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1
Neena Aggarwal
E2A Summer Internship
2
Outline
1. Overall experience
2. Recommendations
3. Recruiting interns
4. Projects
a) Male engagement literature review
b) Mental health and youth literature review
5. Takeaways
6. Future career trajectory
3
Overall Experience
• Projects were of interest to
me and were valuable
learning experiences
• Enough work to stay busy
• Opportunities to ask
questions and learn from
other staff
• Well organized
oSchedule
oWeekly check-in meetings
oProjects were planned well
in advance
4
Recommendations
• Would highly
recommend continuing
to have one or multiple
interns
• Suggestions:
oBrief orientation of E2A
5
Recruitment of Interns
• Contact public/
international health
departments at local
universities
• Add internship
postings to job
websites
6
Projects
• Male engagement
literature review
• Adolescent mental health
oLiterature review
oWHO documents
• African university forums
• HoPE-LVB meeting
minutes
• Publication organization
• Events Coordination
Calendar
7
• Purpose: understand what is
being done on male
engagement; findings will be
applied to E2A programming.
• Goal: review programs that
engage men in gender equity
and SRHR, particularly those that
have been evaluated, have a
curriculum, and are in
Francophone Africa
• Expected product: cover
document and literature review
Male Engagement Literature
Review
8
• Methods:
oGoogle
oSearched: “{organization name} engaging men”
oReviewed references of relevant documents
• Documents found:
oPrograms
oFree-standing curricula (not associated with any
particular program)
oGuidelines for best practices for male
engagement (not associated with any particular
program)
Male Engagement Literature
Review
9
Information Collected:
• Name/title
• Organization
• Geographic location
• Year(s) of implementation
• Health outcomes
• M&E indicators
• Characteristics of
program participants
• Program activities
• Evaluation
• Curriculum (French?)
Male Engagement Literature
Review
10
Findings:
• 36 programs
• 18 curricula, 4 of which are in
French
• 19 evaluations
• Predominantly group
education
• Health outcomes
o Gender equitable attitudes and
behaviors
o Healthier relationships and
reduction in IPV
o Greater male participation in
caregiving
o Safer sex
o Improved family well-being
Male Engagement Literature
Review
11
Male Engagement Literature
Review
Findings:
• Participants:
oAdolescent and
youth, 12-25
oMarried men
oFathers
oStudents
Limitations:
• Only used Google
as search engine
12
Mental Health among Youth:
Burden of Disease
Percentage of deaths attributed to self-harm (2013):
• 8.4% among 15-19 y.o.
• 9.3% among 20-24 y.o.
Percentage of DALY’s attributed to depression (2013):
• 4.3% among 10-14 y.o.
• 5.6% among 15-19 y.o.
• 5.6% among 20-24 y.o.
Source: Our future: a Lancet Commission on adolescent health and
wellbeing, May, 2016
13
Mental Health among Youth:
Background
WHO, 2012 WHO, 2012 The Lancet, 2016
14
Mental Health among Youth
Literature Review
• Purpose:
o Mental health is an
emerging public health
concern
o Depression and suicide
identified by Mental Health
Action Plan as priorities
• Goal: review articles relevant
to mental health among
adolescents in low- and
middle-income countries
• Expected product: Articles
searched, read, and literature
review table prepared
15
Mental Health among Youth
Literature Review
Methods:
• PubMed
• Search terms: {depression or suicide} [ti] youth
{region}
• Inclusion criteria:
oAbstract describes depression and/or suicide
oTarget population comprised of adolescents (age
10-24)
oLow- and middle-income countries
o2010-present
oEnglish
oHuman subjects
16
Mental Health among Youth
Literature Review
Findings:
• 56 articles included
oMajority on
depression and in
Africa
• Most articles from
more recent years
• Many specific
populations studied
(e.g. students, HIV
infected, post-war)
17
Mental Health among Youth
Literature Review
Findings- themes:
• Prevalence of depression and
suicide/ideation/attempt/plan
o Depression: median = 29.7% (range = 1.9-75.8%)
o Suicide: median = 1.3/100,000 (range = .94-
5.7/100,000)
• Risk factors for depression and
suicide/ideation
o Depression: family, demographics, education, mental
health, psychological stress
o Suicide: demographics, health risk behaviors, life
18
Mental Health among Youth
Literature Review
Findings- themes:
• Effects of depression
• Description and evaluation
of programs targeting
depression
• Knowledge of depression
and suicide
• Psychometric properties of
instruments for assessing
depression
19
Mental Health among Youth:
Limitations and Future Directions
Limitations:
• Only depression and suicide studied
• PubMed was only database
Future directions:
• More comprehensive literature review
encompassing wider array of mental
illnesses and more databases
20
Internship Takeaways
• Skills
oLiterature reviews
oOrganization
oSummarizing
information
• Knowledge
oMale engagement
oMental health
oOthers
• Exposure to global
health field
21
Future Career Trajectory
• Confirmed my
interest in global
health
• Exposure to new
topics
• Insight into global
health field
22
Acknowledgements
Pathfinder International
E2A Project
Tembi Mugore
Aly Allen
Anjala Kanesathasan
Regina Benevides
23
Questions?
