Christina Naula 00:00

It has been
okay. welcome back. Tas been a long day
for all of you.

So thank you so much, for all of you came

it to giving our students an overview and a

really good introduction on what you know,

what?
What humanitarian health? S, and what is
involved. So
yeah, I'm sure you have loads of
questions.
So if anyone wants to just get us going.
we can do that. Yeah.
So we didn't really have much time after
today says, Talk for questions.
So if you have any, well, I suppose if you
have questions relating back to the talks,
that's fine. If you have other questions
relating to Uk myth, that's okay, too. So
who wants to?
He wants to get us started? Use that
opportunity?
anyone.
Yeah, we've got the the zoom fee here.
I'm not going to ask the questions.
You can type them on de chat as well.
ifyou're unable to put your microphone, on
which you know, engagement activities
come up. So you know, we just need to get
the ball rolling.
So panelists, Maria Lisa is asking
for all for
all panelists. How did you come to work for
you commit? And what drew you to the
organization initially? So he wants to.
Iguess any of you can answer that. We'll
probably have quite different answers for
each of you. So let let's see
 Ram Vadi - UK-Med 02:10
I could start off both too eager. I'll go, and
then you can go so I'm I started in the
Lebanon deployment that I mentioned in
in my talk. So I was working for the
International Red Cross before that.
and then I joined for the Beirut Port bus
deployment in August of 2022, and then I

joined Hq. In February. After that

deployment?
And why did I join the organization? I think
it was a very at the time of growing

organization, a very niche.

and I could see that there was a lot of
growth in terms of where we were going.
The strategy of where we wanted to
develop which I think has been quite clear
over the past few years where we've
deployed and the types of responses that
we've done.
And I think we've grown a lot over the past
2 and a half years or so since I've been on
board. So it's been a really good journey
so far. But David Anderson over to you.

David Anderson UK-Med 03:06

Yeah. So I joined way back in 2,014 with
the Ebola response, just as as a
registered member
and stayed a registered member, for I
don't know 6, 7 years current member
seems like a lifetime and and became sort
of more core member staff more recently.
I think the thing that drew it to me was the

di the diversity of what we do and and the

options it gave me, while still have an Nhs
career, to do some very strong alternative
work in the humanitarian sector, so I could
balance both things. Being a a divisional
director in the Nhs.
And as well as doing and humanitarian
work, and and allow me to do that for a
good 6, 7 years before coming on board
and doing more work.
Thank you.

Christina Naula 03:50

How about the others?

Diana Maddah 03:52

Yeah, I can go next. So yeah, same as
RAM actually, they found me when be able
to last happened. And I felt like at that
point of time, that okay, Uk, mad is
implementing the localization aspect. It's
not only on paper, and that's why I felt like,
Wow, it's a great opportunity for me to
bridge the with the application and the
operation part, because I have double
heads. I'm an academician.
but also I'm an operational person. And, to
be honest, I felt like Uk, man is a great a
place for people to grow, but also to give
back to their communities to support, to
help. We're working definitely among
across the humanitarian principles.
And diversity is amazing in this
organization. We work with both and Hs
people and international people. And
that's why I would love you to to follow our
social media platform. So you will be able
to be aware of all the register breakers
that we might have and join us.
Thank you.

Christina Naula 05:01

I can go next. So I joined you. Came. Met
in March 2020, just one week before the
first lockdown in the Uk.

Michelle Hanegaard 05:14

at at the beginning of Covid, and I joined
Uk. Miss, because there was a clear
training focus and I think in in my time,
with the organization that has grown
significantly and
become an even clearer focus of our
external facing pro programmatic
deliveries which I find very important. And
that I really agree with
other than that you came at. It delivers
really specialist and programming, which I

find intriguing and fascinating. and

the the the fact that the organization has a
very clear focus. So we're not trying to do
everything we do a couple of very specific
things. And we do that very well. I think
that's that continues to be a really big
motivation
over.

