Transforming Maternal Healthcare in Kenyan Slums
Transforming Maternal Healthcare in Kenyan
Several students in the GPP Minor have documented their Practice Experiences by keeping blogs. Follow the links below to visit their blogs and learn more about their experiences and insights.
Transforming Maternal Healthcare in Kenyan
Rachel Gerver is among the first generation of UC Berkeley students in Development Engineering, a growing field for graduate students focused on technological solutions for low-income regions. Gerver graduated from UC Berkeley in 2014 with a PhD in Bioengineering, where she investigated the application of Herr Lab technology for rapid point of care HIV monitoring and infant diagnosis in Kenya. She currently serves as a Biodesign Innovation Fellow at Stanford University, identifying unmet needs in medicine at hospitals and clinics and assessing the market size and competitive landscape for potential new medical devices. The Blum Center sat down with Gerver to learn more about her background and interests. What were your career plans when you started your PhD and how did they change? When I started the PhD in Bioengineering at UC Berkeley/UCSF, I thought I would pursue a career in academia and become a tenured professor. About halfway through the program, I realized that I was much more motivated by applied projects and helping to get new medical technologies to market, where they can have an impact on patients’ lives. I also became even more interested in how new technologies can help improve access to medical care for underserved populations. What was the nature of your Development Impact Lab Explore Grant? I received a DIL Explore grant to travel to Kenya and work with Family AIDS Care and Educational Services (FACES) to understand whether [Amy] Herr Lab technology could be applied to early infant HIV diagnosis. I spent time in the Nyanza province of Kenya, including Mbita, Kisumu, and Mfangano Island. I learned the importance of understanding the overall system in assessing what technologies can have an impact, and in particular the challenges of supply chains and logistics in bringing medical care to underserved regions. What is exciting about the medical technology field? The rapid growth in the medical technology space and the potential of new fields, including mobile technologies, big data, and genomics, to improve human health and access to healthcare around the world. Where do you see yourself in five years or 10 years? Continuing to work on technologies that can enter the market and improve human health around the world. Who are the scholars or practitioners you most admire? I greatly admire organizations that have worked to get new technologies into the market to improve access to healthcare in underserved populations, including PATH and D-Rev. I also admire physicians such as Paul Farmer, who have devoted their careers to improving global health from the field and inspiring others to do the
By Sybil Lewis On September 25, 2015, the United Nations adopted the 2030 Agenda for Sustainable Development, establishing the Sustainable Development Goals (SDGs) to end poverty, hunger, and inequality worldwide. The robust set of goals was formulated and agreed to by 193 countries and represent, said UN Secretary-General Ban Ki-moon, “an agenda for people to end poverty in all its forms—an agenda for the planet, our common home.” Also known as Global Goals, the SDGs comprise 17 goals and 169 targets, such as Clean Water and Sanitation, Gender Equality, and Climate Action.” The Sustainable Development Goals replace the UN’s Millennium Development Goals (MDGs), which were established by world leaders in September 2010, along with a 15-year agenda to tackle similar issues including poverty, hunger, and child education. According to a 2015 UN report, the MDGs “produced the most successful anti-poverty movement in history,” reducing the number of people living in extreme poverty by more than half and achieving gender parity in primary schools in almost all countries. While the MDGs were successful, progress has been uneven across regions and countries. Shortcomings remain in many target areas, such as climate C02 emissions that have increased by over 50 percent since 1990 and the fact that over 160 million children under age five have an inadequate height due to malnourishment. The idea of the SDGs emerged at the 2012 Rio+20 meeting, where the dimensions of sustainable development were identified as environmental, social, and economic—thus broadening definitions of international development beyond economic indicators. Furthermore, the MDGs laid out eight goals for developing countries, while the SDGs acknowledge that sustainable development cannot be achieved unless all countries participate. Since its founding in 2006, the Blum Center for Developing Economies has supported people and projects working to achieve several of the SDGs. Through the Development Impact Lab and the Big Ideas@Berkeley competition, the Blum Center has trained and promoted interdisciplinary innovations that deliver poverty-alleviating, sustainable solutions across the world. Over the past 10 years, winners of the Big Ideas@Berkeley student innovation competition have developed numerous life saving and improving products and services—from portable power units providing electricity to medical facilities in Africa and the Caribbean, to a coalition of students and faculty working to reduce UC Berkeley’s greenhouse emissions. The Development Impact Lab (DIL) is a global consortium of research institutes, nongovernmental organizations, and industry partners supported by the U.S. Agency for International Development (USAID) that are committed to advancing international development through science and technology innovations. DIL is headquartered at UC Berkeley where students, faculty, researchers, and experts collaborate to create and implement various solutions. For example, Darfur Stoves, a DIL and Big Ideas@Berkeley funded project, was started by a team of UC Berkeley researchers who designed a cookstove specifically for refugees of the Darfur conflict. Since then, the Darfur Stoves project has expanded, providing wind-resistant stoves to people in crisis situations in Ethiopia, Haiti, and Mongolia. Click here to learn more about Blum Center teams advancing the Sustainable Development Goals.
