Public Health SPOTlight Podcast

REPLAY: Fuelling your leadership drive in public health with Nadia Akseer

PH SPOT Episode 172

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Last week I talked about "Leadership Skills Every Public Health Professional Should Develop" and mentioned two episodes from 2020 where I sat down with two amazing guests to discuss leadership.

This week, I wanted to make sure you had a chance to listen to one of these episodes - with Dr. Nadia Akseet.

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In this episode, Sujani speaks Dr. Nadia Akseer, an Epidemiologist-Biostatistician who has spent over 10 years leading research and analyses of clinical and population health datasets in the areas of reproductive, maternal, newborn, child and adolescent health, as well as nutrition in Afghanistan, Pakistan, Ethiopia and other low- and middle-income countries.

In 2018, Nadia was identified as a Canadian Women Leader in Global Health, and in March 2019, she was awarded the 2019 Emerging Public Health Leader Alumni Award from the Public Health Alumni Association of the University of Toronto.

We speak about the leadership drive Nadia possesses, when she decided she wanted to become a leader in her space, and whether you need to be in a management position to be a leader, amongst other topics. And of course, I couldn’t let her go without asking about her multiple meetings with Bill Gates, to present and collaborate on some of her work.

You’ll Learn

  • The leadership drive, and what it is
  • What leadership means to Nadia
  • How and when Nadia decided that she wanted to become a leader in this space she was passionate about
  • Whether one needs to be in a management position to be a leader (hint: absolutely not)
  • Natural born leaders versus people given the right opportunities to become a leader
  • How Nadia goes about seeking new opportunities (as she is someone who thrives on being challenged and stimulated)
  • A glimpse into the career path she took: from Biostatician at SickKids, to Global Health Research at SickKids, then to Harvard, and now at Gates Ventures
  • How her view of leadership has changed over time
  • Verbal Communication and its importance in good leadership
  • A leader Nadia looks up to: Dr. Zulfiqar Butta
  • Reflections from her meetings with Bill Gates to present her research and work together on countries that have managed to reduce child stunting

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Speaker 1:

I was super nervous. I wasn't sure. I mean, it's Bill Gates, so I wasn't sure. You know, was he going to be pleased with our work? Was he going to think that it was garbage? I wasn't sure what the tone was going to be, or just even what he would like as a person.

Speaker 2:

Welcome to PH Spotlight, a community for you to build your public health career with Spotlight, a community for you to build your public health career with. Join us weekly right here, and I'll be here too. Your host, sujani Siva, from PHSpot. Hey, what's up everyone? Thank you for joining me today on another episode of PHSpotlight, a space for you and me and everyone else in public health to share our stories and inspire each other. My name is Sujani Siva, the host of PH Spotlight, and I'm here to help you build your public health career.

Speaker 2:

Let's talk about leadership today. So I find leadership fascinating from the way movements are formed by a single individual and how that single individual is able to inspire change. I think of Martin Luther King Jr and the civil rights movement that he was a big part of, or Mahatma Gandhi's non-violent resistance to bring independence to India, and then I also think about some of the young leaders in today's time, like Malala and Greta, who are fighting against education for girls and the climate crisis. Undoubtedly, I think we can argue that leadership is very important in public health, and so, while planning for this episode, I came across a number of great articles on the topic of leadership in public health, and I'm going to include those links in case any of you are interested in reading them. And in these readings I was able to find a definition of leadership specific to public health and it comes from the Core Competencies for Public Health in Canada document and it reads in the field of public health, leadership relates to the ability of an individual to influence, motivate and enable others to contribute toward the effectiveness and success of their community and or the organization in which they work. It involves inspiring people to craft and achieve a vision and goal, and leaders provide mentoring, coaching and recognition, and they also encourage empowerment, allowing other leaders to emerge.