Christina Naula 06:08

Thank you. I think, David, you wanted to
say something, too.
Think you might be on mute.

davidwightwick 06:19
Sorry? Yeah, yeah, sure. I mean, I joined
about 6 years ago. I mean for me, the the
main motivation was the the health focus
and the focus on emergency
particularly on fast moving emergency
response. and also that it was a relatively
small organization.
So I'd spent the last few, while
1215 years, probably in much larger
organizations and the sort of bureaucratic
inertia had got wearing by that point.
So that's why it was attractive to me to go
to a much smaller organization that could
be more nimble.

Christina Naula 07:05

Good! Have we heard from everybody?
Oh, I think.
Anna Soissa, actually.
 Ana Teresa Afonso 07:10
yeah, we're going to leave David for the
end. But now it's unfair. So with me, I
actually joined in 2,014 as a member when
I was still clinically practicing, and I guess

the the reason was really because it was a

a small organization will be the clear focus
at the time, and now he has evolved much
more and much more specialist within the
field. So from 2,014, and then had a bit of
career within
much larger and organizations. And now
coming back
to to Uk man, actually, it's still small of a
very specialist within the field and still
being able to have quite a lot of impact
with the with the search response, I think
it's for me what kept me going and keeps
me here still. So yeah.

Christina Naula 07:58

so making a difference, really. for all of
you. kind of a a in an environment that is
maybe a bit more e amenable to you
having an impact yourself as well.
Okay, I see something on the chat. So
Sakip says, sorry I'm about to drive, so I
can't switch on the camera. My question
is, do you find your experience changes,
how you practice medicine back in the UK.

Ram Vadi - UK-Med 08:27

That's probably David Anderson to answer
that one.

David Anderson UK-Med 08:30

Thanks for that RAM. Yeah, I think the key,
the the key things in relation to that.
About.
Ifyou manage to get out on deployments.
What you get is a huge day degree of
resilience in your workplace when you
come back. We did a very interesting
 davidwightwick 08:45
piece survey a couple of years back. I
can't remember the year like David W. And
and

David Anderson UK-Med 08:52

3 years. Yeah, cool. But the the members
all said really was that the opportunity they
had to work overseas allowed them then
to bring back the skills and knowledge
that they gained to support colleagues in
the UK.
So a good example of that was people
who had done Ebola, or other outbreaks.
When Covid struck they had greater
knowledge of PP. They had greater
knowledge of patient flow.
all that kind of stuff which then builds up
their resilience to be able to deal with
such a traumatic impact of a big outbreak
that then allows them to give support to
their colleagues who definitely gain a lot
from knowing that someone else has dealt
with something like this before. That
confidence is really appreciated by other
members of staff, so gives you a different
viewpoint.
changes as good as the rest. All that kind
of stuff. But it's a it does certainly build up
people's resilience on their ability to deal
with other things in the Nhs.
Thank you.

Christina Naula 09:45

Okay.
Anyone wants to add anything to that. I

guess those of you who are clinically

practicing be more relevant
there. Okay. And I see Michelle has pasted
the link to the report that David just
mentioned. So you can go and have a look
at that, maybe. Maybe I'll just quickly copy
that into my
folder, because I don't know if the link is
still usable when we're

when we're off soon. Any question, any

other questions.

Diana Maddah 10:24

any interest, research, interest within the
humanitarian settings.
and maybe to approach their professors
and their professors can approach us so
we can work on a couple of 30 such
projects together over. Thank you.

Christina Naula 10:56

That would be brilliant. I think there's I'll
just come back from the American
Society of Topical Medicine Conference in
Chicago. And actually, you know, there's a
lot of really really interesting research that
was presented in the context of
humanitarian health and kind of how we
practice, or how you practice in in, in
zones of conflict, and what can be done
so that I think that would be really
interesting if any of our students would be
interested in that. You can also get in
touch with me, and then we can take it
from there. Bill has got his hand up. Will.
Do you want to type or speak?

