Name Emily Cornish Email [email protected] Project title Women and Child Health in Rural Southwestern Uganda Location of your Elective Kagando Hospital Kasese district Uganda Electives coordinator Robert Olupot: [email protected] Hospital site: http://www.kagando.org Friends of Kagando charity site: http://www.friendsofkagando.org.uk Contact details for your elective (eg. Website address or email address of your project coordinator) What did you achieve? Would you recommend this location / project to others? 1) Gained an enormous amount of understanding about the problems faced by hospitals in under-resourced, understaffed countries 2) Enhanced clinical skills: conducted several full clerkings on a daily basis, including paediatric, geriatric and obstetric patients 3) Procedures: performed procedures I would not normally have the chance to do in the UK such as neonatal lumbar puncture, paediatric femoral line insertion and episiotomy repair (all under supervision) 4) Learned specifically about the complications of pregnancy and childbirth for women in Uganda (including vesicovaginal fistula and its sequelae, malaria in pregnancy, the high Caesarean rate and the ethical implications of HIV in pregnancy) and participated actively in their management 5) Participated in women’s health outreach in the remote hill communities of southwestern Uganda, including education about contraception, nutrition and cervical screening Yes, absolutely, as long as you are prepared for a lot of unsupervised work and for the difficulties of facing child mortality/untreatable patients on a daily basis. Further comments (eg. Travel advice, tips for organising an elective similar to this etc.) Organisation is very easy through contacting either Robert Olupot or Friends of Kagando, and there is a small but highly active and committed network of UK doctors and nurses who visit Kagando regularly and can provide lots of useful advice. Accommodation for elective students is in the very nice Edward Clay House, with all meals provided by very friendly staff. The hospital is about an 8hr bus from Kampala – we took the Link Bus Company coach, which was absolutely fine, but others have hired private transport (which might be more sensible if you are travelling in the dark). Would you be happy for you feedback form to be available on our website? Further comments (eg. A review of your trip) max. 500 words. Yes with email address I had an absolutely unforgettable experience in Uganda and gained an enormous amount of practical clinical experience – my friend and I conducted our own ward rounds, performed procedures, coordinated treatment decisions, gave case presentation seminars and had an unparalleled opportunity to build on our history and examination skills. I encountered pathologies I have never seen before (miliary TB, schistosomiasis, eclampsia, neonatal tetanus, cerebral malaria, cryptococcal meningitis) and learned a huge amount about their management. I could not recommend the hospital highly enough (despite the caveats above). I hope to write a full report for The Medical Woman so more details will be available there!