This course is a four-week clinical elective during Block 8 in Dar es Salaam, Tanzania and designed for fourth-year medical students with a genuine interest in global health and in caring for underserved populations. This rotation will expose the student to 1) medical care at a national hospital (Muhimbili National Hospital) in a developing country which has recently invested in an advanced cardiac center and 2) participation in a rural outreach clinic where MUSC and Muhimbili University of Health and Allied Sciences (the national university) have an active, NIH-funded field research site focused on large-scale community-based prevention and care programs, including integration of screening for non-communicable diseases such as diabetes and hypertension with HIV testing, coupled-based HIV treatment, HIV pre-exposure prophylaxis for HIV-uninfected clients coupled with HIV-infected partners, home-based monitoring for diabetes and hypertension, development of a low-cost locally produced glucometer, studies of the prevalence and predictors of non-communicable diseases (diabetes, hypertension, CKD), tailored counseling and testing for HIV based on risk profile, home-based HIV self-testing, and an incentive-based program to encourage sexual partners of HIV-infected and high risk patients to seek HIV testing.
To apply for this rotation and scholarship, click here for full details in the PDF.
Location: Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania
Tanzania is home to one of MUSC’s established global health partnerships for research, training, and education. Over the last two decades, MUSC has established strong partnerships with colleagues in Tanzania to develop and implement research and clinical programs to address HIV/AIDS prevention and care, and scaling up the prevention and treatment of non-communicable diseases such as heart disease, chronic kidney disease, hypertension and diabetes.
MUSC has an active collaboration with Muhimbili National Hospital (MNH) the national referral hospital and the teaching hospital for Muhimbili University of Health and Allied Sciences (MUHAS), the oldest and largest university in Dar es Salaam, Tanzania. MNH is a 1500-bed facility, with 1,000 to 1,200 outpatients encounters per week and admitting 1,000 to 1,200 inpatients per day. MNH has 300 doctors and specialists and 900 registered & enrolled nurses.
Dar es Salaam, with approximately 4 million inhabitants, is the economic center of Tanzania (about 49 millions inhabitants). The United Republic of Tanzania is situated on the East Coast of Africa, south of Kenya and north of Mozambique. According to the World Bank, the GDP for Tanzania was among the lowest worldwide (744 international dollars – purchasing power parity- in 2006) and total health expenditure amounted to only US$ 11.3 per capita per year
Tanzania has a high burden of communicable diseases such as HIV/AIDS and malaria. At the same time, chronic non-communicable diseases such as cardiovascular diseases are becoming more common and are projected to be the highest contributors to disease burden in Africa by 2030. The effects of increasing risk factors, including unhealthy lifestyles, have led to rapid increase of diabetes mellitus, hypertension, and ischaemic heart diseases. Increased use of Highly-Active Antiretrovirals (HAART) is also contributing to an increase in non-communicable diseases.
Recognizing that cardiovascular disease is a national concern, the Government of Tanzania committed to opening the country’s first advanced cardiac center at MNH, which includes a 96-bed facility equipped for procedures and diagnostic heart catheterizations.