Will B 11:30
Oh, yeah, I don't know if I've got enough
Internet connection to talk certainly
haven't for my video. But
So then, if you can hear me, can you hear
me? Anyone? Great? Okay, so thanks for
the talks that was really fantastic. Day. The
other thing I mean. It was just so. Things I
was thinking about, and I'm probably
sharing my hand here because I
I'm intrigued by what you're saying. First of
all about you. Will said that you, a number
of you said you were attracted by a small
organization in the humanitarian sector,
and I was just wondering.
from a perfectly naive point of view, as a
novice, what the main difference really is.
Is it that you can do more individually
within a smaller organization? Or can you
not do the same things or access the
same areas, or can you get additional
access? II mean, I think I think I just
wondered if there was anyone to expand
on
that dynamic between small and large
organizations that we sort of more
from a naive childhood. Ambition, sort of
point of view.
immediately leaked to mind in the
meantime.
and then the other question I had, as I say,
rather shows my hand in the
I'm
I'm I consider myself a little bit too old until
passed to established in a small
backwater to
ever go and do the things that I always
wanted to and things that you did in the
and I wondered. How you guys.
how realistic it is to balance it with an
established family
or to join it very late in the day when
you know, your main domestic problems
are at university.
So things like this. II sorry. Okay. I don't
know how much that came across.

davidwightwick 13:16
Yeah, no, I think I think we no, I think we
got that
right? So 2 questions, one on small versus
large organizations and the other one on,
how does some sort of dinosaur like David
Anderson get into the sector?
 Unknown Speaker 13:30
So

davidwightwick 13:32
should I go for the small versus large
organizations? Or
so anyone else want to

take that on. We've all we've all been in

larger organizations, I think.
okay, the the the size, the size issue. Does
size matter.
sometimes. And I think it depends what
you want to get out of the organization.
So large organizations give you what it
would suggest on the 10, which is that they
can bring a very, very wide capacity. Money
people.
probably influence quite possibly a
political leverage. And say, there are
definite advantages to being in a large
organization, there's no question. And I
think I mean looking at us here. I think
virtually all of us have worked in much
larger organizations than you came out.
the and there. And there's no questions
that at at times, when it hits the sweet
spot in a large organization, the impact
can be really impressive.
that the challenge is that you've got a lot
of different moving parts.

Often quite a few competing political

agendas within a single organization. You
often end up with a lack of focus because
the organization is trying to do take on a
lot of things. Or in some cases is multi-
sectoral. So it's not just doing health. It's
doing nutrition and education. And you
know, 7 other things at the same time. So
everyone's competing for oxygen within
one organization.
and a lot with a large organization. And
you know numerous things and people
that need to be managed inevitably. You
end up with a heavier weight of
bureaucracy and administration. I mean,
this is just no way around it.
and that can be wearing.
and 2 for for those who join the
humanitarian sector. you know, particularly
because they want to get involved in the
sort of first phase of emergency response
that lack of speed and decision making
can be irritating, and it can jaw after time.
So lots of people alternate. you know. They
go between large to small to large, to
small, because nothing completely
satisfies. You know, large organizations.
You can be looking after the the.
you know, you can be delivering services
to millions of people.

genuinely millions of people in one go.

You're not gonna do that in a small
organization. On the other hand, a small
organization, you can probably take a
decision in 10 min in a large organization.
It's probably gonna take you 10 weeks or
longer.
So it it's not it. Th, you know, genuine isn't
one. Size fits all size does matter, but it
depends where you are in life and what it
is you want to achieve, and where you feel
you're best placed, and that can alternate
for people at different times. But I don't
know what others think.
You've all worked in big organisations. I

think all of us.

Ram Vadi - UK-Med 16:47

Yeah, no, I think you summed it up. It's it's
exactly that. It's it's usually comes down to
decision making speed of decision
making obviously bigger organizations,
more money. There's more potentially
room for errors, more room to do large
scale programming, whether it's right or
wrong.
But then, conversely, in the smaller
organization, there's probably in many
instances, a bit more accountability on the
decisions you make. So what you're
actually delivering in many instances.
Actually, what's either requested or what's
made, you know, collectively, is the best
decision. Amongst a smaller group of
people.
and being able to make that decision is a
bit quicker. I mean, if I speak for ourselves,
the decision to deploy
can be done in a matter of hours. If not,
you know quick phone call. Whereas in a
large organization, there's multiple levels
multiple decisions.
it'smulti sector. So coming back to
Michelle's point, yeah, we focus primarily
on health or elements of health training,
capacity, building or service delivery. But it

