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Tarija is a small and tranquil city in southern Bolivia, but full of charm. This picturesque region is known as the “Bolivian Andalucia” for its vineyards and Spanish cultural influence. Tarija offers universal health insurance, which can create high demand for services and strains on the system due to lack of personnel and equipment.
During this program, participants come to understand the cultural and socioeconomic barriers patients face in accessing healthcare services and witness treatments for pathologies not commonly seen in North America, including parasitosis, tuberculosis, and Chagas. Learn from health professionals and become immersed in Tarija’s healthcare system, engaging in observational rotations in community clinics, secondary and tertiary level hospitals, and a leading clinic for the treatment of Chagas Disease. Shadow healthcare professionals as they undertake patient consultations, laboratory analysis, and prevention efforts in surrounding communities while learning from local experts about the latest developments in Chagas research.
Become immersed in Bolivian culture and language through conversational and medical Spanish classes while living with a local family in Tarija. CFHI participants may also organize weekend trips to nearby destinations, the Valle de los cóndores and waterfalls in Coimata.
Bolivia is a geographically diverse country home to both the Amazon jungle and Andes mountain range. This land-locked country in the heart of South America was formerly part of the Inca Empire and borders Brazil, Peru, Chile, Paraguay, and Uruguay. It is one of the most underdeveloped countries in Latin America.
This program is based in Tarija, a modern city in southern Bolivia known for its wineries, pleasant climate, and relaxed atmosphere. Residents identify more with the State of Tarija itself than the rest of Bolivia. Tarijeños have their own unique customs and way of life, influenced by Spanish and various indigenous cultures. There are many festivals to enjoy throughout the year, including the Festival of Wine held in March and the Fiesta de San Roque in September, with traditional musical presentations and a colorful procession of Los Chunchos.
Program participants will find their home away from home in carefully selected homestays, screened by CFHI Local Coordinators in Tarija and following CFHI’s health and safety guidelines. Nestled within Tarija’s town center and surrounding areas, these homestays offer the perfect blend of comfort and authenticity, situated in middle-class neighborhoods near shops, restaurants, and cafes. In some cases, CFHI scholars share a house or a room in the same homestay with fellow program participants.
Going beyond mere lodging, these homestays provide a unique opportunity to learn about the local culture and practice Spanish skills on a daily basis in an informal setting. Accommodations include two meals per day. At the welcome orientation, participants will be instructed on culture and work etiquette to have the best experience in both homestay and the health setting.
Participants should arrive in Tarija on the program start date and will be picked up from the airport by a CFHI representative and taken to their homestay. A welcome orientation will take place the Sunday or Monday after arrival.
U.S. citizens must obtain a tourist visa for Bolivia. This can be done upon arrival at the airport. More information on travel and logistics will be provided by CFHI after acceptance into the program.
What’s Included
CFHI Program fees include the majority of your on the ground costs. As a nonprofit, CFHI strives to keep fees low and offers fundraising opportunities, scholarships and discounts.
Pre-Departure Support
On-Site Services
Post-Return Resources
Uniquely, most CFHI student program fees go directly to the communities they will be visiting, benefiting the local economy at large.
CFHI participants have free time during most evenings and weekends and may choose to organize weekend trips to nearby destinations and take part in cultural activities offered within Tarija itself.
Restaurants, shops, and palm trees line Tarija’s main plaza. When in Tarija, do as the locals do—grab a pastry while shopping for local handicrafts or simply enjoy the scenery and Mediterranean climate. Tour Casa Dorada or The Gilded House dating back to 1930. On the weekend, visit surrounding wineries in El Valle de la Concepción and sample the popular local spirit, singani, produced exclusively in this region.
A typical day in a CFHI program is a blend of immersive learning, cultural exploration, and personal reflection. Participants begin their mornings with breakfast at their homestay, followed by 4-6 hours of clinical rotations. The clinical site assignments and schedule are shared by the local team upon arrival. In the afternoon, participants attend Spanish classes at the language school and may partake in organized cultural activities, with the hours and regularity varying based on the program. Weekends are free of program-planned activities.
Sara is currently an undergraduate student studying Microbiology, Immunology, and Molecular Genetics at UCLA. She hopes to pursue a career as an infectious disease physician tackling global health inequities. Sara participated in the Tarija, Bolivia program in July 2023, where she got to dive deeper into her interest in Chagas disease, as well as shadow doctors doing rural home visits which she learned greatly from. Outside of school, Sara has practiced ballet for 16 years. She also enjoys solo traveling and practicing Spanish with friends she’s met from across the world.
The local Medical Director oversees and arranges all clinical and public health-related activities and is also responsible for coordinating healthcare and emergency services for participants as needed. They coordinate a cadre of preceptors who mentor and supervise program participants at both clinical and public/community health sites. Dr. Gamarra is the expert on socioeconomic determinants of health in the region and healthcare delivery strategies in low-resource settings.
Dr. Karina Gamarra Hoyos has been working with CFHI since 2009. She completed her MD at San Francisco Xavier de Chuquisaca in Sucre, Bolivia and her MPH at Universidad Autónoma Juan Misael Saracho in Havana, Cuba, specializing in Epidemiology. Dr. Gamarra also has extensive research experience on Chagas disease and currently manages her own health consulting firm, designing and implementing health programs in the region.
The CFHI Local Coordinators manage the logistics of housing, transportation, and cultural immersion throughout the program. They are a valuable resource for any questions related to navigating the program locale, cultural norms, and tips on planning weekend travel.
Fabricio has been involved with CFHI since 2009. He has a background in Agricultural Engineering. He has international experience, having participated in cultural exchange programs to the US and Germany as a college student. Currently, he is the Regional Manager of a construction company in Tarija.
This CFHI program is ideal for participants who are 19 years of age or older with an Intermediate Spanish level or above, who have an interest in fields related to hospital & inpatient medicine, communicable disease, infectious disease, urban/rural comparison, primary health care, and public health. You do not need to be a student to be eligible for this program; mid-career professionals, GAP year learners, and others are also welcome. This program will provide an in-depth overview of hospital & inpatient medicine, communicable disease, infectious disease, urban/rural comparison, primary health care, and public health in Latin America through visits and experiences within hospitals and clinics in the city of Tarija. To confirm your eligibility, please read CFHI’s general eligibility requirements.
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