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Hands across the equator: the Hereford/Muheza link.

This article describes how a doctor in England and a doctor in Tanzania began a program in which the health workers in their respective hospitals were exchanged. There were 2 aims of the program: each group should learn something about the others way of life and some practical help should be given by the richer community to the poorer one. The authors describe the 2 communities involved in the exchange and also give practical information on travel and financial arrangements. The bulk of the article is devoted to the remarks of the health workers who participated in the program. Finally the changes initiated by the English health workers into the Tanzanian facility are described. These included minor changes in the operating room procedures and changes in the organization of the emergency department. Some of the shortfalls are also included notably the lack of change in neonatal resuscitation and lack of change in maternal or neonatal mortality.