Faculty of Medicine - Information on Clinical Rotations

Faculty of Medicine

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.




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.


Pilot the research instrument.


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:

  • National Malaria   Control program (NMCP).
  • National   AIDS Control Program (NACP).
  • National   TB and Leprosy Control Program (NTLCP).
  • RCH/IMCI.  
Management and Leadership:
The   Role of DMO (Job description, duties, etc).
  • District   Health Planning.
  • Health   Promotion Programmes.
Alternative health care financing   mechanisms:
Disaster   Preparedness Quality and its determinants in health care delivery:
Environmental   Sanitation Visits
  • Water   system- Ruvu.
  • Ocean Road sewarage system.
  • UDSM   –Waste seweragetion ponds; Plants which clean waste water.

Data collection

Data handling:   cleaning of data

Continuous   Test II

WEEK   4:      - Control of Communicable   Diseases- Seminars



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:

  • Staphylococcal   food poisoning.
  • Clostridium   perfringes food poisoning.
  • Vibrio   parahaemolyticus food poisoning.
  • Bacillus   cereus food poisoning.

Emerging and   re-emerging Diseases e.g. Ebola.


WEEK 5:        DMO’s   Week

Ilala   Municipal Council.

Temeke   Municipal Council.

Kinondoni   Municipal Council.

WEEK 6:          Data analysis and Report Writing

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