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Personal statement example
My undergraduate degree was mostly laboratory-based, and I enjoyed it, but the questions that stayed with me came from outside the lab. In my second year a module on infectious disease control asked us to explain why measles outbreaks recur in countries that have functioning vaccines and trained staff. The biology was the easy part. The answer involved cold chains, distance to clinics, health worker pay, and whether a mother can afford to lose a day's earnings. That gap between what medicine can do and what health systems actually deliver is why I want to study international health.
For my final-year project I could not access a research group or fieldwork funding, so I built something from what was free. Using publicly available Demographic and Health Survey data for Nepal, I examined how completion of the basic childhood immunisation schedule varied with maternal education, household wealth quintile and distance-related indicators. I taught myself enough R from open course materials to clean the dataset and run logistic regression, which took far longer than I expected and involved a lot of reading about survey weighting. My findings were unsurprising in direction but useful to me in what they exposed: the sharpest differences were not between rich and poor households in general, but between mothers with any secondary schooling and those with none. I also learned how much a secondary dataset hides. I could see that a child was unvaccinated; I could not see whether the clinic had run out of stock, or whether the family had been turned away.
Some of that missing context I have met at closer range. I volunteer at a family centre near me, where I interpret informally for Nepali-speaking parents at appointments and help them fill in registration and school forms. I do not overstate what this is: it is an hour or two a week, and I am not trained in interpreting. But it has taught me that access is rarely a single obstacle. One mother had been registered with a GP for two years and still believed she had to pay for her son's asthma inhalers. Health literacy, language and trust were doing more work than availability.
My job in a community pharmacy has been the other half of my education. I dispense, manage stock, chase shortages and explain to people why the drug they had last month is now a different shape and colour. Running the weekly stock count made supply chains concrete for me in a way that no lecture did; when a common antibiotic was unavailable for several weeks, I watched prescribers, patients and staff all adapt in small, undocumented ways. I think about that whenever I read about stock-out rates in low-income settings being presented as a simple percentage.
I would like the master's to give me the methodological grounding I am currently working around rather than through: epidemiological study design, health economics, and the politics of global health financing, which I have read about unevenly and want to understand properly. I am particularly interested in how immunisation and primary care programmes are evaluated when routine data are incomplete, and in the ethics of setting priorities on someone else's behalf.
Afterwards I hope to work in monitoring and evaluation for an organisation delivering primary care or immunisation programmes, ideally in South Asia, where my Nepali would be useful. I am realistic that I would start in a junior analytical role, and that is where I want to start: close enough to the data to know what it leaves out.
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