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Reblogging this.

Because we weren't able to accomplish our main objective at WHO, which was writing an article about TB patients who got treatment in Romania. Don't misunderstand me, my learning objective was fully accomplished, as I did learn so many things about TB and about the health system in Romania. But I was really excited about the article, as writing is one of my things, and I thought it would be a great opening for a future career in writing this kind of stuff. Maybe it will happen. We will see.

So, I wanted to also write on my blog more details about the article and the work we put into it (because, despite it didn't happen, we did put a lot of work into it), but then I saw Elena's post, and I really don't have much to add, so I will just reblog her post. Of course, she has copy rights for it, but after all, I did went through same experience. 😃

Published or not published?

In the first days of our internship we started to work on a project about a patient from Montenegro who suffered from multi-drug resistant Tuberculosis and was transported to Romania for treatment. We started this project by interviewing a doctor from Marius Nasta, Pneumoftiziology Institute. I must say that we learned more than we thought in the beginning, at the end of the interview. Apart from hearing many new things,the interesting story on how the patient was treated in the hospital, and the fact that she came for treatment in Romania as her country has not the necessary resources for her treatment, we also had some difficulties. Because we are not used with all the medical terms, it was a bit challenging to follow the discussion, to pay attention to all the details and make notes in the same time. But somehow, we managed this. After we return to our office, we discussed with our supervisor what we found out, and she gave us many articles from where we can inspire in writing the article. All the articles were very helpful for us, for the article, and also for our profession, especially the ones about nutrition. So we started to work on it, by writing about the health system in Romania and Montenegro, some words about the patient, the reason why she came to Romania, how she was transported to Romania, and, about the period when she was in the hospital based on what her doctor told us in the interview. Unfortunately we postponed the article as we were asked to participate in the project about immunisation at Totem. Now, that we finished our work at Totem we are back WHO. During the first day, our supervisor told us that a new patient form Montenegro came for treatment in Romania, and we have the possibility to participate to an interview with him. We were both more than excited to hear that, as it is interesting to hear more than one opinion about this experience. The patient didn’t speak English or Romanian, he knew only Serbian, so we chose not to participate to the interview together with our supervisor. None of us know the language, and we were thinking that it make no sense to be there, as we wouldn’t understand the conversation, and we would’t be able to ask questions. In a way we could say that we participated, because we succeed in doing a good interview guide, that was used, with a very good feedback. But in this time we continued to write on the project we started before leaving at Totem. Unfortunately, we were told that the patient did not feel very comfortable on talking on this subject, also he was not sure if he agrees with the fact that his case will be published. The interview with the first patient was also impossible to happen, as she left back to Montenegro, and it was very difficult to find a way to get in touch with her for the interview. We were told by our supervisor, that the project has to be postponed again. Because our internship will soon come to an end, there is almost no chance that something will change during this last days. But we said that we wish to participate in writing the article, because we found it extremely interesting, and we want to take part in it, even after the end of our internship.

In our last days of the internship we were doing some WHO certified courses send by our supervisor with the following titles: 

- Pandemic and epidemic-prone diseases

- Writing for the web

- Risk communication essentials 

- Public health interventions in pandemics and epidemics

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Future job perspectives and people around me.

Ok, so I got inspired to write this post by Elena (also, she made me miss her so much for writing such beautiful words about me while she is on her vacation. Can't wait to see her again and, to publicly answer to the question our colleagues have asked us during college, no, we are not together in that way, we are just two introverted shy girls who studied far away from everything they knew and loved, our deep friendship was bound to happen.).

So, after this internship I realized I still have so many things to learn, but it has also given me the chance to see how my future job can look like, especially in the public health sector. All the people we have collaborated with were extremely nice and ready to help, but unfortunately, they were all doctors. I say "unfortunately" because I don't think Romanian organizations are ready to employ someone who is not a doctor in the public health sector. On the other hand, I can always try to apply for a master in Public Health next year and see where that takes me. Most PH masters programmes in Romania do not explicitly require you to be a doctor to get in, but almost all the students who do get in are doctors, as most public health schools are part of the University of Medicine. So, we will see.

