
Leading a STM Medical Team
Mid Pre-Trip Tasks
Logistics, Part II

Partnering with an organization like
Medical Missions International (MMI) solves 99.9% of the
logistics puzzle (virtually everything in-country - all you are responsible for is to arrange and buy the airfare). By having well-established
connections in key countries around the world, MMI
has become expert at providing the complete package of logistical support necessary for a team's short-term mission
experience.
For the team that is not partnering with a group like MMI, the leader needs to use this middle portion of the pre-trip time to continue
the dialogue with the national host about each item of logistics (see below). You should think about each night of lodging,
each meal, means of transportation and each transit from one place to another, as well as activities for each morning, afternoon, and evening. The calendar, the budget, and the
logistics all need to work together in covering the ministry activities, the safety and security of the team, and the financial issues.
Confirm in writing
with the host which items they are arranging and which ones they want you to arrange. Special consideration must be given to
the retreat time - place, activities, etc. - because this often is not arranged by the national host.
In preparing for the team meetings and thinking about how to tell the team about the accommodations and food, think about the
principle "under-sell and over-deliver." For example, if the host tells you there will
be showers, consider telling the team, "We hope to be able to shower every few days." People generally prefer to be pleasantly surprised
rather than disappointed.
This part of planning - all these detailed arrangements - can occasionally be frustrating due to the inherent
difficulties of long-distance communication, possible issues with language, the fact that you are
unfamiliar with the place you are headed, and
cultural differences, all of which can affect your ability to have as much control as you would like (and we are used to).
In many cultures there is a reluctance to say "no," (especially to a westerner) which can lead to the host agreeing to
things that he/she cannot actually carry out. It's a cultural thing that we need to build into our thinking as we communicate with
the host. They want more than anything to please you and the team, so they may agree to provide things that are not even possible. We
Americans would just say "no," but in many cultures you just won't hear that. So checking and double-checking is wise. When available,
phone conversations or Skype are far better than email. Asking the questions, "What do you recommend?" followed by "Why?" often
can get to the heart of the matter.
Click in this list to jump to the desired outline section:
Logistics
- Lodging
- Long discussion with national host
- National host pays and passes costs to team?
- Verify details in writing via email
- Ensure arrangements for:
- Lodging at arrival city
- Lodging at area of ministry
- Lodging at retreat site
- For each site consider:
- Cleanliness
- Toilets (not necessarily western style)
- Shower (not necessarily western style)
- Electricity
- Proximity to food/cooking
- Proximity to ministry site Go back to list at top
- Food
- Long discussion with national host
- Safety for western stomachs
- Nutrition (protein/day)
- Number of meals/day
- National vs westernized cuisine
- Clean water source
- Cost of various alternatives
- National host pays and passes costs to team?
- Verify details in writing via email
- Meals at arrival city
- Time of day of arrival
- Food available at hotel or lodging?
- Meals at area of ministry
- Breakfast
- Lunch
- Dinner
- Celebration dinner
- Timing
- Site
- Menu
- Meals at retreat Go back to list at top
- Translators
- Trip objectives determine need/number
- National nurses usually are best translators for medical teams Go back to list at top
- Ground Transportation
- Discussion points with national host
- Size of group
- Safety during transit
- Do any individuals need transportation separate from the group?
- For an individual meeting?
- For the leader to buy supplies?
- National host pays and passes costs to team?
- Verify arrangements in writing with host
- Who will meet team at airport?
- Travel to and from airport
- Travel to and from area of ministry
- Travel in and around area of ministry
- Travel to and from retreat location Go back to list at top
- Security
- Personal safety and security
- From injury during travel
- From assault
- From infectious agent
- Food or water borne agents
- Airborne or arthropod agents
- Security of team belongings
- During transportation/transfer
- Daytime security while in ministry
- Nighttime security Go back to list at top
- Day of Rest activities
- Church services
- Can the church accommodate a large group?
- English vs. national service
- Local sights/recreation?
- Proximity
- Transportation
- Safety
- Cost Go back to list at top
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