Bulldog Bites

News and Views from the University of Redlands

Minds from two continents come together to tackle emerging health crises

Steve Moore with eSwatini Ministry of Health Officials
Director of the Center for Spatial Studies Steve Moore (left) reviews student-made project proposals on controlling tuberculosis with eSwatini Ministry of Health officials Nqaba Nhlebela (center) and Tumiso Mutumba (right). (Photo by William Vasta)

How can philosophy, sociology, geographic information sciences, history, and political science work together to combat emerging public health crises? A group of faculty members and health officials from Southern Africa and the local area spent last week analyzing and discussing this very question.

Part of a longer-term alliance, the events were funded by a Hall Network scholarly seed grant, which has supported five University of Redlands professors—Amber Bechard (now at the University of La Verne), Kimberley Coles, John Glover, James Krueger, and Eric McLaughlin—in creating a Southern Africa Corridor-themed framework for classes, faculty and student research, internships, and other opportunities. 

The gathering was also part of the U of R’s efforts to provide students with opportunities to gain a global perspective. “There is inherent value in our students experiencing higher levels of intercultural learning,” said Steve Wuhs, political science professor and assistant provost for internationalization.

Working with real-world data

The week began with a focus on geographic information systems (GIS). Guests from Eswatini attended Mapping Monday, a series of workshops and discussions hosted by the Center for Spatial Studies, before coming together with colleagues at the GIS hack-a-thon. Participants in the hack-a-thon used real-world data collected by the Tuberculosis Control Program to explore how GIS technologies can be used to improve public health.

eSwatini Ministry of Health official Nqaba Nhlebela (right) talks with spatial studies students and faculty members during a Mapping Monday session. (Photo by Coco McKown '04, '10)

“The Tuberculosis Control Program in Eswatini has around 300 active case workers who use paper forms for a lot of their patient work,” said Director of the Center for Spatial Studies Steve Moore. “Many of these workers are rural and will identify cases of TB, and it takes a long time for all of the papers to get back to the central office. We wanted to help find a way to automate that system with a form on a mobile phone, so that data can be collected and automatically stored in a database.”

At the hack-a-thon, participants worked on issues of data collection, cross platform migration and sharing, and data analysis.

While Moore cautioned that finding the resources to provide workers with mobile phones remains a challenge, Clement Dlamini, a lecturer and director of the Center for Community Services at the University of Eswatini, was impressed with the results. “The amazing thing about the hack-a-thon,” she said, “was that the students took our data and, in 45 minutes, presented us with proposals.”

Complementary Perspectives

The week culminated with a two-day-long conference, titled Southern California, Southern Africa: Place and Practice of Health. Featuring nearly a dozen presentations from experts on history, philosophy, anthropology,  and public health, speakers addressed the concepts of infectious disease, philosophy of medicine, information systems, and many other topics.

“The University of Redlands does its best work when that work is interdisciplinary,” said Provost Kathy Ogren in her opening remarks.

Krueger, who teaches philosophy at the University of Redlands and has been leading May Term service-based trips to Eswatini for the last decade, noted, “[This conference] is a celebration of 10 years of partnering with the Kingdom of Eswatini, the beginning of the health, medicine, and society major at the University of Redlands, and the end of the Southern Africa corridor Hall Network grant.”

Esri Chief Medical Officer and Director of Health Solutions Este Geraghty kicked off the presentations. Touching on the topics of disease, access to care, improving clinical outcomes, and homelessness, Geraghty explained how technology can be used to improve patients’ medical experiences. “Geography and spatial sciences help us to understand our world much better,” she said, “and, in turn, be more proactive in applying health interventions in very specific and targeted ways.”

Later in the afternoon, Zinhle Mncube and Benjamin Smart, both from the University of Johannesburg, delivered presentations on the philosophy of medicine. Mncube argued for the practice of providing patients with individualized care, otherwise known as personalized medicine. Similarly, Smart emphasized that the concept of disease is not singular and that medical professionals need to be hesitant in viewing it as such.

Ministry of Health official Vusie Lokotfwako (right) answers a question posed by an audience member during the panel portion of the conference. (Photo by Coco McKown '04, '10)

The final day of the conference was filled with presentations from Ministry of Health officials and university faculty members from Eswatini and the Inland Empire. Speakers from Eswatini emphasized the need for disease prevention and efficient data collection while addressing inequality, mortality rates, and poverty within the country.

Advocating for patients was a theme of speakers including Celine Ko, professor of psychology at the University of Redlands; Tiffany Jones, professor of African studies at California State University, San Bernardino; and Jennifer Syvertsen, professor of anthropology at University of California, Riverside.

In closing, Krueger thanked the presenters and audience members for their participation: “It was remarkable the way the talks complemented each other in interesting ways—by raising questions about the importance of institutional relationships and the role those play in defining health in complex multicultural contexts.”

Faculty members from the University of Redlands and the University of Eswatini hope to continue their collaboration with additional grant funding and are exploring the possibility of linking students in Redlands and Eswatini through collaborative online learning technologies.