Georgetown University Summer 2017 Hoyas in Tanzania Program

Deadline is February 7th, 2017. And Non-Georgetown students can apply. More information here.

You know you’ve lucked out when your school’s most exciting summer program is in the same country/region as your main research projects.

That was me this summer. Students took Kiswahili classes at the University of Dar es Salaam in the mornings and did research/internships in the afternoon. We also visited Bagamoyo and Zanzibar. And in the last week we topped it all with a visit to Arusha and safari in the Serengeti. While in Dar students stayed with host families (all faculty members) on the UDSM campus.

Here is my students’ summary of their experience:

You’re barreling down a dirt road through the middle of Serengeti in the late afternoon. Wildebeest are flashing by your windows but you’re in a race against the setting sun to get to the lodge before dark, so you keep driving. You feel tired, and also a little bit like you’re in The Lion King; you find yourself humming “The Circle of Life” as you try not to fall asleep. You’re jerked awake by a sudden slam on the breaks; the zebras are crossing the road. You try to wake yourself up. Professor Opalo tells you that, while everyone was sleeping, the car passed by a baby lion. . You find his opportune lack of witnesses suspicious. You resolve to stay awake, but find your mind drifting….

What have you done in the last six weeks? Well, most recently, you went on safari and you came within arms reach of a lioness and a hyena, a warthog and a zebra, an elephant and a wildebeest. Before that, you went climbing on mangrove trees in Zanzibar and visited Oldupai Gorge. You saw thirteenth-century ruins at Bagamoyo, Tanzania’s first capital. But in between all the big days were the equally memorable ordinary ones. And those are the days you’re thinking about right now (note: by now you’re probably at “Hakuna Matata” on your mental soundtrack).

A Day in the Life of a Hoya in Tanzania

6:00AM: It’s still dark outside but you’re already awake with toothbrush in hand so as not to lose your spot in the family line-up for the bathroom. You run downstairs to drink your chai and eat your banana and chapati before you have to leave for school. Then you run back upstairs because you forgot your malarone and back down again and out the door as you shout, “Have a good day!” back to the house girl.

7:00AM: You start your trek to school and pick up your friends at their various host families along the way. If you’re lucky, Baba will pity you as he drives by on his way to work and give you a ride. Otherwise, you continue on the sometimes quiet, sometimes chatty walk and stop every so often to take a picture of the local monkeys. You usually arrive 15 minutes before class starts and sit on the bench in the hallway to wait for Mwalimu to unlock the classroom door. All the professors strike up conversations in Swahili with you as they walk by and you get a little overwhelmed and immediately forget all the Swahili words you’ve learned.

8:00AM: Class starts. You start to remember some of the Swahili words you forgot in the hallway as you try to correctly recall your home address, the directions to your host house, and the name of your SFS major. Professor Opalo shows up and takes your passport but you’re not sure why. You just roll with it.

You can read the whole thing here. 

Non-Georgetown students interested in learning Kiswahili (at all levels) can apply to the program. Application details can be found here.

Also, my students are the very best.

Traditional birth attendants and antenatal care in western Kenya

This paper examines the extent to which locally informed intermediaries can be exploited and provided with incentives to change the health-seeking behavior of pregnant women in rural Kenya. Despite Kenya being the largest and most advanced economy of East Africa, maternal and infant health outcomes are typical for those of other sub-Saharan countries, which lag significantly behind the developed world. There is evidence that antenatal care (ANC) is associated with improved maternal health outcomes, yet the majority of women in rural Kenya fail to meet recommendations for ANC timing and use, despite the availability of government subsidized healthcare. I examine whether a local intermediary, whose own incentives might oppose those of the government, can be co-opted to assist the government’s objective of increasing women’s ANC utilization.

I use a randomized controlled trial (RCT) to evaluate a program, which provides financial incentives for TBAs to encourage pregnant women to seek ANC at a formal medical facility. Competition between the TBAs and the formal clinics makes the effect of the program an empirical question, as there is no guarantee that the TBAs will respond to the incentive.

I find that living in a TBA treatment village increases the likelihood of attending the recommended number of visits by 20.7%. Women living in TBA treatment villages are 4.4 percentage points more likely to attend the recommended number of visits than women living in control villages, who attend the recommended number of visits 21.3% of the time. The results of this experiment, the first to study the extent to which TBAs can be motivated to encourage women to attend the prenatal clinic, could have important policy implications. The program’s success suggests that despite having a risk of losing clients, TBAs can be utilized as intermediaries of health facilities. Furthermore, finding that TBAs can induce pregnant women to attend ANC visits indicates that cultural norms, which discourage women going to ANC visits, can be overcome with relatively small financial incentives. By increasing the demand for formal maternal healthcare, TBAs’ encouragement of ANC attendance by women may help achieve improved maternal and child health outcomes.

That’s Georgetown’s Nisha Rai, in an excellent paper on the possibilities of integrating the use of traditional birth attendants with the formal healthcare system in Kenya (and developing countries in general). You can find a summary of the paper at the Bank’s Development Impact blog here.

If you know a policymaker in the health ministry of a developing country, please have them read this paper.

Georgetown MSFS Launches New Africa Scholarship

The application deadline is January 15, 2014. Spread the word.

Starting in fall 2014, the Master of Science in Foreign Service (MSFS) at Georgetown University is offering a full- tuition scholarship for a talented graduate student from sub-Saharan Africa.


MSFS is a two-year, full-time graduate degree program in international affairs. Students will take courses in international relations, international trade, international finance, statistics and analytical tools and history. In addition, students choose an area of concentration such as International Relations and Security, International Development or International Business.