Having done half of my internship in Totem, which is a research company in pharmaceuticals, has also broaden my horizons about other jobs, such as those in the sociological field. Mostly, what I want is to understand people in order to be able to help them and Romania is a big step behind when it comes to prevention of disease through healthy eating and physical activity. In Romania, we still have lots of communicable diseases, including TB and STDs. Add to this a poor, underdeveloped health system, low incomes and generally low education prospects, we can conclude that preventing NCDs through a healthy lifestyle is not a priority for the average Romanian. Pursuing a career in sociology, where I can help people in many different ways, becomes more logical in this context.

Bucharest or not Bucharest?

To emphasize what Elena said about Bucharest, it is truly a bad city. When I first complained about it to a friend of mine, she was a bit harsh and reminded me of how grateful I should be because of my internship place: apparently, everyone dreams of a internship in WHO. I trusted my friend, as she has a Master in Biochemistry or Food Engineering or something like that, but, nevertheless, Bucharest is not the city I want to live in. In almost every bus I took, there was a person who suffered from psychosis. Beggars. Gypsyes who would steal from you. People holding tightly their bags as if they were their babies. A person drinking vodka at 9 am. A guy who took pride in the fact that he was first arrested when he was 16. His friend competing with him: "ok, you were firstly arrested when you were younger than me, but I have more prison years than you." And that's just the bus. At work, we had a colleague who would stop working for half an hour just to come next to us to ask us what we have done for those expensive laptops we had and how life is so much easier for some people. Had I owed him an explanation, I would have told him that I actually worked for it and I cannot be blamed that in Denmark, you can work a few months and get that expensive laptop while in Romania, you would need to sell your whole family for it. It didn't even make me angry, I was mostly just sad. It's sad to see how people fail to live their lives because they too preoccupied with other people's lives, and this is a common thing in Romania. Who is to blame? Probably, the system. It is understandable that when you earn so little that you are hardly able to afford food and accommodation (this is what the minimum wage in Romania can give you. Actually, this is what the average wage can give you. Until you get there and still earn the minimum wage, you still depend on others financially.), you would hate anyone who has it better than you. So. Bucharest. Has it been a really interesting and eyes opening experience? Yes. Do I want my future offsprings exposed to this environment? I don't think so.

I would still want to be able to be close to family. To see my baby brother grow. So that's why going abroad again is not one of my main options. But, fortunately, there are other options in Romania as well. I hear cities like Cluj offer the same possibilities as Bucharest, but they are much cleaner and less noisy.

I have met good people as well. It is just sad for me to notice that the "good" people were those who didn't have to worry about basic stuff, like food. I can only conclude that lack of money takes us all to a primitive state. Lesson learned? Never take for granted what you have.

First of all?

Our internship host at WHO. She was ready to help us with everything that we needed, she included us in many activites done throughout our internship and she helped us with a flexible schedule, which is highly valuable in any job.

Our supervisor at Totem. I am not sure if he was our supervisor per say, but we were there for a little bit more than half of our internship. So, when we got there, he told us: "this is a serious project. If you want to be part of it, like really want to, I will guide you, teach you and pay you. If you want to come here like 2-3 hours/week, I will sign what you need, but you need to tell me now, so I can hire other two people to do the actual job." Of course, we said we wanted to really work on it, so he spent hours explaining things to us. He even let us do serious stuff, like reports or the interview guides. Why do I say that? Because, he said, normally he would hire people for the field work and he would do these things himself. Normally, it will take him a couple of hours to do them. But, if we really wanted to learn things, he would take hours to teach us how to do them, and then give us days to do them. So, for being given such a great opportunity to learn, we are grateful.

Elena. She said great things about me in her posts, many of them are true. Nevertheless, I am... me. People close to me, like Elena, know that I am industrious and I have high determination. What they might not know is that I have days when it's really difficult to actually get out of the house. That's why having a friend next to me every day made things easier. And not any friend. You know. I was a little bitch to Elena now and then. I accused her of letting her personal problems affect her work, which was not really fair of me, as she had a period when she was really sick. But what she doesn't know is how much I respect her for always being there, never skipping a day at work, always trying, even whe she was down or sick. Knowing that made leaving my home in the morning a little bit easier. And for that, I am grateful. (Also, for being such a great friend, but, like she wrote on her post, I really differentiate personal life from professional one, so I won't write here about what an awesome friend she's been to me.)

