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Hospitals and Medical Centers at Kilimanjaro

Internship und Volunteering Possible
We organize hospital internships, including elective placements, (pre-)medical, (pre-)nursing, (pre-)midwifery, physiotherapy, and other healthcare internships at several hospitals and medical facilities in the Kilimanjaro region of Tanzania, including St. Joseph Hospital Moshi, Marangu Hospital, and others.

St. Joseph Hospital

St. Joseph Hospital is located around 20 minutes outside of Moshi Town by public transport, in the Soweto area. The hospital is semi public, semi private. The municipality pays the salaries of all staff, as well as for the medicine; but the building, furniture and all medical equipment such as ultrasound and X-ray machines belong to a church institution.
The hospital has the following departments: Outpatient department, General medicine/Inner medicine, Tropical medicine, general surgery, gynaecology and maternity, pediatry, mother and child pre and post natal care, "high dependence unit" (similar to an ICU, but not completely equipped as such), physiotherapy, laboratory, ultrasound, X-ray, mortuary incl. autopsy.
At the hospital there are 5 general practicioners, one orthopaedist, 2 surgeons (abdominal surgery), 42 medical attendants, 38 nurses, 22 midwives, 9 laboratory technicians, and one physiotherapist. There are around 250 outpatients per day. Every month there are around 160 spontaneous labours and around 70-100 ceasarian sections. The hospital has a total capacity of 150 beds, which are devided into male, female and pediatric wards.
Students of medicine and nursing can do an elective placement or internship, either in just one department, or they can rotate through various departments. They will be assigned to a supervising physician or nurse who decides which examinations and treatments the student can carry out under their supervision, which might include drug administration, wound care, taking vital signs, giving vaccinations and assisting with other tasks.
Pre-medical, pre-nursing and pre-midwifery internships are also possible at St. Joseph Hospital.
Students of physiotherapy and midwifery can do an internship at St. Joseph Hospital.
Volunteer placements are possible for professional physicians and nurses, midwifes and physiotherapists.
The usual working hours are Monday to Friday from 8:30am to 3pm including one hour of lunch break. If you want, you can also work on Saturdays and Sundays. At the surgery theatre the working hours are usually from 10am to 8pm.
Interns/elective students/volunteers should bring their own scrubs (white, green or blue), closed shoes (colour doesn't matter). It is furthermore recommended to bring one's own hand disinfection liquid and one's own stethoscope. Those who want to join surgery should please bring green or blue surgery scrubs, face mask and hood.
Students of medicine, nursing or therapies pay, just like professional volunteers pay a weekly contribution of 50 USD.

Marangu Hospital

Marangu Hospital is a district hospital, located in the the dense tropical rainforest, which is spreading across the hills of the extensive village of Marangu on the foothills of Mt. Kilimanjaro, around 40 km/25 miles outside of Moshi Town at an altitude of around 1300 m/4300 ft above sea level. It is owned and managed by the Evangelical-Lutheran Church of Tanzania, serving a rural population of around 300,000 people from Marangu and the neighbouring districts.
The hospital's departments include an outpatient department, general and internal medicine, obstetrics and gynaecology, general abdominal surgery, and dental medicine. Twice per week CTC (Care & Treatment for HIV patients), and once per week reproductive health counselling, are offered. Furthermore there is an outreach program for palliative care.
The unit for dental medicine is new and relatively well equipped, also offering maxillary surgery and orthodontics.
There are 8 general practicioners, 2 dentists, 16 nurses and midwives, and 5 laboratory technicians at the hospital. The outpatient department receives around 100 patients per day. Every month, there are around 60-90 spontaneous labours, and 20-30 ceasarian sections. In total, there are 55 beds, divided into male, female, pediatric and maternity wards.
Students of medicine, nursing and obstetrics can do an elective placement or internship. You can either be at just one department or rotate through multiple departments. You will observe and support the staff on your ward in their daily work. After a period of familiarization and orientation, you may depending on previous knowledge also perform minor treatments and activities under the supervision of the attending physicians, nurses and therapists, e.g. administration of drugs, wound care, taking vital signs, and providing vaccinations. You will be assigned a supervisor from your area of ​​specialization who will decide which examinations and treatments you are allowed to perform under his or her supervision.
The shifts are usually from Monday to Friday from 7:30am to 4:30pm. If you wish, you can also be at the hospital on the weekends or for night shifts.
You should bring your own work clothes (white, green or blue medical coat and closed shoes in any color). It is also advisable to bring your own hand sanitizer and stethoscope. If you want to be in the surgery room, please also bring green or blue scrubs, a surgical mask and surgical cap.
A monthly contribution to the hospital of 150 USD applies to elective students, interns and volunteers.
Accommodation in Marangu:
It is too time consuming to commute every day between Moshi Town and Marangu. For this reason, accommodation is at a shared house in Marangu of high standards. It takes approx. 15 minutes by public transport + 10 minutes to walk to reach the hospital. The house has 4 bedrooms, kitchen, bathroom, living room, a garden and a Western toilet. 
Single Room: 10 USD/Day; Double Room (only for two travelling together): 8 USD/Person/Day. Commuting expenses per ride between accommodation and hospital ca 500 TSH (very cheap).
We can alternatively arrange host family accommodation in Marangu (Depending on standard for 10-18 USD/day/person on full board).

Pasua Health Center & Mother and Child Care Center

Pasua Health Centre is a public hospital located in the Pasua Area of Moshi Town. It typically serves Moshi residents of underpriviliged social class, many of whom live close to the poverty line. The treatment costs are relatively low. Children of up to 5 years get free treatment at the centre, just like senior citizens of above 60 years.
Pasua Health Centre has a maternity department (ante-natal, childbirths, post-natal, family planning), an outpatient department, pediatric department, General Medicine/Interiour Medicine department, CTC (Care&Treatment Clinic for HIV patients), and a laboratory. Twice per week treatment of hypertension, diabetes and tuberculosis are offered. During every first week of the month the hospital has a specialist for psychiatric services.
At the hospital there are 7 general practicioners, 4 nurses, 9 midwives and 3 laboratory technicians. The outpatient department receives around 50-80 patients per day. Every month, there are around 80-100 spontaneous labours. With the opening of the new Child Care Center in the beginning of 2019, this number is expected to increase. Currently, there are 4 wards with a total capacity of 60 beds, separated by men, women, children and maternity.
Students of medicine, nursing and midwifery can do an elective placement or internship, either in just one department, or they can rotate through various departments. They will be assigned to a supervising physician or nurse who decides which examinations and treatments the student can carry out under their supervision, which might include drug administration, wound care, taking vital signs, giving vaccinations and assisting with other tasks.
The usual work hours are Monday to Friday from 8:00am to 4:30pm. If you want, you can also attend on Saturdays and Sundays.
Interns/elective students/volunteers should bring their own scrubs (white, green or blue), closed shoes (colour doesn't matter). It is furthermore recommended to bring one's own hand disinfection liquid and one's own stethoscope. Those who want to join surgery should please bring green or blue surgery scrubs, face mask and hood.
Students and professional volunteers pay a weekly contribution of 150,000 TSH (approx. 63 usd/55 EUR) to the Municipal Council.

