Kamayani Bali Mahabal is the regional representative of South East Asia. She is a feminist and activist in Gender, Health & Human Rights. She lives in India. Health patterns in South East Asia have changed. Over the years the epidemic and chronic diseases, environmental transformations, and international health institutions have created new connections within the region. Read more by clicking on the arrow.

SOUTH EAST ASIA (SEA) REGION AND HEALTH – By Kamayani Mahabal
By Aricia De Kempeneer and Myron Godhino

The total population of the SEA Region is 1.855 billion, second only to the Western Pacific Region (1.857 billion), which includes China. There are three distinct categories of countries in the SEA Region with regard to population, namely large, medium and very small. Countries such as Bangladesh, India and Indonesia lie on one end of the spectrum with over 89% of the Region’s population. At the other end, Bhutan, Maldives and Timor-Leste fall in the very small population category, accounting for less than 1% of the total. The remaining 10% of population lives in medium category countries that include Democratic People’s Republic of Korea, Myanmar, Nepal, Thailand and Sri Lanka. India is the Region’s largest country and it disproportionately accounts for 67.5% of the Region’s total population.

These countries are not only poor but also shoulder a significant proportion of the global disease burden. For instance, countries in this region account for two-thirds of the global burden of child malnutrition; and next to Sub-Saharan Africa account for the highest number of maternal deaths. Additionally, it is the poor, less educated and people living in rural areas within these countries who mostly suffer the brunt of this burden. Not only is this an issue of social justice, but countries in which high health inequities exist, lose the opportunity to benefit from the skills, ideas and productive capacity of large sections of populations.

The Region is in the midst of an epidemiological transition—while infectious diseases are still prevalent, non-communicable diseases (NCDs), such as cancers, chronic respiratory diseases, cardiovascular diseases and diabetes, are emerging as the most common causes of death. In addition, other NCDs such as mental disorders also significantly contribute to the disease burden. The increasing burden of NCDs is being fueled by demographic changes (ageing population), unplanned urbanization, globalization of trade and marketing, social and economic determinants and progressive increase in unhealthy lifestyle patterns among populations of Member countries in the Region. In addition to their enormous negative impact on the health of populations, NCDs pose a serious social, economic and developmental challenge to the Region and are closely linked to poverty. The evolving epidemic of NCDs is, however, largely preventable by means of known, efficient and feasible public health interventions that tackle major modifiable risk factors — tobacco use, unhealthy diet, physical inactivity and harmful use of alcohol.

Accelerating reduction in newborn mortality is now a regional priority, with a focus on addressing four major bottlenecks: improved quality of care; human resources; community engagement and greater accountability.

Abortion is permitted in all countries of the South-East Asia Region, at least when there is a threat to the pregnant woman’s life. Liberal abortion laws alone cannot ensure safe abortion. There are many barriers that delay access to safe abortion services, both within the laws binding provision of abortion as well as health service delivery guidelines, availability of an adequate number of facilities and trained abortion providers. Restrictive legal provisions, non-availability of national standards and guidelines to guide abortion provision, lack of availability of trained service providers and registered facilities are some of the leading reasons for unsafe abortions and the resulting high maternal mortality and morbidity. 

Violence against women and girls is a matter of grave concern for the South-East Asia Region, with 37.7% of everpartnered women reported having experienced physical and/or sexual intimate partner violence at some point in their lives.

Around one billion people in the developing world are the victims of poverty related tropical diseases widely known as “Neglected Tropical Diseases (NTD)”. It also accounts for 50% of the one billion people living below the poverty line. Among the WHO regions, the SEA Region has the second-highest burden of NTD. Of the 17 NTD listed by WHO, the priorities for the SEA Region are lymphatic filariasis (LF), soil transmitted helminthiasis (STH), kala-azar (visceral leishmaniasis), blinding trachoma, leprosy, endemic treponematosis (yaws), dengue and rabies, for which effective public health interventions are available. Visceral schistosomiasis (SCH) is still prevalent in small pockets of Indonesia. In addition, Japanese encephalitis (JE) is reported by some of the countries, including India.

Southeast Asia (SEA) continues to roll out universal health care systems amid rapidly growing demand for services — Indonesia, for example, implemented its coverage plan, Jaminan Kesehatan Nasional (JKN) in January 2014, later expanding and rebranding the program as the Healthy Indonesia Card (KIS). However, most countries in the region face ongoing funding constraints and are looking for ways to reduce health care expenditures. Additionally, innovation is playing a bigger role in augmenting traditional care management approaches. The region is seeing the emergence of new, patientcentric, collaborative  models, wellness and lifestyle-themed health services telehealth initiatives, subscription care models and more.