By Carlo David At age 22, Lavanya Jawaharlal is co-founder of a promising startup, a high-ranking officer within the UC Berkeley student government, and co-winner of a $200,000 award from the investment reality TV show “Shark Tank.” Lavanya and her sister Melissa Jawaharlal, with whom she founded STEM Center USA in 2013, plan to use the award money for their nonprofit, which uses robotics and hands-on learning to teach Science, Technology, Engineering, and Math to diverse K-12 students. Their win has produced high enthusiasm from the Berkeley community, but also a sense of relief for those, like Jawaharlal, who are eager to shatter the glass ceiling for American women in STEM. A 2014 University of California Hastings study found that 100 percent of women report gender bias in the STEM fields. The Blum Center sat down with Jawaharlal to hear her views on the culture and politics of diversity in tech. Did you ever imagine yourself appearing on national television to pitch your own business idea, let alone being the cofounder of startup that has so much potential for growth? Not really. It all started in our living room, teaching robotics to the children of our family friends, who later brought their friends, whose friends brought more friends. We were basically doing what we were passionate about. But then our parents began to feel a little uncomfortable with the idea of having random kids in the living room. So we had to find a space, which eventually became STEM Center USA. Unlike other entrepreneurs, my sister and I never meant our project to grow into the organization it is today. But eventually we realized there is a need to do it. What was your childhood like and how did it shape your passion for robotics? My interest in robotics started when I was a kid. I was never really interested in playing with the toys my parents bought me. Instead, I was more interested in taking apart the toys’ gears. In addition to being an ethnic minority, I was someone you would describe as nerdy. I was known as Lavanya the Tomboy, someone whom everyone looked down upon. I did sports and I was into robotics. Coming to California from a small New Jersey suburb was comforting, because I realized I was not the only person of color with my interests. Once I got into high school, I became more interested in the mechanical aspects of engineering. My sister, Melissa, who is two years older than me, was also very passionate about hands-on learning. Together, we were able to combine our passions and introduce hands-on robotics learning to young students. According to studies, women make up less than 25 percent of the STEM workforce. As a woman of color in STEM, how do you make sense of this gender gap? It’s really frustrating. People tend to minimize the differences in opportunities available to men and women, but then you see the education and employment numbers and realize it’s not the case. The gender gap stems from societal issues. When girls are growing up, as soon as they enter elementary school, they are exposed to the notion that they should be good in arts, in drawing. In other words, they are taught to specialize in something that is socially agreed upon as gender appropriate. The same is true for the types of toys they play with; girls play with Barbies, while boys play with cars. At a young age, kids are taught to think and behave in a manner that is consistent with gender norms. This translates into gender-specific occupations. So while I find these statistics frustrating, I am not surprised by them. Have there been instances, as a mechanical engineering student, as a young entrepreneur, where you felt intimidated or delegitimized? I have never felt intimidated here at UC Berkeley, but there have been instances where I felt my voice was not heard. Because Mechanical Engineering is such a male-dominated space, I need to work twice as hard to make sure that my voice is heard. If I have an opinion on homework, I feel the need to get my opinion across. In labs, people unknowingly tend to ask questions more from my male colleagues, even if I have been in the lab for the same amount of time or longer. Also, I find that younger students tend to ask male students more questions. This bias stems from the fact that the struggles of women of color, especially those in STEM, are not discussed. When you work in spaces where the emphasis is more on technical aspects, the discourse becomes less about the gendered or racial nature of the environment. What are some of the problems or deficiencies in the promotion of STEM to young students of color? What can we do better to ensure diversity in these fields? One of the principles of STEM Center USA is the importance of hands-on learning. Today, in a lot of public school systems, the method of teaching and learning is very tedious: the teacher talks and the students listen and takes note. Essentially, this creates a system that is grounded more in memorization than the application of knowledge. We, at STEM Center USA, allow students to apply what they learn in math and science classes in hands-on opportunities like lab experiments. Also, we have seen significant budget cuts in math and sciences, which translates to gaps in learning. For students, the lack of resources and robust learning environments diminish their confidence and ability to take courses like algebra. What advice would you give to young girls who aspire for a career in STEM? If there’s an opportunity, take it. But the problem is the lack of opportunity for underrepresented students. So if you have the opportunity, take it and be proactive about it. One thing I teach our students is “You’re into robotics? Fantastic!” But it doesn’t mean that you have to be an engineer. It means you also consider being a teacher, an artist, an historian. Where do you see yourself and your startup a year from now, five years from now? What do you wish to accomplish? In the next year, we are aiming to open one or two more offices in Southern California. In five years, we are hoping to open 10 or 20 more offices around the country. And in 10 years, our goal is to operate internationally as well. A huge part of the job is replicating our model, while taking into account the logistics and legal side of setting up new creativity centers. If we are able to expand our operations in a lot of cities, we will allow many more STEM students to maximize their potential. For further information on Stem Center USA, click
By Nicholas Bobadilla Gregory Chin grew frustrated with the PT Foundation halfway through his eight-week practice experience in Kuala Lumpur, Malaysia. He was working with one of the foundation’s HIV/AIDs clinics, which provides confidential and anonymous STD testing and counseling services that once had been free. A shift in the organization’s priorities from accessibility to sustainability resulted in a mandatory fee for all clients. To make matters worse, the clinic relocated, further restricting access to clients without reliable transportation. Like any Global Poverty & Practice student at UC Berkeley, Chin had developed a radar for the kinds of problems he saw at the PT Foundation. “I thought: You keep forgetting about the people you’re serving,” he said. “You keep running it to make sure this place survives, as opposed to making sure the community you’re working with survives.” GPP students often recognize and then grow frustrated by the deficiencies of the organizations where they briefly volunteer. The theoretical aspect of the curriculum places heavy emphasis on the critique of poverty interventions. It’s this problematizing that the GPP minor is notorious for, constantly encouraging students to question their organizations and the roles they play within them. While in Kuala Lumpur, Chin voiced his opinions and lobbied his coworkers for change, but he was aware of his limited authority as a foreign volunteer. He also understood that fixing the problems he encountered required a critical stance. “We problematize everything we see and then feel frustration as a result. But the fact that we can be frustrated and accept that frustration is a way to motivate ourselves to enact change,” he said. “If we don’t think of why this is better or wrong or what harm it’s doing, we won’t be able to alter it.” As a Cal student in his final year on the pre-med track, Chin intends to bring this critical mindset to his medical career. “I will incorporate GPP into my future profession by recognizing that there’s always something wrong and there’s always someone who’s not benefitting within a system,” he explained. For Chin, the often single-pronged, scientific approach doctors take can ignore cultural factors that lead to disease. “It’s about contextualizing experiences, but also about understanding the roots of people’s experiences and using those to understand the systems that people come from.” Eight weeks in Malaysia gave Chin the time to embrace this more empathetic and individualized approach to medicine—an approach he intends to take one step further. By seeing people as individuals, he hopes to better understand the complex connections they might share. This simple realization has allowed him to go beyond the frustration prompted by the GPP minor and envision a medical career grounded in the complexity of human experience. “We focus a lot more on how different one person is from another or how different I am from somebody else, but we don’t always focus on trying to find connections,” he said. “When we find those connections, we’re reminded that an individual’s life is