is focused around health. When you're in

other organizations, you have
economic security. You have food
programs. You have water distribution.
You're competing with all of that for a
bigger pot. But then everyone is kind of
fighting over there one internal pot. So
sometimes that can be challenging. But
yes, David said, I don't think it's it's any one
size fits all this, this pluses and minuses
each one and I think all of us start off in
bigger ones, and you find what kind of fits
you best
and and kind of move from there. But I
don't know. Others have other opinions.

Michelle Hanegaard 18:15

No, I agree with what's been said, and I
think maybe the one thing to add is also
internally within a small organization there
is. There's a greater familiarity. We we all
know each other which is helpful when you
need to make quick decisions. And I think
there is
and
there is it. There is an ability to try things
out as well.
That might not be. I've at least in my
experience, not have the same
opportunity to do in larger organizations
which comes back to the nimbleness that
that David referred to

davidwightwick 18:55
on on the second part. We'll say the the
age issue.

Will B 19:02
just the establishment, I mean, like, I feel
like it's an early turn. There's another
question. The chat here which other
people might find more helpful about what
you do. If it's just about to start medical
training, where I feel like the destinies in
your hands, I feel like. I may have missed
the turn to do a lot of these things, so
whether stuff you can do from here, or
whether you know this is something you
can do
much later in life.

davidwightwick 19:24
When I think most of the person is done.
I think both both are pertinent. So it's
certainly if you're coming. If you're coming
at it later in life, there's no there's no
impediment. There's no block to getting
involved in the spectrum later in life,
particularly.
The the issue is, what do you bring to it in
terms of expertise, and more to the point.
Aptitude and personality?
So there are. There are quite a few people
that that do come into the sector later in
life, usually in technically specific
positions. Usually
so it's not. It's not particularly unusual.
Idon't. I don't think. and coming to it
younger you probably have less choice
in terms of where you can position
yourself cause you're you're in a bias
market. Essentially, if you're coming to it
young, there are lots and lots of young
people trying to get into the humanitarian
sector.
and for those that have tried to get into
the sector. You you can see this is a bit of
a catch. 22 people want experience
before they give you a job. How do you get
experience?
So it's it's a bit of an irritating sector to get
into. I mean, my, my, my sort of general
advice to people is that if you, if you want
to do it bad enough, keep on pushing, and
you'll get in because everyone I know who
has tried to has managed it.
But it it. It frustrating, I think, for the
is a bit
for people starting out at the at the
younger end of it, or it can be a frustrating
endeavor. It doesn't mean it, won't. You
won't succeed, I mean, if you, if you keep
on, you know, going for every opportunity.
You'll succeed for those at at the, at the
sort of older end. Is it compassible with
families?

Unknown Speaker 21:13

Well, many of us have families.

davidwightwick 21:16
so it's possible.
But it's not necessarily always easy.
Ithink, is probably the the the realistic
answer to that and obviously it is. It is
usually proves to be more challenging for
women
fairlyobvious reasons of who it is that
carries most of the burden of childcare
and
you know, sort of domestic domestic
tasks.
rightly or wrongly, but you know it. It often
ends up being, I think, more challenging
for women than for than for man, who, you
know, we just will breeze through and
ignore all our responsibilities and do
whatever we want. But II think it it it can be
a challenge definitely

for for some make it compatible with

to
family life. It absolutely can. Yeah, but it it

doesn't mean it's impossible.

Idon't know again, what what do others
feel?
Many of you have kids.
some don't.

Diana Maddah 22:22

Yeah, I would, I would say. And
it's not easy. But it's like any other job. This
is my feeling, and I know that we're
traveling. We have a lot of deployments.
But back to the back to the point that
we're living in this nice organization with
family spirit. So there is a high sense of
empathy among us. With good leadership
skills that we have among our Smts

that they would understand. If you feel like

at this point of time, you are not able to be
deployed. So you can find we can find
people from our register to to be
deployed. So there are always solutions
when it comes to life, work, balance, and I
over the last few years and ish I didn't feel
at any point that

my work is taking me from my family or my

other duties. It's totally opposite way,
because in this is at least it's based on my
experience that I feel this work and
specific is not static. It's full of fluidity. And
this dynamic approach is very essential
for for us as a human being not to feel like
we're digging into the routine lifestyle
where we feel like we're not useful
anymore.
That's it. Thank you.
 Will B 23:44
I'd be.