24
Thank you for your attention!

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Internship presentation

  • 2. 2 Outline 1. Overall experience 2. Recommendations 3. Recruiting interns 4. Projects a) Male engagement literature review b) Mental health and youth literature review 5. Takeaways 6. Future career trajectory
  • 3. 3 Overall Experience • Projects were of interest to me and were valuable learning experiences • Enough work to stay busy • Opportunities to ask questions and learn from other staff • Well organized oSchedule oWeekly check-in meetings oProjects were planned well in advance
  • 4. 4 Recommendations • Would highly recommend continuing to have one or multiple interns • Suggestions: oBrief orientation of E2A
  • 5. 5 Recruitment of Interns • Contact public/ international health departments at local universities • Add internship postings to job websites
  • 6. 6 Projects • Male engagement literature review • Adolescent mental health oLiterature review oWHO documents • African university forums • HoPE-LVB meeting minutes • Publication organization • Events Coordination Calendar
  • 7. 7 • Purpose: understand what is being done on male engagement; findings will be applied to E2A programming. • Goal: review programs that engage men in gender equity and SRHR, particularly those that have been evaluated, have a curriculum, and are in Francophone Africa • Expected product: cover document and literature review Male Engagement Literature Review
  • 8. 8 • Methods: oGoogle oSearched: “{organization name} engaging men” oReviewed references of relevant documents • Documents found: oPrograms oFree-standing curricula (not associated with any particular program) oGuidelines for best practices for male engagement (not associated with any particular program) Male Engagement Literature Review
  • 9. 9 Information Collected: • Name/title • Organization • Geographic location • Year(s) of implementation • Health outcomes • M&E indicators • Characteristics of program participants • Program activities • Evaluation • Curriculum (French?) Male Engagement Literature Review
  • 10. 10 Findings: • 36 programs • 18 curricula, 4 of which are in French • 19 evaluations • Predominantly group education • Health outcomes o Gender equitable attitudes and behaviors o Healthier relationships and reduction in IPV o Greater male participation in caregiving o Safer sex o Improved family well-being Male Engagement Literature Review
  • 11. 11 Male Engagement Literature Review Findings: • Participants: oAdolescent and youth, 12-25 oMarried men oFathers oStudents Limitations: • Only used Google as search engine
  • 12. 12 Mental Health among Youth: Burden of Disease Percentage of deaths attributed to self-harm (2013): • 8.4% among 15-19 y.o. • 9.3% among 20-24 y.o. Percentage of DALY’s attributed to depression (2013): • 4.3% among 10-14 y.o. • 5.6% among 15-19 y.o. • 5.6% among 20-24 y.o. Source: Our future: a Lancet Commission on adolescent health and wellbeing, May, 2016
  • 13. 13 Mental Health among Youth: Background WHO, 2012 WHO, 2012 The Lancet, 2016
  • 14. 14 Mental Health among Youth Literature Review • Purpose: o Mental health is an emerging public health concern o Depression and suicide identified by Mental Health Action Plan as priorities • Goal: review articles relevant to mental health among adolescents in low- and middle-income countries • Expected product: Articles searched, read, and literature review table prepared
  • 15. 15 Mental Health among Youth Literature Review Methods: • PubMed • Search terms: {depression or suicide} [ti] youth {region} • Inclusion criteria: oAbstract describes depression and/or suicide oTarget population comprised of adolescents (age 10-24) oLow- and middle-income countries o2010-present oEnglish oHuman subjects
