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TABLE OF CONTENTS
1.0DOCUMENT PURPOSE
2.0 INTRODUCTION
2.1 Principal’s Message
2.2 Historical Background
2.3 Location
2.4 Vision Statement
2.5 Mission Statement
2.6 Organization Structure of Rural Aid Organization Training Center
2.7 Key Staff Members
2.8 Contact Details
3.0 ACADEMIC PROGRAMMES
3.1 Basic Technician Certificate in Community Health
(National Council Technical Award Level 4)
3.2 Basic Technician Certificate in Clinical Medicine
(National Council Technical Award Level 4)
3.2 Technician Certificate in Clinical Medicine
(National Council Technical Award Level 5)
3.2 Diploma in Clinical Medicine
(National Council Technical Award Level 6)
4.0 IMPORTANT DATES
4.1 Public Holidays
5.0 SCHOLARSHIPS AND FEES
5.1 Fees Structure
5.2 Mode of Payments
5.3 Scholarships
6.0 TEACHING & ASSESSMENT METHODS
6.1Lectures
6.2 Tutorials
6.3 Case Studies
6.4 Role Play
6.4 Laboratory Sessions
6.5 Field Work
6.6 Community Practice
6.7 Continuous Assessment
6.8 End of Semester Examinations
7.0 ACADEMIC PROCEDURES AND POLICIES
7.1Academic integrity
7.2 Examination/Assessment instructions to students
7.3 Special and supplementary examination/assessment
7.4 Examination/Assessment infringements and disciplinary action
7.5 Release of examination/assessment results
7.6 Procedure for appeal
7.7 Deferment of study
7.8 Conditions for Award/Completion of Certificate
8.0 CLINICAL POLICY
8.1 Community and practical work policies
8.2 Patient privacy
9.0 INSTITUTE FACILITIY INFORMATION
9.1 Library information
9.2 Computer lab
9.31Internet access
9.4 Clinical/Skills Laboratory
9.5Campus Housing/Dormitories
9.6 Dining Hall/Canteen
9.7 Students’ welfare services
9.8 Classrooms
10.0 CODE OF CONDUCT
10.1 Definitions
10.2 Non-discrimination policy
10.3 Rights and Privileges of Students
10.4 Part Time Employment
10.5Provisions relating to Residence
10. 6 Provisions relating to Vacation from Residence
10.7 Use of Training Center Facilities.
10.71Dinning Hall & Kitchen
10.72 Computer lab
10.73 Library
10.8 Other Polices
10.9 Discipline
10.92 Process
10.93 Penalties
10.94 Appeals
1.0DOCUMENT PURPOSE
The Rural Aid Organization (RAO) Health Training Center Student Handbook contains essential information for students of:
- Basic Technician Certificate in Community Health (National Council Technical Award Level 4)
- Basic Technician Certificate in Clinical Medicine (National Council Technical Award Level 4)
- Technician Certificate in Clinical Medicine (National Council Technical Award Level 5)
- Ordinary Diploma in Clinical Medicine (National Council Technical Award Level 6)
2.0 INTRODUCTION
2.1 Principal’s Message
As part of our mission the RAO Heath Training Center for Certificate in Clinical Medicine aims to promote good health care in rural Tanzania.
Good health care is the application of principles of accountability, transparency and quality assurance of medical practice,motivated by a genuine belief in ideas and the purpose of God in humanity.
We believe that throughout this course the graduate will discover their own potential, and through collaboration with one’s academic colleagues they will access skills andthe rich intellectual experience of a lifetime.
You are warmly welcomed and I wish you God’s blessing through your academic work at the Center.
Dr P.Z. Makoyo
2.2 Historical Background
Rural Aid Organization (RAO) is a non-governmental organization with a reputation for quality medical care and comprehensive social services in the lake zone regions of Tanzania. RAO began rendering services in 1994 as a Hospital founded by Dr. Phinehas Ziki Makoyo, and has undergone progressive change directed by a strong passion for community development and social change. Rural Aid Organization Trust was developed in 2003 in order to create a system in which various entities could work together for a common purpose. The main components are RAO Hospital and RAO Women’s group.
The Trust employs 63 full-time workers and has 10 volunteers. Much of the ongoing success of RAO has been driven by RAO hospital. RAO hospital’s specialized surgical treatment has been drawing patients from all over the Lake Zone Regions,and it is one of the first Private Health Facilities in the area dedicated to financial independence through income generation. The main challenge has been the acquisition and retention of highly qualified staff, primarily because RAO is located in a remote locality in the Rorya district of Tanzania. RAO hospital began to tackle this issue by offering in-house training programs, which enables current and prospective employees to achieve the necessary skills and knowledge required to work at RAO.
