Prototyping, Feedback, and More Prototyping!

Karibuni Tena!! Welcome back to my blog!

Week 5 was filled with amazing progress on all four of our projects, valuable feedback from clinicians, and even more unforgettable memories!

On Monday, we hit the ground running by brainstorming design ideas for the photolight therapy device. There were multiple ideas discussed involving modelling our device off of current prototypes that NEST360 has developed. These included the different models of Colibri, one that featured an adjustable panel with blue lights attached and another with two strips of lights with a gap in the middle to allow for the use of a radiant warmer. After much brainstorming, we ended up deciding to move forward with a design that incorporates both models. Our proposed design looks very similar to the Colibri model with two separated light strips, however, it will feature both a sliding mechanism to join the two fixtures if a radiant warmer is not being used in tandem and a rotating mechanism as to provide the maximal light intensity to the baby to treat Jaundice as necessary by the nurse.

Very Detailed Inspection of Colibri
Brainstorming Different Design Ideas

 

 

 

 

 

 

 

 

Aryun Conducting Preliminary Leakage Tests

On Tuesday, we met with Dr. Evelyn, a neonatologist working at Muhimbili National Hospital (MNH) where we received valuable feedback on the gastroschisis bag project. Initial meetings with Dr. Evelyn provided us with enough guidance to pivot from the original IV bag design into one that resembled the Alexis Wound Retractor that is currently being used for babies with gastroschisis. After designing and producing multiple types of the redesigned gastroschisis bag, with different ring sizes and bag materials, we presented them to Dr. Evelyn, who was very impressed with our progress. Although impressed, she mentioned that it was of utmost importance to test whether the bag material would be able to withstand UV-C radiation for sterilization purposes. Additionally, she mentioned leakage tests and tests with simulated gastroschisis treatment protocols should be conducted to further test the validity of the prototype. With such valuable feedback gained from Dr. Evelyn, we headed back to the design studio to prepare for such tests throughout the week.

Testing Power Consumption of LEDs

 

As for the photolight therapy project, we began testing on what the exact power specifications of the lights were. By noting the power consumption and overall layout of the different LEDs, we can have a better idea of how the entire system with all components can fit together.

 

 

 

On Wednesday, we decided to work more on NICU-T, the continuous temperature sensor for newborns. Seeing as we completed the design of the electronics on the breadboard, it was now time to translate this onto a printed circuit board (PCB). Completely new to circuit designing, I was incredibly grateful that the students at DIT were kind enough to teach me all about the different aspects the PCB software included. After lots and lots (and lots) of trial and error, I was finally able to design a fully functional (hopefully) PCB that included all necessary parts for the final device! Below you can see images of the different components and connections as well as a 3D rendering of the PCB:

 

 

 

 

 

 

 

Later in the day, we celebrated Cleria’s birthday, a fellow design studio student! It was incredible to see just how close each student was with one another and even the design studio coordinator. While experiencing this fun event, it really felt as though we were all celebrating a family member’s birthday. After eating delicious chocolate cake and drinking apple cider, we then celebrated even further with some dancing.

 

On Thursday Ali, one of the students at DIT, took me along on a short 5 minute walk to a nearby printing service where we could print the circuit design on gloss paper. Once we had this precious printed PCB design, we could then begin with the PCB making process. We used an iron to melt the ink of the PCB design onto the actual copper plate. Then, using vinegar, table salt, and hydrogen peroxide with all amounts used according to Ali’s expert opinion, we were able to create the desired solution. This solution reacted with the exposed layer of copper and left the copper beneath the ink untouched, which will now be the routes of the different connections of our circuit! It was now time to drill the pin holes for each connection on the PCB.

Cooking up a PCB!
Drilling Pin Holes

 

 

 

 

 

 

 

 

Seeing as this was my first time ever designing and building a PCB, it was an extremely grateful and humbling experience being taught both the mechanics and principles behind circuit design and knowing that this process is repeated dozens of times each week for all kind of projects students here at DIT work on. After soldering most of the pins, all that is left to do is solder the rest, 3D print the case for the device and assemble everything and the first prototype of NICU-T should be complete!

