FACULTY SPOTLIGHT: AN INTERVIEW WITH DR. EMILY HERFEL

FACULTY SPOTLIGHT: AN INTERVIEW WITH DR. EMILY HERFEL

Emily Herfel, DO, Msc-GH, FACOG (Fellow of the American College of Osteopathic Obstetricians and Gynecologists), is an assistant professor at Duke Department of Obstetrics and Gynecology, an affiliate at the Duke Center for Global Reproductive Health, and a volunteer professor at Kilimanjaro Christian Medical Center in Moshi, Tanzania. Dr. Herfel completed her undergraduate work at John Carroll University in Cleveland, Ohio followed by a Doctor of Osteopathy at Heritage College of Osteopathic Medicine in Athens, Ohio. She completed residency at OhioHealth Doctors Hospital in Columbus, Ohio. She then went on to receive her Masters of Science in Global Health through a Women’s Global Health Fellowship at Duke University. During that fellowship, she received an NIH-Fogarty grant to complete her project in Kisumu, Kenya. I had an enriching conversation with Dr. Herfel to learn more about her experiences within the global health sphere and her passion for reproductive health care. “Right in the heart of COVID, in July 2020, I moved to...
Read More
REPRODUCTIVE RIGHTS AS HUMAN RIGHTS ACROSS A POST-ROE NATION

REPRODUCTIVE RIGHTS AS HUMAN RIGHTS ACROSS A POST-ROE NATION

Pro-choice vs Pro-life? The conversation surrounding reproductive health has been trampled by the debate between two movements. It has been obscured by debates of when life begins. It has been convoluted with religious beliefs, political beliefs, and complex obscurities that the people have failed to realize the real focus of this discussion: women and their reproductive freedom. With the overturning of Roe vs Wade, the discussion of reproductive rights and women’s rights have become more urgent than ever. This is not a matter of women’s rights but human rights. Due to the constitutional right to an abortion granted by Roe vs Wade, women have had the law the federal government enabling the freedom to reproductive care but stripping this basic human right to healthcare puts them in more dangerous situations than ever [2]. The advent of this new decision has opened new laws that will soon ban abortion access, birth control and other means of contraceptives. This is a mean...
Read More
REFLECTION FROM THE FIELD: JULIA’S REFLECTIONS IN NAIROBI

REFLECTION FROM THE FIELD: JULIA’S REFLECTIONS IN NAIROBI

I recently landed back home in Boston after spending most of my summer in Nairobi, Kenya researching cross-cultural early childhood development with Universal Baby. Universal Baby is a public health, caregiver coaching intervention that creates videos to share current neuroscience and child development information across the globe.   Towards the end of my time in Kenya, I visited a Maasai Village in Kajiado South sub-county, about 5-6 hours outside of the Nairobi. The Maasai are one of Kenya’s ethnic tribes, originally from the lower Nile Valley. I embarked on this journey, acutely aware of how the injustice and violence of colonialism has shaped the education systems and subsequent socioeconomic advancements in Kenya.   We stopped for the night in the rural town of Bisil before starting off early the following morning for the village, passing giraffes and ostriches on the drive there. Our first stop was Loolkair Primary School, a K-8 school with nearly 400 students and only eight teachers. As we arrived, hundreds of...
Read More
Webinar Series

Webinar Series

The Center for Global Reproductive Health and the Center for Policy Impact in Global Health recently partnered to convene a webinar on “The unfinished agenda of maternal and child health in Africa and Asia: promising directions to address maternal mortality challenges.” The panel, moderated by Dr. Megan Huchko, included: Dr. Mariam Claeson, former Director of the Global Financing Facility for Every Women Every Child at the World Bank and now at the Karolinska Institute Dr. Qjan Long, Assistant Professor at Duke Kunshan University, formerly worked at the Department of Reproductive Health and Research, WHO Ms. Jacquelyn Caglia, Director of Learning, Communications for Merck for Mothers Experts discussed the historic and current challenges in addressing maternal and child mortality in the region, and brought up some promising innovations and strategies with the potential to effect these disparities in the future. The webinar can be seen here, with a fill description of the background and discussion on the CPIGH website....
Read More
The Failures of American Sex-Education

The Failures of American Sex-Education

As the topic of sexual and reproductive health re-enters the public consciousness in America through the overturning of Roe v. Wade, it becomes increasingly important to access American Sex Education, or rather, the failures of it, and how we teach these topics to our most impressionable population, children. The state of sex-education in this country is in shambles. Though the majority of Americans support sex-education in middle school and in high school, what exactly does that education look like?  The first and one of the most important things to note about sex-education in the states is that there is no universal regulation of it. Only thirty nine states, plus DC, even have government mandated sex-education [5]. Within the states with mandated sex-education, only thirteen must provide “medically accurate” sex-education [1]. The content of what is covered in sex-education varies widely from state to state, within states that do have government mandated sex-education, it is often left to individual districts to decide...
Read More
Reflection From the Field: Dr. Emily Herfel’s Reflections in Kisumu