By Tamara Straus Ever since Hansen Lui was a kid, he loved building things and then taking them apart. During his undergraduate years at UCLA, he said his most valuable experiences took place not in class but in translational research labs, where he got hands-on experience and applied biological knowledge. So when Lui matriculated into the UC Berkeley-UCSF Joint Medical Program (JMP) this summer, he went looking for a similar way to connect his hands and his mind with his medical studies. At Cal’s School of Information, he found a listing for a course called Hacking Measurement taught by Dav Clark, a fellow at the Berkeley Institute for Data Science, and Javier Rosa, a computer science and development engineering graduate student. Hacking Measurement appealed to Lui because it promised an experiential learning approach to measuring people and the environment through mobile devices, remote sensing, and the Internet of Things—a phenomenon of increasing importance to the healthcare field. “Typically, we healthcare professionals lack an understanding of what goes on inside a machine,” said Lui. “And if you don’t know how a medical device works, you can’t figure out how to make it better or—in the case of developing countries—more accessible, affordable, or usable.” Lui, along with fellow Hacking Measurement classmates Joris Ramstein, another JMP student, and Jong-Kai Yang, a master’s student at the Berkeley School of Information, have been getting together nights and weekends during the fall of 2015 to create a prototype for a biosensing device called HeartBEAT. The technology is a portable, low-energy, bluetooth-enabled electrocardiogram that can record the electrical activity of the heart using electrodes placed on a patient’s body. Although there are now several companies selling portable consumer EKGs, such as Qardio, Lui, Ramstein, and Yang aim to design their device for low-income patients and clinics. “If you look at the price of getting an EKG test at a U.S. hospital, it’s $30 to $100 every time with insurance coverage, and $300-$1,200 without insurance. We hope to make our device available under $100,” said Lui. Yang noted, however, that the device is in early prototype stages and is not very user-friendly. He said he and his classmates are just as interested in tinkering with the growing number of sensors as they are in taking this one to market. “It’s a very self-driven class,” said Ramstein. “We’ve been learning not just about how to collect and visualize data, but also about using geospatial satellite images to understand how environmental changes are occurring.” Clark said he has been surprised that the biggest draw for the course has not necessarily been the seminars, which are conducted by himself, Rosa, and guest speakers such as Fabien Chraim, a Cal grad and CTO of the 3D geospatial intelligence provider Civic Maps, and Dawn Nafus, an anthropologist leading Intel’s Data Sense team. Rather, students are drawn more to the “CoLabs,” where the tutorials and practicums on subjects such as visualization and exploratory data analysis take place with support from the Social Science Matrix, the D-Lab, and Berkeley Research Computing. All Hacking Measurement students are working with clients, who help determine a project’s road map. One such client is Peter Sand of ManyLabs, an open science network and maker space in San Francisco that is working with students on air quality sensors. Another client is Temina Madon, executive director of UC Berkeley’s Center for Effective Global Action (CEGA), which is working with students on text scraping and integration of economic development data. Yet another student team is working with UC Berkeley research seismologist Robert Nadeau on earthquake measurement and visualization. Clark compares the measurement possibilities that come from sensors similar to the manufacturing possibilities that have risen due to 3D printers. “Once you understand that building and deploying sensors is something that’s possible and feasible, your idea about how to measure impact changes dramatically,” said Clark. “And with the ability to directly measure things come better results.” Rosa, who devises technological interventions to alleviate poverty and inequality in low-income regions, is seeing that data measurement and analysis are rapidly changing the social sciences, specifically the field of international development. Among the big changes Rosa has witnessed is in microgrid design. By deploying smart meters, he and his colleagues in the DIL-supported Rural Electric Power Project in India have been able to use sensors to figure out when people are using electricity, how much electricity they are using, and from there what is the appropriate microgrid size to ensure efficient rural electrification. Recently, Rosa has been working with Niuera to build FlexBoxes, which monitor freezer consumption to enable the integration of renewable energy into emerging regions. “This is the way to figure whether and an intervention that costs, say, a quarter million dollars actually benefits users, whether it can scale, and in what contexts,” said Rosa. “Direct measurement has just become crucial to evaluating projects for their
By Tamara Straus In 2013 Isha Ray, a UC Berkeley professor and international water expert, received a request from UN Women—to determine whether progress on sanitation in the world’s poorest places has been gender equal. “I realized I couldn’t answer that question,” said Ray, who has spent 16 years studying the intersection of economic development and safe water. “Having potties here and there doesn’t tell me whether they’re serving women’s needs. ” Although access to sanitation in the world’s poorest places has improved markedly over the past decade and has become one of the 17 Sustainable Development Goals announced by the United Nations in September 2015, the question of women’s needs, particularly menstrual hygiene management, has not been widely addressed in sanitation programs. This is largely because there are still many cultures that consider a menstruating female unclean, untouchable, or bad luck. Among international development researchers, female-specific sanitation also has not received much attention. A forthcoming scholarly literature review by the UN’s Water Supply & Sanitation Council (WSSCC) has discovered that there has been very little analysis when it comes to the question of whether toilet access, design, or programs satisfy female needs around menstruation, menopause, and infant or elder care. And although there is a big push (and need) to implement off-grid toilets at the home level, there are few sanitation programs specifically designed to make sure low-income girls and women in developing countries have the access, privacy, and conditions they need to go about their public lives when they are menstruating, pregnant, or recovering from pregnancy. “The WASH [water, sanitation, and hygiene] community is obsessed with stopping outdoor defecation and installing latrines at the household level,” said Archana Patkar, program manager of WSSCC, during a recent lecture at UC Berkeley’s Blum Center for Developing Economies. “This is important and necessary, but girls and women are not always at home—they are in school, they are working. And when they don’t have access to adequate sanitation and they are menstruating, 36 percent of girls and 96 percent of women don’t go to school or work.” Facts like these have compelled Professor Ray, along with research partners Kara Nelson, a professor in UC Berkeley’s Department of Environmental and Civil Engineering, and Michael Lindenmayer, CEO of the nonprofit Toilet Hackers and a UC Berkeley visiting scholar, to commence an action-research project they are calling “Trisan: Going Beyond the Bowl to Achieve Gender Equity in Sanitation.” The project, which has received seed money from the Blum Center’s Development Impact Lab, will research women’s needs for safety