Finished PCB
Soldering Components onto PCB

 

 

 

 

 

 

 

 

 

Friday morning, we continued work on the last project, the transport incubator for infants. We first began by brainstorming what heating mechanism would be best suitable for the device such that it remains effective and rapidly heating the crib but also portable and maintains a low power consumption. We narrowed it down to two different heating mechanisms: multiple, small heating pads that can line the inside of the crib and a small heating rod with an accompanying small fan to lightly fan the warm air throughout the crib. We first tested the heating pads and initial tests suggest that the heat output of the pads were relatively low, so next week we plan on testing the heating rod and fan mechanism to determine which one to move forward with.

Later in the day, we began working on our independent project. When we visited MNH hospital, Aryun and I noticed lengthy queues in the waiting area to get into the hospital as well as those waiting to pick up prescription medication from the pharmacy connected to MNH. We discussed this issue with several students from the connected Muhimbili University of Health and Applied Sciences (MUHAS) as well as students from DIT and were able to further identify a specific problem space where doctors often prescribe patients medication, but when the patients wait in line and finally arrive at the pharmacy to pick up their medication, it may be out of stock or expired so they have to return at a later date. After working with Josh, one of my great friends I have made at DIT, we began initial work on a rudimentary software application where pharmacists can input their stock of medication where doctors can access this stock before the prescribe medication to see which medication is available. Seeing as I am completely new to database coding and application building, it was quite a challenge to begin working on this project but with the immense help from students at DIT, I am confident we can create something operational by the end of the program!

Rudimentary Pharmacy Stock Management Application

 

After a long day and even longer week of work on all four of the prototypes, Aryun and I, along with our friends from DIT decided to go out for dinner and watch the Euros knockout game on our phones. Everyone had different teams that they supported so it was incredibly fun to watch the game and everyone’s differing reactions.

Relaxing Dinner While Watching Stressful Game

 

I began this internship feeling a mix of nervous excitement and anxiety. The prospect of working on four projects, plus an independent project, seemed incredibly daunting, especially with the added challenge of collaborating with people I had never met before. However, all the stress and uneasiness I felt before the program quickly vanished, as this experience has already been truly life-changing. Over the past five weeks, we have achieved more than I ever imagined and formed connections with some of the most genuine people, who I can confidently say are now lifelong friends. It’s hard to believe we’re already at the end of Week 5. While I’m sad that we’re more than halfway through, I’m excited to see what the next few weeks have in store for Aryun and me!

Thanks for sticking to the end of my blog and I’ll see you again in a couple weeks!

Asante Sana!!!

From Prototypes in Dar to Safaris in Serengeti

Karibuni tena! or Welcome back!

This past week was filled with productive progress on our prototypes, beautiful scenery, and unforgettable memories. It’s hard to believe it is only Week 3!

In the week prior, President DesRoches and Rice360 affiliates visited different hospitals in Tanzania and the design studio here in DIT to commemorate the launch of Phase 2 of NEST360. It was incredibly gratifying to showcase all the progress Aryun and I have made so far as well as all of the amazing projects the students here at DIT developed. We also received a lot of promising feedback and ideas for all four projects as we head into this week.

President DesRoches and Rice360 Visit to DIT

 

Seeing as Monday was a national holiday (Eid al-Adha), Aryun and I spent our day catching up on some much needed sleep, as well as a trip to the local City Mall where we hit the gym and ate some good grub.

Delicious Chicken Sandwich

Heading into Tuesday, we continued our work on all of the four projects.

Brainstorming in Action!

For the photo-light therapy device, we continued brainstorming the physical shape of the project. There are multiple devices currently in use for neonatal care and it is important to keep this in mind as to develop a device that can be compatible with as many pre-existing technologies. As for the continuous newborn temperature sensor, or NICU-T, we first began by outlining the flow diagram for the device in order to better help us code for all the different sensors, probes, and displays. Below you can see the brainstorming process in action and later you can see the working rough sketch of our device that we completed on Friday!

