If it’s possible to speak of a daily routine after just a week in Liuli, we’ve already established some habits. In the mornings, after Chai ya asubuhi we join Dr. Evans for rounds, which typically last until around 11 a.m. Afterwards, we see patients together in the Outpatient Department (OPD). While we frequently agree on diagnostics and treatment, I sometimes notice significant differences in approach—for example, in the use of antibiotics. In Germany, we’re taught to use antibiotics sparingly, but here they’re considered an essential part of effective treatment. Broad-spectrum antibiotics like Ceftriaxon which are reserved in Germany for serious infections to prevent resistance, are used much more routinely here. We discuss cases and exchange knowledge, but I remain conscious that we are guests here. This mutual exchange is one of the most important aspects of our collaboration. I’ve also been learning practical skills, like how to examine a pregnant woman’s abdomen to determine the baby’s exact position. Obstetrics is such a central focus here that we’ve been able to assist with both spontaneous deliveries and caesarean sections. For me, this is especially valuable, as my only prior exposure to obstetrics was through lectures and seminars in gynecology. Interestingly, caesarean sections in Tanzania are performed by General Practitioner , whereas in Germany, they’re the domain of gynecologists.
After lunch, we usually shift to other activities. For instance, we’ve invited the Dental Technician Joyce (Joyful) for tea to prepare for the arrival of Dental Volunteers from Germany. Or we brainstorm potential hospital improvement projects and assess whether they’re feasible to implement. We also research foundations to which we might apply for funding. In the afternoons, writing has become one of my favorite activities. As sunset approaches, we often go swimming in the lake for about half an hour—a wonderful way to unwind. After dinner, we each spend time on our own pursuits until bedtime.
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