and privacy—not only for defecation, but also for urination and menstrual hygiene management. It aims to develop programs and practical education and outreach material in collaboration with WASH-related NGOs, girls’ schools in India, and the WCSCC. Ray said during her past two years of research, she has found that most sanitation programs are still being designed implicitly for the male body’s needs. “Although the defection needs are the same, the urination needs are not the same,” she said. “Females cannot pee standing. They cannot use public urinals or go behind a tree. It’s not modest. So the ratio of toilet facilities to bodies in schools, slums, and streets needs to be examined.” One of the arguments that Ray, Nelson, and Lindenmayer have begun to make is that sanitation programs should be geared explicitly toward female bodies and female needs. The reason, said Ray, “is if sanitation programs are designed for female needs, they will also serve male needs and disabled needs.” Men may not need to use a private latrine four times a day outside of their homes, but menstruating women do. This difference, argued Ray, should have a significant effect on current thinking around multi-family sanitation units in the world’s increasingly populous slums, settlements, and refugee camps. So far, the Beyond the Bowl research team has not come up against much criticism with these initial research concerns, but it has gotten some important feedback. Among public health experts, said Ray, the questions they encounter are: What is your hypothesis? What are you going to test? Ray said those questions will be answered through their collaborative research. As for city planners, they point out that designing sanitation services for low-income women is more expensive. “Actually, I agree with that,” said Ray “But if it is, then it is, and we have to think about creative financing.” Ray said she also agrees with those in environmental engineering who say that dealing with waste removal is imperative, and that flushable toilets in low-income public spaces in many developing countries are a long way off. “We must focus on these engineering questions, absolutely,” said Ray, “but we have to add menstrual waste to our waste disposal problems. We can’t just have fecal waste to worry about. Where are those pads going to go?” Ray is quick to answer her own question: “Those pads are going into the toilet or into the pit latrine. Is it any wonder they fill up? Or they go in a girl’s bag, next to her books and her lunch. Or they are furtively tossed away. Or they have nowhere to go, so females stay home and miss school and work. All of these are bad solutions relative to creative financing.” In the end, Ray and her colleagues believe the international community needs to start designing and promoting sanitation to achieve gender equality, in addition to public health. “One of the core principles of the 1948 Universal Declaration of Human Rights adopted by the United Nations was the principle of nondiscrimination,” said Ray. “Human rights cannot discriminate by religion, gender, age, language, or sexual orientation. Yet I feel sanitation programs, with the best intentions in the world, in fact violate that core principle—because they’re geared toward defecation and not urination and menstrual hygiene management.” The short-term timeline for Ray and her colleagues’ research is to build out their network of sanitation experts and sanitation-focused NGOs and to finish a position paper on achieving gender equality through sanitation, which they will present at the March 2016 meeting of the UN Commission of the Status of Women in New York. “Of course, we’re not going to argue that we can achieve gender equality exclusively through sanitation; that’s crazy,” said Ray. “But we will ask the Commission to consider sanitation as a pathway towards gender equality—exactly as we would consider employment opportunities or educational opportunities
Blum Center for Developing Economies will be participating in this year’s Cal Big Give, an annual one-day fundraising event to support students, faculty, and campus programs at UC Berkeley. Some of our proudest accomplishments over the past decade have included: The Global Poverty & Practice minor, now the most popular minor on campus, has educated over 14,000 students in our classes, graduated over 600 alumni, and completed Practice Experiences in over 60 countries. The Big Ideas@Berkeley contest, in its tenth year, which continues to produce impactful innovations, and equally more important, encourages a diverse student population to think of themselves as innovators. To date, winners of the contest have leveraged at least $55 million in additional funding for their high impact projects. The Development Engineering minor for PhD students training them to improve human and economic development in complex, low-resource settings. Just launched last year, it is already being replicated in several global universities and training a diverse student body, including 50% women, with the 21st century skills they will need to make an impact. To enable these and other great programs to grow and thrive, we hope you will consider supporting the Blum Center during this year’s Cal Big Give: When: 9pm Wednesday November 18 – 9pm Thursday November 19 (PST) What: Please visit the Blum Center giving page and select the “Blum Center for Developing Economies General Support” option to enable the our programs to grow and train even more students. To support GPP or Big Ideas directly, Invite your family and friends to visit the GPP giving page and select the “Global Poverty & Practice Student Support” option to enable funding for practice experiences for current and future GPPers! Even a $10 donation will be greatly appreciated. Support the Big Ideas contest during the Big Give at the Big Ideas giving page. In honor of the Big Ideas Tenth Anniversary, we encourage you to give in the “Power of 10” (any multiple of $10 you feel comfortable giving). What else: Please tweet a photo or a short story about your Blum Center experience and the hashtags #BlumGive, #BigIdeasGive, #GPPGive, and #CalBigGive (There are social media contests throughout the day, and we can win extra support from the campus, so Tweet as often as you like during those 24 hours) Please contact sophi@berkeley.edu at the Blum Center with any questions! Go
By Nicholas Bobadilla Kristian Kim decided to pursue a minor in Global Poverty & Practice because she felt a moral impetus to mitigate poverty. Instead, she found herself immersed in critical reflection and uncomfortable questions that forced her to examine her own role in the systems driving global inequality. A double major in Development and Peace & Conflict Studies, Kim completed her practice during the summer of 2015 with AFSCME 3299, a labor union that represents University of California service and patient care workers statewide. She conducted research and interviews with workers, and examined how administrative decisions trickle down to affect their wages, job security, and benefits. Through her work, Kristian developed relationships with on-campus employees and gained a deeper appreciation for the people who make her life as a student possible. “Getting to know people whose labor and struggle make it possible for me to come to school on a daily basis has tied me more to campus,” said Kim. “Understanding my relationship to them has helped me better understand my responsibility to support them as they struggle.” That struggle involves a demand to be hired directly by the university, which currently outsources workers from private companies that do not provide the wages or benefits required to ensure economic stability. Kim’s work on behalf of AFSCME 3299 also resonated with her personally. The socioeconomic struggle facing many campus workers, she said, resembled that of her own family members. Her grandparents fled North Korea in the 1950s and immigrated to the United States from South Korea with her parents in the early 1980s. Kim entered GPP knowing the sacrifice her family made to provide the stability in which she grew up. But witnessing the struggle of UC workers firsthand brought her closer to her own family’s hardships. The Global Poverty & Practice minor is one of the most original, unorthodox, and progressive poverty studies programs in the country. (Full disclosure: I am a GPP minor.) Since its inception by the Blum Center in 2007, the minor has become one of the largest minors on campus, with students from numerous disciplines. GPP aims to supplement students’ chosen fields, encouraging them to engage with poverty on a systemic level and critically reflect on their own positions in relation to the problems they seek to address. In