How to Work as a Doctor in Tanzania: Full Guide for Domestic and International Graduates

Introduction

Tanzania, located in East Africa, is renowned for its stunning landscapes, rich culture, and vibrant wildlife. The country's healthcare system is a blend of public and private services, offering numerous opportunities for both domestic and international doctors. This guide aims to provide a comprehensive overview for doctors considering practicing medicine in Tanzania, covering everything from obtaining a license to practice to finding a job, average salaries, cost of living, and life in the country.

Tanzania's Healthcare System

Characteristic and Special Things About Tanzania

Tanzania is known for its diverse ecosystems, including the Serengeti National Park and Mount Kilimanjaro. The healthcare system in Tanzania is evolving, with significant efforts being made to improve healthcare access and quality. The Ministry of Health, Community Development, Gender, Elderly, and Children (MoHCDGEC) oversees healthcare services, which are provided through a mix of public, private, and faith-based institutions.

Opportunities for Doctors

The demand for healthcare services in Tanzania is high, creating numerous opportunities for doctors. Both urban and rural areas require medical professionals to address various healthcare needs. Opportunities exist in general practice, specialist fields, and public health. International doctors can contribute significantly, particularly in underserved areas.

Obtaining a License to Practice Medicine in Tanzania

Steps to Get the License

1. Educational Requirements:
   • Domestic Graduates: Must have completed a medical degree from a recognized institution in Tanzania.
   • International Graduates: Must have a medical degree recognized by the Tanzania Commission for Universities (TCU).
2. Examinations:
   • Foreign Medical Graduates Examination (FMGE): International graduates must pass the FMGE to demonstrate their medical knowledge and proficiency. The exam covers various medical subjects and is designed to ensure that international doctors meet Tanzanian standards.
3. Registration with Medical Council of Tanganyika (MCT):
   • Complete the application form available on the MCT website (https://www.mct.go.tz .
   • Submit required documents, including proof of education, FMGE results, and proof of internship completion.
   • Pay the registration fee (approximately $200 USD).
   • Await approval from MCT, which may take several weeks.
4. Provisional Registration:
   • After initial approval, doctors receive provisional registration, allowing them to undergo a one-year internship at a recognized hospital in Tanzania.
5. Full Registration:
   • Upon successful completion of the internship, apply for full registration with MCT.
   • Submit the internship completion certificate and pay the final registration fee (approximately $150 USD).
6. Continuing Medical Education (CME):
   • Doctors must engage in CME to maintain their registration. CME credits can be obtained through various medical courses and workshops.

Fees and Study Resources

• FMGE Fees: Approximately $300 USD.
• Study Resources: Recommended resources include medical textbooks, online courses, and review materials specifically for the FMGE. Popular platforms include Medscape (https://www.medscape.com) and UpToDate (https://www.uptodate.com).

Pass Rates

• The pass rate for the FMGE varies, but it generally ranges between 50-70%. It is advisable to thoroughly prepare using the recommended study resources.

Finding a Doctor Job in Tanzania

Steps to Get a Job

1. Networking:
   • Attend medical conferences and workshops in Tanzania to connect with potential employers and colleagues.
   • Join medical associations such as the Medical Association of Tanzania (MAT).
2. Job Portals:
   • Utilize job portals like Brighter Monday (https://www.brightermonday.co.tz) and LinkedIn to search for doctor positions in Tanzania.
3. Hospital Applications:
   • Apply directly to hospitals and healthcare institutions. Notable hospitals include Muhimbili National Hospital, Aga Khan Hospital, and Kilimanjaro Christian Medical Centre.
4. Government Jobs:
   • Check the MoHCDGEC website (https://www.moh.go.tz) for job openings in public hospitals and health centers.

Average Salaries and Cost of Living

• Average Salaries:
  • General Practitioners: $1,000 - $2,000 USD per month.
  • Specialists: $2,500 - $5,000 USD per month.
  • Salaries may vary based on experience, location, and the type of healthcare institution.
• Cost of Living:
  • The cost of living in Tanzania is relatively low compared to Western countries.
  • Monthly expenses for a single person in a city like Dar es Salaam are approximately $700 - $1,200 USD, including rent, utilities, food, and transportation.

Life in Tanzania

Diversity and Big Cities

• Diversity: Tanzania is culturally diverse, with over 120 ethnic groups. The country is known for its hospitality and vibrant cultural heritage.
• Big Cities:
  • Dar es Salaam: The largest city and economic hub, offering modern amenities, shopping centers, and entertainment options.
  • Dodoma: The capital city, known for its administrative significance and growing infrastructure.
  • Arusha: A gateway to safari destinations, with a mix of urban and natural attractions.

Famous Hospitals

• Muhimbili National Hospital: The largest referral hospital in Tanzania, providing a wide range of specialist services.
• Aga Khan Hospital: A leading private hospital offering high-quality healthcare services.
• Kilimanjaro Christian Medical Centre: Known for its comprehensive healthcare services and training programs.

Visa, Residency, and Nationality for Foreign Doctors

Visa Requirements

• Work Visa: Apply for a Class B work visa through the Tanzania Immigration Department (https://www.immigration.go.tz ). Required documents include a job offer letter, proof of qualifications, and a valid passport.
• Fees: The visa fee is approximately $500 USD.

Residency and Nationality

• Residency Permit: After obtaining a work visa, apply for a residency permit. The process involves submitting additional documents, including a health certificate and proof of accommodation.
• Nationality: Foreign doctors can apply for Tanzanian citizenship after residing in the country for a certain period, typically 10 years. Dual citizenship is not recognized in Tanzania.

Public and Private Healthcare

Public Healthcare

• Public healthcare in Tanzania is primarily funded by the government and donor agencies. Services are provided at various levels, from dispensaries to national hospitals. While public healthcare aims to be accessible, it often faces challenges such as limited resources and staffing shortages.

Private Healthcare

• Private healthcare facilities offer higher standards of care and shorter waiting times compared to public hospitals. These facilities are well-equipped and provide specialized services. Private healthcare is more expensive but preferred by those seeking higher-quality medical care.

Conclusion

Working as a doctor in Tanzania offers a unique and rewarding experience, with opportunities to make a significant impact on the healthcare system. By understanding the licensing process, job market, and living conditions, doctors can successfully transition to practicing in this vibrant East African country.

Recommended Websites

• Medical Council of Tanganyika: https://www.mct.go.tz
• Ministry of Health, Community Development, Gender, Elderly, and Children: https://www.moh.go.tz
• Tanzania Immigration Department: https://www.immigration.go.tz
• Medscape: https://www.medscape.com
• UpToDate: https://www.uptodate.com
• Brighter Monday: https://www.brightermonday.co.tz