UAlbany SPH Hope Health Action Cap-Haitien, Republic of Haiti Summer 2017 Internship Application Form

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1 UAlbany SPH Hope Health Action Cap-Haitien, Republic of Haiti Summer 2017 Internship Application Form Hope Health Action (previously Hope Health Action) is a Christian Development non-profit organization that has been working in Haiti since 2006 to establish a quality form of health care not restricted to the few but a right for all. Moved by the depth of suffering and hopelessness that Haitians experience every day, we seek to bring transformation to cities and communities where even the most basic health care has been unavailable. The organization s current vision is to establish a hospital in Cap-Haitien in the north of Haiti. During a 12 week internship with Hope Health Action (HHA), the UAlbany MPH Intern will: Assist in short and long term program/service planning, program implementation and analysis, and program evaluation for activities involving scale up of Hope Health Action maternity health, mobile clinics, and vaccination. Assisting in the establishment of program standards, policies, strategies, goals, and evaluation plans regarding access to antenatal and postnatal care. Collecting and interpreting data and information from a variety of sources and preparing recommendations and reports accordingly. Apply principles of strategic planning and marketing in public health Job duties are expected to include these specific objectives: 1. Assist in data collection through Traditional Birth Attendants (TBA) and Community Health Agents (CHA) and adding collected data to national database. 2. Identify nutritional problems, identify target groups, approaches to assessment, options for routine contact in the community and types of data collections methods to be considered. 3. Conduct HHA population based survey to identify root causes in food insecurity and use findings to produce causal chain model. 4. Assist management team in conducting outcome evaluation of measurable short-term effects for planned scale up of maternity health services. 5. Assist in Preparation of monthly reports assessing progress of maternity health services and ensuring objective are being met. 6. Participate in quality control surveys to ensure consistency of services. 7. Develop logic model for maternity health and identify critical project areas. Prepare a literature search for program improvement solutions. 8. Assess unmet need for contraceptive services estimated from HHA population based surveys of currently pregnant women who report that their pregnancy is unintended as well as nonpregnant women currently not using contraception and would not like to have any more children, or, at least none in the next two years. 9. Make recommendation for improvements to community outreach, community health education curriculum, and disease prevention. 10. Assess and propose the feasibility of an STI screening program. 11. Develop strategies for enhancement of management procedures or policies by being based on-site at HHA and collaborating with HHA administrative staff. 12. Participate in fund-raising and grant-writing for service provision and program initiatives. 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 Tuesday, January 31, 2017.

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

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

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 HHA 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

5 F. Release and Indemnification I hereby elect voluntarily and on my own initiative to travel and work as a HHA Public 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 HHA Public 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 HHA, including risks relating to political unrest in connection with my travel to certain countries. I acknowledge that the HHA 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 a HHA Intern, and hereby release and agree to hold harmless the HHA 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 HHA Public 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 CERTIFICANTION 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

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