Registered Charity No: 1063397

Medical Elective Placements in Tanzania

Information for Medical Placements

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 Registered Charity No: 1063397

Information for Medical Elective Placements in Tanzania

This Placement gives the opportunity to engage with and participate in a cross-cultural
experience. Working with people from one of the poorest regions in Africa you will gain an
understanding of the challenges of delivering healthcare to the community. The Kilimatinde
Trust has links with two hospitals, Kilimatinde and Manyoni. There are placement
opportunities at both these hospitals depending on availability. The hospitals have poor
resources; even the most basic provisions such as water and electricity are limited especially
in Kilimatinde.
The area is prone to food and water shortage. The people are isolated from services by distance,
lack of funds and transport. Many patients are unable to afford the cost of travel and treatment.
The general health of the population is poor. There is a great need for health care, and health
education

Travel
Covid Requirements
https://www.gov.uk/foreign-travel-advice/tanzania/entry-requirements
If you are traveling from outside the UK please consult your governments travel advice

You will be expected to book your own flights the earlier you book the cheaper it is although it
is possible to get some last-minute deals.
When you have all your travel arrangements in place, please email them to the Trust and copy
them to Dr Chihoma at Kilimatinde Hospital. Also make contact with Hamisi and let him know
when you will be arriving and how many nights’ accommodation at Econo Lodge.

Prophylactics
Your GP/Practice nurse will advise what you need regarding immunisation.
There are three commonly prescribed anti-malarial: Malarone, Larium Doxycycline.
Doxycycline is not effective in Kilimatinde.
Malarone is widely regarded as the most effective You can buy it from boots pharmacy without
prescription though its expensive, it is available from every pharmacy in Dar es Salaam called
Malanil (atovaquone 250mg + proguanil hydrochloride 110g) 46000/- for 12 tablets (about ½
UK price). (Suggest you might get a week’s supply and buy the rest in Dar).
Maloff Protect is the new Over The Counter version of the well-known antimalarial tablet
Malarone.

Visa’s
All medical students will be required to buy a tourist visa on line or at the
airport. The cost of this is $50 and at the airport can be paid for by Cash, Bank
or Credit card.

Please take with you to Kilimatinde Hospital:

A letter from your medical school.
A photocopy of your passport (the page with the photo on).
A photocopy of your CV.
A photocopy of your School/College/University ID Badge.
An acceptance letter from the Trust.
All these items you will need to hand over to the hospital administrator upon arrival.

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Dar-es-Salaam
Dar-es-Salaam has a new terminal building. You will find Bureaux
de change and or ATM’s, where you change what money you will
need for the next 24 hours. You will require money for:-
Airport Car Park TSh10,000
Taxi to Hotel (total cost) TSh40,000

Hotel (Twin Room with A/C and Fan) TSh90,000

Meal TS30,000
Taxi to Bus Station (total cost) TSh40,000
Bus Fare Dar-es-Salam to Solya TSh36,000
Mobile Phone Sim Credit TSh30,000
Total TSh276,000 £92.00

In Euro’s this is approximately €106

You may wish to exchange £200 so you have enough. These costs may vary according to the
exchange rate. An average exchange rate is TSh3000 to the Pound.

Our man in Dar-es-Salaam is Hamisi. He will meet you at the airport and take you to our
preferred guest house called Econo Lodge, collect you the following morning and take you to
the bus station and book your bus tickets.
Hamisi’s contact details: -
Mobile phone number Vodacom +255768681259
Tigo +255715458767
Email [email protected]
Whatsapp +255768681259
Please ensure you use +255 when ringing from the UK

Accomodation
Econo Lodge
PO Box 8658, Libya / Band Street,
Dar es Salaam,
+255 22 2116048 / 50
[email protected]
Taxi in Dar-es-Salam Hamisi +255768681259.

Half a mile 360 degrees round Econo Lodge has everything you need. Bureaux de Change, a
great African restaurant called Chief’s Pride (also advertise safaris to Mikumi) and a western
Peacock hotel with air con, bar, Sky TV and chips!

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Mobile Phones
The most cost-effective way to use a mobile including data. is to buy a pay-as-you-go sim card
in Dar-es-Salaam, this can be done at the airport. All mobile numbers have to be registered so
you will need your passport with you when you purchase your Sim. So, make sure phone is
unlocked before you go. Tigo and Vodacom both work well in Kilimatinde.

The ABC bus departs at 6am or 7am and Hamisi will

ensure that you get there on time, (you will need to
leave the hotel 1 hour before your bus time).

