More than observation -
supervised, structured, real
FOR STUDENTS
If you are looking for a placement where you take on supervised responsibility, work towards defined learning outcomes, and leave with a completed project, ECHOES may be a good fit for you.
WHO IT'S FOR
Is this for you?
This placement is designed for students in nursing, midwifery, medicine, and dentistry who are motivated to learn through supervised participation in a new and unfamiliar setting. It suits students who are adaptable, respectful, and ready to engage proactively and with curiosity with both the clinical and community sides of the placement.
You do not need prior international experience. What matters most is a thoughtful attitude, openness to guidance, and respect for the setting.
This is not a volunteer trip, a gap-year experience, or a form of medical tourism. Students are not asked to work beyond their competence, but they are also not expected to remain passive observers. The placement is structured, demanding, and designed around real learning.

What your week looks like
A TYPICAL WEEK
In a typical week, you will be at your clinical placement from Monday to Friday. Placements run from 8:00-14:00, though hours can shift depending on your mentor's schedule. Your clinical hours are prepared before you arrive, in coordination with your mentor and based on the required clinical hours from your institution. Your days are split between time in the hospital, time in the community, and dedicated hours for your deliverable project.
Weekday evenings and weekends are entirely your own. This is a good time to arrange activities with your fellow students - exploring Pemba, taking weekend trips, or simply resting and reflecting on everything you've seen and learned during the week.

LANGUAGE REQUIREMENTS
What level of English do I need?
All ECHOES placements are conducted in English. You should feel comfortable using English in everyday life on Pemba Island and in clinical communication, including case discussions, handovers, and documentation.
Being able to speak Swahili is not required. Hospital staff can support communication where needed, but learning a few basic Swahili phrases is warmly encouraged, as it can help build connections with patients and the wider community.