Medical Dispensaries and Clinics

Clinics and dispensaries are the first point of contact for patients in Tanzania. If necessary, patients are referred from there to regional hospitals like the Mawenzi Regional Hospital. Clinics are group practices with several doctors of various disciplines.
Hosiana Prinmat Clinic
The Hosiana Prinmat Clinic in Moshi - Bonite is a nationally recognized Dispensary. It is headed by Angela Mwashi, a registered Nurse and Midwife. In her career, she worked in different hospitals, as well as for the health department. In 2006 she decided to open the "Hosiana PrinMat Clinic", a small clinic of General Medicine and births, on their plot in Moshi Bonite. It is the only medical facility in Bonite, and is located about 45 minutes by foot or 15 minutes by public transport (Dalaladala) or bicycle from the center of Moshi. Previously, it was difficult especially for pregnant women to travel this distance. The typical diseases found here are infections, HIV/AIDS, injuries and burns, as well as schistosomiasis.
The services offered at the clinic come close to those of a general practitioner in the Western world, with some restrictions. As a nurse, Angela is allowed to prescribe standard medicines and do common treatments. Due to Angela's Hosiana PrinMat Clinic, patients can now get basic medical care in Bonite, including general medical consultancy, prescription of medicines, preventive checkups during pregnancy, deliveries, and wound care (including stitching wounds). Newborns and toddlers are regularly weighed and screened.
A further focus is on awareness-raising and consultation about HIV/AIDS, birth control, family planning, and nutrition.
Angela spends a lot of time to explain to volunteers/interns everything about the diagnoses, therapies, etc. She also knows a lot about the Tanzanian health system and is happy to provide information. As a volunteer/intern you will assist in the beginning; if you want to actively participate thereafter, you will be shown how to stitch wounds, give injections, etc.
Volunteers/interns also participate in deliveries from the beginning to the end. The expecting mother is closely monitored, cervix width measured, till the childbirth is done. Immediate care and monitoring is given to mother and child; they are allowed to go home 6-8 hours after the delivery, if there are no irregularities.
In the case of complications with patients, or if the treatments needed are beyond Angela's competencies, patients are referred to a larger hospital, if needed, accompanied by Angela.
There are no fixed working hours at Angela's clinic. As Angela lives at her clinic, she is on duty all the time and patients drop in whenever they want. The distribution of patients within the day can fluctuate very much. It can be that in the morning there are 10 patients at a time expecting to get treated, and then no further patients for the rest of the day, or it can be that there is a lot to do after 7.00 p.m. To volunteer with Angela J. Mwashi requires a high level of flexibility and motivation, due to the fluctuating number of patients.
Since 2010, Angela has also been running her own NGO, the Tanzania Orphans and Disabled Foundation (TODIFO), which supports orphans, vulnerable children, and their families, in education, and medical and psychosocial counseling. During the times when there is less to do at Hosiana PrinMat Clinic, you can participate in the work of TODIFO in various aspects.
Internships are possible without any previous medical or nursing experiences. Participation at child deliveries are also possible for male interns, except in cases where the mother doesn't agree.
Mama Pulcharia Dispensary
Mama Pulcharia's Clinic is similar to Mwashi's centre. In fact, Pulcharia is the person who trained Mwashi to be a nurse. Her centre is open 7 days per week from morning to 8.00 p.m. Mama Pulcharia holds the degree of an "Assistant to medical officer", which allows her to run a private clinic with permission from the Tanzanian Health Ministry. Besides herself, two clinical officers, a nurse and midwife and a laboratory technician work at the centre.
The diseases which are typically treated at the clinic include Malaria, infectious diseases, Diarrhoea, small accidents, skin problems, diabetes, high blood pressure, allergic reactions, eye problems and HIV. Deliveries are only done in urgent cases currently; but Mother & Child care is part of the clinic's expansion plans.
Every Thursday, Pulcharia drives to the rural region of Boma Ngombe to treat the local population, which are mostly Maasai. This is sponsored by Irish missionaries. Volunteers/elective students can accompany Pulcharia on these trips.
The number of patients varies depending on the season. During the rainy season the number of infectious diseases increases, the busiest months are March to June and October/November.
It is possible to volunteer with Pulcharia, and to do electives/student placements.
Moshi Arusha Health Centre
Moshi Arusha Health Centre is a clinic in the city centre of Moshi. It is directed by Dr. Geoffrey Ongubo, a general practicioner.
Besides Dr. Ongubo, there are also a Medical Director and 5 medical assistants (medical officers) and 20 nurses at the clinic. Seven more doctors of various disciplines are on duty to the hospital for certain hours according to a weekly plan; they otherwise work at various other hospitals in Moshi. The clinic has a major surgery department, a surgical room in case of infections (Septic Theatre), 5 treatment rooms, a laboratory and 18 beds for inpatients.
Students of medicine and nursing can do an elective placement or nursing internship under the supervision of Dr. Ongubo and his team of Moshi Arusha Health Centre.
Volunteer placements are possible for professional physicians and nurses.
The usual working hours are Monday to Friday from 8am to 3:30pm including one hour of lunch break. If you want, you can also work on Saturdays and Sundays, however there are usually less patients during the weekend.
Interns/elective students/volunteers should bring their own scrubs (white, green or blue), closed shoes (colour doesn't matter). It is furthermore recommended to bring one's own hand disinfection liquid and one's own stethoscope. Those who want to join surgery should please bring green or blue surgery scrubs, face mask and hood.
Students of medicine and nursing pay, just like professional volunteers pay a monthly contribution of 100 USD.
Papri Care Treatment Center and Medical Centre
Papri Care Treatment Centre and Medical Centre is located in Moshi Town in the Kisua Area at Mission Street. It is a doctor's consultancy, specializing in general medicine and cardiology. The director and cardiologist is Dr. Lyimo, and besides Dr. Lymo there are two general pracicioners and 3 nurses are at the centre. Papri also has ultrasound and a laboratory.
Students of medicine and nursing can do an elective placement or nursing internship under the supervision of Dr. Lyimo and his fellow team members at Papir Care Treatment Center. Also pre-medical and pre-nursing placements are possible, just like volunteer placements for professional doctors and nurses.
The usual working hours are Monday to Friday from 8:30am to 3:30pm including one hour of lunch break
Interns/elective students/volunteers should bring their own scrubs (white, green or blue), closed shoes (colour doesn't matter). It is furthermore recommended to bring one's own hand disinfection liquid and one's own stethoscope. Those who want to join surgery should please bring green or blue surgery scrubs, face mask and hood.
We work with other similar dispensaries like Majengo Health Center, DORCAS Laboratory, Bondeni Dispensary, Kiboriloni Dispensary, Rau Dispensary und Shrimatunda Dispensary.
Info Box
Location: Moshi, Tanzania
Availability: All year, Start date flexible
Minimum Duration: 1 Week
Maximum Duration: 12 Months
Language Requirements: English
Further Languages Of Advantage: Swahili
Shared Accommodation, Host Family, Hotel
Supervision Possible: Yes
Qualification Of Supervisor: General Physician, Specialists, Nurses, Midwives
Minimum Qualification Of Intern:
For St. Joseph Hospital: Studying or Training in Nursing, Medicine, Therapy, etc., for Dispensaries: No previous experience required
Further Contribution To Project: See text
What To Bring: All interns and volunteers need to bring two-piece work clothes and wear white or blue, consisting of Kassak and pants or doctor's coat and pants.
Volunteering Possible: Yes
Required Qualification For Volunteer: Qualified in Medicine, Nursing, Therapy
Further Contribution To Project: See text
Professional Conduct, Do you have the "right" attitude?