Getting there
Hamisi will ensure you get on the right bus at the bus station early in the morning and you will
travel on it all day. You will need to pay the bus fare to the ABC person at the bus. (Note the
location of your bags and that they are marked Solya by the conductor). The bus will go
all the way from Dar-es-Salaam to Solya with two stops (Morogorro and Dodoma). If you are
going to Kilimatinde you need to ask to be put off at Solya (which is the village next to
Kilimatinde) and there the Hospital car will pick you up. It’s about one mile away. Manyoni is
a further 15 minutes away and the next stopping point.

Cultural tips:

Smile and be friendly! This is the key to making friendships and fitting in, in Tanzania.
Initial greetings when you meet someone whether for the first time or the one hundredth time
are extremely important and much time and emphasis is given over to this – even if you can’t
speak the language yet! Clothing: Tanzanians take great pride in their appearance and therefore
you will need a mixture of smart and casual clothes. Take a few books. Take crayons and a
ream of paper for children’s activities also bubbles, balloons, stickers etc will go down will. A
speaker, for your iPod, and a solar charger, is always useful.
Men: Bring T-shirts and shirts, a couple of ties, light weight trousers both smart and
casual. Men don’t wear shorts unless they are playing sport or doing heavy or dirty work (little
boys wear shorts). Vest style T-shirts are rarely worn. You will need smart shoes as well as
sandals and trainers.
Women: Skirts and dresses are the most appropriate, nothing shorter than mid-calf in
length. Trousers and cut offs are fine. Shorts can only be worn in the privacy of your
accommodation – hot pants are a definite no no. Thick strapped vest tops can be worn but
nothing revealing. Women in Tanzania keep well covered. Shoulders must be covered for any
formal activity such as work, church etc.
Work wear: Take with you two pairs of scrubs, (take two and wash them every couple
of days). Take sufficient gloves for yourself (5 per day). Comfortable shoes, a watch
with a second hand for observations, a thermometer as these are always in short supply,
all you need for your clinical practice, a head-torch and mosquito spray at 50% Deet.

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Language. The language spoken in Tanzania is Swahili. Stephen Hatch of St Johns Kilimatinde
offers language lessons. Up to eight lessons with a donation of up to 100.000Tsh to St Johns
school. You can contact Stephen by email, [email protected] or telephone +255756951816.
Please ask in advance. Useful Words can be found in appendix C of this document.

Projects/research
Some students have done a particular project while they were there relating to their courses.
Most enjoy the general experience or seeing/doing a bit of everything and writing up the
experience with a particular slant. Please avoid taking on a project that involves interviewing
many patients as few of them will understand English and it will require a doctor to be the
translator. Other projects relating to comparative evidence (post-natal weighing etc) that
involve less intensive supervision are fine.
Useful books to have: A Rough Travel Guide or similar; Pocket book of Hospital Care for Children
– WHO; A Swahili Medical Dictionary (there is one in Kilimatinde), and the Oxford Handbook of
Tropical Medicine.

Kilimatinde Hospital
The hospital is a small rural mission hospital, supported by charity
funding. It supports remote village communities with weekly
post-natal and other general medical provision. It has a 6
bedded Burns Unit, opened in 2018 and a HIV/AIDS testing and
counselling facility within it. It has the capacity of 140 inpatient
beds, including a paediatric ward, male and female medical a surgical
ward and an obs and gynae specialism. The outpatient facility is often busy. There is no A&E
facility but anything can come through the door. Burns are prevalent as are minor injuries,
snake bites and wounds. Generally, though you will see malaria, enteric fever, and general
infections, medical and surgical problems. Services on site include: Pharmacy, Pathology lab, X-
ray facility and an Operating Theatre. There are 2 4x4 ambulance’s which are used for
everything. Weekly there are medical safaris into outlying villages carrying out post-natal and
vaccination clinics, there will be opportunities to join in with these. The Flying Doctor visits
every 6 weeks.

HIV post exposure prophylactic: If you are unfortunate enough to have a needle stick injury
follow the standard precautions and inform Dr Chihoma at Kilimatinde or Dr Mollel at Manyoni
who will arrange for continued treatment support and blood tests etc. The necessary
medication is available locally.

Dr Chihoma the Doctor in Charge (+255767225353, +255713225353), is the one who will
supervise you (although it’s likely to be one of the duty doctors on a day-to-day basis).
The postal address is: Kilimatinde Hospital, Kilimatinde, PO Box 86 Manyoni Tanzania.
Mail usually takes 1-2 weeks for a letter to arrive from the UK and at least 1 month for a package
to arrive at the Post Office in Manyoni.

