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Partner Site: Zambia
 | LOCATION | Lusaka, Zambia | | SETTING | Urban | | PARTNER | Tiny Tim and Friends, a non-faith-based NGO | | ELIGIBILITY | - Track enrollment
- PL2, or 3 and MP 2, 3 or 4 (PL2 or MP2 must be accompanied by faculty)
- Attend/participate in 100% of core curriculum
- Participation in international orientation
- Participation in pre-planning meeting
- Turn in required post-travel reflections and other paperwork w/in 2 months of return
| | DURATION | 4-6 weeks minimum (and 8 weeks, ideally) | | IDEAL FOR | Residents who want a true experience of community-based health care and private grant-funded initiatives in action. | | LANGUAGE | English is the primary language in Zambia, but some of the caregivers who have recently urbanized from rural settings will only speak one of the 72 local languages. Translation will be provided. | | STRUCTURE/TYPICAL DAY | The day begins at 07:30 and is usually finished by 17:00. Work is Monday-Saturday. No night call. Resident will work in a team setting with a Clinical Officer (CO; equivalent to a Physician’s Assistant) Social Worker, Pediatric HIV Psychosocial Counselor and Project manager, as well as any other volunteers at the time of the rotation. Responsibilities: - Each Tuesday and Thursday, attend at Corpmed Medical Centre, the private outpatient clinic the houses TTF. New patients are enrolled and started on ARVs, existing clients are examined, and drugs refilled, acute illnesses are assessed and treated.
- Each Monday and Wednesday, provide medical care at outreach clinics, mobile into the slums (compounds) surrounding Lusaka. You will screening OVC’s and caregivers, and you will diagnose and treat minor illnesses (~1000 OVCs are screened per month in this outreach setting).
- Required weekly meeting with the Medical Director (usually about 30 minutes) to discuss progress within the program, unusual or complex cases/case management, or anything else the resident would like to review. It is your responsibility to schedule this weekly meeting.
- Attend required Tuesday morning team meeting (a weekly programmatic review and scheduling meeting).
- Participate in Virtual Journal Club, an online system whereby the Medical Director selects two articles a week from the recent medical literature in three broad categories (medical/HIV, social welfare, project management/logistics) and emails these to the team. The articles are stored online centrally and can be accessed on any of the TTF computers. Discussion occurs at the weekly team meeting.
| | ADDITIONAL OPPORTUNITIES | Many opportunities are available for Fridays, including: - rounds at local hospice with a children’s ward and day care serving 40 HIV+ OVC’s
- site visits with Project Manager to various schools, day cares, transit homes and orphanages in the TTF program
- shadowing the CO at any of several public ARV clinics for children, where >75 children are processed by each CO daily
- special research project or special project (must be discussed with and approved by the Medical Director)
| | CLINIC SITE INFO | TTF has a rolling census of 400 OVCs, with monthly enrollment of 20-30 new clients and the same number transferred back to the public system after being in the program 6 months (8 months if HIV/TB co-infected, which is about 30% of the clients.) | | OBJECTIVES | - To learn about HIV care in resource-limited urban Africa (Lusaka, Zambia).
- To learn about the epidemiology of HIV infection in Africa.
- To understand the complications facing the HIV-orphaned child.
- To learn how private and public grant funding can be effectively implemented to benefit children in a developing country.
- To learn about pediatric palliative care of HIV-infected children in Africa.
- To gain an understanding of the start-up and operations of a non-faith-based NGO and how funding is sought.
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