addition to teaching the prevailing theories on global poverty and development, the GPP program requires a minimum six-week “practice” component, in which students work with an organization dedicated to poverty alleviation or socioeconomic development. Said Kim: “[GPP] gave me a different way of understanding some of the struggles my family members had as people, not just as stories, but as people who go to work and are exploited and struggle to make ends meet.” Kim’s practice experience also reaffirmed the privilege she enjoys as a result of her family’s and UC workers’ sacrifices. This sense is not unusual among GPP students, who are taught to reflect on the factors that make their socioeconomic positions possible. It is an approach that ensures students are aware of the benefits they have, and it aims to prevent them from becoming complicit in the problems they try to ameliorate. “My work with GPP contextualized my work with AFSCME and all my work in general. It’s given me a space to be critical without being paralyzed by cynicism,” said Kim. Kim is referring to the commonly quoted words of Professor Ananya Roy, one of the founders of the minor who created its introductory course, GPP 115, at UC Berkeley. Roy often spoke of the “impossible space between the paralysis of cynicism and the hubris of benevolence.” These words capture the essence of an educational program that provides an uncomfortable awareness of the factors responsible for systemic inequality. Students are encouraged to question their motivations and many come to recognize their own complicity in the systems that create global poverty. Kim is no exception, and expresses a deep awareness granted by the minor. “GPP showed me things are messed up, but we engage with these forces every day. My choice to engage in specific aspects of struggles comes with the responsibility to fight those forces.” This conviction drives Kim’s continued study of global poverty and her ongoing work with AFSCME. “I move forward with that knowledge that I have a responsibility to undermine the systems that privilege me at others’ expense,” she said. Such a realization has been possible due to the reflective tools provided by the minor. GPP 105 teaches students common methods used in fieldwork, while building habits for reflecting on the modes of power and inequality that come with their roles. It is this reflective component that Kim believes is one of the most standout features of GPP, in that it encourages students to go beyond the typical approaches to poverty utilized in academia. “The way poverty alleviation is often approached at Berkeley is by looking at the global impact an organization can have, but that often comes with a disregard for the experiences of the people in poverty. This approach can undervalue the importance of these experiences,” she explained. “I think doing the work I did over the summer showed me I can’t ignore the way it [poverty] plays out in people’s lives.” Kim recognizes the role she once played in perpetuating the conventions of poverty, yet the GPP framework has allowed her to step outside her previous mode of thinking and deconstruct those conventions. “If you find yourself reducing people to things,” Kim said, “you need to face what keeps you from recognizing that your liberation is implicated in other people’s liberation. Thinking about poverty action that way makes it clear what you’re responsibilities
By Carlo David The enormity of the world’s water and sanitation problems cannot be overstated. UN Water estimates that more than 3 million people die from water, sanitation, and hygiene-related causes each year, and nearly 10 percent of the global disease burden could be reduced through improved water supply, sanitation, hygiene, and water resource management. In Nicaragua, the problem is no less dire. Among a population of just over 6 million, 48 percent don’t have access to adequate sanitation, according to a World Bank study—and 15 percent don’t have access to safe water, with much higher percentages for both needs in rural areas. This is particularly unfortunate because Nicaragua is known as the land of lakes and volcanoes; its rivers and reservoirs are far from parched like California. But it doesn’t have good water and sanitation infrastructure, which means many Nicaraguans rely on unfiltered water from groundwater sources, which are often contaminated by fecal matter. That’s where NGOs like blueEnergy come in. Since 2004, the San Francisco-based nonprofit founded by Berkeley graduate Mathias Craig has been developing sustainable and community-based models to provide residents of Nicaragua’s Caribbean Coast access to clean water and improved sanitation. Among its projects are biosand water filters, which use gravity and naturally occurring bacteria to largely eliminate water contaminants and provide safe drinking water. Since 2009, blueEnergy has installed 900 biosand filters, which have benefitted more than 4,500 residents. While there are septic tanks and stand-alone latrines in the Nicaraguan towns where the nonproft works, such as Bluefields, these facilities are rare and expensive. blueEnergy navigates the lack of municipal-level water treatment facilities by working at the household level. With a team of research fellows, interns, and community members, the nonprofit is helping transform how residents access clean water. “The biggest impact that blueEnergy has is we pull together all the dimensions of a solution—people, technology, financing, planning, management—in a setting where the challenges are complex and the service ecosystem is not very well developed,” said Craig, who graduated from Cal in 2001 with a BS in Environmental Engineering. During the summer of 2015, Badisha Roy, a Berkeley undergraduate student in the Department of Chemical Engineering, interned with blueEnergy to conduct comprehensive testing on biosand filters distributed to Bluefields residents in 2010. Funded by Cal Energy Corps and the Berkeley Energy and Climate Institute (BECI), Roy is among an annual group of students chosen to participate in blueEnergy’s programs in Nicaragua. Roy said implementing a project of this nature poses numerous structural challenges. Bluefields may be Nicaragua’s chief Caribbean port, but there is rampant poverty, high unemployment, and lack of economic growth. “Water and sanitation are so important and fundamental to people’s daily lives, but not everyone in Bluefields has access,” said Roy, who added that coming up with solutions requires “identifying people’s needs and how you are going to provide those needs.” While blueEnergy maintains a small number of researchers and interns, it relies significantly on its local staff, community members, and senior fellows, who administer day-to-day operations and constantly train and educate beneficiaries about proper usage of filters and how to inspect latrines. During her two month fellowship, Roy and her team examined hundreds of filters. After surveying 330 filters in 16 different neighborhoods, installed five years ago, they reported some positive outcomes. “Generally speaking, most filters were functioning well. They met five or six of the eight parameters we have established to test the efficiency of these filters,” said Roy. In extreme cases, while water sources and containers tested negative for E. Coli bacteria, the filtered water tested positive. These results demonstrated potential areas to be addressed to avoid reactivation of contaminants as well as the need for more conducting more community training on proper usage of the filters. Although Bluefields has a long way to go in terms of economic development, filters introduced by blueEnergy have had some impact. Stay-at-home mothers reported being able to start small cafeterias and eateries in their own homes, without the fear of endangering their families and customers’ health by serving unfiltered water. “Our goal for the future is to see the Caribbean Coast go from 80 percent being without clean water, sanitation, and electricity to 80 percent with clean water, sanitation, and electricity through direct service government partnerships and incubating new service-providers,” said