All in all, it has been an awesome internship. And, since our vacations were one after another - my supervisor, myself and Elena - will try to go next week, when Elena is back, to WHO to make a video of our supervisor. 🙏 peace! 🙏

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Three months more experienced

So, our internship is coming to an end. As you can recall, I started my internship at WHO Bucharest, and from there we were send to Totem, to help them with their research on Refusal to Measles Vaccination. I had been a bit sad to leave all my wonderful colleagues at Totem, but fortunately I got a part time job there, so I will actually be able to afford food while writing my thesis, so I have that going for me, yeeeeey!!!

Back at WHO, we were asked to go through some reports. The reports on the qualitative part of the study we had conducted while at Totem. It's been such a useful experience, to actually get the interviews done for a real job, knowing that we were working for a respected organization and there was no possibility for shortcuts or for doing a poor job, as sometimes we did in college. 😃😁

What we did since we left Totem? Well, we got there for one more day, as our supervisor from Totem has arranged for us to meet the person in charge of analyzing the quantitative data we have previously collected, so that she can explain to us all the processes she was doing. That was an extremely interesting and difficult lesson in quantitative methods!!!! I cannot really say that: "hey, I've learnt so much after those two hours, I'm like a pro now in quantitative data.", I probably didn't really learn much, although I was truly paying attention, but those were some really difficult stuff. But what I can say is that for the first time in my life, I have found quantitative data interesting. And, also, the lady gave us her contact details, so we can contact here anytime we need some information, so that's nice too.

Back at WHO, we worked on the interview guide for the TB patient who came from Montegro to get treatment in Romania. We received really got feedback on the interview guide from our supervisor at WHO but, unfortunately, the interview won't happen. (The social and political implications would be too high.) Sometimes, I feel like I cannot share much information on this blog because it is kind of confidential, and, I mean, please don't take any offense in this, my really nice Metropol teachers, but I really can't see how sharing confidential information with just few people (as it would happen if my blog was private) is in any way better than sharing it with everyone. That's why going for a private blog was never an option, to begin with. With the risk of failing this module (although, I really don't see how that would happen, since I have really been working hard for three full months), I cannot share on this blog more than I already did - public or private. I simply don't see how. Mostly, I handled confidential information during my internship. I told people: "hey, you can tell me, no one except myself will know what you told me.", and then just go writing on my blog about it. And this is NOT me complaing about the blog. If anything, I am trying to explain myself. Everyone is like "oh I hate the blog because I hate it that everyone can read it.", I really don't have that problem - I've been having different blogs for the past 10 years, writing is what I do. But many of the requirements of this blog ask of me things that I cannot do - tell others what I was told in confidence. We actually did sign a five years confidentiality agreement at Totem, not that this has anything to do with the way I see things - we all value ethics more than anything!

So, I really hope this blog will suffice.

It was a shame that the TB article won't happen - WHO people will try again, but they aren't really hopeful. Anyway, we did tell them we are really willing to work on it, so they can contact us, even though our internship is almost over.

Ps: we wanted to do a video of our supervisor, but she is on holiday this week. Maybe we'll post it in three weeks or so. (We also have holidays soon. 😍)

And yeeey, I started working on my BA thesis and I really really really think it's going unbelievably well!!! As I suspected, deciding on a single topic was the hardest thing about this thesis - I went back and forth from Cannabis, Alcohol, Tobbaco, Mental Illness, TB, and PCOS. Once I have settled on PCOS, things are going smoothly. (Still, working on my theories and the literature review, once I get to actually collecting my own data, things will probably become more difficult. :D)

Peace, people. I hope all of you got awesome internships and I hope all of you love writing as much as I do. My thesis will be the most beautiful thing there ever was! (Actually, my writings are on my computer in a folder called "my beautiful awesome incredible babies, so yeah.) Come on, we can do this!!!! ❤️❤️❤️

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Looking forward to Daniel’s new posts, as I am very much interested in finding more about the relationship between mental health and nutrition, and if mental health illnesses can be treated through a proper nutrition. :)

Mental health and food: nutritional psychiatry

I am so happy that I am getting the opportunity to explore the relationship between nutrition and mental health. This is something I really wanted to look into when first talking to my internship place. I have explored extensively the relationship between food nutrition and physical health, but mental health has been an area I feel I needed to explore more deeply, and now I get my chance!