Internship Report by Vibe

I was a medical elective at Mawenzi Hospital in Moshi for 4 weeks in the summer of 2014. I was amazed to learn how the hospital staff is able to manage their patients with so little equipment and so few resources. Visiting Tanzania has been an eye opener, both professionally and culturally.
I am a medical student and I worked along with both the doctors, nurses, native medical students and laboratory staff. I am happy to pass on some of the experiences and observations from my stay to encourage other medical students who are considering being a medical elective in a developing country.
In my opinion it cannot be overstated that before you go, you must be honest with yourself when considering how you can actually help the staff. I will not recommend medical students who have not had any experience with clinical work to go yet. It is when you demonstrate to them that you have both interest and basic knowledge, that they will trust you with independent jobs and supervise you while learning new procedures. But if you are quiet and do not contribute to the conversations, no one will ask you for help. This may be tough and I am not trying to deter anyone, but you need to consider that if the doctor will be spending a lot of time explaining this and that to you, his/her time will be taken away from the patients. So go there and volunteer, if YOU have something to offer THEM.
Please do not think of a foreign developing country as your “medical playground”. It is fine to ask the doctor if he or she will teach you some procedure, but DO NOT go and give it a try without asking permission. The patients have a right to turn away, but they won’t do that, because they trust you to know what you are doing since you’re both white and have medical education. It is a big advantage to have studied the most common diseases from home (e.g. tuberculosis, HIV/AIDS, malaria), so you can actively participate in the management and treatment of these types of patients.
Finally, do consider the various situations you might be in, while volunteering at a hospital. Are you able to handle casualty? Are you able to work around hungry, poor and sick children? If not, you should at least be aware that these situations are a part of the everyday life in a community hospital in a developing country and you should work out a strategy of how you will handle these situations.
Personally, I will not recommend people under the age of 18 to travel to Tanzania by themselves. I know some youngsters are very mature at the age of 17 or before, but you need to remember; you have only yourself to rely on, and not much of the culture is comparable to Western community or lifestyle. Surely the Moshi coordinators are there to help you (and they are coordinators of golden standard ;-)), but they are not there to take care of you. YOU are responsible for your own health and safety. Do not ever be careless with security. ALWAYS be home by sundown or share a cab with other volunteers (they are ridiculously cheap anyway). Independence should not be confused with loneliness, because social life in Moshi is incredible and you with have lots of fun and time to relax with the other volunteers.
Travel to Tanzania with an open mind – just talk to the people you meet, they are often very interested in your views on Tanzania, your experiences, how your country is different from theirs and so on. Do not go to Moshi if you will be spending half the time on the social media anyway. And try not to be late, even though it seems everyone else are…. ;-)
To sum up; with appropriate consideration, patience and independence, you will definitely find yourself embracing the warmth of the Tanzanian people and enjoying the African way of life. And memories will stay with you all the way back to Europe. World unite! helped me set the perfect frame for combining volunteering and travel, thank you very much, I will surely recommend your organization to other students in the area of healthcare.
Kind regards,
Vibe Nielsen, Denmark
More Reports...