Health and migration are key concerns of member countries across the region, with Thailand, India, Bangladesh and Indonesia named among the top ten countries witnessing large movements of people in Asia. Migration poses greater risk and vulnerability to infectious diseases, mental health disorders, maternal and neonatal mortality, substance use, alcoholism, malnutrition, violence and non-communicable diseases.

Although disease patterns change constantly, communicable diseases remain the leading cause of mortality and morbidity in the region. This raises some urgent concerns: That despite policies and interventions to prevent and control communicable diseases, most countries have failed to eradicate vaccine-preventable diseases.  Also, sustainable financing to scale up interventions is lacking, especially for emerging and re-emerging diseases that can produce epidemics.

In the South-East Asia Region, the private sector is large, diverse and growing – for example, in health service delivery, in health workforce education, and in diagnostics. The focus in many countries has been almost exclusively on regulation – often with little effect.  

 

If you wish to contact the regional representative of South East Asia: kamayni@gmail.com

 

References :

  1. United Nations. Transforming our world: the 2030 agenda for sustainable development. Doc No. A/RES/70/1. New York: United Nations, 2015. http://www.unfpa.org/resources/transforming-our-world-2030-agenda-sustainable-development
  2. World Health Organization, Regional Office for South-East Asia. Meeting Report: Reaching those who are left behind. For: Regional Consultation on Health, the SDGs and the role of Universal Health Coverage: next steps in South-East Asia Region, 30 March – 1 April 2016. New Delhi, 2016.
  3. World Health Organization Regional Office for South-East Asia. Improving Maternal, Newborn and Child Health in the South-East Asia Region. SEARO. Available at: http://www.searo.who.int/entity/maternal_reproductive_health/documents/SEA-MCH-228/en/

Man Bahadur Paudyal is the SNO Regional Representative for South East Asia. A third year medical student, he resides in Nepal. Read more of his experience by clicking on the arrow.

Interview with Man Bahadur Paudyal – SNO Regional Representative for South East Asia, The Network: TUFH
By Aricia De Kempeneer and Myron Godhino

I am Man Bahadur Paudyal, 3rd year Medical student currently studying in Institute of Medicine, Maharajgunj Medical Campus, Kathmandu, Nepal. Apart from medicine, I love asking questions about everything, and learning new things every day. My hobbies are research, travelling, music and watching movies and TV-series.

I have served as a Treasurer in Nepal Medical Students Society (NMSS), where I have worked with medical students from around the world. I am excited to partner with many students and professionals in SNO to bring a positive impact on global health.

I am also involved in many youth organizations and participated in various activities related to community health awareness on adolescent health, youth empowerment and research.

What are the burning issues in health in your region?
South-East Asia is rapidly being industrialized. According to the Environment Performance Index (EPI) released in 2016, the World Economic Forum puts Nepal 177th among 180 countries in terms of air quality only behind China, India and Bangladesh. This has brought Respiratory Tract Illnesses like Asthma, COPD as a major cause of morbidity. Moreover, we still have diarrhea and pneumonia as a major cause of child mortality. Similarly, lack of sanitation and pure drinking water has invited many communicable diseases like cholera, in developing countries which costs millions of lives per year. Though the cases of Tuberculosis and malaria are decreasing, there is increasing incidence of HIV/AIDS and “modern” or non-communicable diseases like hypertension, heart diseases, diabetes, thyroid disorders etc.

How is public engaging in these issues?
The government has formulated various plans to meet the Millennium Development Goals (MDGs) like reducing child mortality, improve maternal health, combat HIV/AIDS, and they are quite successful. Various mass media campaign by TV and radio is being run to make the public aware of these issues. Similarly, many NGOs and INGOs are also helping from their side. Public participation in programs like DOTS, vaccination programs, Clean City Campaigns is highly effective to control communicable diseases. But there is still need of policies to control the “modern” diseases.

How are students involved in these issues?
Students are made aware about these issues from primary education in their curriculum. They are also taught adolescent and reproductive health in schools and via various projects. Various clubs, NGOs and INGOs conduct relevant programs like Swine flu awareness in recent time to teach the students after which, they carry out community centered programs to raise awareness in their own community. Thus students play active role in solving such issues.