Christina Naula 23:48

So there's a couple of questions on the
chat. I think they're kind of very much
related to one another. So the first
question Gareth is asking you know W.
Advice you might have for someone who's
trying to get involved in humanitarian
medicine for someone who's just about to
start a medical training. So maybe with
regards to
specialty, choice and opportunities. And
then the other question was kind of, II
suppose, quite, quite similar, really, what
would be the best career steps to take to
ensure
that they have the appropriate skills to be
useful in them roles within years or other
humanitarian organizations

Ram Vadi - UK-Med 24:33

going wrong, I'll start and pass others.
so the first one. Sorry. I'm just reading it.

Yeah, in terms of medical training. I mean,

we. If I speak for ourselves, we have a wide
register, about a thousand healthcare
profession, over a thousand, almost 1,100.
Now, across all clinical
specialties, physicians, nurses, Allied
health professionals, operations, etc. I
don't think it's an easy one necessarily to
say, I mean, obviously, you want to choose
a specialty that you're interested in. I
mean, we deploy people, us and other
organizations deploy people that are
specialists and outbreak so infectious
disease and everything linked to that
trauma, surgical, etc. So the

Unknown Speaker 25:19

there's no easy answer to say which is a
specialty that would necessarily get you
into the humanitarian field.
 Ram Vadi - UK-Med 25:25
But I think it's choosing a career and then
finding a pathway that would allow you to
enter the humanitarian field. So there's
clearly other pathways.
We don't hold them. But some
organizations deploy epidemiologists,
infection prevention control specialists.
This is a wide range of special needs. I
think it's to look at what kind of matches
those and where you're interested and
then define organizations that deploy
those types of people, and equally where
you can get some kind of experience
abroad. So to kind of answer the second
one in terms of career steps.
Imean, when we're looking through Cbs or
recruiting people, we look at people with,
you know, wide ranges of experience.
As David said, it can be challenging in the
beginning, too, because it's a bit of a
catch. 22. We we are other organizations.
Obviously look for people with experience.
But if you're starting, where do you get the
experience? But there's opportunities like
this taking courses, getting work,
placements, internships attending career,
fairs being plugged into the sector
attending conferences being involved in
research. There's other things. We look as
intangibles.
Language skills is another one. Because
the extremely useful on the reality is, is a
lot of the places that have big scale
disasters or conflicts
are not English. Speaking so, knowing
French, Arabic, Spanish, you know,
additional types of UN languages is
always a plus. I think there's a lot of things
you can be involved in this remote
training. So it's being plugged into the
sector in some way. And being informed.
Is one kind of method, but in terms of
choosing the career path, I would always
say, choose the career path, that.
or specialty that most interest to you
cause. That's really where the value is. So
I'm to choose something simply because
you feel it would lead to a humanitarian
career. Pick something that's a value. Get
the trying new training experience, that is.
you know, beneficial to you. And then any
organization would look at. That is the
value that you bring to them. But
no, I'll pass to others if they have inputs as
well.

davidwightwick 27:18
say just to, for people who are trying
I'd I'd
to get into the sector, I'd say, take what
opportunities arise.
so so don't. Don't be too picky.
Imean III certainly have had
conversations with with people who are
sort of trying to get into the humanitarian
sector, and they say things like I. I'm
particularly interested in going to the
Middle East. You kind of think, just go
wherever the opportunity comes up.
Otherwise you'll be waiting to go to the
Middle East for a very long time. So
just I think the you've got to be relatively
determines. and
just take the opportunities as they come,
and then generally, I, from my experience,
most people have managed to sort of, you
know, find something that's reasonable for
them.