Mental health is becoming more and more of a concern for countries around the world. In more recent years, the importance nutrition has on some of these mental health disorders has started to come to the forefront. Food nutrition is no longer considered important for physical health, but also for mental health too! Awesome! Have a look into Nutritional Psychiatry if you want to learn more about it, there are quite a lot of studies exploring this subject.

So how have I been exploring mental health and food nutrition in my internship? Broadly speaking, I have been investigating this in a Danish context; what mental health disorders are most prevalent? Is there evidence from Denmark or around the world that proves nutrition can improve these conditions? What is Denmark currently doing to tackle mental health disorders? Is nutrition being utilized?

These are the kind of questions I am exploring. It has been a big help being confident in finding reliable sources of literature. If I were to give a tip to other students, it would be to practice this as much as you can. It makes tasks such as this one I have, a lot easier to complete and more enjoyable too.

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Two weeks left

Since it's soon going to end, I will take my time to count my blessings. I am so grateful for this amazing internship, from which I have learned so many things and I have really developed professionally. I am grateful for people around, for they are either awesome colleagues who have good patience with me and my learning progress or really good and experienced bosses, who take their time to teach us so many amazing things. I am grateful I was give the chance to see different parts of my country, as well as being able to talk to all kinds of people - it was truly a good opportunity to get to know my own country better! I am grateful I was involved in such a huge and important research project - the one with finding the reasons for refusal to vaccination - and I was given a chance to be the one who found out what people think & need, regarding such an important issue. I am grateful for this awesome education, for it has given me solid knowledge and very good set of skills to deal with real life projects. I am grateful for this blog, as it is such a awesome way to get in touch with everybody and such a awesome opportunity to learn about my colleague's really cool internships!!! I just want to say - I just don't have words to express how awesome everything is and sorry I am for having been ungrateful in the past!!!! #soamazingiseverything

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Back at WHO - Challenges at Totem

So, we are back at WHO. A little throwback. WHO and other stakeholders wanted to conduct a research in order to find out the reasons for the Measles outbreak in Romania. For that, they hired TOTEM, a research company. They sent us there to help them with this project, so this is what we have been up to for the last month and a half. I have talked about my work within Totem in past posts. Today I would like to mention the challenges. The first part of the research was the quantitative one. My first challenge was having to call a few dozens unknown people and having to ask them personal questions. My close friends and family know one thing about me: I have talking on the phone! So that was challenging, to begin with. Secondly, the questionnaires had lots of questions and they were rather long. Often people wanted to share their whole experience with me and that made the target to talk to as many people as possible difficult to reach. In time, I had managed to act more or less like a "professional", remind myself I have a task and that I am not their shrink, and interrupt people, remind them I only want them to answer with "yes", "no" or "I don't know". Secondly, the questions were a bit personal. Not only were there questions about their child, but in the end we had to ask them how much they earned! I feel that is a very personal thing. I would not answer to that, unless the person asking is a close one. On the qualitative part, we have learned that field work is... complex. Whatever plans you make for the field work, things never turn out the be as expected, as there are too many variables. Example of challenges: after traveling 12 hours in the night by train, we found ourselves in the train station in Arad (a city), having to do interviews in a godforsaken village, 80 km away from Arad, and with no public transportation to get us there. So, we had to spend 2 hours in the train station (after spending 12 hours in a train, you can imagine how tired and sweaty we were!), trying to figure out a way to make it work, as our interviews were scheduled only in a few hours! That was fun! 😃😃 Difficulties with the interviews came also from people not wanting to talk to us. Being refused by doctors. Or a particular doctor who apparently was told by the person who called them (the person from the Public Health Institute) that we were going to give them questionnaires to complete, nothing more, no interview, no recording, so you can understand what an embarrassing situation it was for the doctor, who had told the patients that they just needed to fill out a questionnaire and for us, as the doctor was a bit angry. All in all, I think a lot of things could have gone better in this project. But, in the other hand, I need to remind myself that I actually worked hard on it and it was my first one, so maybe I shouldn't be so harsh on myself.

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How I fullfill my learning objectives

Learning Objective 1: Learn about the burden of Tuberculosis worldwide & in Romania and how it can be controlled and prevented.