Speaker 2:

So I ask you this how many of us got into public health thinking that I'm going to be a leader in my field of work? I know I didn't, maybe until recently, despite having reviewed the core competencies during my MPH program being a leader in public health, I can't say that it was top of mind for me. And seeing that leadership is one of the seven essential knowledge, skills and attitudes necessary for the practice of public health, I wish I had put more thought into that. So you know, thinking about that and thinking about how we, as public health practitioners, can ensure that leadership is a skill that we constantly think about building as much as we think about building our technical skills or software skills. I want to have conversations with individuals who are in public health and those I feel we can learn from and be inspired by, and so in this episode, I'm speaking with an individual I have been following for some time now, all through Twitter, and her name is Nadia Aksir.

Speaker 2:

Dr Nadia Aksir received her master's and PhD in Ontario, canada, from Brock University and the University of Toronto. Nadia is an epidemiologist, biostatistician, and she spent over 10 years leading research and analysis of clinical and population health datasets, and her work spans in the areas of reproductive, maternal, newborn, child and adolescent health, as well as nutrition, in Afghanistan, pakistan, ethiopia and other low and middle-income countries. And in May 2015, nadia, along with her mentor and PhD supervisor, held a call to action for women and children's health in Afghanistan, where her work was directly used for policy and advocacy with funders, policymakers and other influential stakeholders in the country. And if you're interested in reading her work, you'll be glad to know that her work has been published in over 50 peer-reviewed papers, and the majority are in high-profile medical journals such as the Lancet, the Lancet Global Health, the BMJ, jama and the Annals of the New York Academy of Science. And in 2018, dr Axir was identified as a Canadian woman leader in global health jointly by the Lancet, the Government of Canada and the Canadian Society for International Health, and in March 2019, she was awarded the 2019 Emerging Public Health Leader Alumni Award from the Public Health Alumni Association of the University of Toronto.

Speaker 2:

So not a bad person to begin talking to about leadership in public health. Eh, so I sit down with Nadia and we talk about a bunch of things, and mainly we talk about the leadership drive that she had, and then we get into a conversation about when she decided that she wanted to become a leader in her space, and then I asked her whether you need to be in a management position to be a leader, and, of course, I couldn't let her go without asking her about her multiple meetings with Bill Gates yes, the Bill Gates where she presented and collaborated with him on some of her work. So, without further ado, here's my conversation with Nadia. So today I wanted to talk about a topic that I'm very, very, very passionate about, and it's leadership, and I'm fascinated with leadership, and I think it's especially within the field of public health, because you and I both know that you need really good leadership to see change in this field. And I've been thinking about doing this podcast for a PhD spot for a number of years, and when I thought about the different topics, leadership was always at the top.

Speaker 2:

But the one problem I had was I couldn't really think about a specific individual that I wanted to speak to about this topic until I came across you, and so I don't remember exactly how it came across you, but I know it was on Twitter and I started following your work for a while and when I just kind of like kept up with the things that you were doing, I knew like I needed to speak to you about this and get your perspective on it.

Speaker 2:

And then I think it was shortly around that same time that the University of Toronto awarded you with the Emerging Public Health Leader Award, and then you were also recognized amongst other outstanding individuals as a Canadian woman leader in global health. And then I remember like we shout to you on Twitter, we started chatting a little bit more and once I sort of got organized with this podcast, I knew that I really needed to get your perspective and advice around leadership to share with our PhD spot community. And so maybe I'll start with something that you mentioned in that University of Toronto feature that they kind of wrote up about you after that award and it was around that leadership drive that you talk about. Can we talk about that and what that means? Like what do you mean when you say leadership drive?

Speaker 1:

Yeah Well, thank you very much for, first of all, for bringing me on to the podcast and for following my work, of course, and for your generous comments. I will try to do justice to the topic and share whatever little insight and wisdom that I do have in my few years in global health. I think, to directly answer your question on leadership, to me, leadership is really about having a vision and, in the field of global health or public health, I think having a vision for doing good. It really frames your approach and, I think, motivation and stamina and drive every single day to go towards that goal that you have. And so, personally speaking, a few years ago, when I was, I had joined my PhD in the year 2011,.

Speaker 1:

Actually, I was working on a topic which was not really of much interest to me and I started to think a lot about, you know, what is it that I want to do?

Speaker 1:

What is really going to get me out of bed every day and make me feel excited about working in this space?