By Priyanka Athavale Today was the epitome of the Mumbai fast train experience. It was utter frustration, suffocating stench, and packed with bodies. At the same time, the train felt systematic, organized, even solitary. This duality—a kind of chaos within order—is what defines Mumbai, the most populous city in India and the country’s financial, commercial, and entertainment capital. For someone from suburban California, accustomed to organized roads and paved sidewalks, taking the trains is something of an adjustment. Yet I saw the transport as a feat—and not just any feat, a feat that thousands of Mumbaikars accomplished every working day. After four months in the city, my aim was to be a true Mumbaikar. Riding the fast trains would be the ultimate validation of my belonging. I stood at the platform ready to board, my face sweaty, my palms clammy. The sun beamed in my eyes, as I read the digital sign blaring in red digits “F02,” indicating the fast train was approaching in two minutes. Mumbai’s trains are a miracle of mass society. Spread over a 465-kilometer network, they carry about 7 million passengers a day. Around 3,000 people die every year on the trains, most from falling or being pushed off the packed cars. Standing there, I could hear my Indian family members warning me against the fast trains. I buried their sounds. I looked to my left, to my right, and felt a lump forming in my throat—the feeling you get when you’re about to drop 50 feet in a roller coaster. Seventy women stood at the platform, on par with me, ready to board the train. Whatever confidence I had started to evaporate. I realized there was no way 70 people were going to board the train. It simply wasn’t possible. But there was no time to make an alternate plan. I needed to get to work. I had to board the train, and it was already in sight. The train approached and then screeched to a halt. Women started pouring out of the ladies car. Pouring is an understatement. Women were flooding out. They were getting thrown out with their babies, their bags, their young children, all rushing to escape the havoc. There were women in saris, women in business clothes, women selling fish, women hocking earrings, fat women, thin women, old women, young women—they were like marbles gushing out of a bottleneck. At the same time, the 70 women on the platform were trying to get in. Inside my head, I thought, “THIS IS RIDICULOUS!” but maintained a calm exterior. There were collisions, verbal conflicts, insults. Women were shoving other women, defending their bags, moving haphazardly—and all the while, I was getting sucked into the crowd with my two bulky bags. I closed my eyes and let the crowd take me in. I appeared composed yet inside I was fuming: This experience should not be the norm for millions of women. The trains have to change—they needed a total revamp! The only thing calming me down was John Mayer blasting through my headphones, “Waitin’ on the world to change.” Fury and fuming are familiar emotions in Mumbai. During my initial days, I questioned the streets crowded with rickshaws, the cows roaming aimlessly, the myriad of fruit and vegetable carts, the stray dogs and cats, and the street dwellers scattered on the sidelines. Everyday, I saw street children, some crying, some sleeping, some basking in the sun, and their mothers trying to manage a thousand things at once. As Fulbright-Nehru scholar, my purpose in Mumbai was to conduct qualitative research on maternal barriers to child nutrition among families making less than $5 a day. I considered myself part public health researcher, part anthropologist, and part humanitarian. But when I walked through the streets of Dhobi Ghat, a large Mumbai slum, all I felt was appalled. My eyes stuck on corner stores selling junk food, the mildew-stricken jugs containing “fresh” water, and the half-clothed children wandering barefoot between homes. Yet the mothers I encountered expressed hope about the future, despite the conditions they face. They are among the most inspiring and energetic women I will ever met—household managers, caregivers, and wives facing multiple daily lacks—of toilets, adequate food, clean water, effective education, and access to basic, affordable healthcare. Mumbai is rife with juxtapositions: of affluence and poverty, of technological advancements on the one side and lack of electricity on the other, of towering highrises shadowing low tin-ceiling slums. How can a place like this be? The answer lies in the intrinsic necessity to survive. The city has an intangible energy; it is a place where resilience blossoms from struggle. Back in the train, I let myself be taken through the crowd. Gradually, I realize I am part of team, a group of women, albeit complete strangers, who share a common cause and are helping each other toward it. The women guide me through the battleground of the train car and allow me to pass through. I find a little oasis near the window where I can stand. I take a deep breath of air—the feeling of relief is unmatched to any I’d felt before. I look around and notice every woman is engaged in some activity: talking, sleeping, people watching, holding onto children, selling trinkets. I am just another woman in the crowd, trying to get to my ultimate destination. This train is a microcosm of the city. It could use some oiling, but it works and it has been working for years. Priyanka Athavale graduated from UC Berkeley in 2014 with a double major in Molecular and Cell Biology and Public Health and a minor in Global Poverty & Practice. She was awarded a Fulbright-Nehru Fellowship to study barriers to improved nutrition and health practices in the urban slums of Mumbai, India.
By Tamara Straus Over the past year, UC Berkeley PhD student Zack Phillips and a team of six undergraduates assembled an LED array dome to fit on the Fletcher Lab’s CellScope microscope. The LED array did exactly what the team hoped for: it allowed the smartphone-enabled device to function as three separate microscopes. Phillips, who works with Assistant Professor Laura Waller in the Computational Imaging Lab, notes that the adapted device is still too fragile to be field tested for tropical diseases. But he is willing to admit that his team’s youthful composition and the speed of their invention are impressive. Phillip’s research group consists mostly of 19- and 20-year-olds and they completed their project in about 800 hours. The team’s next step is to take their $1,000 version—combining the imaging power of three $10,000 microscopes—and turn it into something sturdier that eventually can be priced for clinicians in developing countries at around $500 (not including the cost of the smartphone). Professor Waller is certainly proud of this young team’s latest innovation. Yet she underscores that her research group and many others in the Department of Electrical Engineering and Computer Sciences have plenty of accessible projects for undergraduate students and that plenty of undergraduate students are making valuable research contributions. In the case of the Cellscope project, supported by the Blum Center’s Development Impact Lab, it has offered undergraduates the chance to tinker with Arduinos—an open-source prototyping platform based on easy-to-use hardware and software—that are often taught in high school. Other reasons for increased undergraduate involvement and research contributions, says Waller, include: the “maker movement,” which has popularized lab invention, and the affordability of 3D printers, which allow research groups to iterate new versions in a matter of hours. “It’s totally different now that when I was an undergraduate,” says Waller. “There were 3D printers then, but now we have access to them.” Waller points out that college student research contributions are also due to a general attitude about the reciprocal nature of undergraduates in university research. Both sides have something to gain—professors gain engaged college students and students gain a useful learning experience. “Research is a really nice way for undergraduates to understand the real-world application of their skills and operate in an environment that’s a little bit more like a real job,” says Waller. “It’s a fantastic supplement to their formal education that will serve them better in their future careers.” This is true not only for the College of Engineering but also for departments across campus. According to Stefanie Ebeling, who runs Cal’s Undergraduate Research Apprentice Program (URAP), founded in 1991, there is “definitely an upward trend” in undergraduate participation in faculty research. Ebeling said that there were 550 participating students in the fall of 2005; 935 in 2010; and this fall, there are 1,250 undergraduate research apprenticeships. URAP was founded several years before the Boyer Report, which was published in 1998 by a commission of educators sponsored by the Carnegie Foundation and chaired by its president Ernest L. Boyer. Entitled Reinventing Undergraduate Education: A Blueprint for America’s Research Universities, the report argued that undergraduates at large research universities were often inadequately taught, due in large part to high student/faculty ratios, a predominance of lecture-based courses, and the demands on faculty besides teaching. The Commission argued