How is the interaction between doctors and other health professionals (nurses, allied health)?
The healthcare system is highly sophisticated and needs a delicate equilibrium between doctors and the rest of health professionals. Both the safety and quality of healthcare that the patients receive, depends upon the overall environment where the care is provided. Only the sole effort of the doctor is never effective to treat the patient. We have fairly healthy interactions among all health professionals to ensure that the patients receive the best health service. However, the interaction is not effective in all rural settings and public hospitals where the professionals do not give proper time to serve.

How is the interaction between students and professionals?
We have a local student body, who along with the faculty deals with any problems the students face. They are elected by the students and serve as mediators between the students and the professionals. Similarly, a Class Representative (CR) and Group Representative (GR) carry the feelings of the whole class or group and keeps in regular contact with the faculty. Problem Based Learning is also one of the teaching approaches to ensure that there is a maximum of interaction between students and professionals.

How expensive is it to go to medical school in your country?
Medical schools in Nepal are expensive taking the account of our purchasing power parity (PPP). The per capita income of Nepal is 620$ (World Bank 2011). However, the medical school expenses ranges from 60,000 to 80,000$ for undergraduate and additional 70,000 to 100,000$ for postgraduate. Though, the government has designated the fee, it has not been implemented properly by private medical schools. Most medical schools are private and students receive no local funding and there is no concrete systems of student loans. Hence, middle class people are unable to afford medical school expenses and it’s a dream-unfulfilled for them to be a part of medical fraternity.

Are students being pushed to do rural and community internships?
Students studying undergraduate or post-graduate under government scholarships are bound to do community services for 2 years .But privately funded students have no compulsion.

How expensive is health care in your country?
Health care services are provided by the public as well as private sectors. Certain health services including national essential drugs list have been made available free of charge at public hospitals, PHCs and health-posts. The government has subsidized for treatment of heart disease, kidney disease and other severe diseases. The government has allocated a budget, but it is still not adequate to meet the international standards.

Still not all diseases are covered and the private sector healthcare charge has a huge burden on the household economic status. Lack of proper health insurance scheme has made it difficult for a common Nepalese to afford private healthcare services.

What are your thoughts on the Student Network Organization?
Student Network Organization (SNO) is a non-governmental, non-profit organization structured for professional and social purpose. It serves as a great platform to develop professional and social capacities and experience. It is unique in itself as it incorporates all the professionals as well students and institutions under one chapter committed to contribute to health sector with motto “Towards Unity For Health”.

What would you say to encourage students to attend the conference and becoming an active member of The Network: TUFH?
As I said earlier the Student Network Organization (SNO) is a non-governmental, non-profit organization structured for professional and social purpose. It serves as a great platform to develop professional and social capacities and experience. So, if you want to learn the medical practices and culture not only of your place but from all over the world and you want to lead the current situation to a better future, SNO is for you. Let all the health professions students throughout the globe unite under one chapter of The Network: TUFH and do our bit to improve healthcare in our communities.

Medical students now are the professionals of tomorrow. So they should be prepared and well-capable to tackle the obstacle in health sector and lead a better way. Though SNO, they learn and exchange the medical practices so that they can well serve their community.

Why should people visit South-East Asia?
The traditions, culture and vibrant geographies are the attractions of South-East Asia. Culturally, South-East Asia is far too vivid and diverse to sum up in any one paragraph. There are so many different traditions, lifestyles, beliefs and customs to immerse yourself in and explore. From the ravine of spirituality to natural wildlife, from the traditional village life to exotic beaches and from the tropical rainforests to the alpine Himalayas, South-East Asia awaits you with open arms.

Please tell us a non-professional fun fact about yourself.

I have an oval scar on my forehead from when I was about 10 and thought it would be a good idea to use a hot glue gun and glue a pearl onto my forehead. Well I used too much glue and I ripped it off because I couldn’t stand the pain and now I have a nice little scar on my forehead which will probably never go away.

 

Heidi West is a Co-Founder and Director of Programs and Operations at the Global Environmental Health LAB (GEH LAB). GEH LAB is active in Myanmar (Burma). Read more on her experience and the GEH LAB by clicking on the arrow.

Regional projects, South East Asia:  Global Environmental Health LAB (GEH LAB)
By Aricia De Kempeneer and Myron Godhino

Organizational Background: Global Environmental Health LAB (GEH LAB) is a US based not for profit organization that works to promote and support safe and healthy environments on a local, regional, and global scale through conducting collaborative public health-related research, scientific engagement, and capacity-building activities.  