WHO wants us to make an article about a patient from Montenegro who suffered from multi-drug resistant Tuberculosis and was transported to Romania because they did not have the required resources in Montenegro to treat her. Together with Elena, I went to  “Marius Nasta" Pneumoftiziology Institute to interview the doctor who treated her and we learned so many interesting things. To be honest, it has been a little challenging listening to the doctor talking, since we really don’t have much of a medical background, so we tried typing every one of his words. We left feeling more confused than before, as it turns out journalistic work tends to become rather tedious in the long run and each question we had before the meeting produced three different questions when we got out. We were asked to postpone the article for the last month of the internship and we were shipped to Totem Communications to help them with their research on suboptimal immunization. 

Learning Objective 2: Increase my skills of collecting & analyzing data. 

As described on their website, Totem was founded in 2003 by a team of professionals, bringing on the local market a unique concept, integrating market research, marketing and communication services. Its current management team has expanded the firm’s expertise to include multichannel marketing, management consulting services, and patients programs.

As I wrote in previous posts, we are currently working on a research project, in order to investigate the reasons for the current Measles outbreak and the low immunization rates. As part of that research, for this past week we have been working in the call center, conducting on-phone questionnaires. Despite being nervous and shy at first, we have mananged to increase our social skills quite fast and become more and more confortable with calling strangers on the phone. I can now understand the flaws of such kind of questionnaires, as each one of the people we have called had stories they wanted to share with us, stories that would have proven useful to our research, but we had to finish 500 questionnaires in a week. (we didn’t get even close to that target so we might get fired tomorrow, who knows? Life is full of surprises! :D)

 As any research, the questionnaires will be complemented with a qualitative part, most likely interviews, so we would get a chance to travel through our beautiful country, yeeeeeey!!!! :D 

Finally, not that it’s related in any way to my internship, but I did manange to run 3km today, after a very long time of being totally lazy!

Cheriooooos, people, have a great Sunday and remember that I am more than happy to answer to questions!!! 

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I don’t know how to add captions to each picture and since I have no time to find out, we will do like this:

1-2-3: Pictures from the workshop on Tobacco, held in Bucharest on 10th of June, including pictures of Elena and myself being super awesome with the mic :D In the workshop participated members of the local health authorities, national health authorities as well as represents from the local police; The main topic discussed was the effects of the law prohibiting smoking in public places, which took effect last year. 

4: Picture from the workshop on Polio and Immunization, held in Bucharest on 13 June. In the workshop participated many different kinds of doctors, who discussed the Polio situation all over the world.

Our supervisor at WHO has asked us to do a presentation on both of these topics so we can publish it on the WHO website and I will be doing the one of Tobacco so will share the link as soon as it is online.

5: Selfie of myself being super awesome at my new job. So, WHO will do a research - both quantitative and qualitative - in order to find out the causes of the recent Measles outbreak in Romania and the reasons for the low immunization rates. We will participate in both parts of the research and right now we are doing lots and lots of on-phone questionnaires. Later on, we will be traveling to different cities to do interviews or focus groups.

6-7: Pictures from the sixth meeting of the International Committee of control and status of Measles and Rubella, held in Bucharest on 15-17 June. 

8-9-10: Pictures from the UN house, where the WHO office is located.

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Learning goals - The post you can skip (I promise the next ones will get really interesting.)

Ok. So let’s get it over with. I say this because we aren’t really allowed to write what our hearts desire. Updating this blog at least once a week is one of the main requirements for passing this module, which is just fine. God knows I love to write; I might be shy at first, but then my posts become endless. 

 But then, we aren’t really “free”, so to speak. Meaning, we have a format we need to follow, some specific things we need to write about. 

Post no. 1 was “about me”. (in case you, guys, haven’t figured that out!). This post is going to be about my learning goals. (I will just copy/paste them from my learning agreement, which was due few weeks before actually arriving at my internship place.) There are a few things that need to be said about my learning goals. Firstly, as I have never had a job like this before, I found it extremely difficult to come up with some S.M.A.R.T (specific, measurable, attainable, realistic, timely  - wow, I still remember things from college!) goals. I didn’t know what to expect out of this job. I just knew it’s going to be awesome, dynamic, I knew it will weight a lot in my resume and, most importantly, I knew I will be learning so many things, especially practical ones, but I had no idea what. Ohh. And I knew it’s going to be about Tuberculosis. And I also knew that, because of doing my internship about Tuberculosis, it would be a good idea to write my thesis on the same topic. (after my enthusiasm about cannabis - I mean, writing about it!!! - wore off, as I realized that I will be fighting so many preconceptions & biases.) 