Troubleshooting the Code for NICU-T Project

For the gastroschisis bag, we were able to develop a prototype of the wound retractor that is currently being used in hospitals around Tanzania. The current wound retractor features a rubber ring connected to a latex material with another rubber ring at the top. Our prototype consists of rubber rings that originate from a nearby shop with similar elastic properties to the wound retractor. With regards to the gastroschisis bag, it is quite important that we design a device that consists of locally sourced materials such that it can be reproduced en masse locally in Tanzania. This would substantially improve the supply of gastroschisis bags as currently, Muhimibili National Hospital receives around 200-300 bags as donations to supply to hospitals for the entire neonatal population of Tanzania.

On Wednesday, we woke up bright and early to visit the nearby Ifakara Health Institute where the NEST360 offices are located. Here, we were welcomed by many NEST360 affiliates and discussed recent progress on current and future projects and devices. We were also able to receive more valuable feedback on the projects we are currently working on. It was absolutely incredible to see how despite how busy those working at NEST360 were, they were still able to make time and include everyone’s contributions to all of the different projects they are currently working on.

Thursday and Friday consisted of progressive work on all four projects. For the previously mentioned NICU-T project, after hours and hours and hours of trial and error, we finally developed a working prototype with all of the components. It’s remarkable how straightforward the initial flowchart of the device was, compared to how difficult getting the code figured out was. Briefly, this device will be able to continuously monitor the baby’s body and ambient temperature and sound a visual and audible alarm which will then have a reset button for the nurse to press to turn off the buzzer. This is designed to replace the current method of manual temperature checks with thermometers every 4-6 hours. Below, you can see the fully designed initial prototype of NICU-T.

Working Prototype of NICU-T Project

With regards to the transport infant incubator project, we designed a low-fidelity prototype out of cardboard that features all of the intended capabilities the future device will have. Key considerations we discussed were the method of heating (utilizing heating pads or a gentle heating fan), the efficiency and speed of the heating mechanism, and the power consumption of the device as to maximize the amount of operational time while the baby is in transport from one setting to another. We then developed higher-fidelity prototype with pre-existing materials and will begin testing starting next week. Below you can see the different prototypes for the device:

Low-Fidelity Prototype of Transport Incubator

Alternate Prototype with Heating Pads

 

Seeing that we made much progress on all of our projects, we decided to plan a trip to Serengeti National Park, just before the end of the Great Migration. Friday evening, we boarded our flight to the city of Arusha (my first time on a propellor plane!). We then woke up outlandishly early Saturday morning and travelled with a group of 6 to Serengeti National Park. Our driver Damian taught us that in the Maasai language, Serengeti means endless plains and it was clear why. The beautiful savannah of Serengeti seems to go on forever, in every direction.

Serengeti: “Endless Plains”
Aryun and I at Serengeti Entrance
Boarding my First Prop Plane

We were lucky enough to see a cheetah, giraffes, and even some sleepy lion cubs!

Sleepy Lion Cubs
Couple of Giraffes
Cheetah!

 

At the end of our game drive, Damian drove us to our lodge where we woke up the next morning to a wild buffalo yards away from our room (which seemed to scare Aryun more so than me😂). Early Sunday we traveled to the nearby Ngorongoro Crater. Damian mentioned that long ago, this crater was a large volcano (taller than Kilimanjaro!) that erupted and left behind a crater almost 12 miles in diameter. As we traveled down and into the crater, every view seemed to be more beautiful than the last. We were also able to stop and get a much needed hot chocolate at the only coffee truck-shop in the entire crater (seems like a good business!).

View of Ngorongoro Crater at the Top
Coffee and Ice Cream Truck-Shop
Halfway Down the Crater

 

 

 

 

 

View at the Bottom

 

 

 

 

 

 

 

 

It was an incredibly surreal experience to witness animals I’ve seen in nature documentaries in their vast, breathtaking natural habitat. From elephants, giraffes, wildebeest, buffalo, hippos, more lions, and even a rhino, we were lucky enough to see it all.