We collaborate in a variety of low and middle-income countries, with our main program taking place annually in Myanmar (Burma).  The goals of our programs are to improve the scientific basis of global health decision-making, build mechanisms for sustainable scientific practice, and contribute to effective and efficient disaster and emergency response and prevention efforts.

GEH LAB began in 2009 as a small research group at Northern Illinois University.   The organization was independently incorporated in New York City, USA in 2015 and obtained 501c3 Non-Profit status in 2016.  We have a volunteer staff of two directors and three associates and a growing roster of scholars and interns.  

Program Background:
Title/Theme: Community and Occupational Health Associated with the Sustainable Development Goals

Research Topics: We work on a variety of projects related to public health including environmental awareness, maternal health, child health, social determinants of health, migration, water treatment, WASH practices, disaster response and occupational health.  Each project is led by an international GEH LAB Scholar and collaboratively developed and implemented by a multi-disciplinary team of local university faculty and students in Myanmar.

Capacity Building and Workshop Topics:  We conduct hands-on workshops where our international GEH LAB Scholars share knowledge and develop skills alongside Myanmar university participants.  We cover topics such as research design and proposal writing, the epidemiological approach and use of surveys, research ethics, environmental and risk assessment, data entry and analysis, writing abstracts and manuscripts, and giving conference presentations.

Locations: Myanmar (Burma):  Mandalay and Magway Regions

Collaborators: local universities in Myanmar (see below for full list)

Activities: workshops, seminars, research, symposia, field trips, and cultural activities

Team:  Our research team is led by Associate Professor of Public Health Dr. Tomoyuki Shibata. Heidi West, M.A manages programmatic activities and the recruitment and training of our team of international scholars.  Our GEH LAB scholars (typically 3-4 per year), include graduate students and professionals from a variety of locations and disciplinary backgrounds.  

Heidi West, Co-Founder and Director of Programs and Operations
Tomoyuki Shibata, PhD, Co-Founder and Executive Director
Global Environmental Health LAB
hwest@gehlab.org
+1 510-520-2784
www.gehlab.org

 

Interview with Heidi West, Co-Founder and Director of Programs and Operations, GEH LAB
By Aricia De Kempeneer and Myron Godhino

Please describe the problem/issue that your project addresses.
Our work touches a number of interconnected and interrelated public health challenges in Myanmar that are directly connected to the achievement of the United Nations Sustainable Development Goals (SDGs).  

Some problems that our research projects hope to address include:

  • Medium and long term impacts of natural disasters – physical and mental health of disaster responders and infectious disease outbreak post-disaster
  • Child health – improving child health through targeting behaviour change related to mother’s hygiene practices and health care seeking behaviour
  • Reducing hospital born infections through studying WASH practices and conducting environmental testing in health facilities
  • Creating occupation and gender based interventions for reducing exposure to air pollution
  • Assessing and increasing environmental awareness in diverse communities
  • Evaluating affordable and sustainable options for household water treatment

The broad problem that our program addresses is a lack of scientific evidence on public health and development issues in Myanmar.  This relates to the issue that most universities in Myanmar are lacking the capacity to conduct quality scientific research to address problems locally.   There is great need for training and capacity building in research design, implementation and dissemination.  If we can help local experts to not only conduct scientific research, but also train future generations to continue to engage in the scientific process, then we can build a foundation for addressing current and future issues, which is especially critical in a place like Myanmar that are increasing seeing the impacts of climate change and unequal development.

Who is mostly affected by this? How extensive is the problem?
Our past studies have shown that socio-economic factors and exposure to environmental risk factors are interrelated.  Generally, people living in poverty and those with limited education experience a greater burden when it comes to environmental public health issues especially when it comes to clean water and sanitation.  These are local and global problems and accordingly are a major focus of the SDG agenda and allocation of international resources.

The lack of scientific evidence and research capacity directly affects university faculty and students.  However, this knowledge and capacity gap means that local decision makers do not have access to quality scientific evidence to guide their policy development, resource allocation and program implementation.  This can have a negative impact on the entire population of Myanmar and further exacerbate health disparities.    

What approach are you using to solve this problem? Please describe it in detail.
We take a three pronged approach in our work to solve this problem and will be adding a fourth element in 2018:

    1. Research: We conduct collaborative public health research projects on major issues facing the local communities where we work; providing scientific evidence and building a foundation for programmatic interventions.

