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Finances for an Mbale Internship
As you prepare for coming
to Mbale, Uganda, there will be questions concerning the cost of this
adventure. Here are some guidelines that will help you figure the amount of
money you need to bring.
IMPORTANT!!!
When you bring American cash, be
sure not to bring any bills older than 2003 with you. The foreign
exchange bureaus do not like older American currency and will either not
accept it or give you a very poor exchange rate. When you get your
cash, ask the bank for 2003 or newer bills. Be sure and look at the
dates!
Budget Information
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Airfare – $1600 -
$2000
Due to exchange rates, tourist seasons, time of booking, and any airline
specials going on, the price of a ticket may jump around dramatically. You will arrange your airfare through
your school or privately. |
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Visas - $110
You will need $30 for a Ugandan visa. There is a chance you will also
travel to Kenya, so you will need $50 for a Kenyan visa and then the $30
to get back into Uganda a second time. (Your first visa is only good for
the duration of your initial stay. It cancels out as soon as you leave the
country regardless of how much time is still left on it). |
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Room and board - $15
per day
Calculate the number of days you will be staying with a family and
multiply that by $15. This should give you an idea of boarding
costs. This money can be handed over to Linda Tyler upon your
arrival in Mbale. |
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Survey trip – $200
We plan to take you to a mission area where there is a need for
missionaries. You will be asked to gather information that would help a
missionary prepare for living and working there. |
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Airport Trips
- $60
Leaving and returning to the airport are expensive trips for
us. You should plan on meals out, petrol costs, and perhaps one
night stay in Entebbe before you leave. Total suggested budget for
these two trips is $60. This money can be handed over to Linda Tyler
upon your arrival in Mbale. |
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Meals on Mondays -
$15 per Monday
Mondays is a day of rest for the team. We will not make plans to
feed you lunch or supper. Some of the families visit a local
swimming pool for Monday morning recreation. The charge for the pool
is $3 and an exercise room is also available for an additional $3 each
time. We usually encourage the interns to eat out together to bond
and share their experiences. Plan on bringing $15 for each Monday
(time seven weeks). Total suggested amount is $105 for Monday meals
and swimming. |
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Language Tutor – $42
Arrangements will be made for you to take language lessons while you are
here. A tutor will cost $2 a lesson, three times a week for seven
weeks. Any extra will be put into the travel expenses. This
money can be handed over to Linda Tyler upon your arrival in Mbale. |
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Transport - $175
With gasoline about $4.75 a gallon, we
need a little extra help with transport. There will also be some
times when you will travel with nationals in private hire cars to a
village visit. In order to cover these costs, we request each intern
to bring an additional $175. This money can be handed over to
Linda Tyler upon arrival and she will coordinate travel expenses for the
internship. |
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Debriefing Fee - $30
There will be a special time at the end of your internship
where the team will spend some time debriefing your experience, blessing
and praying over you, and receiving your internship projects presented by
you. We will need $30 each for this special event. This money
can be handed over to Linda Tyler upon arrival in Mbale. |
Optional Expenses
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Rafting the Nile - for $80 you can take an 18-mile rafting
tour, which includes some massive grade fives - not for the timid swimmer,
but very exciting. |
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Souvenirs - $100+ |
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Film
processing - $40+ |
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Internet Cafes -
You will not have daily access to our personal computers. In fact we
would suggest you plan on using Internet cafes for all your personal
correspondence (which we hope will be limited during your time here for
maximum reflection). You may use our computers in emergencies.
Plan on bringing $50 to cover your Internet costs and trips to town. |
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Game Park
- $275 (Might be offered during the internship - still under
consideration) |
Expenses While Traveling to Uganda
Watch out for unexpected expenses
during your trip. Be sure you know your layover times and double check to
see if they include an overnight stay. It is very likely this will be so in
London. If you go through London, there is the possibility that you may need
to change airports. It is your responsibility to claim your luggage,
transfer it and yourself to the other airport. The airlines no longer
provide this service. Bus transfers are 9 pounds each. Be sure to cover
your hotel, meals, and transport while coming and going.