Speaker 1:

And I was in public health, but I wasn't in global health and I thought about the challenges and you know the issues that are that women and children are experiencing all over the world, particularly in countries, low and middle income countries, and countries such as Afghanistan, which is my homeland, where there's ongoing conflict and issues around corruption and disparities and women and children dying prematurely.

Speaker 1:

When I thought about issues like that, I felt this, this is an area that I want to contribute to, and whatever little that I can do through my work is going to, you know, make me feel fulfilled and happy, and I think that having that vision, having that goal to contribute to something meaningful like that is what encouraged me to to to frame myself as a, you know, initially as a strong researcher, as a researcher working towards becoming stronger in that area, and then, using the skills that I have, you know, in epidemiology and biostatistics, I realized that, hey, there is a gap in epidemiology and biostatistics in this area, and I can position myself as a leader and really try to steer rigorous methodologies and in an effort to not only do good, great research myself, but also to teach and help others who want to learn more about this area. And so I think having the goal, working towards that goal, that's something that you're passionate about and it giving you the drive and stamina. I think these things collectively really push leadership forward for me.

Speaker 2:

Do you think that? Or at least when you kind of like reflect back, is there a specific point in time where you, when that really became clear for you? Because I can imagine, as you're going through school, you know undergrad and master's and then your PhD you don't necessarily at least take the time that you need to reflect and align everything, think about a vision and think about, okay, how do I position myself as a good leader? Did you do recall a point in time, or did this sort of gradually happen and now you're able to kind of voice that in a nice concise way?

Speaker 1:

I think it's definitely something that I learned over time and thought more about as the years progressed. I think the turning point, as I mentioned, was realizing for me as a researcher what is the research area that I really want to focus on. And once I had kind of nailed that down, that was a point where I was like, okay, now I want to become a leader in this space. And so, and then, you know, as I did more and more research in global health and Afghanistan and Pakistan and other countries in Africa, I started to understand more about where the gaps were.

Speaker 1:

There are lots of spaces in research that are saturated with various types of expertise and insights from experts, and you know diverse disciplines, but there are also areas where there are huge gaps and you know, as I mentioned, I think, data, the use of data for decision making, using rigorous methods to generate evidence. These are areas where I saw huge gaps in the way research is done in global health, and the gaps come from, you know, data limitations, also from a lack of technical expertise, international expertise, but also expertise within countries, in research institutes and the government and NGOs, in methods and in biostatistics, for example. And so when I started to learn more about those gaps and then, just you know, falling back on my own set of skills and things that I had learned in my training, and you know some of the techniques and methods that I was comfortable in I started to realize that this was a place or an area where I could position myself as a leader started to realize that this was a place or an area where I could position myself as a leader.

Speaker 2:

Have you ever felt that you know to be a leader I need to be in a senior level position or in a management type position? Like, is leadership different from management? Can you have, can you be a leader without being in a senior level position? Because a lot of our listeners in the community of PH Spot spot. They're younger professionals, sort of getting into the space of public health. Um, do you think they should be limited in terms of identifying themselves as a leader because they're not in a management position?

Speaker 1:

absolutely not. I mean, I think there's one thing that I've learned in my few years of working in research and that is that everybody plays a different role, and project management or operational management is one role, which is, of course, a leadership role, but there are many parallel leadership roles and all of them are needed to effectively drive research or effectively work towards your goal. And so in my previous experience, the team that I worked on, we had, let's say, I had a research team of 15 people and there were several leaders on that team. There was myself as the research lead in the technical area, so biostatistics and epidemiology. We had project manager who was handling the day-to-day management of the portfolio of working with HR, dealing with contracts, staff contracts, so on.

Speaker 1:

So there is that angle of it and I think that's how we traditionally think of leadership as management, but I think those two are not necessarily one in the same. So that individual had a role. We had the principal investigator of the study, who also was a leader, but policy advocacy, funding type of leader. And then we also had other leaders. I had a project coordinator, who was an excellent leader, that would handle the day-to-day scheduling sorry, not scheduling deliverables and timelines of the staff, and each one of us played a leadership role in our respective portfolios.

Speaker 1:

So, I absolutely think that there's opportunities to be a leader in whatever portfolio that an individual is working in.

