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Unique Opportunity in Namibia: TB doctor required at Lifeline Clinic
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The N/a’an ku sê Foundation is committed to improving the health and well-being of the San, and is looking for a doctor to continue the TB work (both clinical and research) currently taking place at The Lifeline Clinic based in Pos 3 in the remote Omaheke region of Namibia from June 2016 for one year or longer.
The San are considered to be amongst the oldest people in the world. They are traditionally hunter-gatherers but in recent times have been forced from their original lands. This has resulted in many of the San people living in extreme poverty. They suffer from discrimination, marginalisation, domination and exploitation. Their average life expectancy is just 48 years (compared to a national average of 67).
You will be based in a well-equipped clinic in Pos 3, working alongside the clinic doctor and nurse, who provide primary healthcare services and pre-hospital care to the local San population. You will assist with this as necessary, and help run outreach clinics to attend to those living further afield on farms and resettlement villages.
Your main focus will be TB work – tuberculosis is a significant problem in the San. Their TB infection rate is the highest in Namibia and one of the highest in the world. More than 50% adult deaths among the San can be associated with TB, and initial research has shown an estimated 6-month prevalence of 10.5%. Research currently involves establishing a TB screening programme and qualitative research into the ‘patient journey’ followed by San patients with TB. The clinical priority is ensuring appropriate care for patients with suspected TB, performing appropriate diagnostic tests, liaising with the hospital team, following up patients on treatment (there is a high default rate) and ensuring that contact tracing takes place. 
The post is currently filled by a UK trained respiratory consultant, who is hoping to remain involved following her return to the UK. Knowledge of TB is essential, but full respiratory training is not. Experience in general medicine, primary care or emergency medicine is desirable. More importantly, you need to be flexible, resilient and tolerant – the work is highly rewarding but the logistics of providing a quality service can be challenging in rural Africa! 
This is a voluntary position with food, accommodation and a living allowance provided.
If you would like to find out more about this post then please contact Rebecca Taylor (

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