Getting Money While in Uganda
 |
The easiest way to convert
money during your trip is to carry cash - though it is more dangerous.
Credit cards do work in international airports and other limited places,
but they are not useful in Uganda. |
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Traveler's checks are taken by
banks but may require up to two hours to cash. |
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The easiest way for you to get
money in Mbale and Kampala is to bring a personal checkbook. We know
foreign exchange bureaus that will take your personal check and give you
instant cash. |
 | Our suggestion is to carry enough cash to handle your trips coming and
going. Then bring a checkbook and write a check to cover your room and
board and expenses while here. We will also take American cash if it
is 2003 or newer. |
Return to top
Schedule During an Mbale
Internship
The following will give a brief overview of some of the activities
you will be involved in. This should help you shape expectations and give
more accurate reports to churches and individuals that will be supporting
you.
Arrival In
Uganda
Initially, we will pick you up at
the airport and give you a couple of days to recuperate from the jet lag and
time zone changes. There is an eight-hour difference from Central Time
(America) to Uganda. During this time of rest, we will also move you from
Entebbe (your port of entry) to Mbale. This is about a four-hour drive
through Kampala, Jinja, and Iganga, to Mbale. We will travel mostly east and
cross the Nile River only a half-mile from the source of the Nile (where it
comes out of Lake Victoria - the second largest fresh water lake in the
world).
Upon Reaching Mbale
In Mbale, we will let you unpack
at your hosts' house. A brief tour of the house, compound, and other team
houses will help you get a feel for the neighborhood and surroundings.
During these first few days, we will give you:
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A brief survey of the history
of the work in Mbale |
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A brief overview of our
missiological approach to the work |
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An orientation - providing
some SPECIFIC cultural insights and some guidelines for your interaction
with local people |
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A few policies and guidelines
that we will want you to follow while here |
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A half day survey of Mbale
town |
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A brief outline of what you
will be doing during your stay |
Weekly Schedule (subject to change):
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Monday
- Rest day, may include swimming and supper out |
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Tuesday - Morning office at MTI (the Bible School- Messiah
Theological Institute),
Tuesday afternoon team business meeting or project research and writing
|
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Wednesday - Village visiting |
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Thursday - Village visiting |
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Friday
– Town ministries including visitation, youth, office, women, and possibly
choir |
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Saturday - Village visiting |
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Sunday
- Rotation of village visits and town church |
Language Learning
We will provide a language tutor
three days a week to help you with greetings and a brief understanding of
some of the major languages. We may ask you to focus on one language during
your internship, or ask you to learn short phrases in several languages. The
purpose of this exercise is to help you understand the fundamentals of
language learning that will aid you in some future mission work.
Village Visits
On village visits, you will most
often accompany one of the missionaries. Sometimes you will go with a
trusted national church leader. The village visits will cover several
language groups and give you an opportunity to see churches in various
stages of development- from new starts to elderships. You will learn our plan for church development and
may even participate in teaching church seminars. Other village visits may
focus on women's meetings, or leadership development. A few may include
counseling or conflict resolution situations where you can observe a
missionary struggling with the effects of sin within a community of
believers. Don’t be too intimidated by the frequency of village visits, we
will schedule in extra days of rest to keep you from burning out.
Town Ministries
In town, you will help the town
church in various ministry roles that may include visitation, youth
ministries, office assistance, women’s ministries, or choir. It is here that
you may develop your strongest friendship bonds. Also, with a door-knocking
program in place, you may do more personal evangelism in town than anywhere
else. We have members at MCC who were brought to Christ by our past interns.
You may be able to witness the same thing.
Cultural Project
In addition to the village and
town visitation program, we will ask you to work on a cultural project. We
will give you a topic for research. During your village visits, we want you
to ask questions and gather data pertinent to your study. At the end of your
stay, we will invite other mission groups and interested parties to hear you
give a presentation that may include a paper, visual aids, charts, or
artifacts that you have gathered. We may video tape your presentation. Also,
the project will cover an area that will benefit the missionaries in their
on-going work, so it is not just make-work. You will have a chance to
broaden current missionary thought on a cultural subject.