The RAO Health Training Center began in 2012 in response to the Tanzanian national Human Resource for Health Crisis (HRH). This crisis has resulted from the demand for skilled health workers increasing at a higher rate than the rate at which new workers are being produced. The Ministry of Health and Social welfare has declared the HRH Crisis a number one priority.
The RAO Training Center seeks to play a significant role in relieving the HRH crisis by developing the RAO Health Training Center in Rorya District. The Center’s goalis to produce graduates who function as mid-level health workers capable of applying basic principles of disease prevention, disease control, clinical examination, diagnostic procedures, record keeping, inpatient management, basic pharmacology, therapeutics, immunization, health and nutrition education and utilizing computer resources.
RAO HTC is registered as a clinical education provider under the National Council for Technical Education. RAO is an ideal place to study because of its strong medical background and proven success in continuing medical training programs. RAO intends to offer a more modern approach with up-to-date facilities, tutors and alearning format that no other program is currently offering.
2.3 Location
RAO Health Training Centeris based at the RAO Hospital grounds, Plot No. 218 Block “C” Shirati(Kabwana), Tanzania.
2.4Mission statement:
The mission is excellence in medical education, firmly grounded in and integrated with the sciences and community development. We are committed to the advancement of medical practice through an emphasis on student centered learning, and service to society in Tanzania.
2.5Vision Statement:
Our vision is to be recognized, both regionally and nationally, as a pre-eminent educational institution that prepares its graduates in the medical sciences and for the practice of medicine. The institution will continue to enhance its physical facilities, faculty and educational progress to reach the highest level of learning institution in Tanzania and beyond.
2.6 Organization Structure of Rural Aid Organization Training Center
The school is overseen and guided by an advisory Board of Directors. The Principal of the school will be responsible for the day-to-day operations and will report to the Director General.
2.7The Advisory Board Members
Bishop Amos Mhagachi
Dr. Vincent Muhada
Dr. Peter Tenga
Dr. Hudson Winani
Mr. Richard Okore
Ms. Imani Magare
Ms. Pendo Kidiro
Mr. Jacob Makoyo
Training Center Staff
Director: Dr P. Z. Makoyo MD PhD
Medical Doctors: Dr. Peter Mikenda, Dr. Richard Mbwambo, Dr. Simon Ogendo, Dr. Jongo Machage, Dr. Charles Opanda.
Nursing: Leah Makoyo BSc, Elida Sagwa RN, Dorothy Kawira RN
Environmental Health: Armani BSc
Pharmacology: John Ojallah
Counseling/Computer: Mise Makoyo BSc
2.8 Contact Details
RAO Health Training Center
PO Box 42, Shirati, Rorya District
Mara Region, Tanzania
+255 282621704
+255757862200
Rural Aid Organization Health Training Centre Student Handbook 1
3.0 ACADEMIC PROGRAMMES
3.1 Basic Technician Certificate in Community Health
National Council Technical Award Level 4
The Graduates of NTA Level 4 program will receive a Basic Technician Certificate in Community Health. The graduate will be able to assist health workers, patients and clients in a variety of settings within the community.
The total program will consist of two semesters, and will last 1 academic year.
3.2 Basic Technician Certificate in Clinical Medicine
National Council Technical Award Level 4
The Graduates of NTA Level 4 program will receive a Basic Technician Certificate in Clinical Medicine. The graduate will be able to assist health workers in provision of preventative, diagnostic,curative, and administration services in a health care setting.
The total program will consist of 120 credits and have a duration of two semesters.
Upon completion of the course students will be able to:
- Assist in providing outpatient care
- Encourage adherence to prescribed treatments
- Assist in provision of preventative and curative care
- Provide counseling to patients and clients
- Perform laboratory tests for common communicable diseases
- Record basic medical information
- Report all epidemics, communicable diseases, and other health- related events to the Clinical Assistant or Clinical Officer, and other local government authorities.
