MPH Student Practicum Abstracts Spring April Showcase

Transcription

1 MPH Student Practicum Abstracts Spring April Showcase April 18,

2 MPH Student Practicum Experience- Spring 2017 The Master in Public Health (MPH) Program at Wayne State University is pleased to present the Spring 2017 student practicum abstract book highlighting students public health practice experiences. We would like to express our gratitude and appreciation to all of the organizations, agencies and businesses that hosted and supported our students and provided them with practical public health experiences. The MPH Program would like to congratulate the students for their hard work, accomplishments and contributions to the local public health community. BIOSTATISTICS CONCENTRATION William Costello SITE: The Youth Connection (TYC) TITLE: A Program Assessment and risk factor analysis of a youth substance abuse prevention program According to the 2015 Youth Risk Behavior Survey, 22.6% of high school students currently drink alcohol, 8.6% use cigarettes, and 22.6% abuse marijuana. Prevention programs are needed to educate the students in the dangers of these substances and to promote healthy living. TYC is a non-profit organization that strives to connect youth and their families in Metro Detroit to resources and opportunities to encourage them to enrich their lives and connect their youth to brighter futures. Their youth substance abuse prevention program is designed to promote positive health and personal development for youth. TYC uses the Botvin Lifeskills Training program, which is a research-based curriculum that focuses on decreasing drug, tobacco, and alcohol use in adolescents. A Pre- and Post- Education Test was distributed to adolescents from five Detroit schools and those in TYC Career Academies. The same anonymous surveys were given at the beginning and the end of the program. The survey was used to identify the effectiveness of the program based on age, gender, school, and grade from year 2014 to present. It included those between fifth and twelfth grade. Cigarette, alcohol, and marijuana use within the past thirty days were also measured. 586 pre-surveys and 394 post-surveys were collected and a statistical diagnostic was performed. A percentage of the adolescents that used the substance was calculated to determine the productiveness of the program. The overall data shows that the Substance Abuse Prevention Program is effective in decreasing the use of cigarettes, alcohol, and marijuana. When looking just at the youth from the TYC Career Academies, it is also evident that that the program is effective in decreasing substance abuse. Finally, when examining the pre-tests of adolescents between 6 th -8 th grade, students in 8 th grade self-reported abusing more substances in their pre-tests compared to adolescents in 6 th and 7 th grade. This demonstrates that these training sessions need to occur earlier than 8 th grade to prevent students from experimenting various substances and giving into peer pressure. 2

3 PUBLIC HEALTH PRACTICE CONCENTRATION Elena Smith SITE: Mother Nurture Network St. John Hospital and Medical Center TITLE: Maintaining and Enhancing Baby-Friendly Designation with Mother Nurture Many mothers have difficulty producing milk or continuing breastfeeding after leaving the hospital. At St. John Hospital and Medical Center the Mother Nurture Network seeks to aid in both of these problems. To ensure that staff members are educating patients correctly and to continue their Baby-Friendly designation, they need to do monthly surveys. These surveys enable the hospital to maintain their Baby-Friendly designation and improve their patient education practices. In order to improve their breast milk exclusivity rates, part of Baby-Friendly, Mother Nurture decided to team up with Bronsons Mother s Milk Bank to provide donor breast milk to their patients and to collect breast milk donations. Baby-Friendly surveys were administered to eligible mothers at all four St. John hospitals. These surveys were then analyzed and discussed at monthly meetings where feedback was provided on how each hospital could do a better job to improve survey results. Frequently asked question (FAQ) documents were developed for a new venture that the Mother Nurture Network was starting: providing donor breast milk in the full-term nursery, a donor milk donation site and a donor milk dispensary. Survey results and provided feedback helped each hospital tailor their education to their diverse patient population in order to be more Baby-Friendly. The FAQ documents were also tailored to the diverse population in Detroit. As of right now, only the Full-Term nursery FAQ document has been approved and will be used after the donor milk kick-off in late April. Amanda Karnes SITE: Detroit Recovery Project TITLE: Integrating Health Access Services with The Detroit Recovery Project Detroit Recovery Project (DRP) seeks to serve as a bridge for people recently sober into maintaining long-term sobriety A Health Care Guidebook was compiled for Recovery Coaches to help clients set up dental and medical appointments. Partnerships were formed with mobile dental and mammogram vans providing directs, onsite services for clients. Sexual Health Assessments were created to help better assess sexual health needs of each client. Health Care Guidebooks were distributed to Recovery Coaches for use. Karmanos Mammogram Van visited DRP and 16 women were provided with mobile unit mammograms. Titan s for Teeth Dental Van visited and provided x-rays and services to clients. The Sexual Health Assessment, a scoring system and suggested follow-up groups were presented to DRP clinical staff. 3

