Handbook> Electives > Internal & General Medicine > Limpopo Community Health

Electives - Global Health

Limpopo Community Health (South Africa)

Elective Number: 1526 (International) **not offered: 2017-2018**

Rotation Supervisors: Dr. Karen Ingersoll

Designated signer: Dr. Karen Ingersoll kes7a@virginia.edu

Available: Class of 2017 - TBD w/Dr. Ingersoll

Duration: 4 weeks minimum

Evaluation should be given to: Dr. Ingersoll

Prerequisites: Rotation must be arranged with Dr. Ingersoll by March 31 to allow plenty of time to set things up in Limpopo. As well, at least 1- month prior (but best to be 6-weeks prior) to beginning the rotation complete the Elective requirements on the Forms page.

Report to: Dr. Ingersoll

Time to Report: TBA

Place to Report: TBA

Attendance: Attendance at elective activities is mandatory.

  • Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.
  • Students are allowed to take off up to 1 day per week to interview between November 1 and February 1.

Number of students per rotation: 1 min/6 max

Course Description: Community Health in Limpopo, South Africa

Building on inter-professional relationships at the University of Venda and the Vhembe Health District, and utilizing previously identified health priorities from the Vhembe Health District, a team of students will partner with leaders in the Health District and at the University to design, implement and evaluate a community health intervention aimed at gaps in primary care. This year we will build on 2 years of work in Limpopo using Motivational Interviewing training to enhance skills of nursing students and community health workers. Students will work closely with university, health district, and community leaders, potentially including tribal chiefs. Stakeholders will be actively engaged in the process with the intention of developing and piloting a focused intervention or educational opportunity to advance health promotional goals in the region. Pre-travel preparation includes team building, grant writing, research design and educational preparation. A primary focus of the fourth year elective is to learn and practice leadership strategies relevant to global health initiatives. A university-wide orientation for study abroad is required for all students on this elective.

Learning Objectives
1. Negotiate the complexities of designing, implementing and evaluating community health trainings in Vhembe District within the context of national and provincial policies.
2. Acknowledge and respect the communities’ values and cultural beliefs as they plan and implement health promotion strategies
3. Use their understanding of the role of the health district to create appropriate interventions to address identified health needs.
4. Value the role of each key player in providing health care, including health care providers, community health workers, community members, and traditional and civic leaders.
5. Utilize leadership strategies to negotiate challenges and conflicts across culture, gender, and discipline to achieve a successful teamwork and project outcomes.

In addition, this elective is an inter-professional elective. Therefore, in addition to the above learning objectives each student will:

1. Be responsive to and interactive with members of other professions in a manner that fosters culturally specific collaboration
2. Effectively exchange knowledge and ideas with student colleagues, members of the UNIVEN faculty and the health district.
3. Use active listening and reflection skills in community meetings, meetings with the health district and UNIVEN faculty.
4. Use information systems and technology, including the creative use of blogs, Power Point®, Skype® and Prezi® to exchange relevant information among the professionals

1. Establish and focus common goals across professions for a community assessment.
2. Display interest, trust, and mutual respect across the professions, organizations, communities and cultures in all interactions.
3. Exchange information about own and other professions’ culture, values, roles and scope of practice
4. Develop, promote, and exercise non-judgmental integrity, honesty, social responsibility and ethical behavior in all activities involving professional, organizational, community and cultural activities

Shared problem solving
1. Determine whom to involve depending on the needs of the community.
2. Share discipline specific knowledge with the community assessment team.
3. Integrate collective knowledge of the community, UVA and UNIVEN students, Vhembe district ministry professionals and UVA and UNIVEN faculty to develop creative interventions to address health needs of children.
4. Identify which team member will take the appropriate leadership/facilitator role in specific contexts, specifically community meetings, sharing of knowledge, carrying out the needs assessment.

Shared decision making
1. Negotiate actions with other health professionals, the health ministry and the community to appropriately carry out the needs assessment and design the interventions.
2. Implement joint decision making in the prioritization and presentation of the needs identified.

Finally, as with each international elective it is expected that students will:
1.Demonstrate a working knowledge of the South African healthcare delivery system
2. Demonstrate the ability to work effectively with patients and health care workers from South Africa
3. Work effectively with the inter-professional team at a level appropriate to their training to produce the needs assessment and, if possible in the time frame, community health worker training.