Faculty of Medicine - Information on Clinical Rotations

Community Medicine
Community Medicine Course Progamme 6 weeks - MD 5
The MD5 Rotation:
The course will discuss issues of primary health care, environmental sanitation and health, communicable diseases control, health education to the community, family and individual. The importance of sound nutrition and maternal and child health together with the setting of health services in the country’s district and community will be stressed. Practical work will include family visits and studies of the diseased patients in the community including ways to prevent disease at those levels.
A. Course Objectives/Expected Outcomes
At the end of the course the student should be able to:
1. Explain what constitutes primary health care.
2. Demonstrate good knowledge on what constitutes sound environmental sanitation.
3. Describe food habits of communities in broad food patterns; he/she should further understand what forms food taboos for certain genders.
4. Prepare case study reports on nutritious problems of the community and use the same to prepare appropriate health educational programmes.
5. Demonstrate knowledge of procedure, principles, objectives, evaluation of health learning materials for health education in the community.
6. Ability to diagnose, prevent, and manage the various occupational health hazards.
7. Take types of health resources available to the community and how to acquire, care, utilize, and evaluate them appropriately.
B. A Description of Requirements in types and numbers for lectures, seminars, and presentations:
10 lectures, 5 seminars, 4 presentations, and Lectures/Seminars from external facilitators, eg. Managers or representatives from different programmes such as vertical programs, or integrated health programmes such as IMCI and reproductive health. In addition, practical work will be undertaken, whereby students will be expected to develop their individual research project, collect data, analyse the data collected, and present and submit the report. There will be site visits in the case of environmental health and sanitation, involving visits to water treatment plants, sewerage disposal sites, etc.
C. Mode of Assessment:
The candidate assessment will be based on the following categories of activities:
A: i) Elective field research report done during 4th year.
ii) Rotation research report.
iii) End of the rotation continuous assessment test.
Category A assessment will contribute 40% of the qualifying examination.
B: There shall be a qualifying examination which will account 60%.
D. Special Requirements for the Students:
Anthropometric measurements equipment, tape measures, weighing scale, height measurements equipment, generator, cooking utensils, kerosene stoves, tents, beds, and transport.
Others: Notebooks.
- Pens and Pencil.
- Erasers.
- Data Collection Instruments (forms) - will be made in class as part of the training.
- Students will be responsible for typing work and production of forms.
E. Procedures for Incomplete or Failed Rotations:
They are the same as the general examination guidelines.
| Session | Activities |
| Lectures | Maternal and Child Health (Reproductive and Child Health). |
| Maternal and Child Health (Reproductive and Child Health). | |
| Methods of Prevention of Disease. | |
| Community Health Programme Surveys. | |
| Practical | Pilot the research instrument. |
| Seminar | Selection of study topic for the rotation research individually. Discussion on the research topic: the Rationale and Statement of the Problem. |
| Presentation of Research Project Proposals (1) | |
| Presentations of Research Project Proposals (2) | |
| Development of Research Instrument. | |
| Visit by coordinator to authorities and dispensaries. Finalizing research instrument. | |
| Analysis of pilot data. | |
| Presentation of data analysis: Master data sheet. Two by two tables (Dummy tables). |
Continuous Test I |
Vertical Programmes:
Management and Leadership: The |
| Data collection |
| Data handling: cleaning of data |
| Continuous Test II |
| WEEK 4: - Control of Communicable Diseases- Seminars |
| Malaria |
| HIV/AIDS. |
| Pneumonia- including SARS. |
| Diarrheal Diseases (General Gastroenteritis). Cholera-Dynamics of Transmission; Quantity vs. Quality of water, etc. Typhoid Fever (Differentiate Fever due to malaria from that due to Typhoid fever) |
Food borne Disease:
|
| Emerging and re-emerging Diseases e.g. Ebola. |
| Trachoma. |
| WEEK 5: DMO’s Week |
| Ilala Municipal Council. |
| Temeke Municipal Council. |
| Kinondoni Municipal Council. |
| WEEK 6: Data analysis and Report Writing |


