Engeye Health, Ddegeya, Uganda Summer 2016 University at Albany School of Public Health/ Center for Global Health International Internship

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1 Engeye Health, Ddegeya, Uganda Summer 2016 University at Albany School of Public Health/ Center for Global Health International Internship APPLICATION FORM Summer 12-week International Internship working with the Engeye Health in Ddegeya, Uganda ( offers a broad array of experiences related to public health practice in a developing country context. The Engeye Public Health Program Intern will serve as an analyst and clinical specialist, working as part of the Engeye team to plan, manage, and/or evaluate our local collaborative public health programs, projects, and/or study activities, as well as advising in the coordination of activities related to clinical developments in order to improve access to health care, improve health outcomes and improve the quality of overall health care services. Major duties may include the following: Assisting in short and long term program/service planning, program implementation and analysis, and program evaluations for activities involving collaboration between Engeye Health Clinic and the local community Assisting in the establishment of program standards, policies, strategies, goals, and evaluation plans regarding disease/epidemiological surveillance Collecting and interpreting data and information from a variety of sources and preparing recommendations and reports accordingly Preparing and making presentations to clinical staff on data analysis results from patient chart reviews targeting quality improvement initiatives Serving as liaison, committee member, or similar point of contact with internal and external representatives Job assignments will include these specific objectives: 1. Completion of monthly HMIS and Child Days Plus reports on behalf of Engeye Health Clinic (EHC) for timely submission to the district office. 2. Make recommendations for improvements to clinical practices and management procedures or policies by being based on-site at the EHC and based on review of clinical findings from EMR chart review 3. Improve continuing health education training for our local parish Village Health Team members, including updating curriculum and hosting training sessions 4. Assist in the establishment and sustainability of community health data collection and feedback in collaboration with the Village Health Teams and the local district government, specifically targeting maternal and child health 5. Assist in assessing impact or effectiveness of public health program initiatives in meeting Engeye s organizational objectives 6. Prepare reports for updating the executive and advisory boards on existing community collaboration programs 7. Participate in fund-raising and grant-writing for service provision and program initiatives 8. Evaluate current occupational safety practices, identify on-site occupational health needs, and help with implementation of recommendations Onsite Housing and Meals: Engeye Health Interns are provided safe and secure housing as well as meals at the clinic site at a special reduced and highly affordable daily rate. Application Due : Completed Applications must be submitted by to John Justino (jjustino@albany.edu) and Carol Whittaker (cwhittaker@albany.edu) by close of business on Friday, January 30, Page 1 of 5

2 A. Student Information Name of Applicant (Last, first, middle initial): Address: Address: Phone Numbers: MPH Concentration: Name and of Faculty Advisor: Undergraduate Education Institution and location: Degree Confirmed/ Field of Study Cumulative GPA Previous Experience Abroad Country Inclusive s Purpose (5-10 words) Foreign Languages Spoken: Degree of Competency: Speaking Writing Page 2 of 5

3 B. Student Interests and Motivations Research/Community Activity in College/Graduate School (use bullet points) Research Community Activity Present Career Interests ( words) Courses taken previous which are/may be relevant to selected research topic Page 3 of 5

4 Briefly describe why your experience, qualifications and personal characteristics make you particularly suited for your role in this project? ( words) C. Resume / CV Please attach an updated copy of their Resume or CV to your application. D. References Please submit a list of three academic and/or professional references, including their current titles and contact information. E. Faculty Advisor Support Applicants are also required to discuss their interest in the Engeye Health Summer Internship with their Faculty Advisor and to then have their Advisor sign below as an indication of their support. Name and Title of Faculty Advisor (please print) Faculty Advisor Signature Page 4 of 5

5 F. Release and Indemnification I hereby elect voluntarily and on my own initiative to travel and work as an Engeye Health Summer Intern. I acknowledge that the full responsibility for any personal injury or illness, accident, risk or loss, or property damage that may be sustained by me as a result of being engaged in activities while I am an Engeye Health Intern is mine. In particular, I acknowledge that I am fully aware of the risks and hazards associated with my travel and international internship assignment at Engeye Health, including risks relating to political unrest in connection with my travel to certain countries. I acknowledge that the Engeye Health Internship Committee and the University at Albany School of Public Health shall not be responsible for any illness, injury, accident, damage or loss suffered by me from or in connection with my participation as an Engeye Health intern, and hereby release and agree to hold harmless the Engeye Health Internship Committee and the University at Albany School of Public Health, and its officers, directors, employees, and agents from any liability, illness, injury, or accident that may be sustained by me while participating as an Engeye Health Intern. I further acknowledge that I have adequate health and accident insurance. This release and hold harmless agreement is binding on myself, heirs, assigns, and personal representatives. Name of Applicant (please print) Applicant Signature G. Certification APPLICANT CERTIFICATION AND ACCEPTANCE: I hereby certify that the statements herein and the information in the attached documents are true and accurate to the best of my knowledge. Name of Applicant (please print) Applicant Signature Page 5 of 5