International Travel Training Seminar

1. International Travel Training Seminar February 24. 2012 Sponsored By: Department of International Health Center for Global Health Johns Hopkins Travel and Tropical Medicine

2. Travel Training Seminar Purpose: • Personal Responsibility for Preparation • Prevent Panic • Provide resources • Discuss cases and provide suggestions on preparing for travel • Discuss health considerations

3. Tools to Plan your Trip Center for Global Health Website • http://www.hopkinsglobalhealth.org/travel_grants/travel_info/index.html • CGH Overseas Travel handbook • CGH Overseas Travel Release Form • CGH Emergency Information Sheet • CGH Personal Health Information and Checklist • Plan ahead for housing

4. I’ve Been in an Accident and I Need Some Help! 24 Hour Worldwide Assistance and Emergency Evacuation Services http://www.internationalsos.com/en/index.htm http://www.jhu.edu/purchasing/travel/intl_sos.pdf

5. Visas • U.S. State Department Visas Page: • http://travel.state.gov/visa/visa_1750.html • Guidance on Visa’s. • Obtained following with country-specific embassy instructions. • International Students work with embassy of citizenship

6. International Health Travel Policy and forms Required forms and policies for students in the Department of International Health • Information to Students Traveling Abroad • International Travel Checklist • Travel to Countries with Travel Warnings Form • http://tinyurl.com/IHTravel2012

7. Online Training: Johns Hopkins Berman Institute of Bioethics • Ethical Challenges in Short-Term Global Health Training • A series of ten cases that may arise during short term training abroad. • Complete before travel and PDF certificates for submission • http://twistedladdermedia.com/ghethicalchallenges/index.shtml

8. Chemsha Bongo In Swahili it literally it means to boil (chemsha) brain (Ubongo, shortened into bongo). This term refers to any question that proves of difficult solution and needs much attention The following cases are challenging situations based on real situations experienced by students and/or faculty • For each of the following cases: • Discuss with the person next to you for 1 min • Then we will discuss as a group

9. Chemsha Bongo Case 1 You are given some aspect of the study to help with (e.g., sampling) and, based on what you learned in biostats, disagree with a decision that is made by the local team.  • What do you do?

10. Chemsha Bongo Case 2 Your responsibilities include organizing, observing, and taking notes during focus group discussions and/or one-on-one interviews. Through this process you hear comments and details from individuals that you find interesting, humorous, unique, fascinating or sad. You want to share your experiences with your friends through a blog you’ve set up to document your internship experience, or through Facebook. • What do you think is appropriate for social media?

11. Chemsha Bongo Case 3 You need to go with a co-worker over to the nearby market, about 500m away, and he motions you over to jump on the back of his motorbike. • What should you do? • What are things you should consider with transportation?

12. Chemsha Bongo Case 4 You are working with a coworker on regular basis and have developed a good working relationship. She comes to you and informs you that her sister needs money urgently for an operation that can only be done in the capital city, and will require resources that would substantial for her, but manageable for you. • Should you give her money or how do you say no? What do you consider?

13. Chemsha Bongo Case 5 You are doing your internship in a country where women are expected to dress modestly, covering their legs and/or arms.  You enjoy running in the morning, and because it is 35C and humid you wear shorts and a t-shirt. A coworker tells you women shouldn’t go running, but if you insist, you should wear long pants and long sleeves. • How do you decide?  • What do you wear?

14. Chemsha Bongo Case 6 You are told that the program where you are doing your internship will help you find housing.  Once you arrive, it becomes clear that the housing they had in mind costs more than you can afford/had planned on.   • What are your options?   • What can you do before leaving to avoid this sort of situation?

15. Chemsha Bongo Case 7 Your project is situated in an urban area where there is a large expat community. You spend evenings or free time with some of the Peace Corps or other NGO staff that have been there for longer than you. • What are some “do’s and don’ts” to consider for social interactions in developing countries?

16. Additional Cases to discussion with your PI/Mentor before travel

17. Additional Case 1 You are working on a health survey with a local NGO. Your job is to review the surveys and develop the database for analysis. In doing your job you notice differences in the way teams are collecting and documenting the data. Today you are invited to attend a meeting with the local investigator, IRB members and some members of the Ministry of Health. You feel you have information they should know. • What is appropriate interaction for a student in higher level meetings?

18. Additional Case 2 You get off the plane and report to your field site. You were told that your housing and meal expenses would be covered by the project so you didn’t bring much cash with you. You convert to local currency and then find out that expenses are reimbursed, not paid directly. • How could this happen? • You need to eat. What can you do in this situation?

19. Additional Case 3 You’ve worked on a daily basis with a coworker for the past six months and have developed a good working relationship. She comes to work one morning with a bruised eye, and says she needs money so that she can leave her husband who has been beating her. • How might you respond? • What are your options? • Do you lend her money?

20. Additional Case 4 You are working in a town in Africa where you feel fairly safe. You regularly walk across town between offices of your field site and the partner NGO across town. Although you are dressed in accordance with local customs, you get ‘cat calls’ every time you walk across town. Once, a man on a bike follows you for a few blocks and makes kissing noises at you. • What do you do?

21. Examples of Don’ts • Don’t wear tight or revealing clothing. • Don’t wear shoes inside someone’s home. • Don’t touch someone with your feet. Even playfully kicking someone is offensive. • Don’t eat food or pass objects with your left hand. • Don’t be offended by intrusive questions.  “why aren’t you married?” • Visiting a temple or mosque – do not wear shoes inside, do not wear tank tops, short shorts, or short skirts. Keep a shawl with you in case you need to cover your head. • Men, don’t put your hand out to shake hands with an Indian women unless she offers first. • Beggers - Giving money to beggers usually means dozens more will show up in seconds. If you want to give something, carry prepackaged biscuits. • Do not show valuables to strangers/ leave your purse open or phone on a table • Do not take photos of government property, including airports and certain buildings. • Do not drink tap water. Drink double filtered or bottled water. • Do not visit street stalls unless your stomach is made of iron (you know who you are). Street stalls do not have soaped washed dishes and are low in sanitation of food. http://thebigfatindianwedding.com/2011/dos-and-donts-when-visiting-india/

22. Examples of Do’s • Do mingle and meet new friends. • Do enjoy and have fun! • Do ask questions • Do taste the foods. • Do explore your area. • Do be street smart. Watch out for pickpocketing • Do be prepared for poverty like you may never have seen before. • Do smile and take lots of photos! • Do Represent Johns Hopkins Well.