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International Initiatives for Students

OGACHI facilitates, monitors and manages international activities for the Duke University School of Nursing. We support our students as they engage in global health experiences designed to elevate cultural sensitivity, expand understanding about community needs and fortify essential nursing skills while fulfilling clinical and/or academic requirements. In keeping with our mission and objectives, we continue to form partnerships and collaborations with international institutions of higher education and other organizations worldwide. Activities typically include: a narrated windshield survey, rotations with observation, home visits, environmental health visits, cultural experiences, hands-on experiences in a health care center or polyclinic and health prevention/promotion teaching. Read below to learn more about our initiatives in Africa, the Caribbean, Central America and China.

The Caribbean

Barbados
Location: Barbados Polyclinics
Global Partner(s): Barbados Ministry of Health and Barbados Community College
Description: The eight polyclinics in Barbados, operated by the Ministry of Health, are multiservice outpatient facilities which provide public health and primary care clinic services to citizens on the island. Services include but are not limited to: antenatal/postnatal, pediatric, mental health, chronic disease management, dental and environmental health services, and home visits. Students are assigned to a clinic and provide hands-on care under the supervision of its staff, and also conduct community assessments, home visits, and environmental inspections. Students are housed in a small beachfront property on the south shore located in an active area near Bridgetown (the capital).
ABSN Students: Fulfills clinical hours affiliated with Community Health Nursing Course
  Duration: 2 weeks (typically during break between 2nd and 3rd semester)
Graduate Students: Students work with their academic faculty advisor to identify and schedule academically relevant experiences that satisfy student interests and curricular requirements. This site would be suitable for Nursing Education Practicum. Barbados does not have the role of Nurse Practitioner.
  Duration: 2 weeks – 6 weeks
Jamaica
Location: Kingston, Jamaica
Global Partner(s): The University of the West Indies (UWI), School of Nursing
Description: Residencies in Jamaica are arranged in cooperation with the School of Nursing at the University of the West Indies (UWI) Mona in Kingston, Jamaica.  Students are oriented to the country, its health system, cultural practices, and UWI while participating in hands-on experiences at a comprehensive public health center and rotating through primary care and public health services, and home visits.  There will be an opportunity to interact with UWI nursing students and Community Health Nursing instructors.  Students typically stay in dormitory style campus housing and can expect that amenities such as air conditioning may not be available.
ABSN Students: Fulfills clinical hours affiliated with Community Health Nursing Course
  Duration: 2 weeks (typically during break between 2nd and 3rd semester)
Graduate Students: Students work with their academic faculty advisor to identify and schedule academically relevant experiences that satisfy student interests and curricular requirements. This site would be suitable for Nursing Education Practicum.
  Duration: 2 weeks – 6 weeks
St. Vincent and the Grenadines
Location: St. Vincent and the Grenadines (SVG)
Global Partner(s): SVG Community College
Description: "SVG is one of the southernmost islands of the lesser Antilles chain.  It is composed of 32 small islands, 7 of which are inhabited with a population of approximately 110,000.  Students may be assigned to one of the health centers: Doreen Health Center (interior-rural); Biabon Health Center (suburban); Kingstown Health Center (urban); and Bequia Health Center (on a separate, smaller island). Each health center offers the following clinics and services: antenatal, postnatal, child health, family planning, chronic disease (including diabetes and hypertension), medical (including HIV/AIDS testing, screening, and counseling), wound care, women’s health, pharmacy, labs, and home visiting.  Students may also participate in handling emergencies, which can occur any time - day or night - at the health centers. Students generally reside in apartment style residences which are situated atop of the health centers, with the exception of Kingstown, where students stay at a Nurses Hostel."
ABSN Students: This site is currently not used to fulfill clinical hours affiliated with Community Health Nursing Course
Graduate Students: Students work with their academic faculty advisor to identify and schedule academically relevant experiences that satisfy student interests and curricular requirements. This site would be suitable for Nurse Practitioner students and there may be opportunities for Nursing Education Practicum.
  Duration: 2 weeks – 6 weeks