Assessment
60% weighting for continuous assessment
40% weighting for end of semester examinations
Modules
NTA Level 4Code / Module Title / Credits
Semester 1
CMT 04101 / Communication for Counseling / 8
CMT 04102 / Anatomy & Physiology I / 16
CMT 04103 / Environmental Health / 12
CMT 04104 / Microbiology/Parasitology/Entomology / 10
CMT 04105 / Pathology / 8
CMT 04106 / Basic Computer / 6
Total / 60
Semester 2
CMT 04207 / Communicable Diseases / 12
CMT 04208 / Anatomy & Physiology II / 12
CMT 04209 / Basic Clinical Lab / 8
CMT 04210 / Patient Care / 8
CMT 04211 / Health Policy and Medical Ethics / 4
CMT 04212 / Health Information Management and Financing / 8
CMT 04213 / Clinical Skills / 8
Total / 60
Grad Total / 120
3.3 Technician Certificate in Clinical Medicine
National Council Technical Award Level 5
The Graduates of NTA Level 5 program will receive a Technician Certificate in Clinical Medicine. The graduate will be able to provide basic curative, preventative, diagnostic services of simple medical conditions and administration in health care settings. The holder of the qualification will be able to apply skills, and knowledge in a range of activities some of which are non-routine.
The total program will consist of 130 credits and have a duration of two semesters.
Upon completion of the course students will be able to:
- Provide outpatient care
- Diagnosis and management of all common diseases
- First line management and referral of emergencies
- Encourage adherence to prescribed treatments
- Assist in provision of preventative and curative care
- Detect and refer at-risk mother and child
- Provide health education to pregnant women on Reproductive & Child Health
- Provide counseling on testing, diagnosis and refill ARV’s
- Collect and analyze statistical data on disease, and use this information to promote health in the community
- Report to the DMO, and other local government authorities all epidemics, communicable diseases, and other health- related events.
Entry Requirements
Completion of NTA Certificate level 4
Assessment
60% weighting for continuous assessment
40% weighting for end of semester examination
Modules
NTA Level 5Code / Module Title / Credits
Semester 1
CMT 05101 / Epidemiology and Biostatistics / 6
CMT 05102 / Internal Medicine I / 10
CMT 05103 / Pediatrics and Child Health I / 8
CMT 05104 / Obstetrics and Gynecology I / 8
CMT 05105 / Health Promotion / 6
CMT 05106 / Nutrition / 6
CMT 05107 / Counseling / 6
CMT 05108 / Applied Clinical Laboratory / 6
CMT 05109 / Pharmacology and Therapies / 6
Total / 60
Semester 2
CMT 05210 / Surgery / 12
CMT 05211 / Internal Medicine II / 8
CMT 05212 / Pediatrics and Child Health II / 8
CMT 05213 / Obstetrics and Gynecology II / 8
CMT 05214 / Pharmacy / 4
CMT 05215 / Reproductive and Child Health / 12
CMT 05216 / Health Management Information Systems / 8
Total / 60
Community Field Work / 10
Grad Total / 130
3.4Ordinary Diploma in Clinical Medicine
National Council Technical Award Level 6
The Graduates of NTA Level 6 program will receive an Ordinary Diploma in Clinical Medicine. The graduate will be able to apply knowledge, skills and ethics to manage clients with medical and surgical conditions, apply knowledge and skills of leadership and management to improve health care services, and apply knowledge and skills of forensic medicine to manage clients with medical legal issues.
The whole programme of Ordinary Diploma in Clinical Medicine has a total of 48 weeks of study in one academic year, which is divided in two semesters. Thirty six (40) weeks are set aside for core, fundamental modules and clinical apprenticeship, while four (4) weeks are allocated for fieldwork attachment and four (4) remaining weeks for examinations.
This programme has a total of 11 modules, which are assigned a minimum of 120 credits. District Hospital attachment is allocated 12 credits.
Assessment
60% weighting for continuous assessment
40% weighting for end of semester examination
Modules
NTA Level 5Code / Module Title / Credits
Semester 1
CMT06101 / Surgical speciality / 15
CMT06102 / Oncology / 9
CMT06103 / Leader and Management in health / 5
CMT06104 / Fundamentals of Operational Research / 9
CMT06105 / Health policy and planning / 15
CMT06106 / Basics of forensic medicine / 4
CM106107 / Basics of Family Medicine / 4
Total / 61
Semester 2
CMT06208 / Apprenticeship in Internal medicine / 15
CMT06209 / Apprentice in Paediatrics and child Health / 15
CMT06210 / Apprenticeship in Obstetrics and Gynaecology / 14
CMT06211 / Apprenticeship in Surgery / 15
Total / 59
Grad Total / 120
District Hospital Attachment / Scheme of Study
(Hours per week) / Duration / Credits/ Semester
35 / 4 weeks / 14
4.0 IMPORTANT DATES
4.1 Public Holidays
- Mwalimu Julius Nyeree Day – October
- Iddi El Haji (Feast of Sacrifice) - November
- Republic Day - December
- Christmas Eve – December
- Christmas - December
- Boxing Day - December
- New Years Eve – December
- New Years Day – January
- Zanzibar Revolution Day – January
- Good Friday
- Easter Sunday
- Easter Monday
- Sheikh Abeid Amani Karume Day
- Union Day
- Saba Saba
- Wakulima Ya Nane – August
- Eid El Fitr (End of Ramadan)
5.0 SCHOLARSHIPS AND FEES
5.1Fee Structure
The annual tuition fees for Community Health Program is 955,000/= TZ Shillings. The annual fees for Clinical Medicine program is 1,500,000.00 Tanzanian Shillings per year. This fee is payable in two equals installments (1st and 2nd) semesters.