Background Information for Medical Placements/Electives Abroad

The following text tries to provide background information about the medical systems in the different countries and tries to classify the medical institutions where we arrange placements within these system, in order to assist you finding the right option for your elective, final year rotation, internship or medical volunteer work.
Contact us and we are happy to assist you!
In Tanzania we can arrange placements for medical elective students, interns of nursing and therapies, pre-medical students and professional volunteers into a wide range of public and private medical institutions.
The public health system in Tanzania has a referral system: Someone who needs treatment usually first attends a small medical dispensary. Dispensaries are in all parts of towns and cities such as Moshi, Dar-es-Salaam etc. and in many villages, treating all common things such as small injuries, infectious diseases, Malaria, diabetes, high blood pressure etc.; also they often do deliveries.
There are public and private dispensaries. The public dispensaries are usually very simple in terms of equipment and facilities. In villages and outskirts of cities, they often they don't even stock elementary medicines and can only offer very basic medical services. The private dispensaries are often very similar to the public ones, but sometimes they are of higher standard in terms of facilities, equipment and services offered.
Any state-approved nurse can open a private dispensary. Dispensaries are usually run by a nurse or by a "medical officer" who is something between a nurse and a physician; some might employ further nurses, medical officers and laboratory technicians. The nurses and medical officers at the dispensaries can prescribe and use all standard medicines. There is typically no real physician who has studied medicine for 4-5 years. If it is a requirement from the university that for an elective/medical internship a proper physician is needed as a supervisor, this is not possible at a dispensary. For volunteers who have professional skills such as nurses, therapists and physicians, dispensaries are very good places to volunteer at, as through their skills they can support the local staff a lot and work like a regular team member, including stitching wounds and treating patients, assisting with deliveries, even without supervision if they are sufficiently qualified. Also internships for pre-medical students are possible at dispensaries.
Examples for such dispensaries where we can arrange placements are Hosiana Clinic and Dorcas Laboratory in Moshi. In Zanzibar, placements at dispensaries are usually not possible, as the Health Ministry doesn't allow so for foreigners.
The number of patients at dispensaries might fluctuate a lot during the year. Usually during the rainy season (March to June and November) there are more infectious diseases and more cases of malaria.
If a patient needs something of higher specialization that cannot be done at a dispensary or which is beyond the competence of the nurse or medical officer, he or she is referred to a Regional Hospital such as Mawenzi Regional Hospital in Moshi.
Patients however can also go directly to a Regional Hospital. Particularly people living in the cities near a regional hospital often prefer to go directly to the hospital and skip the dispensary, as they expect better service at the hospital.
Regional hospitals usually have many, many patients and elective students and professional volunteers have the chance to see many cases, often in very late stages of diseases.
Regional hospitals are used by patients who are of average income, or poorer parts of the population, if they feel so sick that they don't have any other option. A lot of time often passes between having been at a dispensary and going to the Regional Hospital, during which the patient’s medical condition can get worse, because poor patients usually have to collect the money to cover costs for the treatment from relatives, neighbours, churches and other sources, which can take days to weeks. The costs for a consultation by a doctor at a regional hospital might be around 5,000-7,000 TSH (around 2.50-3 €/3.30-4 USD), plus costs for medicines which might be typically between 2,000 and 10,000 TSH (1-5 €/1.30-6.50 USD). Major surgery and having to stay as an inpatient might cost around 100,000-200,000 TSH (50-100 €/65-130 USD). An average monthly household income is around 90 €/120 USD (for a whole family), but around 65% of Tanzanian households only have 30 €/40 USD or less per month. Patients usually don't seek medical treatment for minor reasons; nobody goes for prevention.
Regional Hospitals have various common departments; you can read the list of available departments at Mawenzi Regional Hospital and other hospitals on our website. Work at the regional hospitals is often tough, as doctors have to treat many patients who have serious medical conditions within a very short time. Therefore they often don't have a lot of time to give lengthy explanations to elective students. Students usually assist the doctors and nurses with tasks such as stitching wounds, changing dressings, assisting during the consultation, attending doctors during the ward round etc, always under supervision. There is qualified staff who can sign and stamp forms about electives as required by universities.
Above the level of the Regional Hospitals there are very large and higher specialized hospitals which are called "Referral Hospital" such as Muhimbili National Hospital in Dar-es-Salaam and Bugando Medical Centre in Mwanza, which are often attached to medical universities. Patients cannot go directly to a Referral Hospital, but they need a reference from a regional hospital first. Mnazi Mmoja Hospital in Zanzibar is a Referral Hospital where patients can go directly, but this is because on the small island of Zanzibar there are no Regional Hospitals.
The standard of the departments/wards within one hospital can vary very much (both at Regional and Referral Hospitals), some departments might have good equipment and might be in good condition, typically resulting from money provided by foreign development programs. For instance the HIV/AIDS and physiotherapy wards at Mnazi Mmoja Hospital Zanzibar are very modern, but the pediatric ward is very poor and needs renovation. At Mawenzi Regional Hospital they have recently renovated the main surgery theatre.
As the public medical system in Tanzania is not very satisfying, there are many private healthcare facilities.
Some are (compared to the public hospitals) expensive and provide better standard (either/or or all in terms of facilities, equipment, or time that a doctor provides to patients), attracting patients who have more money. SIIMA Hospital in Moshi is one of these. Others are funded by charitable organizations or churches (e.g. St. Joseph Hospital). They are of higher price level than the public hospitals to the general public, but might offer free services to particularly poor people in need (which are financed by the money paid by the "richer" patients). In terms of facilities and equipment they are usually better than most public hospitals (unless the public ones have a particular department or ward which got a lot of foreign money). Usually there are fewer patients at the private hospitals and therefore doctors/nurses have more time to give explanations to foreign students/interns.
When it comes to doctors, the same doctors work at the public and at the private hospitals. As the salaries are low, they need income from several employers and therefore work at 2-3 hospitals (usually one public and 1-2 private) at the same time.
The Regional Hospitals and Referral Hospitals of Tanzania are usually accredited by all international medical universities for elective placements. Final year medical rotations are possible at Muhumbili Hospital in Dar-es-Salaam and Bugando Medical Centre in Mwanza, which are teaching hospitals of medical universities.
The public health care system of Ghana has three reference levels.

