Skip to main content
School of Medicine Homepage
Emory University Shield
  • About
    • Our Vision
    • Academic Departments
    • Our Leadership
    • Health Care Partnerships
    • Diversity, Equity, & Inclusion
    • Location
    • Supporting Our People
    • Our Faculty
    • History
    • News
    • Events
  • Education
    • Degree Programs
    • Academic Departments
    • Residents & Fellows
    • Postdoctoral Training
    • Continuing Medical Education
    • Admissions
    • Cost and Financial Aid
    • Student Resources
  • Research
    • Research Innovation
    • Conducting Research
    • Core Facilities
    • Research Centers
    • Research Training
    • Academic Departments
    • Find a Researcher
    • Research News
  • Clinical Experience
    • Where We Work
    • Caring for a Diverse Population
    • Faculty Clinical Experience
    • Advanced Patient Care
    • Academic Departments
    • Community Learning
  • Giving
  • Directory
  • School of Medicine Home
  • Departments
  • Department of Gynecology and Obstetrics
  • About Us
  • Department News
  • Resident Navya Nair's Ethiopia Experience

Resident Navya Nair's Ethiopia Experience

A Note from the Chair
  • Leadership
  • Faculty Patient Offices
  • Make a Gift
  • Video Library
  • Speaker Request
  • Internal Resources
  • Current Openings
  • Department News
    • Polina Advolodkina's Ethiopia Experience
    • Jade Stafford's Ethiopia Experience
    • Resident Navya Nair's Ethiopia Experience
    • Tarleton Completes Rotation in Ethiopia
    • Dr. Catherine Hudson's Guatemala Rotation Experience
    • Treating Patients Is the Tip of the Iceberg
    • Alicia Smith, Ph.D., Diana and Bryan Blair Research Professor
    • 2019 Emory School of Medicine Researcher Appreciation Day
    • ACOG 2020 Mentor of the Year
  • Branding Guidelines
  • Awards
    • Awards 2011
    • Awards 2012
    • Awards 2013
    • Awards 2014
    • Awards 2015
    • Awards 2016
    • Awards 2017
  • Timeline
  • GYNOB Wellness
  • Our Pledge

April 14, 2015

Navya Nair, MD, MPH, PGY4, recently participated in Emory's Global Health Residency Scholars Program. This international elective offers senior residents a four-week rotation in Ethiopia, where they participate in clinical and educational activities.

Dr. Nair's reflections on her experience: 

Addis Ababa literally translated from Amharic means “new flower.” Similar to the city’s namesake, my global health experience in Addis Ababa was like seeing a new flower starting to unfold. While obstetrics & gynecology in Ethiopia has been practiced for centuries, the structured health care system and large-scale training of obstetrician/gynecologists is just gaining momentum. There is a huge push to improve the care that is provided to women in Ethiopia; however, lack of access to care, limited resources, and lack of preventive services remain significant challenges.

The World Bank estimates that only 1 in 10 births in Ethiopia have a skilled birth attendant present. Compared with the United States, this statistic is mindboggling and brings to mind the long list of potential complications that women face in the peripartum period, including obstructed labor, intrauterine fetal demise, postpartum hemorrhage, and infant and maternal mortality -- just to name a few. Not surprisingly, the risk of maternal and infant mortality is high in Ethiopia, and in order to change this, a structured referral system has been put in place for the care of laboring patients.  For those patients who have been able to access antenatal care, delivery occurs at community health centers, where there may be a midwife or other skilled birth attendant present. If there are any complications of labor, they get referred to a tertiary referral hospital, where there are physicians and operating room capabilities.

One striking difference between Ethiopia and the United States is the lack of cervical cancer screening. The infrastructure necessary to perform pap smears is complex and expensive, and accordingly, there are essentially no screening pap smears in Ethiopia! As expected, the rates of cervical cancer are significantly higher and during my time there, I saw many patients with this preventable disease. The Ethiopian ministry of health has made cancer prevention a health priority and there is a current effort being made to implement a system for cervical cancer screening and prevention. I was lucky enough to directly work with one of the physicians who has taken on the responsibility of creating this system.

Many aspects of practicing medicine that we consider routine in the United States are not straightforward in Ethiopia. For example, getting blood work involved the nurse drawing blood, then a family member taking the blood to an outside laboratory and then bringing the results back for the physician to review. The Ethiopian physicians – residents and faculty – have learned to practice medicine in these settings and in the process are extremely skilled clinicians.

During my time in Addis Ababa, I had the opportunity to broaden my horizons and put my practice of medicine into a global context. While I learned about the numerous challenges that physicians face in Ethiopia, I was extremely impressed with their ability to triage, use resources effectively, and practice evidence-based medicine without the luxury of the extensive resources that we are afforded in the United States.  I learned a lot from my experience in Ethiopia and will use what I have learned in my future practice. 

A Note from the Chair
  • Leadership
  • Faculty Patient Offices
  • Make a Gift
  • Video Library
  • Speaker Request
  • Internal Resources
  • Current Openings
  • Department News
    • Polina Advolodkina's Ethiopia Experience
    • Jade Stafford's Ethiopia Experience
    • Resident Navya Nair's Ethiopia Experience
    • Tarleton Completes Rotation in Ethiopia
    • Dr. Catherine Hudson's Guatemala Rotation Experience
    • Treating Patients Is the Tip of the Iceberg
    • Alicia Smith, Ph.D., Diana and Bryan Blair Research Professor
    • 2019 Emory School of Medicine Researcher Appreciation Day
    • ACOG 2020 Mentor of the Year
  • Branding Guidelines
  • Awards
    • Awards 2011
    • Awards 2012
    • Awards 2013
    • Awards 2014
    • Awards 2015
    • Awards 2016
    • Awards 2017
  • Timeline
  • GYNOB Wellness
  • Our Pledge
Emory University Homepage

Contact & Location

Emory University School of Medicine
100 Woodruff Circle
Atlanta, GA  30322 USA
  • Contact Us
  • Maps & Directions
  • Careers

Information For

  • Alumni
  • Faculty & Staff
  • Patients
  • Residents & Fellows
  • Students
Support the School of Medicine School of Medicine Intranet
facebook facebook twitter twitter linkedin linkedin instagram instagram youtube youtube
© 2018 Emory School of Medicine
  • Privacy Policy
  • Emergency Information