Malawi is one of the poorest 10 countries in the world with a high prevalence of HIV/AIDS and many related cancers. Radiotherapy is not available and most patients are diagnosed too late for a cure. Palliative care coverage is patchy in sub-Saharan Africa and many die in pain or with anxiety as to the future of their children. In Malawi: centres have grown up allied to 2 main hospitals but most rural areas are without care and there is a great need to train medical personnel in holistic care.

Ndi Moyo delivers patient-centred, home-based care to a population of 400,000 in Salima & its surrounding rural area. It uses low-cost methods, easily taught & replicated, with simple medicines, oral liquid morphine & nutritional support. Children made vulnerable by parental illness are supplied with basic needs & education fees. Annual training courses are run for medical staff across the country to initiate palliative care programmes in their own units, with continuing follow up & mentoring.