that research universities should not try to emulate the teaching practices of small liberal arts colleges, but should take advantage of their research-related resources, integrating undergraduate education into the pursuits of graduate students, postdoctoral researchers, and faculty. In the Commission’s words: “…Undergraduates can become junior members of the research teams that now engage professors and graduate students.” In a November 2013 Center for Studies in Higher Education paper following up on the progress of the Boyer Report recommendations, authors John Aubrey Douglass from UC Berkeley and Chun-Mei Zhao from Stanford summarized the findings of 2010 Student Experience in the Research University (SERU) undergraduate survey, which was administered at all nine UC campuses and six top-25 public national universities. Among the 130,000 students who answered the survey questions, most (81.3 percent) conducted research as part of a class assignment, such as a research paper—with 40.3 percent assisting faculty in research with or without pay and course credit. Douglass and Zhao found that assisting research faculty is more prevalent in the STEM fields, while independent and personal research is more likely in the humanities, social sciences, and professional majors. The two authors also found that undergraduate research engagement “leads to self-reported learning gains across many areas, but especially in the areas of field knowledge, how to present and communicate knowledge, research skills, higher levels of satisfaction, better use of time, and higher levels of non-quantitative skills.” “I think there are some clear reasons why everyone on campus—from students, to faculty, to administrators, to parents—has growing excitement for undergraduate research,” says Sean Burns, director of the UC Berkeley Office of Undergraduate Research & Scholarships. “On one hand, research opportunities give undergraduates a chance to freely pursue their interests and passions. In this sense, research can epitomize the beauty of liberal education. On the other hand, engaging in research—both in terms of skill building and in terms of knowledge produced—turns out to be one of the most pragmatically beneficial choices an undergraduate can make. What employer or graduate school isn’t thrilled to hear a student speak of their research accomplishments?” On October 1, 2015, Burns organized an Undergraduate Research Fair that brought together about 400 students and faculty, including Randy Schekman, who won a 2014 Nobel Prize in Physiology or Medicine and regularly employs undergraduates in his cell biology research lab. Burns said the event attracted a large number of first and second year students from the STEM fields, but there were a decent of students from social science and other disciplines as well. Brandie Nonnecke, a research and development manager at the Center for Information Technology Research in the Interest of Society (CITRIS), agrees that STEM students, and particularly computer science students, are in demand at her and other university labs. But she also notes that many of today’s undergraduates are by nature problem solvers and tinkerers. “They’re being called the Benjamin Franklin Generation,” says Nonnecke. “They’re not afraid of a challenge, and I think they gain a lot of joy in getting hands-on experience.” Nonnecke says that on CITRIS’ CAFÉ project, an open source, e-participation platform on social and political issues, undergraduates have been instrumental in building the platform. Currently, the CAFÉ team employs six undergraduate students and two Industrial Engineering and Operations Research graduate students. Aditya Gande, a third year Electrical Engineering and Computer Sciences student who worked on the CellScope in Professor Waller’s lab in 2014 and 2015, explains he sought out a research opportunity because he considers it the best way to get experience outside classwork during the school year. “A lot of people do their own projects,” says Gande, “but I thought I’d go for lab work, because it’s a little more structured and prestigious. Also, from a job perspective, it’s really difficult to add onto your resume if you’re not doing research.” Gande, a Regents Scholar, has been thinking along these pragmatic lines since he was a teenager. While a junior in high school, the Cupertino resident landed a lab position at Stanford, making a basic android app for Assistant Bioengineering Professor Manu Prakash Lab’s Oscan device, a cell phone-enabled scanning tool for the mouth. Gande then went on to create open source software for 3D image modeling on 2D images. And in his senior year, he analyzed images of beetles to get their flight data. Although Gande doesn’t plan to get a PhD, he does intend to continue his research career at a medical device startup. “I don’t want to indulge myself and waste my youth working on social media apps or something like that,” he explains. “I feel medical devices are more impactful, even though they take longer and require much more effort. Low-cost health is important everywhere.” As for whether it’s difficult to find research opportunities on campus, even for students without computer science skills, Gande has this to say: “Berkeley is a research university. Anyone who says they can’t find opportunities doesn’t know what they’re talking
By Tamara Straus Robert B. Reich is among America’s first multi-platform public intellectuals. The Blum Center’s Senior Fellow and Chancellor’s Professor of Public Policy has written 12 books, is a constant producer of videos and movies, and has a massive Facebook audience, thanks to his rapid-fire production of commentaries and blogs. At 69, after decades of public service as a public university professor and government administrator (most notably as President Clinton’s Secretary of Labor), his work life has become even more ambitious—to unveil and correct what he sees as the imperiled state of American democracy. The Blum Center sat down with Professor Reich to talk about his latest book, Saving Capitalism: For the Many, Not the Few. In it, he passionately argues that the U.S.’s current political polarization stems from the wrong argument. Americans should not be choosing between “big government” and “small government” or the degree to which we should promote a “free market”—they should be debating the benefits of a market organized for more inclusive prosperity or one designed to deliver the most gains to the top. Written at a time when the United States faces the greatest income inequality and wealth disparity in 80 years, “Saving Capitalism” aims to lay out what’s at stake for the present and the years ahead. You write that you are confident we can save capitalism from its own excesses and return to a period of fairer distribution of wealth. But how do you remain confident when, for example, Thomas Piketty argues in his best-selling Capital in the Twenty-First Century that an ever-rising concentration of wealth is not self-correcting (and does it through data going back 250 years)? Piketty focuses only on wealth concentration, not income concentration. Yet the central feature of inequality in America is income concentration. And the good news is America has repeatedly reformed itself with regard to excessive concentration of income and its attendant political consequences. We did so in the Jacksonian era (the 1830s), the Progressive era (1901 to 1916), the New Deal (1933 to 1939), and, to some extent, in the Great Society (1964 Civil Rights Act, 1965 Voting Rights Act, 1965 Medicare and Medicaid). In other words, we have a strong track record of expanding the circle of prosperity when capitalism gets off track. Which group of Americans would you most like to reach with this book? I want to reach average Americans who are confused and frustrated about the current political-economic system, who don’t want to scapegoat immigrants or the poor for their problems, and who are open to uniting with others in order to mobilize and organize a movement to regain control over our democracy and make our economy work for the many rather than the few. You write that widening inequality has become “baked into” the building blocks of the free market itself. Why don’t more people understand that? Because the rules that define the basic building blocks are hidden from view, and most people don’t see them or understand them. Most people don’t understand that the rules that define intellectual capital—what can be patented and for how long—have been tilted in the direction of the owners of intellectual capital and against consumers, for example; or how the rules and laws governing contracts have changed (allowing much more leeway for insider trading than ever before, for example); or how