Elephant Coming Near to Say Hi
More Sleepy Lions
Rare Black Rhino (I swear!)

 

 

 

 

 

 

 

 

 

After a short 1 hour drive to Kiliminjaro, we took a quick flight back to Dar Sunday night just in time to get some sleep and prepare for next week. Here in Dar, each week seems to top the last! With that said, I truly cannot wait to see what the next month has in store for us.

Thanks again for joining me on my blog… Asante Sana!

 

…also here’s a photo of Aryun and I stopping to get our new favorite snack, kitumbua, on our way back to our hotel in Arusha

The Making of Kitumbua

 

A Presidential Week in Dar!

Hello everyone, and welcome back to my blog! Last week was packed with amazing activities, from visiting neonatal surgeons in national hospitals to commemorating the expansion of NEST360 initiatives in Tanzania to showcasing our projects to the President of Rice University and advisory board members! There’s a lot to cover, so I’ll get right into it!

Discussing the Gastroschisis Bag with Dr. Evelyn

We started the week by visiting Muhimbili National Hospital to get feedback on our projects from pediatricians and neonatologists. As the largest hospital in the country, Muhimbili often receives patients from referral hospitals in surrounding regions, so it has access to the most resources and surgeons. As such, we wanted to speak with doctors from this hospital first, as they could give us a broad idea of the areas in which the most support is needed.

We spent three days receiving general advice on all four of our projects (low-cost gastroschisis bag, neonatal temperature sensor, infant transport incubator, and phototherapy machine). The feedback was extremely constructive, ranging from the intricate mechanisms and features of the designs to which materials would work best. There are many factors we hadn’t initially considered, and the doctors advised us to keep the end user – the patient – in mind during all phases of the engineering process. Suran and I quickly learned that our ideas needed to be taken apart and put back together, over and over again, to make an efficient and sustainable product.

Initial prototype of Gastroschisis Bag

We’ve made lots of headway incorporating the feedback of the doctors, and we already have an initial prototype of the gastroschisis bag that resembles a commercial one!

 

I was also able to get a haircut, I think it came out pretty good!

Later in the week, President DesRoches of Rice University, several Rice360 advisory board members, and representatives of NEST360 arrived in Dar for the NEST360 Phase 2 launch!

My haircut

The launch celebrated the past 5 years of improved neonatal health outcomes due to collaborations between local hospitals and NEST360. It also marked the beginning of new partnerships and technological expansion, with NEST360 committing another 5 years towards increasing accessibility to medical technologies in Sub-Saharan Africa. The ceremony was nationally televised, and government officials even spoke at the event to endorse the efforts of the collaboration!

 

 

 

On Friday, the visitors from Rice University came to DIT to witness a showcase of the design studio and all of its current projects. It was a privilege to show the work that we’re doing to members of the Rice community and give them a glimpse into our day-to-day. After lunch, we said goodbye to our friends from Rice, and just like that week two was in the books!

 

 

 

 

 

Well, almost. The weekend brought its own adventures, namely beach soccer! We took a short ferry to a nice beach with some of our friends from DIT and our mentor, Joel. We set up some sticks as the goals, and ended up playing until there was no more sunlight. I was quickly humbled by the terrain and the skills of the DIT students; playing in the sand is harder than it looks!

Beach Soccer!

That’s all for now, I hope you enjoyed! It’s hard to believe that June is almost over; it feels like just yesterday when we landed here. Looking forward to more wonderful experiences. Stay tuned!

 

Aryun

Welcome to Dar! Karibu!

Welcome back or Karibu!

Delicious Chicken Sekela and Chips

This first week has been incredible here in Dar. Upon arrival, our mentor Joel picked us up from the airport and showed us to our stay for the next two months. After getting situated, Aryun and I then traveled to a local street corner for some much needed grub. We then had one of the best meals I have ever eaten with a dish known as Chicken Sekela as well as some fries. The best part is, both of our meals along with some soda came out to a total of around $5 USD!

