IHE: Marshall Islands
Majuro Hospital was built in the 1980s with funding from
the U. S. and serves as the tertiary care center for the Marshall Islands
and as the primary care center for most of Majuro. The hospital departments
include Internal Medicine, Surgery (and surgical specialities Ophthalmology,
Orthopedics, Urology, ENT), OBGYN, Pediatrics, Rehabilitation, ER, Pharmacy
and Public Health.
Students will be working at Majuro Hospital and with the
public health outreach teams.
Major medical issues on the island include: diabetes (and
surgical complications), hypertension, TB, STDs, pneumonia and family
planning. The Marshall Islands have also recently experienced an outbreak
of measles. To learn more you may want to review some of these
Be prepared to make use of your physical exam skills. Access
to labs and other studies is limited.
You can view photos taken by prior IHE students in the Marshall
Islands by clicking here.
Another good source of information about the Marshall Islands
is Holly Barker's Bravo for the Marshallese: Regaining Control in a
Postnuclear, Post Colonial World, 2003.
* Medicine (wards and clinic) -- up to two students
* Surgery (OR and wards) -- only one student
* OBGYN (working with midwives) -- up to two students
* Pediatrics -- only one student
Dr. Kamal Gunawardane (Surgery) will be your primary contact at
Majuro Hospital. Other mentors include: Dr. Maung Win (Surgery), Dr. Virgilio
Bong Villaraya (Medicine), Dr. Mai-Ling Perman (Medicine), Dr. Jane Gaucio
(Pediatrics), Dr. Jimmy Santos (OBGYN), Dr. Felicidad Cabrerra (OBGYN),
and Dr. Kenner Briand (Public Health).
No knowledge of Marshallese is required. Most of the physicians
are expatriates and work with native nurses when interviewing their patients.
If you and the other IHE students in the Marshall Islands are interested,
a Marshallese language class could be organized at the library. Let us
know if this might be of interest to you.
- 30 minute presentation on a topic of interest to the staff
of Majuro Hospital. All physicians (regardless of their speciality)
take call in the Majuro Hospital ER, and your topic should review information
that would be helpful to them. Suggested topics include: EKG reading,
x-ray interpretation, trauma management, cardiac life support, acute
abdomen, hypertension, heart disease, differential diagnosis of chest
pain, STDs, TB, dehydration and nutrition. Because you will have limited
access to the internet and to journals on Majuro, it is highly recommended
that you collect all necessary information prior to leaving the United
States. Here is a past student presentation.
- Public health outreach will make up about 50% of your work.
You will spend three weeks with one or more of the following public
health teams (depending on your interests): diabetes, family planning,
immunizations/vitamins, leprosy, and behavioral health.
- 10 minute presentation for members of the UWSOM administration
and Puget Sound Partners for Global Health upon your return to the United
- 5-10 digital photos of yourself with patients and staff on
site. Be sure to ask permission from patients and staff before taking
- Complete and turn in your activities diary, Evaluation
form, receipts and Expense Report form
and receipts to Daren Wade,
Program Manager, Health Sciences Global Training Resource Center, C-314
Health Sciences Building, Box 356355, University of Washington, Seattle,
- ER call: Interested students may choose to take call with the
on-call physician in the ER. You are free to make your own call schedule.
- Visit to the outer islands (e.g. Ebeye) to learn about health
care delivery there (cost of travel to the outer islands is the responsibility
of the student, and is not included in the IHE stipend).
Traveling to Majuro, Marshall Islands (MAJ)
* No visa is required. (For more information, see the U.
S. State Department.)
* Airline: Continental Micronesia
* Flights to Majuro from Honolulu go out on Monday, Wednesday and Friday.
* You may contact Vicki Robbins at (206) 364-0100 (she is the travel
agent for the Pacific Islands Continuing Clinical Education Program,
Dept. of Family Medicine) for assistance in booking your tickets.
Traveling within the Marshall Islands
Air Marshall Islands, P. O. Box 1319, Majuro, MH 96960, RMI, Tel. (800)
543-3898 or (692) 625-3731, firstname.lastname@example.org
Housing will be arranged by IHG. We hope to find housing close to the
hospital with A/C, kitchen, and TV/VCR.
