There is currently no systematic provision for chemotherapy of adult patients with cancer in Malawi. Is the introduction of such a service now feasible in Malawi, and should an individual patient with potentially treatable disease be given chemotherapy in the absence of such a service? The technical, economic and moral issues are discussed here in the form of a debate.

Illumina sequencing of RNA from a cassava cutting from northern Malawi produced a genome of Ugandan cassava brown streak virus (UCBSV-MW-NB7_2013). Sequence comparisons revealed stronger similarity to an isolate from nearby Tanzania (93.4% pairwise nucleotide identity) than to those previously reported from Malawi (86.9 to 87.0%).

BACKGROUND Only about one-third of eligible HIV/AIDS patients receive anti-retroviral treatment (ART). Decentralizing treatment is crucial to wider and more equitable access, but key obstacles are a shortage of trained healthcare workers (HCW) and challenges integrating HIV/AIDS care with other primary care. This report describes the development of a guideline and training program (PALM PLUS) d...

BACKGROUND Verbal autopsy (VA) is a widely used method for analyzing cause of death in absence of vital registration systems. We adapted the InterVA method to extrapolate causes of death for stillbirths and neonatal deaths from verbal autopsy questionnaires, using data from Malawi, Zimbabwe, and Nepal. METHODS We obtained 734 stillbirth and neonatal VAs from recent community studies in rural ...

Few medical schools and sustained emigration have led to low numbers of doctors in many sub-Saharan African countries. The opportunity to undertake specialty training has been shown to be particularly important in retaining doctors. Yet limited training capacity means that doctors are often sent to other countries to specialise, increasing the risk that they may not return. Expanding domestic t...

Abstract Cropland expansion is a common strategy for boosting agricultural production in sub-Saharan Africa (SSA) even though it often leads to economic, environmental, and social trade-offs. Ensuring sustainable cropland use their management critical improving food security preserving ecosystem services. To develop policies approaches that support at national sub-national scales, there need un...

a r t i c l e i n f o The cosmogenic radionuclide 10 Be was measured from drill core sediments from Lake Malawi in order to help construct a chronology for the study of the tropical paleoclimate in East Africa. Sediment samples were taken every 10 m from the core MAL05-1C to 80 m in depth and then from that depth in core MAL05-1B to 382 m. Sediment samples were then later taken at a higher reso...

Are more dangerous strains of tuberculosis spreading in Southern Africa? LSHTM investigators: Peter Godfrey-Faussett, Ruth McNerney, Kim Mallard, Helen Ayles. Collaborators: ZAMBIA: ZAMBART Project; University Teaching Hospital, Lusaka; MOH Chest Diseases Laboratory. Malawi: Community Health Sciences Unit of the Ministry of Health and National TB Programme; EQUI –TB Knowledge Programme (Liverpo...

In the past few decades, climate-smart agriculture (CSA) has been promoted to improve food security and raise incomes as a strategy for sustainable agricultural development. The adoption rates among smallholder farmers, particularly in Africa, remain low have varied different contexts. This study investigated market participation spillover effects from of CSA practices central Malawi using cont...

Affiliations: Institute of Tropical Medicine, Department of Public Health, Antwerp, Belgium (W Van Damme, MD, MPH, K Hermann, MA, MPH); School of Public Health, Makerere University, Kampala, Uganda (GW Pariyo, MBChB, PhD); Department of HIV and AIDS, Ministry of Health, Lilongwe, Malawi; Management Sciences for Health, Lilongwe, Malawi (EJ Schouten, MD, MPH); Federal HIV/AIDS Prevention and Con...