The first day, our mentor Joel showed us around the Dar es Salaam Institute of Technology (DIT) campus as well as the design studio where students design and develop incredible technologies. We spent the first two days learning how to operate the different machines in the design studio as well as download any necessary software. We also received lessons from DIT students on how to use Solidworks which which will definitely come in handy over the course of the next two months. We were also able to explore the DIT Spare Parts Factory where DIT students learn skills in manufacturing and retrofitting certain vehicles in order to better prepare them for future occupations. We were also able to meet with our other on-site mentor Dr. Msumba who explained a lot of efforts DIT is undergoing as well as future, expansionary goals they have in mind.

Meeting with Dr. Msumba
DIT Spare Parts Factory

 

As far as projects go, the first half of the week we spent discussing the design process. After getting introduced to all of the DIT interns Aryun and I would be working with, we began learning some of the fundamental ideals that go into developing an effective product. This included lectures and group discussion on needs-finding and truly understanding the problem at hand, human-centered design processes, as well as all the necessary criteria to keep in mind when designing a working prototype. One portion of this process stood out to me. It was fascinating to see the level of attention the students and mentors placed on identifying and understanding the need or problem at hand. In addition to conducting needs-finding, there was a large stress on empathy and truly placing yourself in the patient’s shoes in order to better understand and truly feel the problem they are dealing with. I believe this is critical as in order to develop a constructive solution, you must try your best to feel the needs of the patients.

Brainstorming with DIT Students

We then split up into two groups where my group was tasked with improving the newborn environmental temperature sensor from Rice360 and the infant transport incubator from DIT. In the latter part of this week, we began brainstorming potential modifications and improvements and documented them in order to share them and receive feedback once we visit more hospitals next week.

 

This past weekend, our newfound friends Joshua and Florence took us to Coco Beach where we rode in our very first Bajaji (Swahili for three-wheeler). We then walked along the beach and witnessed an extremely entertaining game of beach soccer; there were no refs and as such there were no fouls. After walking back to the city center, we then had time to catch a movie and relax after a week of brainstorming.

Aryun and I with Florence (top) and Joshua (bottom) Riding in Bajaji
Aryun and I at Coco Beach
Beach Soccer

 

 

 

 

 

 

 

 

 

Muhimbili National Hospital

In the next week, we plan on meeting with nurses and health professionals at the different hospitals here in Dar as we begin to conduct needs-finding. Just today, we visited Muhimbili National Hospital, the largest hospital in Tanzania and it was fascinating to see how large the actual hospital campus was in order to support the large patient population they see. By observing the hospital settings and how it functions over the course of this week, we will be able to identify key gaps in care and potential ideas for future endeavors.

 

 

 

 

This week has been incredible to say the least and I cannot wait to see what the next two months has in store for me and Aryun.

 

Thanks again for joining me on my blog… Asante Sana!

 – Suran

About Me – Aryun Nemani

Hello everyone! Thank you for tuning into my blog!

My name is Aryun Nemani, and I’m a rising sophomore at Will RiceCollege on the pre-med track majoring in BioScience and minoring in Global Health Technologies. This summer, I have the opportunity to work with the Rice360 Institute for Global Health Technologies to address various global health issues. I’m very excited to document my experiences and findings through this blog, and I hope you’ll follow along!

I first learned about global health through an introductory global health course during the fall semester of my freshman year. Throughout this class, we discussed historical factors that created global disparities in health, current initiatives to solve these disparities, and philosophical issues related to major world health players. We finished the semester by prototyping a semi-reusable colostomy bag that was particularly applicable to lower-resource settings, and I left the class with a newfound interest in global health. These experiences led me to apply to Rice360, and I’m excited to begin my journey as a Rice360 Summer Intern in Dar Es Salaam, Tanzania!