Beware of the dogs! While there is no rabies on the island, students
have reported being bitten or knowing of others who were bitten while
walking around on Majuro. Don't walk around at night. Use taxis in areas
where there are a lot of dogs around. Report any dog bites to the police.
There has been a shortage of tetanus vaccine on the island, so it is
particularly important that you get your booster prior to coming.
You will not be provided with protective TB masks at the hospital. It
is important that you bring your own NIOSH-certified
particulate filter respirator. A list of NIOSH-approved N95 disposable
particulate respirators (including supplier/manufacturer and contact numbers)
may be found here.
Traffic accidents are the major cause of injury or death for students
in overseas programs. Read more about how to protect yourself at the Association
for Safe International Travel (ASIRT) website. The ASIRT has compiled
Road Travel Reports for 150+ countries. You can order copies of these
reports at no charge. The United
States State Department also provides safety suggestions. Finally,
you may find this recent article in the
New York Times helpful.
You are required to purchase all items outlined in the budget. You must
bring with you needlestick prophylaxis and other listed supplies. This
is NOT optional.
This budget is approximate. We have done our best to estimate the costs
students might incur. If your costs exceed the stipend you are given,
these costs will be your responsibility to cover. If you
underspend the budget allocated for a particular item, you may apply the
excess funds to any other item in the budget except food.
The amount allocated for food is not intended to cover all your food expenses.
If you underspend your stipend, you will be expected to return the remaining
Be aware that food is very expensive in the Marshall Islands.
Airline tickets : Council
Travel insurance: You must obtain the Extra Protection
Plan from Cultural Insurance Services International.
Ground transport: transportation to and from airport included in travel budget.
|This is a token amount. You are expected
to pay for your own food expenses.
Please see your own PCP or Hall
Health Travel Clinic for the following items/appointments:
travel consultation, physical exam, vaccinations, and post-exposure prophylaxis (3-day regimen).
|Latex gloves, goggles,
NIOSH-certified particulate filter respirator (may purchase from
a medical supply store), instant hand sanitizer (e.g. Purell), and life
Access is intermittent and slow. You will be able to e-mail family and
friends back home, but don't count on being able to do literature searches
and download journal articles on the web.
Social events will be organized with local healthcare workers and other
members of the community.
Tourist and other local information
* Republic of the Marshall
Islands (a service of the RMI Embassy, USA)
* Marshall Islands Visitors
* Yokwe Divers and Wildfire
Useful Marshallese terms and phrases
|Hello, goodbye, love: Iokwe
||Coconut tree/green coconut: Ni
||It's cheap: Edik onean
|Thank you: Kommool tata
||Brown coconut: Waini
||It's expensive: Elap onean
|You're welcome: Kin jouj
||Ocean: Lojet, lometo
||What's your name?: Etam?
|How are you?: Ejet am mour?
||Lagoon: Lomalo, malo
||My name is: Eta in
|It's good: Emman
||Where is the bank?: Ewi bank eo?
|It's bad, tastes bad: Enana
||Come here: Itok
||Boat, canoe, car: Wa
||Go away: Etal
||What time is it? Jete awa kiio?
||Scuba dive, snorkel: Tulok
||Excuse me, I'm sorry: Jolok bod
|Tastes good: Enno
|Does it taste good?: Enno ke?
||Reef, coral: Wod
|What's this?: Ta eo?
|I or me: Na
|You, you are: Kwe
||Purchase, buy: Wia
|Man, men: Emmaan
|Woman, women: Kora
||How much does this cost?: Jete onean?
Other helpful tips...
- The postal service is unreliable. You must bring things with you.
- Women should not wear shorts above their knees. It's very rude to show
your thigh in Marshallese culture. Women should also cover their shoulders.
- Don't wear a bikini unless you are in a very isolated area of a beach.
Otherwise plan on wearing board shorts and a tank top on top of a bikini
or one-piece bathing suit.
- Other things to bring if you have access to them: suture materials,
paracentesis kits, and reagents for basic labs (BUN, Cr, etc).