Bonding
There will be a bonding time of
three days and two nights in the village. You will go by yourself to a
pre-selected national family and stay with them. During this time, you will
get a first-hand experience of village life and trials. It will be a time to
gather a lot of cultural data, practice your language skills, sharpen your
cultural knowledge, and prove your abilities to do village mission work.
Many interns fear doing this but proclaim afterward that this is the best
part of internships.
Survey Trip
We often plan a short survey
trip to introduce you to an area needing missionaries. If this trip is
possible, we will ask you to gather important information about prices of
housing, fuel, utilities, workers, taxes, etc. You will learn how to
survey an area to develop a missionary budget (both personal and work).
You will survey existing church works and see if the area is ripe for future
mission work in the area. All of this will help you prepare for some
mission work.
Kenya
Occasionally, you may have the
opportunity to cross the border and visit the church work in Kenya. Shawn
and Linda Tyler worked in Kitale, Kenya from 1981-1994, and still visit on a
regular basis. Such visits will provide you with the opportunity to see a
functioning children's home and primary school under mission supervision.
You will also have the opportunity to see a mission work post-missionary
presence. There are some helpful insights that will make you a better
missionary while you are on the field, such as learning what churches
struggle with after missionaries leave.
Fun Extras
We may also plan trips to see
some of East Africa’s wildlife, hike to the waterfalls on Mt. Elgon, go
rafting on the Nile, or just see the sights of Kampala, Uganda’s capitol
city. Don’t forget to bring your camera!
Though this schedule sounds busy, there will be plenty of time for you to
read, write, and visit with mission families and other friends that you will
make. Learn what it is like to live away from the fast-paced American life
style. Learn how to be a conversationalist and ask questions that go beyond
greetings. Visit with each missionary and find out why and how they came to
the field.
Remember we will mold the internship, within reason, to fit your interests
and talents. We will not put you into dangerous situations or push you to do
things you are uncomfortable with. We will however make an effort to stretch
you beyond your regular practices on some issues. This internship will most
likely be a milestone in your spiritual walk. Come prepared to do a lot of
self-examination and be pliable enough for God to shape and guide you as he
sees fit.
Return to top
Immigration
Procedure Upon Arrival In
Uganda
The following will give you a brief
overview of the most up to date immigration requirements for entering Uganda.
First, let me say that we will suggest you follow the instructions of the
intern coordinator at your school (if you have one). They may have some school guidelines
about the immigration process that need to be followed. If so, that will be
your first step. If they are flexible on this, then I offer the following
suggestions.
Visas
While it is possible for you to
send your passport to the Ugandan Embassy (in America) and receive a
tourist visa, it may actually be easier for you to wait until you arrive in
Entebbe and purchase one at the airport. Currently it costs $30 to purchase
a tourist visa, and you can get it within minutes. You do not need extra
passport- size photos (though everyone should bring three or four extras with you), but you
may need to fill out a short form.
Entebbe International Airport
As you land at Entebbe
International Airport, you will disembark from the plane onto the tarmac and
walk to the building. Once you enter the building there will be several
lines for visitors. The ones farthest to the right are for visitors from the
East African community (Kenya, Tanzania, etc.). Most travelers from Europe or America will need to
get into the lines on the left. However, if you need a tourist visa, you
will be guided to an office in the back left corner of the room you entered.
You will need to purchase your visa there. It is best to have American cash
in hand (correct change of $30- in bills no older than 2003) so that you will not have to search for a
foreign exchange counter. After you purchase your visa, you will be free to
pick up your luggage which will come in on a conveyor belt to the right of
the immigration desks. Carts are available for you to carry your luggage
from the claim area, through customs, and out to the waiting area where we
will be waiting for you. The whole process from disembarking to seeing us
may take about one hour.
Off to Mbale
After greetings and hugs, we will
load up your luggage and head off for Kampala some 20 miles away. We may do
some errands in town and eat lunch before heading out for Mbale some three
hours away. It may be a physically demanding day, but we have observed that
interns do better sleeping if they have already made it to Mbale instead of
staying somewhere along the way and adding another day to the trip.