Reflection From the Field: Dr. Emily Herfel’s Reflections in Kisumu

It is hard to believe I have called Kisumu home for almost a year, with time cut short by the elections set for early August. Our team is busy, skillfully orchestrating multiple studies concurrently. The stigma education study, looking at the impact of a stigma-responsive educational video on cervical cancer screening behavior, is in full swing. The six health facility sites are offering research-supported HPV self-testing as part of their cervical cancer screening program, led by community healthcare volunteers (CHVs). Our three intervention sites are also showing the HPV stigma-responsive education video. The team then visits each site once a week to ask women to participate in a validated HPV/cervical cancer stigma measurement tool. Jeniffer, our study clinician, is leading the project with grace, balancing the day-to-day activities with each facility. Getting positive feedback from the CHVs  and women of the community about a cervical cancer screening technique that avoids a speculum helps to keep us motivated. Some of the sites are...
Read More
Reflection From the Field: SRT Student, Laya’s, Reflections in Kisumu

Reflection From the Field: SRT Student, Laya’s, Reflections in Kisumu

As we start our eighth and final week in Kisumu, the SRT team is finishing up the last stages of our on-the-ground research, and preparing for our trip back to the US!    At this point in time, we are almost finished with our clinic observations. Despite several scheduling changes, we will complete our project with five to six observation sessions at each of the six clinics. Additionally, we have set in motion the plans for the Kisumu team to conduct focus group discussions (FGDs) at the intervention clinics after we leave. The purpose of the FGDs is to understand women’s opinions about our educational intervention, and how they feel about incorporating peer navigation services into the clinics. Unfortunately, we will not be here to witness the FGDs as we originally anticipated, but we’ve been working on setting everything up so that they will run smoothly in our absence. That includes getting participant recruitment up and running, going over our questions and...
Read More
Resources for Abortion Access Across a Post-Roe Nation

Resources for Abortion Access Across a Post-Roe Nation

Pictured above: People marching in Boulder, Colorado for Reproductive Health Rights in May of 2022 with signs that say “Your right to abortion should not depend on your zip code.”   Unfortunately, though, zip codes shaping access to abortions may very much be more of a reality with the overturning of Roe v. Wade.    The New York Times reveals how the Supreme Court’s ruling on the Mississippi law could weaken or even overturn Roe v. Wade which could ultimately lead to legal abortion access dramatically decreasing, particularly in the American South and Midwest (Bui et al., 2021). This geographic discrepancy is even more reinforced through social class differences and communities that are “disproportionately Black, Latina, teenagers, uninsured, and undocumented immigrants” (Miller & Sanger-Katz, 2022). Ultimately, leading not only to be a social justice issue and human rights issue, but also a racial justice issue. Bui et al. quotes Caitlin Knowles Myers saying, “A post Roe-United States isn’t one in which abortion isn’t...
Read More
The Heart of the Abortion Debate

The Heart of the Abortion Debate

When having discussions about Roe v. Wade and the consequences of overturning it, it is of the utmost importance that we remember to center the stories and the voices of those that would be most affected by the loss of abortion access. It is often easy to get lost in the big-picture, Constitutional implications of Roe v. Wade being overturned, but the heart of this issue is the people. Some of our most vulnerable and most marginalized populations will feel the impact of Roe being overturned the most, and listening to them and understanding their stories is imperative to movements to preserve abortion access. Through this blogpost, I hope to highlight the stories of real people that need access to abortion services.    Adriana was 34 and living in Mexico when she found out that she was pregnant. Abortion was not legal where Adriana was from in Mexico. Adriana knew immediately that she wanted to terminate her pregnancy, but her choices were...
Read More
Reflection From the Field: SRT Student, Bentley’s, Reflections in Kisumu

Reflection From the Field: SRT Student, Bentley’s, Reflections in Kisumu

First and foremost, we have passed the halfway point of our time in Kenya! Time flies by, and we are discussing what we want to get out of the next four weeks. Insofar, we collected more than 20 observation data to evaluate the workflow of stigma education at the clinic. During this process, we faced multiple hiccups, especially scheduling a visit and clearing up logistics. Three of our observation clinics had a twelve-day-long CHV training, so we had to flip our schedule to ensure we could collect the data we initially planned. We spent the last couple of days creating a contingency plan so that our time in Kenya could contribute to the depth of our data. Listening to what other teammates thought helped us, as a team, solidify the future direction of our study, such as what variables to analyze in observation studies, codes for focus group discussion, and the focus of our manuscript.   Besides working on an observational study,...
Read More