Diversity, early childhood, and context

Several of our MPH students attended the annual meeting of the Association of Maternal and Child Health Programs (AMCHP), held this year March 4 – 7, in Kansas City, MO. What follows is a post from one of these attendees.

By Fiona Ritchey, BS

The AMCHP 2017 Conference in Kansas City was the first conference I’ve attended specifically geared towards Maternal and Child Health, and I loved it. Having attended APHA the previous school year, I was looking forward to seeing what a smaller, more focused conference would be like. The overall theme for the conference was Engagement with Intention: Inclusivity, Diversity, & Non-Traditional Partnerships. During my time at Tulane I’ve come to better understand some of the strengths and limitations of the public health field as it stands today, and I truly believe that maximizing our impact going forward requires engaging diverse, non-traditional partnerships with intention. There will never be enough money, buy-in, or brilliant ideas for us in public health to successfully go it alone, particularly for the big, structural changes that are needed to promote health equity and eliminate racial disparities. So it was inspiring and invigorating to be among researchers and professionals who’ve reached the same conclusions and are working on creative ways to tackle our toughest, most intransigent issues.

The first day of activities was technically the pre-conference, and included skills-building sessions in the morning and afternoon. It was so refreshing to have a smaller, interactive learning experience at a conference, rather than sitting in an enormous meeting hall and maybe getting to ask a single question. The first skills-building session I attended was called Building Better Brains, presented by several folks from Georgia representing different organizations working together to improve early childhood systems in the state. Early childhood development is my area of interest, so I was excited and interested to see the success of their collaboration in another southern state with relatively similar challenges. We played an interactive brain-building game with pipe cleaners, straws, and weights that successfully made childhood neurodevelopment very accessible to a lay audience. I got lots of contact information at the session and I’m excited to share the game with folks I work with in New Orleans.

One session I was disappointed in was about cultural competence as a tool to reduce health disparities. While there was a fun, easy game at the beginning to encourage participants to think about the level of diversity in their lives, we got barely any time at all to discuss the results and why we might have found what we did. The presentation afterwards defined a trajectory of cultural competence that failed to address cultural humility, which I consider to be a key factor for predominantly white public health professionals that often work in communities of color. There was also an extended part of the presentation about “dimensions of different cultures” that basically reduced each culture to a stereotype. Luckily that afternoon I attended another session called Place, Race, Poverty, and Young children which provided a much more nuanced and contextual look at the role of race in early childhood systems and health disparities. Overall I think I gained some valuable knowledge and skills from AMCHP that will serve me as I enter the MCH workforce this summer. I’m excited to hear what my fellow scholars thought!

Fiona Ritchey is a second-year MPH student with a concentration in Maternal and Child Health and a certificate in Epidemiology. Her background is in psychiatric research, with a focus on mood and anxiety disorders. Her professional interests include early childhood development, mental health, policy, and health equity. Fiona is a cooking fanatic, and spends her free time researching recipes and cooking for friends and family.

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