Speaker 2:

So when you take your team, for example, for the research work that you're doing, and you have, say, a new grad sort of coming into your team, how can they show leadership? Or maybe you have an example of an individual that sort of just came right out of school but right off the bat they were really showing leadership in this field.

Speaker 1:

Yeah, absolutely. I mean I have several examples. Over the years. I've been really fortunate to work with great students who often stay around and take practicums and then eventually become part of the team, and also of fresh grads who've just finished their master's and have joined my team as their very first job out of their master's program, and there are many examples of great leaders that I've observed, but I would say that that's absolutely possible.

Speaker 1:

One example I can give is of a young lady who was working in a different field and then decided that she wanted to do more public health work and went ahead to the University of Toronto, did her master's in public health from there and and so she joined our team, I think as a fresh grad, but someone who is a bit later in their career, and she was also learning and growing as everyone else was.

Speaker 1:

She had amazing drive.

Speaker 1:

In that she I mean several things, I think came to work early, stayed long hours to try to do self-directed learning, understanding more about the work that we're doing, to do self-directed learning, understanding more about the work that we're doing and she was constantly asking questions, the right questions, thought-provoking questions and things that really made me realize that she understands, but not just that.

Speaker 1:

She wants to learn more and so she was kind of exuding leadership in that area, I would say, by being self-driven and motivated, and within a short time, within six months, she actually moved up the team quite rapidly because of these you know, her work ethic, her drive, her interests, her motivation. The fact that she wanted to learn is she put her all into the work and the tasks that were given to her and she was promoted within, I think, six to nine months of joining our team, which is sort of typically unheard of, as in the past we had research assistants who would be with us for several years before they would get a promotion. But I think all that was because of, you know, her own drive and her own interest in moving forward and doing great work.

Speaker 2:

Do you think that, like maybe for yourself? Do you think that leadership is something that you can learn, or do you think it's innate and it's sort of just you have it or you don't Like? What's your take on that?

Speaker 1:

Yeah, I think that's a really interesting question. Yeah, I think that's a really interesting question. Depending on when you ask me, my answer might change. But I think if you asked me a few years ago, I would say there are natural born leaders and when those individuals get opportunities to shine in the leadership positions or leadership opportunities, they're really able to move forward and show their skills. But now I would say that there are natural born leaders, but there are also people who, given the right opportunity, or even if the opportunity is not necessarily there, they can create their opportunity if they're motivated and driven to become a leader in that area. I think it's absolutely possible.

Speaker 1:

And so, you know, as I mentioned earlier, I think, finding for an individual to find an area that they're genuinely passionate about, something that keeps them interested and stimulated, and getting out of bed every morning, I think those are the types of ingredients that are needed to have strong leadership drive, and anybody's capable of it.

Speaker 2:

Yeah, I think it's interesting that you mentioned like given the right opportunities, but also you yourself seeking the opportunities for yourself and knowing what kind of environment you're going to thrive in and what kind of environment is really going to motivate you. And before we started recording, we were both kind of chatting about our careers and how we needed to constantly keep challenging ourselves and I think the path that you've taken to constantly challenge yourself is very, very impressive. I don't know if you want to talk about that a little bit and how you sort of go about your career in terms of choosing the next opportunity and whether you're looking for opportunities for leadership when you are seeking out new opportunities.

Speaker 1:

Yeah, sure. So I think, personally speaking, I really thrive on being challenged and being stimulated day to day in my work, and I know that. You know sometimes you can be doing a task for a week or several weeks or several months and it can become mundane. But you know, outside of that task, I think being in a role where you know there's a constant influx of new things coming in, that'll keep you interested and keep you motivated. That's the kind of area that I always seek for myself because I know that's what drives my productivity. And so, personally speaking, I was working at the hospitals for sick, area that I always seek for myself because I know that's what drives my productivity. And so, personally speaking, I was working at the hospitals for sick children for many, many years. Initially I was working in a role where I was a biostatistician consultant across the hospital in many different clinical departments, supporting clinicians and scientists and their work, and I did that for a number of years and also provided, developed, actually, and facilitated trainings on biostatistics and epidemiology to clinicians. And, you know, after a few years in that role I realized that I had learned as much as I was going to learn and I felt that I had done quality work that I was proud of, and you know it was time for me to do something where I could be challenged again, and so I started seeking opportunities, a different area to work in where I can learn something new and really become innovative and, you know, stimulated and challenged myself again, and so I switched over to working in global health, where now I was faced with a different type of beast in that you know I'm still doing data and numbers and you know methods of design and things like that, but it was a very different type set of data. You know dealing with data in contexts where data is typically poor quality, relying largely on survey data sets that have their own issues, and so that was really interesting and challenging for me, and I still work in that field now. But every day I was learning something new and every day I was innovating and problem solving and thinking about OK, how do I address this issue, how can I develop a new method to address this issue? So I think working in new method to address, you know, x issue, so I think working in that space and keeping myself constantly challenged, has been really important for me and has again motivated me to become a leader in that space because I'm innovating and I'm creating and I'm problem solving and then on top of that, I think, publishing my results and finding, so the scientific community and the public health community at large can benefit from it. I think that's been really kind of stimulus as well in a way. So the more I would innovate, the more I would publish and kind of go back and forth, and that's been very encouraging.

Speaker 1:

And so I think, personally speaking, continuing to look for the next challenge that keeps me interested and stimulated has been somewhat key. After a number of years of doing that in global health now, and having published quite a bit, I realized I was at that point again where I needed the next challenge, and so recently I had taken up a short research opportunity at the Harvard School of Public Health where I worked on a different type of data set longitudinal cohort data set that I hadn't yet worked on at SickKids, which was quite interesting for me. But after a short time I decided to take up an opportunity with Gates Ventures, which is the private office of Mr Bill Gates, based in Kirkland, washington, and there I'm not only doing research but also working on the other side, so the funding side where we're commissioning research studies to research institutions. So I think this is a new challenge for me, because now I'm not on the side where I'm writing grants and looking to receive funds for research, but I'm on the side of commissioning grants and then overseeing the research process.

Speaker 1:

And so it's a new and interesting, I think, area for me and definitely keeping me interested and on my feet in the present moment my feet in the present moment.

Speaker 2:

I think when you talk about the different phases that you've gone through, what's running in my head is like how you've perhaps evolved as a leader in this space. Have you noticed that for yourself? Like, did you see yourself or define yourself as a certain type of leader when you were a biostatistician, providing that consulting service for the sick kids, and then moving into global health, and then with Harvard and now Gates Ventures? Do you define leadership the same way in each of those roles?

Speaker 1:

Yeah, I think that's a really interesting question and I hadn't really sat down to think about it until now when you bring it up, and I would agree that I do think how I view leadership has changed over time, and also the opportunities for leadership have also evolved over time.

Speaker 1:

So when I first started out, I was a junior researcher, just fresh out of my master's, and so the clients and individuals that I was working with of course relied on me for my technical expertise, but understanding still that I was junior and I was young, and they understood that and I understood that as well.

Speaker 1:

Now fast forward my role.

Speaker 1:

In the end of near the end of my tenure at SickKids, I had worked for a number of years and published significantly in many, you know, great medical journals, and so, sickkids, I had worked for a number of years and published significantly in many great medical journals, and so I'd actually, I would say, more established myself in the field as a technical expert or a researcher who's quite known or not quite known I'm never gonna be quite known but better known in the space than I was seven or eight years ago. So I think my leadership role really changed because I found myself not having to actively seek out opportunities. After some time, the opportunities actually sought me out, and so, in those roles when, whether it's Harvard or other opportunities that I had the privilege of being involved in, the perception from the individuals I was working with was that I was already a leader in the space. I was already somebody very well known in the space and they valued my contribution and input in a different way. As more say senior researcher, the way as more say senior researcher.