Over the next couple of months, Suran and I will be working with an extremely talented team of students and mentors based at the Dar Es Salaam Institute of Technology. While we are here, we will create and advance prototypes for medical devices geared towards infant health, while receiving feedback from clinical mentors and local health professionals. Our goal is to utilize locally available materials and implement the feedback we receive to make the device highly accessible across hospitals in low-and-middle-income countries (LMICs). The projects we will be working on include a low-cost silo bag for treating gastroschisis, a temperature sensor for a neonatal intensive care unit (NICU), a UV-light phototherapy machine for treating jaundice, and a transportable infant incubator. I am looking forward to working on these projects and collaborating with my peers and other stakeholders!

I am also very excited to experience Tanzanian culture, from trying new foods to learning a new lifestyle to even speaking Swahili! I hope to develop new perspectives on global health and the world in general, while having my preconceived notions challenged. I’m looking forward to sharing the full experience with you, so please stay tuned! Welcome to my blog; Karibu!

– Aryun

Get to Know Me – Suran

Hi everyone!

Welcome to my blog, I’m glad you could make it!

My name is Suran and I am a rising junior majoring in Bioengineering and minoring in Global Health Technologies. My journey into global health began my freshman year, when I enrolled in the class Intro to Global Health. It was in this course, where I learned the stark global health disparities across low-resource settings all across the world and what Rice360 was specifically developing to help address these issues. Through this course, I developed a passion to contribute to a world where equity and access to healthcare are fundamental rights and discovered the unique position I was in to employ my biomedical device knowledge to positively impact a global population.

This newfound passion for global health was solidified during my spring semester, taking Appropriate Design for Global Health where I had the opportunity to work with 5 other undergraduates in which we redesigned a neonatal bag valve mask for simpler assembly to increase patient outcomes in low-resource settings. This was truly a formative experience that taught me almost everything about the engineering process for designing devicea tailored to low-resource settings. Taking this class and working on this project only further developed my interest in designing medical technology aimed at reducing global health disparities. I am incredibly grateful for the unique opportunity to enhance global health technology this summer as a Rice360 Global Summer Intern in the beautiful city of Dar es Salaam, Tanzania.

Aryun and I have already begun working together with students from the Dar es Salaam Institute of Technology (DIT) where we are working to further develop four global health initiatives. The first two are a part of Rice360 which includes a temperature sensor for NICU newborns with adjustable thresholds and the second is a gastroschisis bag for NICU premature newborns that consist of repurposed IV bags for intestinal housing. The second two are projects that are from DIT which include a portable infant transport incubator that can operate in the event of power loss and a UV light photo-therapy device to treat newborns with Jaundice.

In addition to developing and improving upon prototypes of these projects, we will also be visiting different hospitals in Tanzania, ranging from more urban, busy locations to rural locations with fewer resources. I hope to gain a new perspective on healthcare treatment across different regions in Tanzania, and hopefully discover new ideas to address specific needs.

I could not be more excited contribute to such innovative and impactful global health technologies, working with like-minded students from halfway around the world! I look forward to a fruitful summer, fully immersing myself in a rich new culture, and making life-long friends in the process.

Thank you for joining me on my journey, or in Swahili… Asante sana!

– Suran

 

 

 

Week 8: Final Thoughts: July 28

July.28.2023

As I am writing this, I am back in my room in Houston, Texas, having completed the 20-something hour journey home. I’ve probably said this in almost every single post, but now that I am back in Houston, it is so surreal how fast our time in Dar flew.

On Wednesday, the interns and Christine had a final presentation session, where we showcased some of the work and findings we had accomplished throughout the summer. I really enjoyed learning about the projects that Annika and Ojas are working on. Although we had many work sessions in cafes, it was great to understand the full background to their projects and to learn about the amazing work they had done in the summer. Although this was our final meeting in Dar, all three of us are planning to continue our projects remotely, back in Houston, throughout the school year! I am extremely excited to see what we continue to accomplish.

