This program is organized by Engineering World Health (EWH) at Duke in collaboration with DukeEngage.
Applicant Alert: Non-US citizens should contact the DukeEngage office (firstname.lastname@example.org) prior to submitting an application for the Nicaragua program for information on visa requirements.
May 18 - July 21
Facilitating the transfer of healthcare technology to regional hospitals through medical equipment repair and technical training.
Note: A sister program is taking place in Tanzania
Robert Malkin, Director, Duke-Engineering World Health (EWH) Summer Institute
Martha Absher, Associate Dean, Education & Outreach, Pratt School of Engineering; Director, Duke-Engineering World Health (EWH) Summer Institute
Students will learn about healthcare technology shortcomings in the developing world and spend time directly intervening to address these challenges. Students will begin by receiving four weeks of Spanish language training, learning about Central American culture, living in a home stay, taking classes, and receiving hands-on training in medical equipment repair and maintenance, and learning to deliver technical training across a linguistic and cultural barrier. During the following four weeks, students will work in one of our partner hospitals in Nicaragua training the staff to use equipment that has been idled, repairing medical equipment, and conducting extensive interviews on healthcare technology needs.
· Four weeks spent in Granada, Nicaragua, dedicated to language instruction and medical instrumentation preparation.
· Four weeks working in a local hospital in Nicaragua
· A one-day end-of-program meeting to debrief and share about the summer experience
The primary project of EWH’s Summer Institute (SI) is month two, during which participants do daily work in the hospital repairing, installing and training local staff on medical equipment in resource poor hospitals. During SI 2013, students repaired equipment ranging from surgical lamps to wheel chairs, blood pressure cuffs to oxygen concentrators.
Students have also conducted training classes for hospital maintenance staff; worked in surrounding clinics; installed hand sanitizers; and increased hospital safety, such as securing oxygen tanks.
Application Process: In addition to the DukeEngage application, students applying for this program must download and submit the EWH application available here. Please submit this application directly to EWH by the DukeEngage application deadline, Nov. 5, 2013.
Language/Other Prerequisites: Students will receive four weeks of language training in Spanish on site. One year of high school or one semester of college-level foreign language is strongly preferred.
Course Requirements: Applicants must have at least two semesters of physics and two semesters of calculus by May 2014. AP credit can be used for one physics and one calculus only.
Reflection Sessions: Your site coordinator will lead regular reflection sessions in which you’ll be expected to participate. More details will be shared with students on site.
Neighborhood: Students will live in homestays or guesthouses for the duration of the program, no more than a 30-minute bus ride to the training center/assigned hospital.
Housing and Accommodations: Each student will be housed with another student in the program.
Meals: For students living with families, two meals will be provided each day. Students in guesthouses will be responsible for purchasing and preparing their own food. Funds will be provided to cover missing meals.
Communication: Each student will receive a cell phone.
Transportation: Primarily public bus, but also some combination of van and taxi
Volunteer Placement Logistics: Students will work in hospitals in Nicaragua (Managua, Diriamba, Jinotepe, Esteli, Chinandega). Our hospital partners vary in size and in capacity to repair and maintain medical equipment. The smallest hospital has 21 beds, the largest, 500. Many of our hospitals have no technical staff dedicated to medical equipment, and most of our hospitals, despite having a technical staff, cannot keep enough medical equipment in working order to perform basic medical procedures. Students in the 2013 Duke-EWH Summer Institute were able to put over 490 pieces, about $980,000 worth, of medical equipment back into service in 23 hospitals. They made a huge contribution, but the need of these hospitals is still great.
Opportunities for Autonomy / Private Space: Students will have free time during the week when they are not either in class or working at the hospital, and almost all weekends to pursue social activities of their choice or have some downtime.
• Lonely Planet: Nicaragua (Country Guide) by Lucas Vidgen, Adam Skolnick
• Kicking Away The Ladder: Development Strategy in Historical Perspective by Ha-Joon Chang
• Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the World by Tracy Kidder
• Dead Aid: Why Aid Is Not Working and How There Is a Better Way for Africa by Dambisa Moyo
• The Death of Ben Linder: The Story of a North American in Sandinista Nicaragua by Joan Kruckewitt
BME 462 – Design for the Developing World
BME 290 – Medical Equipment in Developing World
DHT Lab Fellows
Miscellaneous: There will be a social activity included the first weekend of the program.