Blog Post #4
James Hickling
7/14/17
Looking
back on my research experience in Zambia, I have seen luck, successes, and the
frustration of navigating beaurocracy. I have learned that the public health
sector in Lusaka is an international one, and it is difficult to go a mile in
the city without seeing a health NGO or foreign aid organization. The scourge
of HIV has drawn interest from across the globe, although none more so than
from Zambians themselves.
In our
various interviews, we have met with everyone from the director of JSI deliver
project, one of the chief beneficiaries of the massive annual PEPFAR aid
package, to the director of TALC, a grassroots organization involved in
advocacy and community based support. One director lives a fifteen minute drive
from my house in Massachusetts, the other was born in Zambia and has been HIV
positive for a decade. Meeting with such a broad range of people, all with the same
goal of ending the epidemic, has helped me realize the broad scope of the
robust Lusaka public health community.
Although I
feel lucky to meet these people who are making a real difference on the ground
every day, the saturation of the field has also presented challenges. Well
established organizations with the backing of millions of dollars from donors
have far more extensive resources than our humble undergraduate research duo.
We have been stonewalled from talking to CIDRZ, an organization conducting
research related to our topic. Despite the HIV public health community
generally having a sense of comradery and helping one another out, CIDRZ
refused to meet with us due to the proprietary nature of their data. While I
understand that they must protect their research interests, and they are doing
good work for the country, it is frustrating to think that the nature of the structure
of academic public health research may prevent progress from being
accomplished, and ultimately slow the suppression of the disease.
Despite our
limitations and setbacks, I am overall very happy with the progress of our
research. Our topic is a fascinating one, and I feel engaged and interested
whenever we uncover a new development. This experience is an invaluable one,
and I feel privileged to take a role, however small, in such an incredible
community of academics and difference makers. The results of this community are
tangible, and the statistics prove that Zambia is making progress towards not
only statistical, epidemiological improvements in the disease, but also social
and cultural ones.
My research
partner and I feel confident about our paper, well prepared and knowledgeable
about our topic, and hopeful that it will realize the potential that we know it
has. Over the next two weeks, we will work hard to have something to show for
all of this time and effort in Lusaka.
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