Sierra Leone:
Primary Health Care:
This project involves the provision of primary health care to villagers in the remote Mofinko River region in Kono district with over 50,000 regional inhabitants. A team of medical personnel including medical students, medical and dental residents, doctors, and allied health care personnel, staffs a clinic with local outreach on a rotating basis in concert with the local health community. The project strengthens local heath care services, with qualified medical professionals, basic equipment and essential pharmaceuticals . Emphasis is placed on the close interaction of participants from the U. S. and the local health care personnel at all levels of health care.

The Gambia:
Construction:
Several village generated community development construction projects offer the opportunity for rural villagers and Americans to gain cross-cultural experience while providing the community with useful infrastructure. In addition to locally generated projects, the organization sponsors the Geltaftan (Fired Earth) architecture as a sustainable means of local house construction. The teams rotate to the various sites over a two- to four-week period.

Primary Health Care:
This project involves a teams of doctors and other medical personnel with medical supplies and medications, working for a two- to four week period in local hospitals and other health care delivery facilities in The Gambia. The project strengthens the existing health care delivery system in the communities with which we work as well as providing experiential and educational benefit to the American participants, while concurrently providing a platform for cross-cultural exchange.

Education and Culture:
Educational and cultural programs emphasize adult literacy, childhood literacy, and computer educational projects. Cultural exchange will involve Internet and electronic exchange initiatives between schools and community groups in the Gambia and the U. S. The computer aspect of the project will work closely with SchoolNet Africa, an initiative to enable schools in Africa to be networked together and to share ideas and experiences. TACEXCHANGE project will seek computers and equipment for schools and community groups in The Gambia. TACEXCHANGE technical assistants including teachers and other educational personnel will provide training and assistance to local school staff and community groups to set-up and maintain the systems. The main thrusts of the project lies in cultural exchange through electronic exchange of information, ideas and experiences across cultures with a view towards improvement of understanding of the respective cultures.

Sub-Saharan Africa:
Medical Education:
TACEXCHANGE sponsors a medical education program for individual medical and dental residents to spend a one-month educational elective working with African medical educators to learn about health care delivery in a developing nation. In addition to project sites in The Gambia, Sierra Leone and Kenya, future sites include Senegal, Ghana, Guinea, and South Africa.
Medical Relief:
The organization provides coordination of medical relief response teams to areas of natural and civil crisis in Sub-Saharan Africa. The teams are composed of medical personnel from all levels of the health care system as well as administrative and technical assistants. The projects look to provide a bridge from crisis to sustainable recovery. Current work focuses on Sierra Leone.