Accommodation
In Kilimatinde the accommodation is full-board in a staffed four-bedroom bungalow on the
hospital site. The charge for this is Ts50,000 per day (between £15 to £17
per day, depending on exchange rates). Pay this to the hospital accountant
Agatha, she will give you a receipt for this.
Average Conv. rate Ts3000 = £1. This can fluctuate and you could get
Ts3000 to £1.

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Manyoni hospital
The government hospital is in the district capital Manyoni serving a population of 33,000 with
a range of in reach and outreach services. They also have an inpatient capacity of 140 beds .
Average occupancy is 120 inpatients, per day and 130 outpatients.
There are two ambulances delivering child health clinics, vaccinations and community
services. The hospital site is larger than Kilimatinde with somewhat better facilities.
In addition to the services offered in Kilimatinde (obs, Gynae, Paeds, HIV Aids testing), there is
also a Leprosy clinic, TB clinic, Ophthalmology. Dentistry, Mental health, Physiotherapy, and
Elderly care. They have X-ray facilities, theatres, and they is a centre for vaccines.
There is also a ward for private patients

The Dr in charge is Dr Ainea Mlewa (+255784823206) and (+255764120700) is the district Dr

in charge and will be the student Mentor
Dr Nelson Bukuru (+255762069060) is the District Medical Officer
The postal address is Manyoni District Hospital, PO Box. 41 Manyoni, Tanzania.
Accommodation
In Manyoni you will stay in the Diocese of the Rift Valley Guest House in the grounds of the
Cathedral and a 15-minute walk away and there are single en-suite rooms. The accommodation
is 20,000Ts per room per day. Meals if available around 10000Ts? The Guest House Manager
will administer the practical arrangements. Stella Mdumi (+2557653423844) is the Diocesan
Secretary

Health and Safety Briefing

Dr Chihoma in Kilimatinde will carry out the Health and Safety Briefing

Inductions
These are delivered by Dr Chihoma in Kilimatinde and Dr Mollel in Manyoni
Please make sure both of the above is carried out

Insurance
Travel - You will need to arrange your own travel insurance.
Medical Student Insurance will only cover you for Observation only whilst on placement.

Donations and sponsorship of individuals

Cute children, sad stories and worthy students, Kilimatinde and Manyoni have in abundance.
However, there are plenty of ways of doing the right thing and even more of doing it wrong.
You may consider doing some fund-raising for the hospital in the future, and the Kilimatinde
Trust has charitable status, accountability and a decade’s worth of experience in working
within Tanzania. We are a named charity on the Just Giving website. Also check out our
website www.kilimatindetrust.org.uk where you can find a link to our Just Giving page or
download a donation / gift aid form.

Free Time

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You will have time on your hands in the afternoon heat. In the early
evening some run, play football, netball or table tennis (bring a few balls).
Some will do safaris, climb a mountain scuba dive at the end of the
placement and there are endless opportunities.

Feedback
Please use the simple feedback form on the Web Site as this helps us to keep our information
up to date, to tackle any issues and ensure that we continue to have current and relevant
knowledge to pass on to others who will follow you.
These will be carried out via Zoom, the Details will be posted on the Kilimatinde Facebook page
and on the Web Site, www.kilimatindetrust.org.uk
You are also required to fill in the evaluation form at the end of placement giving a copy to The
DR in charge and a copy to the Trust [email protected]
The Facebook page is open to anyone planning to visit Kilimatinde and those who have already
been. You can access this prior to your visit to help answer any questions queries you have
before you go.

If you are not met then use the contact no’s in appendix D and someone will sort
things out for you.

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Appendix A

Kilimatinde Hospital

Day 1
AM Orientation to site.
Meet with supervisor and arrange time to discuss expectations and learning objectives.
Meet with the staff.
PM Familiarise yourself with the accommodation and local surroundings.
Unpack relax explore.

Day 2
AM Attend the morning meeting.
Accompany supervisor or his deputy on a ward round in your chosen area of interest.
PM

Day 3 All Day

Medical safari, MAF plane or car depending on availability.
Learn about the services available to remote communities.
This will be a Full day................

Day 4
AM Spend a morning in the laboratory.
PM Check out the range resources available.
Health promotion materials and textbooks.

Day 5
AM Visit the pharmacy and become familiar with drugs and supplies.
Learn about vertical programs for certain conditions.
PM Orientation to nursing school.
Meet the tutors.
Visit the skills lab and library.

