Global Health Experiential Education in Ghana

This summer, I had the opportunity to participate in a global health fellowship as an HBCU Leader in Global Health. Thank you Child Family Health International for this wonderful, life-changing opportunity to experience medicine in Accra, Ghana! During my 4 weeks here, I was able to shadow physicians in various departments, observe surgeries, observe vaginal deliveries & c-section births, and learn about preventative health and malnutrition management.
I had an amazing time exploring Accra and shadowing at Princess Marie Louise Children's Hospital and Jamestown Maternity Hospital. I am so grateful to combine my love for medicine with my love for travel! Exploring global health through a service-based lens has given me an invaluable perspective on advocacy and health equity before officially starting my medical school journey.

My CFHI experience in Accra, Ghana was extremely invaluable. I had the unique opportunity to serve in a local hospital where I learned about child and maternal health. Each week I rotated through a different sector of the hospital: Week 1 was the emergency room, week two was malnutrition, week 3 was community health/family planning and for the last week I was in the wards/NICU. I appreciated learning about healthcare in Ghana directly from health care providers. I was excited to practice physical exams and interview patients since these are skills I have acquired in my first year of medical school. The malnutrition unit was particularly interesting to me because I haven't had much exposure to working with dieticians. Malnutrition is a massive issue in Ghana, and I learned ways in which the dieticians plan to help their patients recover (utilizing a 4-step re-feeding plan) and how they work with the physicians in other units (ex. OPD or the ED) to ensure the best care for these patients.
Culturally, I enjoyed trying different foods such as red red, kenkey and kelewele. As the daughter of Nigerian immigrants, many of these foods reminded me of home as there were similarities between the dishes. Interacting with locals and admiring the art pieces and learning to play the drums at the art center was one of my many highlights. I really appreciate the sense of community I felt in Accra. I appreciated the opportunity to live with other students from different states and countries while learning about Ghana when we went out into the community each day. I will never forget this transformative experience as it strengthened my desire to continue to pursue Global Health in my future career.

My 4 week program in Ghana with child family health international by far the best opportunity I’ve come across. During this time, I was able to shadow healthcare providers at the Cape Coast Teaching Hospital allowing me to see first hand healthcare disparities and challenges the communities are being faced with. My rotations took place in the Pediatric & NICU ward which only grew my passion for wanting to work with children and loving mothers. Also, I had a chance to participate on outreach days with Planned Parenthood Association of Ghana whom goals was to educate the community on sexual rights and women’s reproductive health.

During leisure time , I took the opportunity to explore the Ghanaian community and see the beautiful landmarks and buildings. Truly immersing myself in the culture. Our coordinator made sure we experienced Ghanaian food each night by cooking us diner.

“Let The World Change You“ is the slogan of Child Family Health International and that’s exactly what I did during my time of the global health in Ghana program. Becoming a sponge and soaking up the experience to what i was surrounded with is the best thing I could’ve done.

I am beyond grateful for this experience that was both personal and professional. I can’t wait to continue to work toward my career of becoming a physician assistant!

I always dreamed and yearned to leave the country for study or internships while I was in college. At the beginning of August, I was finally given the chance to travel to Ghana with CFHI, not just for a practicum but also to take in the sights of a different nation. I merely adored it. I was quite nervous and eager because I was traveling to a nation where I didn't know anyone, but I realized that this was an opportunity for me to overcome my introversion.

Contrary to my expectation, I adjusted quickly since the CFHI made sure a coordinator and a preceptor were present for each step we took. Yes, there were instances when we solved problems on our own; that was also a valuable part of the experience. I improved my freedom and started to operate with less guidance. I had a great time and learned a lot during my rotations at Princess Marie Luis Hospital. In the classes I took at Liberty University, I came into contact with and experienced all the health facts I had learned. Through my interactions with others, I developed cultural sensitivity, but I never saw myself as superior to them. Instead, I learned to value the beauty in our differences. I also gained cultural humility as a result. I will always be grateful to CFHI for this transformation, and I eagerly anticipate traveling to other places with them. This program has my recommendation.

