Dr. Swai is the Director of Hospital Services of the Kilimanjaro Christian Medical Centre (KCMC), the largest hospital in the north of Tanzania. KCMC is a referral hospital for over 11 million people in Northern Tanzania. The hospital is a huge complex with over 450 beds, with hundreds of outpatients and visitors coming to the centre everyday. Over 1000 staff are employed at the centre. In addition to providing medical services to the local community it provides training for nurses, medical students, and other ancillary workers, under the auspices of the associated KCM College. It also accepts students from other countries for their ‘elective’ studies.