Central America

Honduras
Locations: Rural mountain communities in Honduras
Global Partner(s): Duke University School of Medicine
Pre-requisite: INTERDIS 422C (Exploring Medicine: Cross-Cultural Challenges to Medicine in the 21st Century)
Description: Offered through the Duke University School of Medicine, this course is planned in conjunction with Heifer International, and includes an outreach component; a 10-day experience in late March/early April. Nursing, medical students, and faculty work together as an outreach team to provide outpatient medical care and health education to indigenous people in isolated mountain communities. Students also have an opportunity to practice Spanish speaking skills and work in a culturally rich health team environment. An excursion to historically and geographically significant sites, such as Copan and an indigenous Mayan community are typically planned. Students live in a remote, rural community and can NOT expect that amenities such as hot water, Wifi, phone service and electricity may not be available.
ABSN Students: Students must be registered for a semester long elective (N422 Exploring Medicine: Cross-Cultural Challenges to Medicine in the 21st Century; 1 credit) in conjunction with the outreach experience (1 credit). With faculty approval, the outreach experience in Honduras can be used to fulfill the clinical hours affiliated with Community Health Nursing Course. This experience does not correlate with the break between semesters and would therefore require faculty approval and a commitment to make up missed work.
  Duration: Semester long course and 10-day outreach experience (spring)
Graduate Students: Students must be registered for a semester long elective (N422 Exploring Medicine: Cross-Cultural Challenges to Medicine in the 21st Century; 1 credit) in conjunction with the outreach experience (1 credit). With faculty approval, the outreach experience in Honduras can be used to fulfill the clinical hours affiliated with Community Health Nursing Course. This experience does not correlate with the break between semesters and would therefore require faculty approval and a commitment to make up missed work.
  Duration: Semester long course and 10-day outreach experience (spring)
Nicaragua
Location: Managua, Nicaragua
Global Partner(s): Universidad Politécnica de Nicaragua (UPOLI) School of Nursing
Pre-requisite: Spanish language skills required
Description: This collaborative program includes an inter-institutional student seminar and provides Duke Students with an opportunity to partners with an UPOLI nursing student for clinical rotations in primary care/public health at public health centers. Students have ample opportunities to practice Spanish speaking skills and learn about the country’s health system as they conduct community and environmental health assessments, participate in a health fair, conduct home health visits, and work closely with families on health promotion/disease prevention. Students stay in a small comfortable “Posada” in Managua. Students have access to basic amenities such as hot water, Wifi, phone service and electricity although they may not be available all of the time.
ABSN Students: Fulfills clinical hours affiliated with Community Health Nursing Course
  Duration: 2 weeks (typically during break between 2nd and 3rd semester)
Graduate Students: Students work with their academic faculty advisor to identify and schedule academically relevant experiences that satisfy student interests and curricular requirements. This site would be suitable for Nursing Education Practicum and not for a Nurse Practitioner rotation.
  Duration: 2 weeks – 6 weeks
Nicaragua  
Location: Managua, Nicaragua. Students will stay in dormitory style housing on the AMOS campus located on the outskirts of Managua. They will participate in clinics and educational experiences on this campus and in many other rural locations in Nicaragua.
Global Partner(s): AMOS
Pre-requisite: Spanish language skills required
Description:
ABSN Students: Fulfills clinical hours affiliated with Community Health Nursing Course
  Duration: 2 weeks (typically during break between 2nd and 3rd semester)
Graduate Students: Students work with their academic faculty advisor to identify and schedule academically relevant experiences that satisfy student interests and curricular requirements. This site would be suitable for Nurse Practitioner
  Duration: 2 weeks – 6 weeks

China

Wuhan
Location: Wuhan, China
Global Partner(s): Wuhan University
Description: After a 16 hour flight, students arrive in Wuhan, China, the capital of Hubei province and the most populous city in central China. There they learn about the health and public health systems including the intersection between Western and Chinese medicine in China. The experience includes visits to urban and rural areas to explore similarities and differences in the settings, people, health access and how core public health principles, including traditional medicine practices are addressed. Students stay in a hotel that is within walking distance of the hospital and university.
ABSN Students: Fulfills clinical hours affiliated with Community Health Nursing Course
  Duration: 2 weeks (typically during break between 2nd and 3rd semester)
Graduate Students: This site is currently not available for graduate student experiences.

Africa

Tanzania – Teamwork City of Hope
Location: Ntagacha, Tarime District, Tanzania
Global Partner(s): Teamwork City of Hope (TCOH)
Description: Teamwork City of Hope (TCHO) a children’s home on a self-sustaining campus in a rural setting, is dedicated to addressing the orphan crisis and the issue of chronic poverty by meeting basic needs, providing education and health care, and leadership development within a nurturing family-oriented environment. In this remote rural location, students will implement community health principles and practices, including health promotion and disease prevention interventions for the children, TCOH complex, and the surrounding community. Students also learn about the cultural practices of patients and their families, increase their own level of cultural competence, and learn basic Swahili. Ntagatcha is one and a half hours from Serengeti National Park, where students will enjoy a safari. Students live in the mission’s house on the campus during the two-week experience and can expect that amenities such as hot water, Wifi, phone service and electricity may not be available
ABSN Students: Fulfills clinical hours affiliated with Community Health Nursing Course
  Duration: 2 weeks (typically during break between 2nd and 3rd semester)
Graduate Students: This site is currently not available for graduate student experiences.
Tanzania – Kilema
Location: Kilimanjaro Region, Tanzania.
Global Partner(s): Kilema Catholic Hospital, Marangu Lutheran Hospital, or Kilimanjaro Christian Medical Center (KCMC)
Description: Located in or near Moshi, Tanzania, this community/public health experience provides students with opportunities to rotate through out-patient clinics (such as reproductive health, pediatric immunizations, HIV/AIDS with home visits, adolescent health, other infectious diseases), conduct community health assessment, and visit small satellite clinics and home in local villages as they explore the culture. Students also learn about the cultural practices of patients and their families, increase their own level of cultural competence, and learn basic Swahili. Although this site is far from the Serengetti, students will have the opportunity to visit some of the other major wildlife parks like Tarengire, Lake Manyara and Ngorogoro crater during their trip. NP students are assigned to community-based clinics and work collaboratively with the health care team at the site to meet learning needs, while simultaneously providing supervised care to large numbers of patients with many diverse acute and chronic health conditions, many not regularly seen in the U.S. Student housing is in the locale community and they can expect that amenities such as hot water, Wifi, phone service and electricity may not be available
ABSN Students: Fulfills clinical hours affiliated with Community Health Nursing Course
  Duration: 2 weeks (typically during break between 2nd and 3rd semester)
Graduate Students: Students work with their academic faculty advisor to identify and schedule academically relevant experiences that satisfy student interests and curricular requirements. Experiences have been developed for Nurse Practitioner Students and Nursing Education majors.
  Duration: 2 weeks – 6 weeks