I wanted to use this post to extend immense gratitude to our gracious mentors in Tanzania, including the entire NEST360 team, as well as the Rice360 faculty who made our trip smooth and successful.

I also wanted to say that I am so fortunate to have had such an amazing cohort of interns this summer. From sharing pictures to video calls, we have been keeping each other in the loop despite being hundreds or thousands of miles apart. Once school starts, we plan to have an intern dinner, where we will exchange souvenirs and catch up, and I am extremely excited and hope this becomes a tradition for future interns as well!!

As part of our final work for the internship, we were asked to create a final reflection blurb. I have included mine below:

“I truly realized the irreplaceability of on-the-ground work after I first stepped foot into a NICU in Dar es Salaam, Tanzania. I noted the sights, the smells, the temperatures, the interactions – all things that might have slipped past me, otherwise. My stay in Dar has allowed me to explore many such stories. From the interviews that I conduct with healthcare professionals, I learned about the impact of infrastructure on the delivery of care. From talks with my in-country mentors, I better understood the state of public health initiatives in the country. From team dinners with Rice360 and NEST360, I heard about different motivations and pathways in global health careers. Participating in the Rice360 internship this summer has provided me with an unparalleled chance to extend beyond the classroom and into the field, and it has solidified my interest in working in global health in the future.”

That’s it for the blogs, but I know that my learning journey in global health is far from over. I am excited to continue working with professionals from all across the world and hope to be back in Dar one day!

Thank you for following along this summer 🙂

Shrutika

Week 7: Evenings & Endings: July 22

July.22.2023

Yesterday, July 21st, was the official last date of our internship abroad and I could not be more sad that our time in Dar es Salaam is coming to an end. This past week has been a whirlwind, packed full of tying up some loose ends on our projects and saying goodbye to the amazing people that we have met. On Friday, Dr. Jasmine Nejad from Rice360 came to Dar es Salaam from Houston! We had an afternoon meal, explored the area around our apartment, and then met up with Christine and Cate for a farewell dinner.

 

 

Some pictures!

Dr. Nejad was also my professor for GLHT 201, the introductory course in the global health sequence. Through this internship, it was really great to connect the topics that I learned from that course with real world work that we were doing in Tanzania. I remember lectures on NEST technologies, on health disparities in the global context, on infectious disease, and more. Being able to relate these in-class talks with on-the-ground work is an irreplaceable lesson for me.

Next Wednesday will be the interns’ final presentation, and then we will head back to Houston later in the night. I am excited to reflect more on our journey in the next post!

Shrutika

Week 6: DIT & Dinners: July 15

July.15.2023

Hi everyone, and welcome back to the blog!

On Tuesday, July 11th, we had the wonderful opportunity to visit the Dar es Salaam Institute of Technology, where Dr. John Msumba cheerfully gave us an introductory presentation and a tour of the facilities. We were able to meet so many new people and learn about some of the incredible projects that DIT students are undertaking. Dr. Msumba’s presentation explained to us the type of curriculum that DIT students engage in. Specifically, he described the project-forward engagement approach, in which students actively work on projects outside of the classroom to better understand their coursework. One such project, which I found fascinating, was students participating in the renovation of one of the roads nearby campus; Dr. Msumba described how students were involved in every part, from designing the plan to even making the concrete mixer! This approach was so unique to me, and I definitely am hoping to take more project-forward classes at Rice, including the other courses involved with the GLHT minor.

After the presentation, we took a tour of DIT facilities, and it was great to see the many projects that students were working on. One theme that Dr. Msumba emphasized was how all students, regardless of major, were able to draw from the DIT design studio, using materials and resources there to refine their work. We drew parallels to our previous work at the OEDK at Rice, and enjoyed seeing how the students’ projects worked. Dr. Msumba put together this amazing graphic that I would love to share!

Infographic put together by Dr. Msumba!

 

Front of DIT campus

 

View from one of the buildings we toured.