Lost Luggage or other Problems
In the event that luggage is
lost, you talk to an airline representative (get name and contact phone
number for follow up) in an office behind the customs area near the baggage
area. If you have any unforeseen problems, officials may let you come
through and get one of us to assist you. For example, my son recently
came from Kenya but only had $20 for a visa instead of $30. They let
him come out and get more money from me to pay for his visa.
Contact Information
In the event that you come out
and we are not there (perhaps your plane came in at a different time or even
day than we knew of), you may call us on one of the following cell phones:
Shawn Tyler: 0772-441504
Linda Tyler: 0772-537533
Ian Shelburne: 0772-450484
Danetta Shelburne:0772-915988
Phillip Shero: 0772-915990
Laura
Shero: 0782-450484
If you need to call any of us from London or the States, you would use an
international code (from the U.S. it is 011) then the Ugandan country code
(256) then our number minus the first 0.
For example, you would dial 011-256-772-441504 to talk to Shawn.
In the event that you can not get any of us on the phone, exchange $50 worth
of money and have a taxi take you to the Summer Institute of Linguistics
guest house (SIL guest house only four miles from the airport - past the
Windsor Lake Victoria Hotel.) You can talk to Laura, a Ugandan, who is in
charge of housing. Her cell phone is 0772-433450. She can help you with showers and a place to stay until
we can get there. If you wish, you can go back up to the Lake Victoria and
go swimming ($3 per person) or eat a meal ($10 per person). The taxi ride
from the airport to SIL should be less than 10,000 Ushs (Ugandan shillings)
per vehicle ($6), and you may need two if you all come together. If
the SIL guest house can not take you, then return to the Windsor Lake
Victoria Hotel.
Return to top
What Should I Bring?
This section was designed to help you
think through what you might want to pack for a visit to Uganda.
Days in Uganda are fairly warm, with the
possibility of cool mornings and evenings. Cotton clothing is recommended
for breathability.
When choosing clothes to bring, consider
these things:
 | They may have to be washed by hand and wrung out, which can cause
stretching. |
 | Try to bring things that don’t wrinkle easily (as a general rule,
whenever you are desperate to iron something, the electricity is off). |
 | Dark clothes may fade over time from being dried in the sun. |
 | Light clothing will be quicker to show stains (and it’s hard to stay
clean here!) |
 | Bring some clothing that you might not care about being ruined with
mud stains. The dirt here is very red and hard to get out. |
Ladies
In order to be culturally
appropriate, plan to wear dresses/skirts in the village. The exception to this is in the
homes of the missionaries, or when dining out. In this culture, hips and
thighs are considered the sensual part of the body, and are therefore
covered (and not even hinted at by wearing “trousers”- though this is
rapidly changing). Don’t forget to pack
your slips - but if you do, there are plenty to buy at the market (sorry,
but this is very important). If you really hate slips, denim is a good
choice for dresses and skirts.
Take into consideration things
such as movement -- will you be out in the village frequently, sitting on
the ground, which might cause you to desire a dress or skirt that can be
tucked under your legs easily or that won’t be uncomfortable. Also consider
if you will want to walk or jog in the morning – the Ugandans in town don’t
seem to be offended if you wear pants for exercising, but you may prefer a
skirt that allows enough movement.
Men
Going out to the village and in
town, pants or jeans are recommended. Do consider that jeans may be hotter
than khakis. But consider that the Ugandan red dirt doesn't come out of
khakis as well.
Visitors’ Packing List
These are just recommendations.
They may have to be altered depending on the length of your stay and what
you’ll be doing.
Women’s clothing: Women’s clothing must
be modest.
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3-4 below the knee skirts or dresses |
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5-6 blouses or t-shirts (preferably not too form
fitting, or
spaghetti-strap type) |
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1-2 pants for casual wear (including jeans) |
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1-2 pairs shorts (conservative length) for around
the house and leisure/sports |
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Underwear/bras |
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Slips (important, even if you don't like them) |
Men’s clothing:
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3-4 pairs khakis or cotton pants |
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2 pairs jeans |
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3-4 button down shirts |
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3-4 t-shirts |
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1-2 pairs shorts (conservative length) for around
the house and leisure/sports |
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Underwear |
Men and Women:
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1-2 Nice outfit(s) for an evening out
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Sleepwear
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Swimsuit (there is a pool in Mbale). Girls,
please be modest!