I decided to go with CFHI as part of my global health elective for medical school because of the wide variety of locations they have. I really wanted to go to Ghana and experience healthcare in another country, predominately in a hospital setting. CFHI provided me with an opportunity to rotate with different services at the Cape Coast Teaching Hospital and also provided me with everlasting memories that I will never forget. I made connections with residents and house officers who I deeply respect. There wasn't much help in getting there but once I was there things just started to fall together. I would suggest to anyone wanting to go to another country to look into CFHI due to its variety of program locations and also the ability to work in an already established setting. In addition, there are weekly lectures that introduce students to Ghana and public health. I do suggest that you be diligent and on top of making sure you have all of your required documents before hand and its correct because there wasn't much assistance with ensuring the information was uptodate. Take a look at the variety of things to do in both Cape Coast and Accra (3hrs away by van) for weekend activities as well. The program is what you make out of it. There is definitely time to explore and to learn so your trip is what you want it to be.

I am a second-year medical student and I went to Accra, Ghana through the CFHI program.

I rotated in the ER department and was able to round with the fifth-year medical students from Accra College of Medicine and Family Health Medical School. On my first day I rounded with the fifth-year medical students and I was terrified and intimidated. The way they presented, answered the doctor’s questions and interrogations on details about their cases, and dissected their differentials was astounding. With only one year of medical school under my belt, I felt useless and unknowledgeable compared to them. However, I tried to stay as engaged as I could, listening to patients’ hearts and lungs, interpreting x-rays and EKGs, and perfecting the craft of the history and physical exam. This coming year we’ll learn more about chronic illnesses and management, so I’ll be able to deepen my clinical knowledge and skills.

I was happy that I was able to recognize a lot of drug names since Pharm is one of my favorite classes and could ask questions about treatment plans and care management. Most of the pediatric cases were acute tonsillitis, acute otitis media, bronchopneumonia, bronchiolitis, and complications of sickle cell disease (SCD). I was able to see an infant that was diagnosed with Trisomy 21 aka Down syndrome and had a heart murmur. I was also able to see a patient that had a palpable thrill and murmur. I sat in on my first Morbidity and Mortality (M&M) meeting and learned a lot about that part of medical care. I also participated in various lectures on proper handwashing skills, stages and treatment of malnutrition, how to properly clean the umbilical cord postpartum, triaging, and common respiratory/cardiovascular diseases in children.

One of the most memorable days was when I clerked with one of the fifth-year medical students. His partner wasn’t coming till the afternoon, so I was there to make sure he asked all of the right questions. We exchanged mnemonics on the history of present illness (we learned OLDCARTS and he learned SOCRATES) and social history. I quickly jotted down all the aspects of the history that should be asked and felt grateful that my school had forced us to create our own SOAP note from scratch countless times. He was grateful that I was able to ensure he asked all of the necessary questions. Our main differential was Vaso-occlusive crisis as a complication of SCD. Our other differentials were osteomyelitis and cellulitis. Both doctors ended up supporting our top differential and it felt good to be able to come up with the correct diagnosis. The child also had otitis media but we weren’t sure if it was secondary to the SCD since they are more prone to infections, or independent of the SCD.

All in all I learned a lot this week, more than I ever thought I would and I’m so excited to rotate in other parts of the hospital. This experience is strengthening my desire to go into Family Medicine even more apparent and necessary.

This experience was more than I could have ever asked for. The local coordinators made sure that you constantly felt safe and comfortable. They brought us around town and made sure we felt comfortable navigating around. If you ever had a problem they were more than willing to help out in any way possible and turned into great friends. At the hospital I was in the physical therapy department. The therapists were very kind and welcoming as soon as I arrived. They made sure to answer any questions I had and were eager to teach me about their profession and culture. The most interesting case I saw was a baby girl who was born with only a fibula in one leg. She was there for casting for club foot in her other foot but it was interesting to see the X-ray of her leg. I would definitely recommend putting yourself out there when at the hospital. Don't be afraid to ask questions, get to know the people working there & talk to the patients. There are great relationships that can be made by just talking with others. For me, this experience was unforgettable, but it really is what you make of it. Make sure to try new things, step out of your comfort zone, and build relationships with the people around you.

I went to Ghana last summer with a group of students from Stanford through the CFHI program. We went in with very little information, expecting to be on a service learning trip that turned out to be mostly a learning experience. However, as a learning experience, it was the best thing I could have done coming out of my freshman year. For eight weeks, I got to live in a foreign country (it was my first time leaving the US) and learn about a way of life I'd had no prior experience with. I was struck almost daily by the positivity the Ghanaian people so freely express, and by their dedication to their work. Throughout the entire experience, I learned invaluable lessons regarding my future path as a doctor, seeing the challenges the doctors in Ghana faced in bringing care to their patients.