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.

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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.