Speaker 1:

And so and now working with Gates Ventures. You know I have a strong portfolio behind me and they you know my role there is different. They know that I bring the biostatistics and epidemiology technical expertise to the team and they value that and, as I mentioned that I'm a leader in that space, in that team that I work in, and there are several other leaders who are leaders in their own space. And so, yeah, I definitely say that the role has evolved and it evolves with. You know, the more experience you gain, the more you push yourself beyond your limits and challenge yourself to grow, to learn more. I think that's reflected in your work and that's also reflected in how people perceive you and the opportunities that come towards you.

Speaker 2:

I think, like, as you said, once you sort of establish yourself within a certain field, you're more discoverable and people come to you for or with different opportunities, or perhaps they want you to speak on certain topics. How important do you see for young professionals to put themselves out there or do more of like self-marketing or PR work for themselves, if they do want to be seen as a leader in the space that they're working in? Perhaps?

Speaker 1:

Yeah, I think that's a good question. Self-promotion and PR, if done tastefully, is always a good thing. I think there are many young people, many researchers out there. You know we were talking before we jumped on the podcast about the number of PhDs that graduate every year in Canada. There are many researchers and many people in the field, many people in the field. So I think identifying yourself and building an image for yourself in the public is important and can be a great catalyst for opportunities for becoming well-known and so on.

Speaker 1:

So I do think it's great, that being said, if I had to pick between focusing my energy on doing PR versus doing good quality work. For me, personally speaking, I always focused on my work, understanding that if I do great work, you know, my number one goal is to make sure that I do excellent quality work that has impact towards achieving the goal that I'm working towards, which is, of course, improving the lives of women and children all around the world, and with that comes, you know, there's some natural PR that comes with that. That has been my personal experience. But, that being said, I think you know creating a profile for yourself on Twitter or you know other social media platforms where you bring awareness to your work and the awesome things that one is doing. I think that's always a great idea.

Speaker 2:

Absolutely, when you talked about some of the work that you published, presumably like communication. So there's written communication that plays a role in being a good leader in the work that you're doing. But how about like verbal communication? Are you seeing that as an important skill in being a good leader?

Speaker 1:

Yeah, absolutely. I think public speaking and being confident in sharing your work and your ideas is a hugely important part of getting yourself out there and also just bringing an awareness to who you are and your work in general. And you know, that being said, I think these skills develop over time, and they certainly have. For me, if I compare the first presentation I ever gave an undergrad or in my master's to the type of presentations I give now, there's a world of a difference. So, as one becomes more familiar in the work, the topic that they're working in, and in honing their skills and comfortable in that space, I think public speaking and, you know, talking in, like conferences, academic conferences, or talking to NGOs or stakeholders or funders these conversations become a lot easier. I will say that you know the age old saying like practice makes perfect. I think the more one practices or public speaking, the easier it becomes and the more comfortable you feel when you're up there. And so, yeah, I do think that, beyond the written communications and honing the writing skills which comes with publishing papers, I think practicing public speaking is hugely important, continuing to practice and taking up opportunities where you're invited, even in a small gathering, among friends maybe, or among peers or in a classroom setting. I think taking those opportunities and seizing the moment to practice is really important.

Speaker 1:

There's, you know I can I can speak to many experiences of my own where, you know, I spoke in front of a group of funders or I spoke in front of research teams in funders, or I spoke in front of research teams in different countries and I was sort of just thrown into doing so and I took those lessons from there and reflected when I went back and I thought about, okay, what did I do right, what did I do wrong? And I went ahead and I practiced with my peers, or practice among family members or others, to kind of get my speech down right and to make sure that the next time I went up I was more comfortable in particularly in those areas where I struggled, and that was hugely important. I noticed a big benefit that it brought to my own fluidity in when I was speaking.

Speaker 2:

Yeah, I think another sort of question that comes to mind for me from someone that's part of the community is they had talked about how does one go about speaking to partners and stakeholders, especially like topics that are difficult, where you need to convince or compromise on mutually beneficial resolutions. So that's like another aspect of communication where that, where you're trying to negotiate. Do you have any tips there?

