marked International Women's Day. Women all over the world celebrated with well over 1000 events taking place. In the U.S., we are continuing to celebrate Women's History Month.
Did you catch this Google doodle on March 8?