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This program is organized by Engineering World Health (EWH) at Duke in collaboration with DukeEngage.
June 11 - August 13
Improving health care and facilitating the transfer of health care technology to regional hospitals through medical equipment repair and technical training. Note: A similar program is taking place in Uganda.
Students will learn about health care technology shortcomings in the developing world and spend time directly intervening to address these challenges. Students begin by receiving four weeks of Swahili language training, learning about Tanzanian culture, living with a family in a homestay, visiting local villages, 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 next four weeks, students will work in one of our partner hospitals in Tanzania training the staff to use equipment that has been idled, repairing medical equipment, and conducting extensive interviews on healthcare technology needs.
There will be students from other universities working alongside Duke students on this program.
Student Learning Objectives/Outcomes
By the end of the course, students will improve in the following areas and will know how to:
CRITICAL THINKING & TECHNICAL TROUBLESHOOTING
TECHNICAL KNOWLEDGE & SKILLS
ACADEMIC DEVELOPMENT AND EDUCATIONAL SUCCESS
The primary project of EWH’s Summer Institute (SI) takes place during month two, when participants do daily work in the hospital repairing, installing and training local staff on medical equipment in resource poor hospitals. During previous SI programs, students have repaired equipment ranging from autoclaves to ultrasound machines, water purifiers to anesthesia devices. Students have also conducted training classes for hospital maintenance staff; worked in surrounding clinics; created or translated manuals and inventories for staff and helped to organize and upgrade various hospital spaces.
Students will work in hospitals in Tanzania (Moshi, Rombo, Marangu, Machame). 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 partner hospitals, especially those in Tanzania, 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. Recent students in the Duke-EWH Summer Institute were able to put over 654 pieces, about $1.3 million worth, of medical equipment back into service in 23 hospitals. They made a huge contribution, but the need in these hospitals is still great.
Application Process: In addition to the DukeEngage application, students applying for this program must download and submit the EWH application available at http://www.ewh.org/apply. You must submit this application directly to EWH by the DukeEngage application deadline, Nov. 3, 2016. Applicants must also submit the DukeEngage application by that deadline. It is advised to review the EWH application packet before completing either application, as the essay questions asked by EWH may be applicable to the Duke Engage ones.
Language: Students will receive four weeks of language training in Swahili on-site. One year of high school or one semester of college‐level foreign language is strongly preferred.
Coursework: Applicants must have at least two semesters of physics and two semesters of calculus by May 2017. AP credit can be used for one physics and one calculus only.
Community Description: 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. During the first month, students live with homestay families and spend most days in classes in Usa River, just outside Arusha. Arusha is a very bustling, small but urban city. Usa River is a small rural center outside of town. The training campus is a gated compound that hosts volunteers, aid workers, and local community leaders for various trainings and capacity-building. During the second month, students will live with their hospital partner in a guesthouse near the hospital they are placed in, around the cities of Moshi or Arusha. Both towns are on the foothills of large volcanic mountains – Mt. Meru in Arusha, and Mt. Kilimanjaro in Moshi. It will be winter and dry season in Tanzania, with a cool climate. Hospital placements may be urban or rural.
Housing and Meals: Each student will be housed with another student in the program. There will be students from other universities besides Duke on this program. Rooms may be shared with other students of the same gender, but not with homestay family members. Each student will have their own bed and mosquito net. During the first month when everyone is in homestay families, 3 meals will be provided each day. During the second month in guesthouses, students will be responsible for purchasing and preparing their own food. Funds will be provided to cover meals.
If you do not eat certain types of food for cultural, religious or personal reasons, please contact the DukeEngage office, , to discuss whether or not your dietary needs can be reasonably accommodated at this program site.
Utilities: Electricity is intermittent; outages are common but there is electricity available to charge devices etc. Running water is intermittent, so large storage vessels are used to provide water for bathing, toilet, and laundry. Students will have facilities to hand-wash their own laundry. Expect a variety of toilet styles – from very modern and new to more basic. Expect “bucket showers” with heated water provided by the host family. The training facility at Usa River has modern facilities, backup generator power, and internet connection.
Transportation: Students will primarily ride the public bus, but will also use some combination of private van and taxi.
Communication: Each student will receive a basic (call/text only) cell phone. Free Wi-Fi and wired connections are available at the Usa River training center. Internet cafes are also available. Students are not required to bring a laptop, but it is recommended.
Opportunities for Reflection: Your site coordinator will lead regular reflection sessions in which you’ll be expected to participate. More details will be shared with students once they arrive on site.
More Information: During the first month, all participants interact with each other daily. During the second month, participants live and work with only their hospital partner and hospital staff, aside from weekends or when their site coordinator visits. 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. During the first month, students are encouraged to spend evenings studying or interacting with their homestay family. In the second month, they can interact with the hospital staff or other members of the community they are living in. There will be a social activity included during the first weekend of the program.
Lonely Planet: Tanzania (Country Guide)
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
BME 462 – Design for the Developing World
BME 290 – Medical Equipment in Developing World Pratt Fellow
BME 590.04: Transcontinental Design in Uganda
DHT Lab Fellows: http://dhtlab.pratt.duke.edu/
Duke Global Health Institute (DGHI): https://globalhealth.duke.edu/
Duke Center for Global Women’s Health Technologies (GWHT): https://gwht.pratt.duke.edu/