Unknown Speaker 28:10

Better

Christina Naula 28:17

any other tips and hints

David Anderson UK-Med 28:19

likeDavid Anderson. You've had a few
questions this morning already in that
context, didn't you? So? Yeah, I mean, I
mean, I think, really, just to sum it up, what
RAM and David have said. I think you've
got to be proactive. You've got to seek out,
and you've got to be hugely flexible in your
approach to what
options come your way.
There are lots of volunteering options that
people can look at which are not
necessarily medical, but give you options
to demonstrate skills in

Unknown Speaker 28:46

in other circumstances, overseas, and in
other and in other ways.

David Anderson UK-Med 28:51

and all of that begins to show that you
have the skills and capabilities for what we
are looking at. This is this is a very broad
skill set

that that we look for in the humanitarian

field. Yes, we look for

maybe a very strong plastic surgery on an

orthoplastics, or something for very
specifics. But if you've got.
ifyou come as a well rounded, packaged
individual who has a good, broad
spectrum of life skills, and experience. I
think you've got a better chance of
succeeding in whatever you do.
and not just the humanitarian field to that
would be my so broad advice on it. And
yeah, take any opportunity you can get.
and and it will just develop your skill set as
you go along. Thank you.

Christina Naula 29:33

Okay, thank you. Do we have any other
burning questions, I presume? Oh, there's
another one, maybe a silly question. But
other than contributing to funding or
research, is there anything you can do to
practically support or be in the humidity,
humanitarian sector from home.

davidwightwick 30:01
IIsupport training, I suppose, is another
one.

David Anderson UK-Med 30:05

Yeah. So yeah, I think absolutely funding is
always welcome. Obviously, research is
hugely important, as Diana has already
pointed out. But I think the if you've got
some specialist skills or specialist skills in
an area that that are useful in in, in the
sector.
helping support with training with Ingos,
etc. In the UK. Is a great way to also get
experience with them. So you know,
developing, developing, that portfolio of
good training skills is really important. And
that also leads on to other opportunities.
So yeah, I would, I would say, training is
your or capacity building is another big
area that you can support.
Thank you

Christina Naula 30:48

any other questions. And that wasn't a silly
question at all. Actually. so any other there.
There are no silly questions, except
sometimes the ones that I ask
any other ones.
Iassume. If you all of a sudden wake up at
2 in the morning. You can maybe send me
an email, and I can pass the questions on
Sorry, I just had one.

Joy Inns 31:17

I'm kind of halfway between deciding to do
emergency medicine or Gp. Training and
humanitarian is kind of my long term goal.
I appreciate both of those probably fairly

useful. But would you having any advice

which would be more useful, or like a
better choice in terms of humanitarian?

Ram Vadi - UK-Med 31:39

Ithink well, I'll answer that one. I think you
can answer it. I don't think either is more
useful.
person, we do. We deploy both. Is
potentially more of a likelihood. We may
call in Ed. Doctor, possibly, but I think both
are more of a are extremely valuable.
case inpoint is that if we look at. Like
most of ours and other emt deployments,
a of many organizations have an
immediate focus, and there's always the
thought of big scale disasters that all we
need is surgical teams and emergency
teams, and that's great for the first few
days. But what ends up happening after 4
or 5 days is primarily well. Primary care.
Mch. Pediatrics, obstetric skynacology
and Gp. Care, because everybody comes
from whichever village or whichever area
and once primary care, because they
haven't been able to access it, and all the
focus has been on trauma care. So I think
both are extremely useful. II think I come
back to the point I made earlier, like,
choose the specialty that you feel is
obviously the most valued.
but I think both in humanitarian responses
are are of equal value, just maybe a
different timeframes.

davidwightwick 32:45
Ithink I think they're the most yeah,
exactly. I'd I'd go with that. Go with what
you are most interested in. I mean, maybe
that's your you're looking for. How do you
decide that? But you know, which
whichever one it most appeals to you?
But when it comes to the humanitarian
side, I think what's most prized is probably
flexibility of mind and approach.
So even in the you know, we we
a lot of the work we do is this sort of
emergency medical team stuff. So it's very
fast. But in the longer term work, where I
think many of us has spent most of our
careers so working in fragile States year
in, year out.