Day 6
AM Spend the morning in the outpatients department.
Learn about IMCI guidelines.
PM Visit world vision project discover the work being done in the local community.
Plan next week’s, time table in discussion with your supervisor.

Day 7
Day off - of your choice in conjunction with your supervisor.

The first week’s timetable will assist you to see the range of opportunities available. It is
not exhaustive. Times and days may change to suit your needs and the availability staff.

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Appendix B

Responsibilities of the medical supervisor

The appointed medical supervisor or their deputy should Make arrangements to speak to the
student about their expectations and learning needs and use the student induction list to
guide this conversation.
According to the students interests and learning needs they should be given opportunities to
send time learning in the appropriate departments or service.
Introduce the student to staff in the morning meeting and accompany them on the ward
rounds and OPD sessions as discussed.

Discuss opportunities for medical safari, this can be arranged with Mr Macheo
Students should be given the opportunity to spend time in Manyoni hospital This should be
arranged with Dr Mlewa

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Appendix C
Useful Swahili Words
Greetings

• Hello Jambo / Hujambo / Salama

• How are you Habari gani
• Fine (response) Nzuri
• Goodbye Kwa heri /Kwa herini (if more than one person
• Nice to meet you Nafurahi kukuona
• Goodnight Lala salama

Civilities

• Yes Ndjiyo
• No Hapana
• Thank you Asante
• Thank you very much Asante sana
• Please Tafadhali
• OK Sawa
• Excuse me Samahani
• You are welcome Starehe
• Can you help me Tafadhali naomba msaada
• What is your name Jina lako nani
• My name is Jina lako ni
• Where are you from Unatoka wapi
• I am from Natokea
• Do you speak English Unasema kiingereza
• I don’t understand Sielewi

Days and Numbers

• Today Leo Tomorrow Kesho

• Yesterday Jana Now Sasa
• Later Baadaye Everyday Kila siku
• Monday Jumatatu Tuesday Jumanne
• Wednesday Jumatano Thursday Alhamisi
• Friday Ljumaa Saturday Jumamosi
• Sunday Jumapili

• 1 moja 2 mbili 3 tatu

• 4 nne 5 tano 6 sita
• 7 saba 8 nane 9 tisa
• 10 kumi 11 kumi na moja (ten and one)
• 12 kumi na mbili (ten and two)
• 20 ishirini 21 ishirni na moja (twenty and one)
• 30 thelathini 40 arobaini 50 hamsini
• 60 sitini 70 sabini 80 themanini
• 90 tisini 100 mia 200 mia mbili
• 1000 elfu 100,000 laki
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Appendix C continued

Food and Drink

• Food Chakula I’d like nataka

• Hot ya moto Cold ya baridi
• Water maji Hot water maji ya moto
• Drinking water maji ya kunywa Soda soda
• Beer bia Milk maziwa
• Meat nyama Chicken kuku
• Fish sumaki Beef ng’ombe
• Fruit matunda Vegitables mboga

Health

• Where can I find a naweza kupata……..wapi?

• Doctor daktari / mganaga
• Hospital hospitali
• Medicval center matibabu
• I’m sick mimi ni mgonjwa
• I need a doctor nataka kuona daktari
• It hurts here naumwa hapa
• Fever homa Malaria malaria
• Headache umwa kichwa Diarrhoea harisha / endesha
• Vomiting tapika Medicine dawa
• Mosquito net chandalua

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Appendix D

Useful Phone numbers

Dr in Charge Dr Chihoma +25576225353

Supervisor Dr
Supervisor Dr
Hospital accountant
Hospital Administrator Dr. Sigfrid Kiwango +255752097878
Nursing School Paschalina Lizer +255769988105
Contact for Medical safari Mr Macheo +255715060656
Contact for Maternity Dr Bertha +255755435293
Contact in case of difficulty Rafeal Silla +255767735020
Contact visits to other hospital Rafael Silla +255767735020
Contact Burn Unit Rafeal Silla +255767735020
Dr in Charge Manyoni Dr Mlewa +255784823206
+255764120700

Manyoni Guest House

St Johns School Rev L Ngassa +255755359216

Diocesan Secretary Stella Mdumi +255765342384

Kilimatinde Trust contact numbers

Chair Stephen Taylor +447944680855

Secretary Jill Barrett +447790110086
Web Site / Application forms Mike Rowe +447594124559
Elective Pastoral Care Angi Riley

Email Address
[email protected]
[email protected]
[email protected]

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