Apart from our tour of DIT, this week has been spent on making progress on our projects. I have begun to learn how to use ATLAS.TI, a qualitative analysis software tool. Below is a sample picture of the initial process of the interview coding process. I went through the set of interviews (both ones that I have conducted and those that have been previously conducted by Donat), and identified themes and quotes that stuck out to me. Afterwards, I grouped them together into “buckets.” I am currently working on translating these written notes into the software tool, by creating different codes and going through interviews line-by-line. The codebook will definitely also need a lot of refinement and feedback from others before finalizing! I have also been working on some statistical analysis of the data that I extracted from the floor plans gathered by the NEST360 team. In the meantime, I am also enjoying learning about the other interns’ projects!

On the social side, we have had some great eats and experiences this past week, including some delicious momos and great coffee! Later in the week, we met up with a few members of the NEST360 team for dinner. I learned a lot about different public health initiatives during our conversations, and also gained some insights into the hidden politics that can accompany public health in our world. I especially enjoyed hearing about the NEST360 team’s history, and how they came to work at NEST360, along with projects that they have worked on.

Great momos! Will definitely be recommending for future interns :))

 

At Sawa Sawa Beach, where we met up with some NEST360 colleagues for dinner!

As I say in almost every post, time has flown by so fast, but I am incredibly grateful for the lunches and dinners that have provided the space to slow down and really reflect and learn on the work that we are doing. In the next few weeks, I will continue my work on both the qualitative and quantitative analysis, and also start preparing for a final presentation of my work. Until next time!

Shrutika

Week 2: Karibu! Asante!

Hello from Dar es Salaam! We arrived late in the night on June 21st and Dr. Christine Bohne’s driver, Josh, picked us up. Although we were exhausted after a full day of traveling, Josh took good care of us, relaying Christine’s words of advice and keeping the energy up on the drive to our airbnb. He taught us a few essential vocabulary on the way, explaining that “Karibu” means welcome and “Asante” means thank you. Once inside, we were greeted with a kind note and snacks from Christine, welcoming us into our new home for the next several weeks.

The next day, Josh helped us exchange cash and buy SIM cards before we met with Christine for the first time at lunch where she told us about her background, the incredible work she has been doing with NEST360, and general tips for living in the city. Together, we shared our reasons for working in global health, leaving me more resolute in my decision to pursue my Master’s in Public Health and work with like minded individuals. One of Christine’s suggestions was to become comfortable navigating within the city, which led to calling our first Bajaji, or rickshaw, to take us home!

Our first time hailing and riding in a Bajaji

 

Urojo (Zanzibar Mix)
Fried Cassava with Masala Powder

We met up with Christine again for dinner where she introduced us to the Slipway, her favorite evening spot. It was a lively place with an international crowd and music and conversation in every corner. In the background were the lapping waves of the Indian Ocean. Christine encouraged us to try a Tanzanian dish called Urojo, or Zanzibar Mix, which is a hot potato stew made with various spices. All of us remarked how comforting the dish was, reminiscent of an Indian kadhi, creating a sense of familiarity in a new environment. We also tried fried cassava with masala seasoning, introducing us to a root vegetable we would soon find across several restaurants.

 

On Friday, we attended the 11th annual Muhimbili University of Health and Allied Sciences (MUHAS) Scientific Conference. Partners with the Tanzania Health Ministry spoke about their efforts at addressing maternal and neonatal health at a large conference hall packed with people. Some of the speakers were from NEST360, like Dr. Nahya Salim, who spoke about how most technology is not validated for newborns so by creating linkages with manufacturers, they can create quality improvement policies in this context. Her presentation was made even more meaningful by her introductory words about approaching care, it is “not about few of us, it’s about all of us together,” which I took to mean in the context of a global landscape. It is not just about the possibilities we can achieve in a high income country, but our ability to bring all people up to the same stage, low to middle income countries included.

A selfie at the conference with the lush greenery of Tanzania behind us (Shrutika, Me, and Ojas)

Feeling curious and enthusiastic,

Annika