The smallest facilities that provide medical first aid (Tertiary Level) are the so-called CHPS (Community Health Compounds), health centers and small hospitals. These facilities perform only outpatient treatment and are usually run by nurses. Each facility is aimed at a population density of about 20,000 people.
At Secondary Level are the district hospitals, which are aimed at a population density of about 100,000-200,000 people. The bed capacity is usually not more than 100 beds.
These have at least one operating theater and a laboratory and usually offer better medical care than institutions on the tertiary level.
The highest level (primary level) are Metropolitan Hospital, Regional Hospital and Municipal Hospital. They are located in cities whose population exceeds 200,000 people and have a correspondingly larger bed capacity. In addition to several operating rooms and relatively good technical equipment, there are general practitioners and specialists in various disciplines to treat patients.
The primary level hospitals and many private hospitals such as the University Hospital in Cape Coast are of high standards in terms of facilities, management and expertise. Secondary and Tertiary institutions are often underfunded.
In Morocco we arrange elective placements at private clinics which are of higher standard, often coming close to Western/European standard in terms of facilities, equipment and professional level of the staff. We currently don’t work with public hospitals, as they are very bureaucratic.
The private hospitals are expensive for many local people, but they often collect funds for people who are in need, allowing them to provide cheap or free treatments. 
At these hospitals, medical students/interns should have no problem to get accreditation for elective placements by international medical universities or nursing schools.
Professional volunteers (nurses, therapists and physicians) can volunteer at church-run charitable dispensaries such as the one by the Franciscan Brothers of the White Cross in Tangier, which are typically managed by a nurse, providing free basic medical services to the poorest parts of population. As there is no medical supervision, elective placements are not possible at such dispensaries.
In India, we work with private hospitals of higher standard, for the same reasons as in Morocco. The standard of equipment, facilities and qualification of the doctors are comparable to Europe/North America/Australia. They offer a wide range of departments with high specialization.
At these hospitals, medical students/interns shouldn't have any problems to get accreditation for elective placements by international medical universities or nursing schools.
Professional volunteers (nurses, therapists and physicians) can volunteer at charitable hospitals which are funded by charitable organizations, but also at medical outreach programs run by several NGOs in slum areas.
In Nicaragua we can offer placements at the public hospital HEODRA and private hospial AMOCSA in León.
The standard of the public HEODRA hospital is low in terms of equipment and facilities, comparable to Tanzania. Also the situations that many patients have difficulties in raising the funds needed for their medical treatment, that they often only seek for medical services at a late stage of their disease, and the working conditions at the hospitals are very similar to as described in the text about Tanzania. Professional volunteers are very much needed at the public hospitals.
HEODRA as a large teaching hospital of León medical university should be fully accredited by all foreign medical universities and nursing schools for electives, internships and final year rotations.
The standard of the AMOCSA private hospital in terms of facilities and equipment is better than HEODRA. There are less patients and fees are higher. The doctors have more time for each patient. HEODRA is bigger and has a larger variety of highly specified departments; students will have the chance to see more patients than with AMOCSA. 
Also, the same doctors work at HEODRA and AMOCSA. To make a living, they additionally even work at further private hospitals or run their own consultancies.
The standard at the public hospitals of Bolivia can fluctuate a lot. While some private hospitals are chronically underfunded, others such as the hospitals of the VIEDMA Health Park where we arrange electives, internship and volunteering options often can offer a standard that comes close to the one of European/North American/Australian hospitals. They have a wide variety of specialization and departments.
A problem that regularly recurs is that the funds for the salaries of staff and to pay for medicines is not provided, resulting in shortages of medical services.
Similar to the what has been described before about Tanzania and Nicaragua, many people cannot afford the treatments at the public hospitals. They only attend medical institutions when their disease is in an advanced stage and in absolute emergencies.
Arco Iris is a charitable private hospital in La Paz of very high standard. Relatively rich people pay high fees for their treatment which is of one of the highest standards available in the country, and the money is used to provide free treatment to poor people, particularly street children and children from the poorest classes of society. 40% are paying patients and 60% are not paying.
Volunteer placements for healthcare professionals and elective placements/internships for students are possible at all of these hospitals. The hospitals of the VIEDMA Health Park in Cochabamba as large teaching hospitals of medical universities should be fully accredited by all foreign medical universities and nursing schools for electives, internships and final year rotations.
The medical system of Mongolia is of high standards. There is medical faculty at the University of Ulaanbaatar, also many doctors have studied in Russia or China or even have higher qualifications. There is no teaching hospital at the Mongolia university, so final year rotations are probably not possible. Mongolian medical students do electives with you in various medical institutions.
The health care system in Mongolia is organized as a tripartite reference system where patients first seek a "Family Health Center", which is a general physician's office. From there, the patient, if necessary, is referred to the district health centers, the second stage of the reference system, where there are more general medical facilities with more medical equipment (e.g. X-ray, ultrasound, endoscopy) and where general surgical procedures are performed. In such district health centers, about 12 physicians and 60 nurses are available to patients. Both family health centers and district health centers only treat outpatients. In these facilities, electives and internships are available from the 1st year.
The third stage in the Mongolian reference system are specialized clinics. There are no major hospitals in Mongolia, which have many specialisations, but instead clinics that are each limited to a field of study. These include hospitalization. For an elective or a nursing internship in these clinics, you should be at least in the 3rd year of study.

Accommodation in Moshi

In Moshi you can choose between accommodation of different standards:
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Most popular! - This is the choice of most of our participants. You live in a shared apartment with other students (you can choose between 4-share dorm room, twin/double room, and single room) or in boarding of middle standards with a host family.

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Comfort+ - For those who place emphasis on comfort: Accommodation at a Hotel or boarding of upper standards with a host family.

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Adventurer - For simplest deals: Home stays of simple standards.


Shared Accommodation:

KDC House
The spacious and modern house for World Unite! participants is located in the KDC area of Moshi Town. It has 3 large bedrooms, out of which one is used as a 4-share dorm room and the other two are used for double occupancy. All rooms have private bathrooms with a toilet and hot water. The house also has a communal living room, kitchen with dining area, and a large garden. There is also a watchman and a power generator. The KDC public transport stop is located just one minute to walk, from where you reach the town centre by Daladala within 10 minutes, or within 30 minutes when walking. In direct vicinity of the house there are several shops, restaurants and bars.
KCMC House
KCMC is a large hospital of Moshi and the area around the hospital is known as KCMC Area. It is a little hilly, airy and green in contrast to the rather dusty part of Moshi on the plain. In a facility with a total of 14 rooms, we have rented 5 rooms for our participants, renovated and furnished well. The other rooms are occupied by East African students who attend the university in Moshi. Our rooms are for single or double occupancy (with large double beds or two single beds). Each room has a private, small bathroom with western toilet, shower with water heater and sink. For our 5 rooms only, there is a separate kitchen with gas stove and refrigerator. The very green and attractive apartment complex has a large garden with unobstructed views of Mount Kilimanjaro.
Twiga Home
Twiga Home has two buildings with a total of 14 rooms. Besides our participants, backpackers and budget travelers from all over the world stay here; however, we get very attractive special rates for our participants. All rooms have a private bathroom with western toilet and hot shower. Each house has a seating area with sofa; between the two houses, there is a covered lounge area and restaurant. At a little extra per week, you get half boarding (breakfast and dinner - African and Western food). You can cook in a separate kitchen as well. In front of Twiga Home, there is a little beer pub.
Apartment at Ghala Road
At "Ghala Road” in Moshi Town, there is a building in a backyard for our participants. On the ground floor, the building has a two bedroom apartment with its own kitchen, hallway with dining table and sofa, and bathroom with hot shower and western toilet. The house dates from the 50's, as Moshi grew into a real city through the coffee trade, but is fully renovated inside. Each room has two single beds with mosquito nets; the kitchen has an electric cooker, fridge and microwave. On the first floor, accessible by stairs from outdoors, there are three single rooms that share a bathroom and a kitchen.

