Botswana-upenn handbook [13. 13]



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Botswana-UPENN Handbook

[13.13]
INDEX

Page

Index 1


Introduction and Code of Conduct 3

About Botswana 4

Getting ready to go 5

Travel Arrangements 5

Immigration 6

Immunizations 7

What to pack 7

Books to read 7

Communication with the United States 8

Working in the hospitals 8

About PMH and Nyangabgwe 8

Set up of the Medical wards 9

Daily hospital experience and schedule 11

Rounds 12

Call and admissions 13

Weekly conference schedule 13

Needle sticks and PEP 13

HIV testing 14

Radiology 15

Discharge and follow-up 15

TB registry 15

HIV in Botswana 16

Notes on language 16

Living in Botswana 17

Gill Jones, Administrator 17

Botswana customs 17

Important phone numbers 18

Our flats and communal living 18

Rules of the Flats 19

Safety 19

Communication 20

Phones 20

Calling to/from the USA 20

Internet 21

Mail 21

Money matters 21



Transportation within Botswana 21

Travel Agents/Tours 23

Having Fun

Restaurants and Malls 24

Movies 25

Participatory sports 25

Night life 26

Day trips 27

Longer trips 28

Key players in Penn program in Botswana 29

Glossary of acronyms 29

Map of Gaborone 31

List of Participants to date 32

Francistown Supplement i-vi (download separately)


NB: If you are going to be at Nyangabgwe Hospital in Francistown most of this document is applicable, so read it carefully. You should also see the Francistown supplement.



Administration of the Botswana-Penn Partnership


Harvey Friedman, M.D. Director

Steve Gluckman, M.D. Clinical Director

Oathokwa Nkomazana, M.D. In-country Director

Maria Rustig, M.D. Director at Nyangabgwe Hospital

Gill Jones, Administrator

Tim Jones, COO



Introduction and Code of Conduct
Dumela! (Hello) Welcome to your clinical elective at Princess Marina Hospital in Gaborone, Botswana. This is a part of the Botswana-Penn program. This handbook is an introduction to Botswana for all the University of Pennsylvania representatives. This book will help you get ready for the trip, help you get settled once you arrive, introduce you to the hospital and the system where you will be working. It will also help you have fun when you are there. Hopefully a quick read through of this document will help ease the transition. This handbook is an ongoing project, please help out and provide additional information and feedback to Steve Gluckman.
While in Botswana you will be representing not only yourself but also the University of Pennsylvania. It is critical that you remember this at all times. Public errors in judgment or conduct in Botswana are likely to not only be a problem for you, but could result in compromising the entire program. You are all adults and cannot (will not) be monitored. It is up to you to think carefully about the potential negative implications of questionable behavior. Though you will be working in Botswana this program is an official part of the University of Pennsylvania curriculum and as such we are all subject to the same Penn policies as if working in Philadelphia.
In addition to being aware of our public appearance, there potential problems that could occur in the privacy of our flats. The communal living could put some unusual stresses on the expected level of conduct. One of the true benefits of this elective is the opportunity for faculty, fellows, residents, and students to interact in an extremely informal way. Our intension is to promote this part of the experience. This can put some strain on the well-established line of acceptable conduct between faculty and trainees. It is important to be mindful of this concern.
So, have fun but please don’t do anything dangerous or dumb.
Things to remember:

  1. You represent the University of Pennsylvania. Your actions, positive or negative, intentional or unintentional, have implications for the entire program

  2. You live communally. Be mindful of the “rules of the flats” (see p 18)

  3. If you travel outside of Gaborone or Francistown, it is important that someone in charge knows your itinerary.


ABOUT BOTSWANA

Background


Formerly Botswana was a British Protectorate and known as the Bechuanaland Protectorate. It received its independence in 1966, and at that time, its name was changed to Botswana. It is now a parliamentary republic, its third and current president is Festus Mogae (pronounced “Mo hae” – “g’s” are pronounced as “h’s”). Education and healthcare are free, and literacy rate is nearly 80%. Since 1966 the country has continued to grow, thanks to its flourishing diamond economy, beef exports and good balance of payments. In addition, they have recently found gas in the Kalahari.

Location


Botswana is a land-locked country, slightly smaller than Texas, in the center of Southern Africa. The Tropic of Capricorn runs through it. It is bordered by South Africa on the south and east, Namibia to the West, Zambia and Angola to north, and Zimbabwe on the northeast. It encompasses 600,370 square kilometers, of which, only 15,000 square kilometers has water. It is predominantly flat to gently rolling tableland, with the Kalahari Desert to the southwest, occupying 87% of the territory.
Gaborone

Gaborone is located in the southeastern corner of Botswana on the Notwane River, a mere 15 kilometers from the South African border. Pronounced “Ha-bor-ron-e” or “Gabs” it is the capitol city. It combines feelings of both rural Africa with thatched or tin roofed houses in some sections with a more western architecture. There are now two “modern” malls on the outskirts of town. We work at Princess Marina Hospital which opened in 1966 at the time of independence. It is in the center of Gabs.


Francistown

Francistown is located in the Northeast corner of the country. It is the second largest city and is similar to Gaborone, but about 1/3rd the size. It is a closer to Victoria Falls, Chobe and the Okavango delta region.





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