4 Michael Veve SITE: Henry Ford Health System Global Health Initiative, Detroit, MI Kathmandu Model Hospital and Kirtipur Hospital, Kathmandu, Nepal TITLE: Opportunities for antimicrobial stewardship in two community Nepali hospitals The emergence and spread of antimicrobial resistance is a significant burden to healthcare systems due to poor patient outcomes, disastrous infection control implications, and limited antibiotic effectiveness. Antimicrobial stewardship (AMS) has been associated with curtailing inappropriate antimicrobial use associated with the resistance development, in addition to improving patient safety and outcomes. Low-income countries, such as Nepal, have no formal AMS efforts or antimicrobial regulations, which has lead to an increase prevalence of resistance. The purpose of this experience was to identify areas for AMS implementation in two Nepali hospitals. A one-day conference on AMS and resistance was held at a community hospital in Kathmandu, Nepal. Eleven physician champions (PC) from the two hospitals were selected for formal teaching. Formal AMS protocols were developed with stakeholders and included i) empiric and definitive antibiotic selection recommendations, ii) renal dosing guidelines, iii) evidence-based duration of therapy, and iv) an intravenous-to-oral antimicrobial conversion policy. Two days of fieldwork and stakeholder feedback occurred. A post-test PC evaluation was performed with the intent to gather feedback for implementation of a post-prescription review and feedback (PPRF) system incorporating AMS protocols related to antimicrobial optimization. The overall PC response was positive. Antimicrobial stewardship efforts have demonstrated effectiveness in high-income countries, but experiences in countries like Nepal are unknown. Effective stakeholder buy-in is necessary for a successful international interventional program. Monica Meyer SITE: Wayne County Department of Health, Veterans and Community Wellness TITLE: Applications in Environmental Public Health Environmental health professionals are concerned with how nature and the built environment affect human health. The environmental Health Division managers and staff at Wayne County work hard every day in the field (restaurant and swimming pool inspections), writing grants, attending informational webinars, and preparing for accreditation in their various units. Dealing with the public is a major part of what an environmentalist does, so effective interpersonal skills are a must. Engaging and participating in the activities of an environmentalist was essential to learn applications in environmental public health. Participating in a food service inspection, public swimming pool inspection, and a lead case investigation helped to accomplish this goal. I also participated in writing a HUD Lead-based Paint Hazard Control grant, as well as an accreditation self-assessment in the food unit. This practicum was an excellent setting to learn how to perform the various activities and duties of a public health environmentalist. Every experience was unique in its own way, and every day was different. I truly feel that I have learned many of the activities of an environmentalist, and was fortunate enough to have wonderful mentorship while participating and observing. audience. 4

5 Megan O Grady SITE: Authority Health TITLE: Analysis and Project Development with Detroit Regional Health Collaborative In 2016, Wayne County ranked last in health outcomes and health factors in County Health Rankings for Michigan; highlighting the severity for improvement in each. The Detroit Regional Health Collaborative (DRHC) analyzes the indicators of community health status through needs and public health assessments, health care statistics, and other data. With this information, the Collaborative develops community engagement strategies for health improvement initiatives for Detroit, Wayne County, and neighboring regions in order to raise the overall level of health. Web-based research was conducted to identify organizations in Detroit and Wayne County that address social determinants of health (SDoH). Organizations reviewed covered six factors previously identified by the DRHC: transportation, housing, food, education, employment, and health and wellness. Findings were compiled into a working constituency analysis. The constituency analysis resource list was organized and updated with new findings, resulting in at least ten organizations for each factor. The list is used by DRHC to see where organizations are located and determine if a specific program that addresses one of the factors is desired in a certain area and if it will be sufficient. This ensures that there is no major overlap in services addressing SDoH while the needs of communities are assessed and considered. Additionally, the list highlights opportunities for collaboration to improve the health of Detroit and Wayne County residents synergistically. 5