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1-2 sweatshirt/flannel shirt
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Windbreaker/light jacket
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Hat
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Socks (Ladies, rejoice! There is no need for nylons/hose)
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Shoes:
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2 pairs comfortable walking sandals/tennis shoes
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1 pair “nice” shoes – sandals, loafers, etc.
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1 pair of around-the-house shoes
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Tennis shoes for sports
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Toiletries:
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2-3 washcloths
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1 bath towel (for use during bonding or other
travel) We all have plenty of towels and stuff for your stay here.
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Soap/bath gel (available, but limited selection)
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Shampoo/conditioner (available, unless you’re picky)
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Toothpaste (available, if you’re picky, bring what you like)
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Feminine hygiene products
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Gel, mousse, hair spray
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Razors/shave cream (available but cream is
expensive; razors are cheap)
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Anti-perspirant/deodorant (available, but
expensive)
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Sunscreen
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Contact lens supplies
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Cotton swabs
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Prescription drugs – check with us before bringing. We can get most
everything at a fraction of the cost
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Anti-bacterial gel
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Baby wipes (nice to have even if you don’t have a baby!)
These are great for traveling
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Makeup
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Hairdryer, curling iron – remember that the electricity is different. You
may want to check into a dual voltage hairdryer or buy one here. They are
not very expensive.
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Travel steamer/iron
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Miscellaneous:
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Journal
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Camera/film – The newest kinds of film might be impossible to develop here.
Stick with a common, proven product. If bringing a digital camera, I suggest
an extra memory stick, several sets of batteries, your battery charger and
your cord to transfer pictures to a computer. We can dump all the
pictures on a computer and then make a cd of everyone's pictures.
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Flashlight- I would suggest you buy the Radio Shack
flashlight that does not require batteries. You just shake it a bit
and it lights up a LED bulb. These would be great gifts to leave with
your host families (hint, hint).
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Battery operated alarm clock
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Sunglasses
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Backpack
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Binoculars (Uganda has a huge variety of birds)
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Packing tips:
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The basic idea is to leave no space unoccupied. Don’t bring air! There is
plenty of air in Uganda.
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Break things down into their smallest components
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Take things out of boxes, pack in
zip-lock bags with instructions cut out of box if needed.
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Stuff socks and underwear inside of shoes or in “holes and pockets”. Use to
cushion more fragile items.
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Use pens, batteries and other small items to fill in small holes and corners
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Spread heavy items (especially books and liquid) throughout all luggage
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Put clothing in each piece of luggage (if some of your luggage gets sent to
Costa Rica, you still have underwear)
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For liquids – tape screw-on lids and put bottles into Ziplock bags
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Don’t try to keep clothes neat – stuff, roll – fill up the space
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Use clothes, diapers, and other soft things in place of bubble wrap and
newspaper to cushion fragile objects
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Pack toiletries last (on top) to deter customs officers
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Luggage:
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Rubbermaid “Action Packers”, “Totelockers” and “Rough Totes” are popular
choices for packing
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Check plane ticket or call airlines for luggage weight and size
restrictions
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Put name, address and phone of destination inside and outside of luggage (it
works well to write on paper and cover completely with clear packing tape)
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Use good locks and know where you put the keys.
Some airports will not let you use locks. So you can purchase some of
those heavy plastic ties to run through holes.
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Have a general inventory list of what you’ve packed (if you do get stopped
in customs, a list may satisfy them)
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Carry-on:
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Double check for passport and plane ticket
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Bring a change of clothes and underwear (if your luggage doesn’t make it
right away you’ll have something to wear)
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Bring soap and shampoo if you want to shower at the airport during your
layover
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Don’t forget your book or magazine to read
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You tend to “dry out” on the plane, so pack lotion, lip balm, and even eye
drops for contacts
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Most Important:
Don't forget that your hosts have been away from America for some
time. If you have plenty of room in your luggage, then write and ask
for suggestions of gifts to bring. We really appreciate Oreo cookies,
Gardettos, Gummy bears, Hershey's kisses, Hershey Bars, and other kinds of
snacks. Remember we have children aged 1- 14. They would enjoy
pens, pencils, pads, stickers, etc. Be creative! Also...we
will probably ask the interns to bring over supplies that we need for
different ministries, such as school books for the school that our children
attend, and glasses for SEE Ministries. Please be aware of this, and
organize your packing in a manner that allows for these items. We will
contact you individually about these things.
