Radiography link

A link was first established in Radiography between Kilimanjaro Christian Medical Centre (KCMC) in Moshi, Tanzania and the then Oxford Radcliffe Hospitals NHS Trust (ORH) in 2005, when a radiographer from Oxford was invited to visit KCMC. Since then the emphases have been on quality assurance (QA), patient safety and continuing professional development of radiographers.

The first visit was largely exploratory and a 'getting-to-know-you' exercise. Nevertheless several QA suggestions were made:

• measurement of X-ray tube output using a tool donated by the Medical Physics department in Oxford and tube alignment tests
• regular checking of films (which did not happen at that time)
• criteria to be established for film repeat or rejection.

It was noted that exposures were high, particularly for children, and lower doses were suggested. The set up of a School of Radiography at KCMC was discussed, with input from Oxford on the design of the syllabus. Tutorials were given on the radiography of trauma, mammography and barium enemas.

Radiographers from the Trust have visited KCMC each year since 2005 to build on the progress made in the previous year. All these visits have, so far, been self-funded or helped by local fund-raising events. There has been no call on any funding institution.