You are supposed to pay NACTE EXAMINATION FEE FOR NTA LEVEL 4 Tsh. 150,000/= as follows and come with pay-in-slip bank to the college:
NBC Corporate Branch
Account name – Health Service Fund
Account no. 0111-030-12059
5.2 Mode of Payments
The money is paid at:
National Micro-Finance Bank (NMB):
Bank Account number: 32810003985
Account Name: RAO Hospital HTC
WE DO NOT ACCEPT CASH FOR TUITION PAYMENTS AT OUR INSTITUTION
You are required to produce the pay-in-slip during the reporting day or you cannot be registered.
5.3 Scholarships
The scholarship is available to applicants demonstrating exceptional academic skills (Division II and higher), significant financial need and strong morals. The Scholarship is funded by Rural Health Organization for eligible applicants. The program does not guarantee any financial incentive for completing courses.
An applicant who receives a RAO HTC scholarship agrees to work at least RAO Hospital or related facilities, for a minimum of three (3) years. If he/she does not complete the 3 years of service, or is terminated from employment, he/she will be obligated to pay the complete tuition costs through payroll deduction or other means. A Scholarship agreement must be signed.
RAO HTC has a fixed budget for scholarships. An unusually large number of applications may reduce the scholarship amount. If funding problems develop, RAO HTC may discontinue the program at anytime.
6.0 TEACHING & ASSESSMENT METHODS
6.1Lectures
Lecturesare educational talks of usually 1-2 hours duration that will explain key concepts in the module. Students will be required to apply information that is given to them in lectures, in tutorials and assessments.
6.2 Tutorials
These consist of small groups of students who are supervised by a tutor. This is a more interactive learning session where active participation is required of students in discussions and tutor-led activities. Generally clinical skills will be taught using tutorials.
6.3 Case Studies
Students will be given anonymous clinical scenarios bases on real life patients. Students will be required to research and apply their knowledge to give detailed consideration to the patient’s symptoms, and the process of diagnosis and treatment undertaken.
6.4 Role Play
Students willassume roles of doctor and patient and act out prescribed scenarios. These will be relevant to the course content. Students will be expected to demonstrate history -taking and examination skills. In this way students will gain practice in relating to patients in a simulated setting. They will learn skills that will assist them in gaining patients trust, showing empathy, educating patients and dealing with difficult situations.
6.4 Laboratory Sessions
These will generally be held in the laboratory. They will enable students to become familiar with scientific equipment and learn how to carry out simple diagnostic tests.
6.5 Field Work
These are an opportunity for students to visit sites that will deepen student learning. Sites may include hospitals, clinics, other training centers etc. Study tours will be arranged at the discretion of the Training Center. Depending on the location and specific circumstances of each tour, students will be advised if there are additional costs involved in attending. Students will be advised as to whether a particular tour is optional or mandatory.
6.6 Community Practice
In these sessions students will be sent out into community health centers. They will initially be observers, with the aim of eventually assisting in treating patients in a supervised manner. In community practice sessions students will be required to put all of the skills and knowledge that they have learnt throughout multiple modules into practice.
6.7 Continuous Assessment
Student performance shall be assessed continuously throughout eachmodule. Students will be informed at the beginning of the semester, the expectations, weighting and timing of continuous assessmentfor the respective module. It is important that studentsstudy each topic as it is introduced and ensure that they are up to date with their coursework at all times.
Continuous assessment will consist of :
- Assignments- students will be given a specific task to research and complete in their own time. Assignments must be submitted prior to the due date specified.
- Class room tests - Short written examinations that will be conducted in tutorials or laboratory sessions.
- Clinical Tests – Practical assessmentheld within tutorials or community practice time. Students will be required to demonstrate clinical skills taught thought the course.
- Laboratory Tests-. Students will be assessed on skills relating to laboratory equipment and diagnostic testing.
For general policy relating to end of semester examinations and assessment please refer to section 7.0
6.8 End of Semester Examinations
Each module will have an examination at the end of the semester. The weighting of this examination is specified in the course outline for each program. The examination will assess all content covered in the module throughout the semester. The examination may include both written answers and practical demonstrations.