Host Families:

Boarding of Medium Standards with Host Family
Staying with a host family provides you with the opportunity to get a more intensive insight into the Tanzanian culture and society. We work with many host families in the city of Moshi. For boarding of middle standards, families are of the upper middle class of Tanzania. Their houses are of quality construction, equipment and furnishing for most of our participants. Often the houses have two bathrooms (which are also tiled), one for parents and one for the children and you. The shower is often cold, since a water heater consumes too much power. There is usually a western toilet in the house. There is Tanzanian and Western food like toast with jam, omelette and tea for breakfast; Meat/fish with vegetables and rice/ugali and chapati for dinner and to drink, tea, boiled water or homemade fruit juice. Vegetarian dishes are available on request. There is a fridge; food is usually cooked on gas. Most such families have one or two domestic workers who cook, clean and wash clothes by hand. Often, in the living room you'll find decorative curtains and doilies, stereo, television and an older laptop. The family also often, has a motorcycle or a thirty year old used Japanese car. Most of these things are, however, saved up over many years and the family still has financial difficulties to finance a college education for their children and use the car only for absolutely necessary journeys.


Hotel Accommodation and Boarding of High Standards with Host Families:

Mountain Inn
Mountain Inn Hotel is quietly situated in a large park just outside the town, reachable in 5-10 minutes by public transport from the city center. The rooms are tastefully decorated with TV, balcony, bathroom and desk. Water is heated by solar energy. There is a pool, sauna, massage Center, garden, restaurant, bar and free Wifi. Breakfast is included in the price.
Boarding of High Standards with Host Family
Staying with a host family provides you with the opportunity to get a more intensive insight into the Tanzanian culture and society. The high standard boarding with families show their high walls for security, park-like landscaped ornamental gardens, opulent living rooms with status symbols such as large flat screen televisions and furniture from fine wood and gold imitation. If you look closer, you realize however, that this comes more down to "Status" and "ceremonial" value, rather than quality and longevity. As in the simpler houses the faucets, doors, furniture, etc. are low quality and are regularly broken down. The pomp is shown usually only in the air-conditioned living rooms, where visitors are welcomed, as well as in palatial "Master Bedroom" of the parents, and less in the bedrooms of children, which are kept functional. The food is usually very generous and cooked by maids who serve this for you and the family. Often, there are also drivers, nannies, gardeners and security guards as domestic staff who live in a separate house on the property. Such families usually have a power generator that is turned on in case of frequent power outages. Older children are often in boarding schools abroad like Malaysia,Emirates and England and you live in their nursery. Younger children are often at home and want to play with you.
Comments about the Host Family of "Yasmin":
"The family is a dream and I felt part of it!!! Food was excellent and they have made ​​my experience a highlight. If I had not had them, I would have felt lost. Everything was perfect !!!!!!!!"
"Yasmin took excellent care of us; when one of us was sick, she nursed us back to health. She has helped me in my work plan and always had time for me; we have also made many family outings, I really felt at home with her."
"What to say? Yasmin is just great. Her family receives one with open arms, even if it looks a bit like being back at 15 and needing a babysitter."
"Everything was great with Yasmin. Beautiful house, always nice and clean and you could, at any time, chat with Yasmin. One only needs to take one look at. Yasmin's house and then you know why we have rated her on top in the questionnaires."
For all accommodation in Tanzania: Although the accommodation described is of "high standard" for locals, remember that you are in a developing country and cannot therefore, expect high standards as you are used to in Europe for example, in relation to sanitary facilities, buildings, well equipped kitchens, etc.


Host family of simple standards:

Homestays of Simple Standards
The boarding of simplest standard that we offer, is with families that belong to the Tanzanian middle class. Accommodation in particularly poor families, we do not offer for security reasons. Simple standard here, means that the house is built simply. The floors are mostly of bare concrete, the roof is of corrugated iron with no ceiling; there is often only an Arab Squat toilet (but with flush) and we shower with a bucket or a simple water pipe. The furniture is minimalistic and purely functional. In the living room, there are some slightly more representative pieces of furniture made of Chinese wood. The family usually has an old, used fridge; a radio and an old tube television are also often present. Your room has a bed with a mattress and mosquito net and probably some hangers on the wall and a small shelf or the like. The houses have electricity. Food is usually cooked outdoors over an open fire or gas cooker. The food is usually without options - for breakfast, there is tea with chapati; for lunch, ugali or rice with beans and vegetables, for dinner, the same. Meat is only taken for special occasions, and if so, in small quantities. The families usually consist of mother, father and some children; many more children from the neighborhood visit the house and are around the house. As transportation, the family has bicycles and sometimes, a motorcycle. Income from the rent you pay are often the only way for the family to finance the education of their children.

I. World Unite! Service Package

Mobile/Cell Phone Users: If you don't see the rates for your desired duration of stay, hide other (shorter) durations of stay.
  up to 31 Days
32-60 Days
61-90 Days
91-120 Days
5 Months or longer
 wu servicepackage
1 Person
450 EUR 600 EUR 700 EUR 750 EUR 850 EUR
2-4 Persons
(Rate per Person)
400 EUR 500 EUR 600 EUR 650 EUR 700 EUR
Convert rates to USD, GBP, CAD, AUD and other currencies

The World Unite! Service Package includes:

  • Individual Consultation and Preparation prior to your arrival
  • Access to the World Unite! Online Resource Centre which has Preparation Materials including Intercultural Preparation, compiled particularly for your destination (PDFs, Videos)
  • Preparation Session via Skype, together with further participants
  • Arrangements for your Residence Permit or similar permit and other official permits (if required), but not the official government fees for it/them (See costs below)
  • Pick-up and Transfers from/to Kilimanjaro International Airport (JRO) on arrival and departure
  • Personal support staff at your location and at our international office
  • Orientation and Introduction in Moshi
  • Accompanying you to your placement on your first day
  • 24 Hours emergency support by local support team
  • 50 USD Contribution to your project
  • To compensate for the CO2 emissions of your long-haul flights: Costs for 10 seedlings of indigenous trees that we plant on the slopes of Kilimanjaro
  • Local SIM Card with 10,000 TSH air time
  • Issuance of Confirmations/Certificates for your university, scholarship, insurance, etc. and filling out/signing Internship Contracts for your university
  • 15% Discount for Safaris, Kilimanjaro Climbs, Excursions and Watersports Activities offered by "Budget Safari Tanzania"

The Rates do NOT include:

  • Accommodation and Meals (see below)
  • Travel to/from Tanzania (you book it on your own; we can assist you)
  • Official fees for Visa and Residence Permit (see below)
  • Insurance (Travel Health Insurance, Liability Insurance, Travel Cancellation insurance; you book it on your own, we can assist you)
  • Personal Expenses
  • Vaccinations
  • Local Transport (Estimated amounts see below)
  • Please note that for supervised/mentored internships, some organizations charge further contributions. You find this information in the "Info Box" below the respective internship description.