 

  • Capacity Building: We train local faculty and students in a variety of fields to design, conduct and disseminate impactful community based research.  This element of our approach increases the sustainability and effectiveness of our work.
  • Scientific Engagement:  GEH LAB engages with  government, NGOs and clinical practitioners, as well as the international scientific community, in order to help ensure that our work can expand beyond the classroom and research lab to assist decision makers and collaborators.  
  • Community Service and Outreach (future): In 2018 we will be reintroducing community service and awareness raising activities to our work.  This will broaden the scope of our reach with the goal of having a positive impact on public health behaviour change.  For example, on a past project in Indonesia, we held a soap making day using recycled cooking oil to promote hand-washing in the community where we conducted a hygiene practice and child health study.  

 

What is particularly unique about your approach to solving this problem?
Our focus on academic scientific research is unique for an NGO. Our NGO status allows us to fundraise and recruit scholars from a diverse range of institutions and include professionals in addition to faculty and students.  We are not operating within the traditional aid or development paradigms, typical of most NGOs, and are also not limited by being under the umbrella of a large university.  

All of our work is interdisciplinary and is conducted by multidisciplinary international teams. The interdisciplinary nature of our research means we are incorporating an environmental epidemiological approach and able to use both quantitative and qualitative design.  

We are the only NGO working in this space in Mandalay and Magway and one of a very small group taking this approach to research and development worldwide.  

How does your approach work better than other approaches?
Our capacity building approach focuses on long-term sustainability and building the next generation of leaders.  We are building connections between individuals, institutions and fields and have already fostered some of the very first cross-university research collaborations in Mandalay.  For our international GEH LAB scholars, a lot of our work is conducted remotely so we are able to work with people around the world throughout the year even if they can only be in Myanmar for a few weeks a year.  

Why it is best suited to this setting? How did you account for context (geography, sociocultural differences, etc.)?
The type of work we are doing is aligned with the mission and goals of our institutional and individual collaborators.  We design our programs and projects with our local partners in order to help ensure our approach will be appropriate.   Our educational and research focussed program is a good fit for the local academic setting as we develop and grow local scholarship and raise awareness about important local issues to an international scientific audience.  We account for timing and scheduling by finding the few times of year when the US and Myanmar academic calendars align.

One of the goals of local university leadership is to help increase the English language capacity of their faculty and students.  While we do not do direct English language instruction, we are very intentional in our instruction methods to ensure the content is appropriate for varying levels of English competency and use of international scientific communication structure helps us adapt to the cultural and linguistic complexities.

Linking our work to the global development agenda (SDGs) and shared global challenges such as environmental health and natural disasters provides us with a common foundation on which to build our projects.  Starting from this common framework, allows us a platform from which we dig deeper into local issues.  Because the SDGs apply to every country and we are all being evaluated on the same targets, we are able to bridge some of the initial challenges of developing shared goals between diverse collaborators.   

Our multipronged approach exponentially increases the effectiveness of our work.  If we were to conduct research as an international team without local collaborators or run capacity building workshops without conducting joint research, our outcomes would be minimized.  Our participants, both local and international are able to learn by doing and gain hands on experience that helps them in their professional and academic development.  

How did you develop your idea of solving this problem?
GEH LAB is a research based organization so we approach our work using the research design process and apply it to the development of our programs and activities even those that are not strictly research oriented.  Below is a summary of our step-by-step process.  Each step involves both our international team and our local collaborators although steps 2- 8 generally happen remotely.  

  1. Initial meetings, visits and observations
  2. Recruitment of international team (~3 members, 2 staff)
  3. Literature Review and mapping of project to SDG framework
  4. Discussions, meetings, information sharing
  5. Capacity review (individual and institutional)
  6. Study design (methods, materials, locations, timing)
  7. Ethical reviews, IRB approvals
  8. Initial proposals submitted to ministries for permission
  9. Visits to study sites and presentation of proposals at workshops
  10. Finalization of project teams
  11. Feedback, discussions, limitations and capacity issues addressed
  12. Revisit, revise and adjust project

What factors did you have to keep in mind when designing your project?
The ability of our project to make an impact is a major consideration for us.  Accordingly, we always consider feasibility, innovation and the current socio-political climate.  We ask questions related to our limitations and challenges such as language, capacity and resources and assess the ability of our teams to fully implement a given project.  We often use alternative research or sampling methods to account for the limited resources in the settings where we work.  For example, we use relatively affordable and accessible handheld instruments for measuring air quality (particulate matter) and testing water for contaminants because the government and universities do not  have access to many of the more expensive standard methods.  

