Table 4.

Host Advice and Feedback for Visitors

Themes	Frequency	Representative excerpts
Cultural advice	95.3%	“What I wish they would have known is hard to know without actually being here. And that's the culture. Yeah. It's very hard to communicate culture, you know, in an email or in a prepared document. But they made up for not knowing about the culture with their sort of flexibility and their willingness to learn.” – Faculty “Take time to know people. Learn from different cultures, experiences. Get to know them. Visit their homes. Don't come and silo yourself again amongst the missionary and white people.” – Faculty “Taking like Swahili class wouldn't be a bad idea…and I feel like it would make their life easier with the patients, with the staff who don't necessarily prefer to communicate in English or are not as fluent in it. And plus, if you, if people feel like you understand the language, I think they open up to you better and you get to understand even the subtle things.” – Resident
Cultural humility	72.1%
Relationships with locals	51.2%
Power distance	44.2%
Cultural exchange	30.2%
Information about Kijabe	25.6%
Cultural awareness	23.3%
Learn the local language	23.3%
East African conflict aversion	14.0%
Explore the country	14.0%
Slow down, go with the flow	11.6%
Pre-visit preparation	58.1%	“One of the things I've found to be helpful is communication beforehand with those on the ground so that by the time you come you know the people you're gonna meet and maybe even the kind of cases that would be tackled.” – Faculty “Maybe just a general orientation on the hospital side, on patient care. Like these are the medications we have, this is the frequent kind of diseases that we deal in our set up, and these are our protocols in regards to management of these, so that when we are seeing patients, we are at the same, at the same level.” – Medical Officer Intern
Pre-visit communication	25.6%
Define roles and objectives	18.6%
Orientation materials	34.9%
Prepare teaching materials	16.3%
Bilateral information exchange	48.8%	“An exchange program is always good. And the reason is you learn from each other.” – Faculty “And it's the communication, there's no fight at all, but it's just exchange of information for the sake of the benefit of the patient.” – Resident
Appreciation for study	41.9%	“We often have exchange with different hospitals and different missionaries and others, but we have never been questioning what to do, how we can do better, and other things…It's the first time I find it questions, and that can help actually to improve the exchange and benefit from each side. I think that's great to have thought about doing such thing here.” – Fellow “Having visitors from [academic institution] let me be specific is a great resources to us, but at the same time also, having our opinions or asking us what we need is a good thing and we appreciate that.” -Resident

Host feedback and advice expressed by > 20% of participants are shown in bold with sub-codes listed below each major benefit. Sub-codes are not mutually exclusive and thus should not necessarily add up to 100%