Return to top
Medical Requirements/Emergencies
Traveling to Uganda can be a scary thing for those who have not done so
before - especially in the area of medical needs. The following should
give you some direction as you prepare for your internship.
MEDICAL CONSIDERATIONS OF
TRAVEL TO UGANDA
compiled by Ellen Little M. D. of the Kampala mission team
with notes in italics by Linda Tyler
Vaccinations
We follow the guidelines of the CDC (Center for
Disease Control and Prevention) for all short-term workers who join us
in Uganda. We recognize that it can be very expensive, not to mention
painful, to get the number of vaccines necessary to insure safety. But we
feel strongly that this is an important part of trip preparation, and any
exceptions must be cleared through the team. For the latest updates, check
the CDC website at www.cdc.gov. We have found that local health departments
are usually cheaper than travel clinics or doctors' offices for
vaccinations.
Yellow fever - this is the only vaccine required by the government of
Uganda. That is because there is currently no yellow fever at all in Uganda,
and the government is trying to prevent the entry of any. So you will have
to get this vaccine, not because you personally need it, but because the
government of Uganda has adopted this policy to prevent the possibility of a
yellow fever outbreak, which would propagate as an epidemic, and doubtless
cause many deaths.
Hepatitis B - many university students will already be vaccinated
with the three-shot series. If you are in doubt, a titer can be drawn at a
local health department. In Sub-Saharan Africa roughly 10% of the population
has hepatitis B.
Measles - once again, those who have kept their shots up to date are
rewarded in skipping this needle. Measles booster is needed if not received
in the last ten years. Children frequently die of measles in Uganda,
although it is rare in the United States. You could easily be exposed during
your trip.
Polio - paralytic polio is becoming increasingly uncommon, and there
is hope that it will soon be eradicated. However, it has not been eradicated
yet, and since it is a virus, it is still untreatable, except by supportive
measures. If you have had a booster in the last ten years, you're probably
fine.
Tetanus - people still die of tetanus in Uganda, also. If you've had
a booster in the last five years, you should still be protected. Otherwise,
get the shot. Some health departments offer tetanus toxoid alone (TT), and
others give diphtheria-tetanus combination (dT). Either is acceptable.
Hepatitis A - this is the vaccine-preventable disease that travelers
worldwide are most likely to get, because they didn't get the shot. It is a
two-shot series, and you need to at least have started it before arriving in
Uganda. If you get hepatitis A, it will take weeks or months to recover,
even though it is seldom fatal. A lost semester of college or two months off
the job is generally much more expensive than the vaccine. Note: in the
past, patients exposed to hepatitis A were given gamma globulin to prevent
active infection. Now that the vaccine is available, this is no longer
recommended.
Typhoid - the oral form is recommended, as the immunity is more
long-lasting and more effective, but the injected form will also be
acceptable. You can also plan on being sick for at least a month or more if
you get typhoid. Typhoid is very common in Uganda. I treat patients for
typhoid at least every other week. It does not have a high mortality rate,
but it can still be fatal on occasion.
Meningococcus - universities in the U. S. are increasingly requiring
this vaccine for entrance, but it is not yet required by all of them. There
are sporadic epidemics of meningococcal disease in Uganda. Meningococcal
meningitis can be rapidly fatal (within hours), or leave survivors with
permanent brain damage.
Short term visitors will usually not require vaccination for cholera,
rabies, plague, influenza, varicella, tuberculosis, anthrax, or Lyme
disease.
Malaria prophylaxis
Malaria is very common nationwide and very common in the villages and other
places we may be traveling. Bring insect repellent.