Speaker 1:

Yeah, I think. I think that's an art that one learns over time and something that I'm continuing to learn about and an area that I'm growing in. I mean, some tips that I can offer are that I think it's important to listen to the other party and listen to what their needs and their desires and also, if you know you're not seeing eye to eye, to try to probe and dig deeper and understand where their perspective or their take is coming from. Ultimately, we want to have effective collaboration and that's why we're there in the first place, and so listening to them and understanding is hugely important. And even if, in the end, you decide to go in a direction that's closer to what you yourself are interested in, I think the other party feels good about being listened to and feels valued that their contribution was received and considered.

Speaker 1:

So I think listening and understanding is important, asking questions and then also open, having an open dialogue. You know where there are contrasting views. I think putting your views on the table and providing your take or the rationale behind it, and also listening to them. I think having that open dialogue in a non-confrontational and non-defensive tone is really important to effective collaboration, and I've seen that many examples of that. You know, going to settings where someone in the group says something to defend their own idea and shuts down all other ideas automatically. Many people around the room will shut down and not want to engage, and so that doesn't really make for a great collaboration. So I think it's an art, it's something that one learns over time, but valuing the other person's input and contribution and listening as well I think these are important things to consider.

Speaker 2:

Yeah, and I think those are very important for a good leader as well, definitely. And I think, kind of like going back to how we started off with, which was kind of your leadership drive is what we started talking about and you kind of spoke to this a little bit throughout. But I'm wondering do you do things specifically to fuel that leadership drive, or is it kind of just you know something that happens on the side, or are you constantly actively fueling that drive for yourself?

Speaker 1:

I would say for me, personally speaking, the leadership drive is something that just comes naturally in the work that I do, um and maybe fortunate in, you know, in the fact that typically when I'm brought to the table um, there's a general lack of um expertise in that particular team and methods or epidemiology or biostatistics, and so they're looking to me to advise um in that particular team and methods or epidemiology or biostatistics, and so they're looking to me to advise in that space, and so automatically I can assume a leadership position.

Speaker 1:

And the more I've done research in the space and enhance my own skills, I think I'm more comfortable being a leader in that space. So I think, personally speaking, I've benefited from having opportunities where I was brought into the leadership role to advise and play that role. But, that being said, I think seeking out opportunities or, frequently you know, thinking about where you can be a leader and innovating and positioning yourself as someone who can, you know, steer the team, I think that's an excellent mindset to have and you only find opportunities. I think opportunities sometimes find you, but more often than not you find opportunities when you seek them and so if an individual is particularly interested in enhancing their leadership skills or growing in that area. Definitely keeping an eye out for those and seizing them when they come around is an excellent approach.

Speaker 2:

I have a question for you actually, nadia, now that you speak about leadership and, like your personal experience, who's a leader that you look up to in this space of public health? Is there someone that you kind of consider, maybe not even like a personal mentor that you go to on a regular basis, but is there someone that you look up to that's a really good leader.

Speaker 1:

Yeah, I mean, I would definitely say my boss and my PhD supervisor, who I worked with at the hospital for sick children the professors will for car boot tap. He will always be, you know, an amazing leader who I admire and aspire to be like. He's quite well known in the field of global health, particularly in maternal and child health and nutrition, and you know I've been fortunate to work with him over the past six years or so, I think, even though he's a really busy man and is not around often to spend one-on-one time with us, just watching him from afar, engaging with him in research, seeing the way he presents. I've been fortunate enough to see him sit in funding meetings and have a whole team of funders agree to his proposal for a project. It's been incredible to witness.

Speaker 1:

I definitely would say he's an amazing leader that I've been fortunate to observe and to work with and someone who I constantly think about when I'm facing the challenge or I'm thinking about the next thing. I always think what would Sophie Buta do? And you know I think him. And there are other you know inspiring people in global health, I would say as well, in different spaces, who I read their work or I watch them present or watch them give a talk and I think, wow, this person is just so inspirational and the way they speak is thought provprovoking. So, yeah, there are a few of those people that I think I constantly come back to. But finding a good, I think, someone, a leader like that, who's much more senior than you or maybe not even much more senior, but somebody who you admire their work, their approach I think that's really, really important and helps drive leadership as well.