II. Accommodation Costs

You can choose between the following options:
All Rates in US-Dollar!
Convert Currency
 All durations of stay
(1-365 Days)
Shared House/Apartment or Hotel  
House/Apartment shared with other participants
1 Person
(Single Room)
10 USD/Night
2 Personen p.p.
(Double/Twin Room)
7 USD/Night
4-Share Dorm Room p.p. 4.50 USD/Night
Hotel incl. Breakfast
1 Person
(Single Room)
 495 USD/Week
2 Persons p.p.
(Double/Twin Room)
 320 USD/Week
Host Family
Host Family of Middle Standard
on Full Board
1 Person
(Single Room)
15 USD/Night
2 Personen p.p.
(Double/Twin Room)
15 USD/Night
Host Family of High Standard
on Full Board
1 Person
(Single Room)
18 USD/Night
2 Personen p.p.
(Double/Twin Room)
18 USD/Night
Host Family of Simple Standard
on Full Board
1 Person
(Single Room)
10 USD/Night
2 Personen p.p.
(Double/Twin Room)
10 USD/Night
In case of 3-4 person: Same rate as in case of 2 Persons. 5 or more persons: Contact us for group rates.

Overview of other costs:

  • If meals are not included: around 110-200 USD/Monthfor self-catering (eating out at affordable yet good restaurants and/or cooking by yourself; you are much more flexible in this way compared to if we would serve food at your accommodation)
  • Visa and Permits (mainland Tanzania): In case of stay of up to 90 days: Visa 50 USD; In case of stay of 91-180 days: Total visa costs 200 USD
  • Small local expenses (e.g. Internet, local transport): around 30-50 USD/Month (Estimate)
  • Insurances around 30-50 USD/Month


How do I pay?

Once all your questions have been answered and you confirm that you want to participate, we will email you an invoice. You can pay it via bank transfer, credit card or via Paypal. You will pay a deposit of 200 EUR / 250 USD when the invoice is issued. One months prior to your arrival you will pay the remainder for your Service Package.
The payment modalities for rent and possible further costs (e.g. internship supervision fees, as stated in info box of the respective project description) depend on your host country and placement. We will inform you beforehand. In many cases these costs are paid on site, but for some countries and placements they need to be paid partially or fully in advance.

Other Projects That Might Interest You:

These projects are suggestions for alternatives that may interest you or those that could be chosen as COMBINATIONS. The combination of projects in different organizations is often possible and usually cheaper than two individual bookings. Please contact us to know more! Check out our other listings in the areas of "World Learner" and "Active Travel" at your travel destination to make your stay even more interesting.

Safaris, Kilimanjaro Climbs, Day Trips, Watersports

budgetsafaribannerAs "Budget Safari Tanzania" we are arranging cost-effective yet high-quality safaris, Kilimanjaro climbs, excursions, and watersports activities in Tanzania and Zanzibar. You will group with other World Unite! participants and further travellers.
As a World Unite! participant, you get a 15% discount on all offers of Budget Safari Tanzania. We will share a Discount Code with you that you can use with the online booking of your safari, Kilimanjaro climb, excursion or watersports activity.

Learning Swahili in Moshi!

Swahili TeacherIt is always helpful to know Swahili while doing your project here. Swahili is a relatively easy language for participants and some start to follow it within the first few lessons. You can choose the intensity of the lesson. We would, however, recommend a maximum of ten hours per week. The lessons are conducted individually; in some cases, 2-3 participants with similar levels of knowledge may be given combined lessons. The number of participants does not affect the cost of the lessons.
The cost for Swahili lessons: 1 Student: 10 EUR
Please check "Language Training Required" in the registration form and specify your desired duration (minimum 20 hours).

Travel Health Insurance

We recommend the following travel insurance that is meant specifically for participants of internships, volunteering, language study, working holiday, and courses abroad. It is available for travelers of all nationalities and usable for all countries, except your home country. You can also add a journey liability insurance.
Just click on the link, fill in the form and you will get a confirmation email.

Check out our video on Moshi!

In this video, tourism intern Iris and our team member Adelina show us around Moshi Town and the surrounding areas. Adelina and Themi, two of our coordinators, introduce themselves. We also meet the volunteers Pia, who collaborates with the Social Reality Tour, and Laura in their host family. Coffee Farmer Dennis talks about coffee and we see a few shots from a Maasai Village.

Moshi at Kilimanjaro

Moshi is a town in the north of Tanzania, at the foot of Kilimanjaro. Here, you are in the middle of Africa and deal with people like the Chagga and Maasai. The city has about 150,000 inhabitants; however, it appears - like many African cities - much smaller, owing to the fact that many unplanned settlements are spread over long distances outside the city. Furthermore, the majority of the population do not have the purchasing power that would make transactions comparable to for instance a European city of this size. Nevertheless, Moshi is a relatively well-developed city and all necessities may be found here - from ATMs to specialty stores, restaurants to small supermarkets.
Moshi is the starting point of all Kilimanjaro climbs and many safaris to the Northern National Parks of Tanzania start from here. Kilimanjaro International Airport is about 40 km from Moshi. Tourism and trade of coffee and bananas have contributed to the flourishing of the city.
The city lies at an altitude of 813 m and has a year-round climate that people from moderate climates consider to be very comfortable (compared to the humid heat that often prevails on the coast or on the islands).
HIV and AIDS are the biggest problem - it is estimated that up to 16 % of the population are HIV-positive. The resulting problems are the countless orphans and street children, neglected people of retirement age and sick people, about whom no one cares because of lack of money. The other problems are poverty-related - lack of access to education, health care, infrastructure, and destruction of environmental resources such as deforestation.