  • 16. 16 Mental Health among Youth Literature Review Findings: • 56 articles included oMajority on depression and in Africa • Most articles from more recent years • Many specific populations studied (e.g. students, HIV infected, post-war)
  • 17. 17 Mental Health among Youth Literature Review Findings- themes: • Prevalence of depression and suicide/ideation/attempt/plan o Depression: median = 29.7% (range = 1.9-75.8%) o Suicide: median = 1.3/100,000 (range = .94- 5.7/100,000) • Risk factors for depression and suicide/ideation o Depression: family, demographics, education, mental health, psychological stress o Suicide: demographics, health risk behaviors, life
  • 18. 18 Mental Health among Youth Literature Review Findings- themes: • Effects of depression • Description and evaluation of programs targeting depression • Knowledge of depression and suicide • Psychometric properties of instruments for assessing depression
  • 19. 19 Mental Health among Youth: Limitations and Future Directions Limitations: • Only depression and suicide studied • PubMed was only database Future directions: • More comprehensive literature review encompassing wider array of mental illnesses and more databases
  • 20. 20 Internship Takeaways • Skills oLiterature reviews oOrganization oSummarizing information • Knowledge oMale engagement oMental health oOthers • Exposure to global health field
  • 21. 21 Future Career Trajectory • Confirmed my interest in global health • Exposure to new topics • Insight into global health field
  • 22. 22 Acknowledgements Pathfinder International E2A Project Tembi Mugore Aly Allen Anjala Kanesathasan Regina Benevides
  • 24. 24 Thank you for your attention!

Editor's Notes

  1. Just looking for opportunities outside of our usual SRH community to share what our university partners in Niger and Kenya are learning about developing and implementing youth-friendly SRH services and SBCC programs for their students.
  2. Organizations: ProMundo, EngenderHealth, CARE. Priorities: Francophone, evaluation,
  3. Explain programs, curricula, guidelines.
  4. Male engagement was not a practice that I was very familiar with. In the past, in classes and such, we mostly focused on women. I also worked at DV program and focused on women. i.e. this was an eye-opening project for me. Seeing how willing men are to change attitudes/behaviours that they grew up with shows how much they care about their partners/families.
  5. Youth- age 10-24. Suicide- 2nd leading cause of death 15-24 y.o. Depression- 4th leading cause of DALY’s in 10-14 y.o. and 3rd in 15-24 y.o. We did a literature review on MH because it is an emerging public health concern that few people are researching.
  6. 1st publication: WHO mapped actions of NGO’s and IO’s to assess what actions were being taken to address AdMH. 2nd publication: WHO followed up with action plan to address adolescent mental health. Goal to promote mental well-being, prevent mental disorders, provide care, enhance recovery, promote human rights and reduce the mortality, morbidity, and disability for persons with mental disorders. This lit. review is in line with the Mental Health Action Plan, which has an objective to strengthen information systems, evidence, and research for mental health.
  7. 2010-2011: 3 inclusion articles; 2015- 16 inclusion articles. Many at-risk populations studied, but fewer that were for general adolescent population.
  8. Had never done work with MH and found it to be v. interesting- maybe consider it in the future?
  9. Exposure: at staff meetings, find out what other staff members working on. Calendar- learn what types of meetings/knowledge sharing there is. Work environment/culture.
  10. Exposure to new topics: e.g. male engagement, MH. Exploring interests within global health. Will keep these topics in mind with future work. Insight into global health field: better understanding of operations (working with donors, programs (e.g. HoPE-LVB), day-to-day office operations).