that is work which theoretically

a lot of
comes under the heading of Primary
Health Care. but it is very divorced from
the experience of a Gp in the UK.
and I think a lot of a lot of GPS and my
sister in law is is one of them which would
feel quite worried about going out to try
and support properly, health care in a a
number of fragile states where you simply
don't have the backup around you.
You don't have the ability to undertake all
the sort of tests
and the equipment and supplies that you
might otherwise want or have on the shelf.
you know, in the in the UK. And I think
that's quite a worrying position for people
who feel that they might be professionally
or ethically compromised.
And it's it's those ethical dilemmas which I

think people find probably most

challenging.
You know. How do you work in a, in a, in a
system where the resources are poor? But
you've still got to deal with people, and
that's it. And what do you do?
How do you make that decision?
And for emergency medical teams? We
tend to go out as as the name would
suggest in teams. So we have a group of
people. So you know, if you feel that you're
in real trouble in terms of decision making.
You can always turn to an aged elder
statesman like David Anderson.
or or somebody even Pops to who knows
what they're doing. But you. You've got
other people that you can. You can rely.
There's a bit of a support network when
when working, you know longer term in
some fragile states. It may be that you're
you're the only person there who is
supposed to be managing or helping to
support, you know, 50 or 60
primary health facilities in a in a district in
somewhere. And it all comes down to you.
So I think a lot of the issue is, how
comfortable are you?
Inthose decisions? And that's not
necessarily purely down to training,
expertise or qualifications. It's it's down to

what you're like as a person. So I think that

that kind of consideration is a major part
of it.

Christina Naula 35:42

Isee that. And that answer to your
question.
So do we have any others. I think we're
well, 10 to 5, but
I think maybe most of you will be quite
tired by now, I know for some of you you
had an extremely early start. Well before
dawn.
So thanks for making the effort. So unless
you have any other burning questions, I
think maybe gonna slowly wrap up

Unknown Speaker 36:10

ifyou wake up, as I said in the middle of
the night, or something that you
absolutely needed to know, you can email
me and I can pass the messages on

Christina Naula 36:18

Idon't know if any of the panel would be
happy to share their email address. I think
some of you put them on the slides.
So that might be an option as well.
And yeah, I was. I just wanted to thank you
all

for dedicating some time to our course.

I think this is really valuable, because
well, I mean, apart from being part of the
syllabus and things that we need to do is
actually really, really valuable to have your
experience rather than you know
someone else come and teach from a
textbook actually having the lift
experience and knowing what you do and
sharing that with us, I think that it's been
really valuable. So and and this is now my
third year. Really. So the first year we just
did recordings, not live sessions, and you
know, every year, I think oh, gosh! I wish I
had known that. And you know, it's just
really.

really valuable for me

as a teacher. But obviously also for all our
students. So I hope you enjoy that.
And
yeah, just wanted to thank you everyone.
So there's loads of time. Thank you. Loads
of thankys on the chat.

so. And I will share

the recordings with you. I've already
uploaded the links for the morning
sessions. If you rely on a accurate
transcript, this may be some time at the
moment. We just have to automatic
Transcript.
Our transcriber has got lots of lectures to
transcribe at the moment, but we'll get to
it. At least you have

an auto transcript, so not so bad.

and I will also share the slides in the
alternative format. So if all of you from Uk
mitt, would be able to email me your
slides? Then I could upload them. That'd
be great.
Send them over in a package, Christina.
Yeah, yeah, that'd be the easiest. Yeah.
Thank you. Yeah. Hope to see you again
next year. Not the students, of course,
because I want them to pass the exam.
But
all ofyou from Uk. Met. So thank you very
much, and have a wonderful evening or
afternoon, or night, depending on where
you are so thanks for sticking it out. It was
a long day

but an enjoyable day. We have some

clapping hands there. I'm always surprised
what we can do with zoom. I don't know if
you can see them.
so hands up so good. Thank you very
much.

Michelle Hanegaard 38:56

Thank you. Bye, bye.