Things to do in Moshi

Moshi is conveniently situated for safaris in all the Northern National Parks of Tanzania; you can travel over a weekend (Tarangire, Arusha National Park, Lake Manyara) or a multi-day tour (incl. Serengeti, Ngorongoro Crater and Conservation Area, Lake Eyasi, Lake Victoria, Lake Natron). The Kilimanjaro rises directly in front of your door - for a climb you need physical fitness and 5-7 days’ time.
As a day trip, you can visit the Marangu Waterfall and the village of Marangu with coffee plantations, the even higher Materuni waterfall, the Arusha National Park, a Maasai village, Lake Chala, swim in volcanic hot springs and hike on the slopes of Kilimanjaro. In Moshi, there are several cafes, restaurants, internet cafes, bars, discos, swimming pool and even an open- air cinema with karaoke.

Getting To Moshi

tanzania map
You book your flight to Kilimanjaro International Airport (JRO). If the flights to Dar-es-Salaam (DAR) are much cheaper, you can also fly there and then book a separate connecting flight from DAR to JRO. From JRO airport, we pick you and take you to your accommodation in Moshi.

Frequently Asked Questions (FAQs)

Are there fixed start dates for the project, which I must adhere to?
No, you can arrive at any date and you can hence, plan your trip according to your availability and the prices of flights. We can pick you up from the airport even at night.
Can I stay longer at my accommodation after my volunteering/internship or arrive earlier?
Yes, this is possible and we will give you our best rates. Just let us know when you arrive and leave and we will let you know the costs.
During my stay, can I travel around the country?
Of course you can travel around, almost all of our participants do so. In Moshi and Zanzibar, we ourselves often offer day trips, for which you can join other volunteers and interns when you travel there. We share these trips with you in our monthly subscriber list and you can book them. Participants often organize on-site travel together. In Moshi and Zanzibar, you can stay at the same low rates as our Zanzibar or Moshi participants in accommodations provided by us. If you plan to travel during your volunteering/internship period, you should seek permission in advance. We recommend that you plan your travel after your volunteering/internship. For this, you can also stay longer in your accommodation at affordable rates.
Is it safe to travel in Tanzania alone as a single female traveller?
Approximately 80% of our participants are female and many of them, only about 20 years old. Not a single instance of a serious security breach has occurred. Our coordinator will advise you on how you should conduct yourself in order to avoid problems - your dressing style, valuables, and in dealing with local men. Our preparation materials elaborate on this matter. If you follow these basic rules that apply equally to many other places, the risk in Moshi is not great.
Will I be the only volunteer/intern in the project or in Moshi?
The total number of participants that participate simultaneously with an organization depends on the size and activity of the organization and responsibilities of volunteers/interns. We try to avoid too many volunteers/interns in an organization at the same time. It may be that you are alone in your work site, but usually there are, throughout the year, other participants in Moshi, who you can meet in your spare time, if you desire so. Moshi is a small town, where you walk around quite a bit. In addition, there are well-known places such as the Coffee Shops, where you actually meet with other participants. We also have regular meetings with all participants and you will get a list of participants in the country at the same time, with their contact information. You need not be worried about being "alone" in Moshi, nor should you avoid contact with the locals because you spend all your time with other foreign participants.
What vaccinations do I need?
Our Info-PDF that you get as a participant gives detailed information on health care. Also refer to Recommended Vaccinations
Where will I live?
You can find details in the tab "Accommodation".
Can I choose my accommodation?
We give you choices (Most popular!, Comfort +, Adventurer) and you can tell us if you prefer a shared accommodation or homestay; we will then seek an accommodation for you. We organise accommodation, taking into consideration the distance from your work site. However, since Moshi is not a very big city, is relatively easy to reach locations in other parts of the city by public transport ("Daladala") or by bike.
How free or bound am I in my accommodation with the host family?
With the host family, you can have your freedom, and do not need to join them during meal times or have any other obligations. If you will return late in the evening, you need to let them know in advance, so that they can unlock the doors for you (which are locked at night for security reasons). Bringing home casual acquaintances is taboo. They look to integrate our participants into their family life, but you can determine to what extent you want to be part of it.
Does my accommodation have internet facilities?
In Tanzania, Internet is accessed via the mobile phone networks. With smartphones, you can use the Internet. For laptops, there are USB modem sticks for about 10 EUR. There are no flat rates; you use data packets, depending on your needs. You might consume 2 GB of data in a week, which costs about 4.50 EUR. In the centers of cities (Moshi Town, Dar-es-Salaam, Mwanza, Zanzibar Town, Karatu, etc.), the connection is good, the speed is satisfactory and sufficient for Skype phone calls. In the suburbs and in the country, there is connection, but usually almost impossible or very slow and unreliable. We will provide you information on the use of mobile Internet in Tanzania. At Twiga Home, internet is available to our participants at a small additional fee.
How can I do my laundry?
In general, laundry is washed by hand in Tanzania. You can ask your landlord or host family if they have someone who can wash your clothes. Usually, someone offers that to you for a small fee. Please ask your local supervisor, what the appropriate thing to do is. You can use the washing machine at Twiga Home, even if you live elsewhere, for a small fee.
I am a vegetarian. Can I get vegetarian food?
Tanzania is a meat-eating country and Tanzanians do not usually understand that someone who could afford meat and who is not sick, volunteered to give up meat; but the host families are familiar with participants, and understand that some are vegetarians, and prepare appropriate food. In Dar-es-Salaam, there are Indian vegetarian restaurants, with a wide choice of dishes. In the market, there are a wide variety of vegetables and fruits. Special dietary needs (e.g. Vegan, allergies to certain foods) can be expressed to the host families, and many foods are available in the supermarket.
What language skills do I need?
You should be able to make yourself understood in English. The national language of Tanzania is Swahili, but knowledge of English is widespread, especially among people who have a better education or work in tourism. In everyday life, there is usually no problem to be able to communicate in English; if you should come across someone who can not speak English, you can almost immediately find someone who offers to translate in English. If you are in a social project for a longer duration, you will have to deal with people who have little or no education. For this, it is useful to acquire at least a basic knowledge of Swahili before your arrival through any book (or audio CD). You can also take basic Swahili lessons while on site. We also have vocabulary lists with useful words that can help you.

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