Speaker 2:

And I think more recently, there's another great leader that you had a chance to meet and speak to, and I feel like I can't let you go without asking you about your encounter with Bill Gates. Yeah absolutely and for our listeners, like this wasn't just a photo op, it was a meaningful meeting where you're actually speaking to him about your research and you guys are, or his team and your team you guys were working together on a project. How did you feel meeting Bill Gates?

Speaker 1:

Yeah, I've actually been fortunate enough to meet him twice now to present my research, so once was in November 2018 and then in September 2019. So we were presenting to him this large study that we've been doing for a number of years while I was at Sick Kids, looking at countries that have managed to reduce child stunting dramatically over the past 15 to 20 years A set of countries we call exemplars and trying to understand what these exemplar countries did right and synthesizing the findings so that other countries can learn from them. And this is an area that Mr Gates is personally quite interested in, and that's why his personal office had commissioned the study. And so when I met with him in 2018, of course, I was super nervous. I went with Professor Zulfi Buta, who's the PI on the studies. The two of us went there. We were both.

Speaker 1:

I think this was maybe the one time that I had seen him be a little bit nervous usually not nervous at all, but I was super nervous. I wasn't sure I mean, it's Bill Gates, so I wasn't sure, you know, was he going to be pleased with our work? Was he going to think that it was garbage? I wasn't sure what the tone was going to be, or just even what he was like as a person you know, and such an inspirational being I think to be around, and I think what really impressed me about him was that he had he had read our research and he understood our research, and I think that's so important because many you know senior level folks, especially someone at his level or you know high in positions in funding agencies or NGOs typically don't know, or you know, get into the nitty gritty of the research or the technical language or understand the methods.

Speaker 1:

But Mr Gates did, and that amazed me because I was thinking, wow, he probably comes across so many different research studies, so many different people he meets all the time. Yet he took the time to read our work and he asked us questions, technical questions that were right down, you know, in the weeds, about the methods that we used and I was very much impressed by that. And and they and they showed there were questions that showed his understanding. And also I think his tone was he was very constructive and not, you know, not critical for the sake of being critical. I think he gave us constructive critiques. He the mandate of the agencies that he funds, such as the Bill and Melinda Gates Foundation, is really to improve the health and survival of families and children all over the world, and that really showed through the interaction that we had. You know he was frequently beyond the technical questions, asking about the big picture. So how can we emulate success? How you success? How can we take these results? How can other people benefit from them? So there's a combination of questions coming from two different spaces and it was just inspiring to be around and to witness that and also to have my research contribute to that.

Speaker 1:

And then the second experience we had was in 2019, just a few months ago actually. We shared an update on our work and he was very much excited. In fact, he made a comment about our work last year where he said that, I quote, this is some of the best nutrition research he's ever read, and so I think we were quite excited to receive that type of feedback from someone like Mr Gates, and this year we gave him an update and he was just as excited, as the work is getting closer to having a public dissemination and there's lots of interest as well from now other donors and agencies all over the world who want to take our exemplars work and try to replicate it in other contexts and so on. So lots of you know positive stuff coming out and having Mr Gates support and just even having him there and giving us a thumbs up was incredible.

Speaker 2:

It's always nice when the people that you look up to are exactly the way that you would like them to be, like inspiring in person, thank you. Thank you so much, nadia, for spending the time to share some of those tips and some of your experiences and perspective on leadership, and I am 100% confident that a lot of our listeners are going to walk away with some very tangible things that they can work on, with some very tangible things that they can work on.

Speaker 1:

Oh, not a problem. Thank you so much for having me and, yeah, I hope that the audience enjoyed our talk. You guys, if you want to reach out to me anytime, feel free to message me on Twitter or, you know, johnny, feel free to share my contact information. I'm happy to chat if anyone wants to have an offline conversation.

Speaker 2:

I hope you enjoyed that episode with Nadia on leadership and I really hope that if you don't already consider yourself as a leader in your space, that you will, and I really hope that you will work towards strengthening that skill, because we need strong leaders to see change in public health and with that. Thank you so much for tuning into PH Spotlight this week and if you want to get any of the links or information mentioned in today's episode, including ways to connect with Nadia, head over to phspotca slash podcast and we will have everything there for you. And once again, thank you for the invaluable work that you do for this world.