Who did you have to get permissions from?
We need to obtain permissions from relevant government ministries in Myanmar such as the Ministry of Education, Ministry of Health, and Ministry of Social Affairs. We submit our proposals and qualifications in advance to the appropriate ministries based on the location and topic of the project.  

Additionally, we always receive permission and consent from the local communities that are involved.  For example, if we are taking water and soil samples from a local village to test for contaminants, we first meet with local village or township leadership to discuss our intentions and obtain their permission and that of the community members.  This process tends to occur in person whereas the ministerial approval is both written and in person.

For any research involving human subjects, such as our epidemiological survey projects, we obtain IRB (Ethics Board) approval as well as consent and permission from all participants.  

Who did you have to collaborate with?
We collaborate with and work under the invitation of several local universities.  Our collaboration was initiated through the Northern Illinois University Center for SouthEast Asian Studies and Center for Burma Studies in 2015.  We also collaborate on a case-by-case basis with the universities and employers of our international scholars in the event that the scholars are obtaining academic credit or fulfilling professional duties through their participation in our programs.  

  • Northern Illinois University, Delkab, Illinois
  • Yadanabon University, Mandalay
  • University of Mandalay, Mandalay
  • University of Medicine Mandalay, Mandalay
  • University of Magway, Magway

 

How did you successfully convince these stakeholders to support you?
GEH LAB has been able to develop successful projects because we took the time to build trust and establish mutually beneficial relationships.  We always conduct our projects collaboratively and build on complementary strengths.  Our team has broad and diverse networks in global health and development and we were able to utilize and enhance existing relationships such as those between Northern Illinois University and Yadanabon University in Mandalay, Myanmar.  

Our projects are designed to have both immediate and long-term positive impacts for the stakeholders.  Therefore, after one successful project, the participants have been eager to continue to support the work of GEH LAB and have recruited additional stakeholders.  

What difficulties did you face while trying to implement your project?
How did you overcome these? What strategy did you use?

  • Language is a major challenge when working in an international setting, especially in areas with limited exposure to international visitors.  We always reinforce oral presentations and verbal training with written materials, pair individuals with varying English language skills so they can support each other, and ensure translation and/or interpretation when appropriate and necessary.  
  • Because we are a small volunteer-based non-profit working in resource strained settings, we continually face challenges with limited resources.  We address this through solve collaboration, building our network, adjusting our research designs,  and staging growth. We are also seeking support through individual and institutional donors – donate at www.crowdrise.com/gehlab
  • Our teams often have varying levels of capacity for research, English language and public health.  In addition our teams consist of people from very different backgrounds and fields such as physics faculty working with international relations, chemistry and psychology.  GEH LAB projects address this challenge through promoting local leadership and supporting those with greater capacity to engage in teaching and leadership roles.  We provide additional learning resources to those who may need more support and default to the recommendations and guidance of university administration in selecting participants and presenters.  
  • In Myanmar, transfers of faculty and administrators after short terms of service are very common.  We work very hard to develop institutional and individual relationships, only to find that all of the leadership has moved to a different university ahead of our following year’s project.  This has been a major challenge for our work, but one that we have tried to run into an advantage in that we now have connections at numerous universities.  For example, our main collaborator and university rector at Yadanabon University was transferred to University of Magway just  2 months ahead of our 2016 program.  While we were very disappointed to lose this champion of research collaboration, we have now initiated several projects with his new university and in the Magway region that otherwise might not have been possible.  

Can you offer some advice to others who might be interested in implementing a project similar to yours in their own setting?
Develop relationships, especially through in person visits while designing your program, be flexible and adapt your project to local capacity and interests,  link your work to the global development agenda, and feel free to contact us!  We are always looking for new collaborators.  

How can others get involved with GEH LAB?

  • Join us as a research scholar in 2018: Application opens Fall 2017 at www.gehlab.org
  • Request capacity building seminar or scientific talk at your institution: email admin@gehlab.org
  • Meet with us at the American Public Health Association Annual Meeting (APHA) in Atlanta, Georgia, USA, November 2018! email admin@apha.org
  • Support our work with a small donation:  www.crowdrise.com/gehlab

 

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