If you have good insurance with a co-pay, I would recommend Malarone, the
newest preventive medicine for malaria. It doesn't seem to have many
side-effects, and is considered highly effective. It needs to be taken
daily, starting a week before you come to Uganda and continuing for four
weeks after you get back to the U. S. It is not currently available in
Uganda.
If you are cash-poor, Doxycycline is a good alternative. It is readily
available in Uganda and may cost just a few dollars for a two-month supply.
It may make oral contraceptives less effective, and is not for children
under age eight years or women who are pregnant or breastfeeding. Some
people sunburn more easily while on it, so bring sunscreen AND insect
repellent. The dose is 100 mg (one pill) daily, starting a week before you
leave the U. S. and continuing for four weeks after getting back.
Some people like to use a combination of drugs, such and Chloroquine and
Proguanil (Paludrine) as malaria prophylaxis. Chloroquine alone has a 40%
resistance rate here, and is not appropriate for single drug therapy, but
its effectiveness is increased by adding proguanil to the regimen. It is
probably not quite as good as doxycycline or malarone, but is a reasonable
alternative. The Chloroquine is taken weekly, 300 mg base (usually two
tablets, depending on strength of base), and proguanil is taken 200 mg once
daily (usually two tablets). Both are started one week before departing, and
continued four weeks after returning to the U. S. Proguanil may be difficult
or impossible to obtain in the U. S., but is available in Uganda.
Mefloquine (Lariam) has been widely used, but is falling out of favor for
malaria prophylaxis, and is completely out of favor with the Kampala
missionaries. It is expensive, considerably more than doxycycline or
chloroquine/proguanil, and has resistance rates variably recorded, but up to
15% in Uganda. Its side effects were originally thought to be uncommon, but
are now considered more common than previously recorded. Most side effects
are neurological in nature, and include tremors, paranoia, irrational
behavior, depression or emotional instability, and occasionally psychotic
behavior. Insomnia is very common, as is the feeling of being on an
"emotional roller coaster". Trust us, culture shock will be difficult enough
without drug effects to make it worse. Please don't choose this.
It is available in Mbale but we don't recommend it at all.
Before you leave Uganda to return to the States, we will also suggest you
purchase a curative dose of malaria medicine (about $15). This is much
cheaper than taking tests and purchasing medicine in the States (about $200)
if you should come down with malaria after leaving Uganda (the incubation
period for malaria can be up to 21 days)
Other considerations
Diseases from contaminated food and water are very common in Uganda. We
recommend drinking only water that has been boiled and filtered, or is
bottled. Food bought in restaurants is usually prepared well, but food
bought at roadside may not be. Unpasteurized milk can cause brucellosis,
which is common. We strongly encourage you to discuss with the team any
medicines you are taking, or any medical condition you may have, as well as
any symptoms of illness you have while in Uganda. After returning to the
United States you should see a doctor for any fever over 100.4 degrees
Fahrenheit, or 38 degrees Celsius, and inform the doctor that you have
traveled to Africa. Many people will also choose to be tested for
tuberculosis three months after arriving back in the United States.
Prescription Drugs
Most other prescription drugs are available though they may not be in the
brand you are familiar with. Things are generally cheaper here. If you are
on a certain drug, you may wish to inform us of it and let us check to see
if it is available.
Medical Emergencies
Concerning medical emergencies, we have a very good set up here in Mbale. We
currently have a very good hospital called Cure Children’s Hospital. It is
staffed with American and Ugandan doctors and nurses. We have good
laboratories and are able to help you with just about any kind of sickness
that you might encounter while here. And our doctors will make house calls!
Other options for serious
illnesses are in Kampala (3 hours from Mbale). In Kampala there are: 5
hospitals, general practitioners, an orthopedic doctor, an
obstetric/gynecologist, dentists and a doctor of ophthalmology.
This list of diseases and
treatments is not designed to frighten you. They are given to provide you
with the most thorough information possible to make your stay safe and
enjoyable. Feel free to direct any medical questions to us on the team.
Let me know if you have any other questions concerning medical needs.
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For more information, please contact:
Shawn and
Linda Tyler, Mbale Mission Team intern-coordinators at
saltyler29@yahoo.com
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