the bankruptcy code has been rewritten to favor large corporations over homeowners and student debtors; and so on. What do you think is the most controversial argument in Saving Capitalism? Nothing should be controversial in a partisan sense. On this book tour, I’ve talked with many people who call themselves “conservative Republicans” who agree with almost every point I make. They want to end crony-capitalism; they think the biggest Wall Street banks are way too big; they’re opposed to “corporate welfare”; they want to get big money out of politics. Recently a self-described “conservative economist” who had been asked to debate me on a radio show confessed on the air that he agreed with almost all of the book, and praised it. Even my political point—that we need to reestablish what John Kenneth Galbraith once described as “countervailing power”—is not really controversial. I don’t condemn big corporations, big banks, CEOs, or wealthy individuals. My concern is that political power has become too concentrated in the hands of too few, and we need to reestablish countervailing power—perhaps not the same sources of countervailing power as we had in the 1950s and 1960s, but new sources that act as a check and balance upon concentrated power. What is the best case and worst case scenario for our future political economy? The best case is we enter another phase of reformist populism, as we have done at least four times before in American history. The worst case is we succumb to authoritarian populism—the quest for a “strongman” who will get the job done, even at the cost of our democratic institutions. So far, America hasn’t succumbed to authoritarian capitalism, although other nations have. But the current path we’re on is not sustainable. One or another—reformist populism or authoritarian populism—will manifest itself over the next two decades. For more information or to order a book:
Teachers as Agents of Conflict Resolution in Chile: Big Ideas Winners Kuy
By Carlo David A group of students, led by Professor David Levine of UC Berkeley’s Haas School of Business, are seeking to combat preventable diseases in developing countries like Bolivia, Cambodia, Tanzania and India, where significant populations do not have access to clean water and soap. Their goal is to make hand washing routine for thousands of students and teachers by introducing a fun and interactive curriculum—called “Hygiene Heroes”—at public schools. The Hygiene Heroes curriculum includes recreational activities, board games, and a book, as well as cost-efficient supplies like “soapy bottles.” According to the Centers for Disease Control and Prevention (CDC), 1.8 million children under the age of 5 die annually from diarrheal diseases or pneumonia, the top two causes of deaths among young people. The alarming rate of children dying from such preventable diseases prompted Prof. Levine, along with several students, such as Nimerta Sandhu (Haas ’14) and Melanie Cernak (Haas ’15), to undertake this project. Hygiene Heroes was piloted in Cambodia and Tanzania in the summer of 2013. During the academic year, the team conducted extensive outreach to school districts, principals, and community organizations to test the project’s curriculum. Meanwhile, over the summers of 2013 and 2014 under the leadership of Gautam Srikanth, a Cal undergraduate student in Environmental Economics, several UC Berkeley students traveled abroad to lay the groundwork for expanding the project in Chennai, India. Prof. Levine explained there are many economic and cultural misconceptions about why people do not develop a hand washing habit. According to a recent World Health Organization and UNICEF report covering 54 middle- and low-income countries, 35 percent of health facilities do not have water and soap for hand washing. “Lots of people rinse hands with water. The Hygiene Heroes project is targeting people who do not wash their hands with soap,” said Levine. “Even here in the United States, when no one is looking, people tend to not wash their hands with soap.” Continued Levine: “We introduced soapy bottles, which are basically empty water bottles filled with water and soap. With them, classrooms can create routines, such as squeezing soapy water on each student’s hands as they leave for lunch and head to a faucet to rinse. Such routines constantly reinforce students’ hand washing.” Hygiene Heroes is working on a shoestring budget with funding from online donors, the Center for Effective Global Action (CEGA), and the Haas School of Business, and is facing equally limited financial resources from the schools that the project is targeting. To deal with these challenges, the team is capitalizing on previous efforts launched in India to promote hand washing. “We are building on previous curricular efforts,” said Levine. “Part of the task is to reinvent some of the approaches used to promote hand washing with soap.” In the past, said Levine, glitter has been used in games to demonstrate the necessity for children to wash their hands after they play and especially before eating. But glitter is expensive, so scaling such an approach is difficult. Instead, the Hygiene Heroes team is using cost-efficient alternatives, such as chalk dust or even turmeric, to play the “pass the germ (and be aware)” game. From his time as a senior economist on President Bill Clinton’s Council of Economic Advisors to his present position as the Eugene E. and Catherine M. Trefethen Chair in Business Administration at UC Berkeley, Levine has analyzed the impacts of investing in health and education, especially in poor nations. He is currently one of 19 Cal faculty members behind a new program called Development Engineering for graduate students pursuing research in poverty alleviation. In the case of this project, said Levine, “One of the challenges is to work with regular teachers, who are busy, and make our proposed curriculum part of their routine. The board game [we introduced in Cambodia] is popular among kids, but because it is not part of their curriculum, it can serve only as supplementary material.” The Hygiene Heroes team has been working across disciplines to find collaborators. Jacqueline Zhou, from UC Berkeley’s Art Department, for example, is the illustrator of the children’s book King Akbar Writes a Law. In the story, Prime Minister Birbal, a popular folk tale character in much of South Asia, requires the palace’s servants to wash their hands with water and soap. The prime minister must convince the king of the importance of the new law, slowly helping the monarch realize that contamination can spread, even if it cannot be seen. Culture is an important facet of Hygiene Heroes. Nimerta Sandhu, who first joined the initiative in January 2013 and now works as a management consultant in the health industries, found her passion for public health and community service to be a guiding force for her involvement with the project. “Working with underserved and minority communities, the project has been very important to me. I hope to continue these efforts both internationally and within the United States,” she said. For Melanie Cernak, who now works as a business development associate at a Silicon Valley firm, her first-hand interaction with the children and their enthusiastic reception of her was fascinating, although sometimes uncomfortable. “Students were attentive and largely would listen to me,” she said. “They wanted to wash their hands because they saw Americans washing their hands. But that is not a sustainable model.” Over the past two years, the project has established important connections inside and outside of Chennai. The Indian Institute of Technology in Madras (IIT-Madras) played a pivotal role in testing Hygiene Heroes in the region, and in searching for schools that benefit from the project. Currently, the team—with more than a dozen students involved—has partnered with Sarva Shiksha Abhiyan (SSA), a government program that is responsible for 30,000 schools under India’s Department of School Education and Literacy. Hygiene Heroes is also hoping to increase its outreach through Teach for India, an Indian adaptation of Teach for America, and CLEAN India, a national campaign advocating for clean, healthy, and sustainable lifestyle. Although the Hygiene Heroes team is aiming to create long-lasting behavioral change, it does not expect to produce far-reaching results instantly. A project of this scale requires constant engagement and understanding of behavioral and political factors. “It will take a long time,” Prof. Levine said. “But it is the most important solvable problem on the
Another music for poverty
Big Ideas Winners Aim to Digitally Track Vaccinations in Rural
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