Learning Objectives I:

 Learn about the burden of  Tuberculosis in Romania and worldwide, how can it be prevented and controlled.

Key strategies (tasks):

Reading literature found online;

Reading background summaries and  data;

 Learning Objectives II:

 Increase my skills of collecting  & analyzing data;

Key strategies (tasks):

Assist and help with data analysis;

Analyze the data gathered. 

Learning Objectives III:

 Acquire useful organizational &  social skills, as well as learn about the procedures that need to be followed in this kind of project, that target the population of a whole country.

Key strategies (tasks):

 Work in a team of professionals to create different activities to inform & control Tuberculosis in Romania.

 Learning Objectives IV:

 Putting the knowledge learned in  Module 9, called “Interprofessional Activity” into practice;

Key strategies (tasks):

Work in teams of different professionals.

 As you can see, these tasks are described so poorly and broadly, that you can skip it; I am not proud of them, but again, I needed to hand them in at a time when I had no information about specific activities. 

 I hurry to write this post now because this Saturday we are participating in a workshop called “Round Table with Police Inspectors on New Tobacco Law Implementation in ROMANIA”. The aim of this workshop is for WHO to help the Ministry of Health to improve the full implementation, including in health facilities, of the new law on tobacco that entered into force on March 2016. 

Also, next Tuesday we have another workshop and then, from Wednesday, we will be going to Totem, to help them with their research, to understand the factors related to suboptimal vaccination uptake. In that respect, we will be doing questionnaires on the phone, as well as helping with the interviews/focus groups. 

So, I am well and busy! Will keep you updated! 

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New beginning

 As we arrived a little bit earlier to our first day of internship (such good girls, right?!) and while waiting for our supervisor, I figured it would be a good idea to write the first post. 

 I am Georgiana and together with my colleague, Elena, we are starting our internship at the World Health Organization in Bucharest, Romania. We have been doing our Bachelor in Global Nutrition and Health, at Metropol University in Copenhagen, for the past three years. In order to complete our education, we are required to do a three months internship, before writing our Bachelor Thesis. Although we are both starting at the World Health Organization in Bucharest, we have been assigned to work with different topics.

 I will be contributing to the WHO Co Romania work on Tuberculosis control in Romania and, among my assignments, I will be drafting background summaries, analyzing data & preparing draft reports for admission and discharge criteria for Tuberculosis.

Why did I choose this internship? Especially since my specialization is Lifestyle and Health Education? 

 Well, I wanted to broaden my horizons and, at the same time, being so close to finishing my Bachelor, I felt the need to go back to my roots. Why is it that I do anything at all? Why have I chosen this education in the first place?

 I want to help people; I actually live to help others, I am a caregiver. And once I acknowledge what I truly am, I am one step closer to finding a career. (Although, still very far away, since there are so many ways in which you can help people and, also, you still need to put some food on the table for your future kids.) Life is hard, choices are harder.

 But why is this internship different, you might ask?

 It is a bit different from what I’ve learned so far - that is, in my (more or less) preconceived opinion, as I haven’t started yet. But specializing in lifestyle & health education meant, among many other things, that we were mainly oriented to prevent disease through proper nutrition & physical activity, on an individual level. That being said, I think this internship will constitute both a challenge and a possibility to grow. 

 In the meantime, our supervisor has arrived and we had a short meeting about the things we are going to do - which sound really interesting, but I guess I will leave them for my second post, in which I will be describing my internship place. 

 Ps: This post was supposed to be about myself, so here’s a bit of a description. I am Georgiana, 25 years old (still!), pretty decent writer, previous bookworm because, in the meantime, adulthood has happened, the notions of “money” and “success” made their ways into my mind and, all of a sudden, there is no time for the things we love. But, life is good and I am optimistic. Follow me for finding more stuff about my super awesome experience.

 #internship #WHO #Bucharest #Metropol #FinallyFinishingCollege #optimistic