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Who's Who
Health and Disability
Since the last report, much work has been done by CCS and the team in Malawi led by Irene Westbury and Peter Phiri, with the result that building started on 12th July on the site in Chiosya chosen for the new Maternity block.The first three monthly Progress Reports are to be found in Construction. In order to achieve this, it was necessary for the Board of CCS to put a huge effort into fund-raising. Facilitated by Irish concerns in Malawi, a major contribution was donated by TNM (Telephone Networks Malawi) for the clinic.

The pictures show the ceremony of the symbolic hand-over of the cheque from TNM to Irene Westbury, our current VM in the area, supported by VMM. This took place on the site of the build with many dignitaries and media present.The expected finish date is 12th March, 2016. Funding is also in progress for the fitting of the Maternity.

The Chiosya clinic has been declared not fit for purpose by the Ministry of Health. This comprised a small, unsuitable Maternity unit. We are resolved to double our efforts to build a new Maternity wing in Chiosya. Talks and negotiations are under way, See more in Construction
it was decided we would stick to our original offer to Evelyne of a sum of €3,000 to go towards the hire of an assistant for the first year only, or whatever are her priorities. We certainly don’t intend to be the only funder and would rather not be tied down in the individual needs and requirements. We can evaluate further with the progress of the scheme.
We are making a donation of €1,000, which is part of funds raised by the children in a local Sutton school, towards a programme for people living with disabilities in the Chimteka area. This programme has been up and running for a few years and is led by a young Dutch physiotherapist, Evelyn who has c. 400 clients and, as reported below, does fantastic work in providing aids and also services to young and old who live with disabilities. Scroll pictures of how she used a similar donation from us previously.

During discussions with CVAOCC (see abbreviations) and CCS a need was identified for medical transport in the Chimteka area. A decision was taken by the CCS Board to allocate funding for the purchase and provision of three bicycle ambulances for the area. These to be used in selected villages as a pilot study to determine the efficacy of introducing more to other villages to carry the sick to Chiosya clinic. The guidelines for selection were remote communities, benefiting from outreach clinic coverage, a local health committee and a health station that can be used for storage. The villages Mphanga, Katekungwa and Waya were selected.


On the evening of 12th January, the heavy rains and the wind blew off the roof of the health centre. The rooms serving the Drug store, Maternity Clinic, Outpatient department, Wound dressings and HIV/counselling were all on fire. The solution finally agreed was that the village chiefs would put up the required money to fix the roof and redeem the damage. It is currently back in use but highlights the need for a new Maternity clinic.


  • Provided emergency health services through the only motorised vehicle in the area
  • Provided access to specialist surgical services, mainly cleft lips/palata and neck deformities
  • Facilitated a maternal health workshop focusing on methods of avoiding disability pre, post and during labour
2011 July-August
Some malaria rapid test kits have been made available by an organization in Lilongwe 2011

When used in conjunction with mosquito nets in a framework known as Integrated Vector Management IRS has been shown to significantly reduce malaria cases and therefore reduce childhood mortality. The recommended product is Fendona (BASF), it costs 7,065 Mkw per litre and the District coordinator will make a calculation on amounts based on treating approx 1000 h/holds before the end of the week. When applied correctly it can be effective for over 6 months with a long acting residual impact. Insecticide for Indoor Residential House Spraying [IRS] for the control of mosquitoes and malaria and other disease vectors The spraying equipment was borrowed from World Vision - very generous of them to lend such expensive (brand new) and fragile equipment.
A spraying evaluation meeting followed to discuss how the program of IRS was conducted; problems, lessons learned etc

Distribution of soap Katakungwa CBCC, glad to see a large number of children attending and people are preparing to construct a new kitchen for the facility.

John arranged a disability resource room for Evelyn's work with the disabled children.
Evelyne comes to Chimteka weekly on Saturdays:
• With American physio (Casey) and we conduct children’s corner activities with able bodied and disabled youngsters.
• With Occupational Therapist, physio and sign language/special needs teacher.
• To conduct a workshop on the importance of movement/physiotherapy of those living with Hiv and Aids.
Take 6 patients for outreach in Mchinji provided by Malawi against Physical disability (MAP).
The Peace Corps Health Volunteer from Lilongwe, Christi Brookes, has taken residence in new house in Msuzi village. She is 31 years old from Indiana USA and has a degree in Interpersonal Communication. She spent 2 years with the Peace Corp in 2006/2008, working primarily on Fish Farming.
The treasurer of CCS, Paul McDonald visted Chimteka and the Chiosya clinic.

All the rooms that were constructed (x3) at Chioshya Health Centre are fully occupied with a Non Governmental Organization (NGO) using them to offer sterilization of local ladies by cutting fallopian tubes.

The new Peace Corp Site Safety Manager has selected a house in Msuzi village for the Health Volunteer to Chiosya clinic. Work has progressed very well on the house to make it comfortable and secure and the location is very good.
The Eranger has already been involved in saving the lives of a number of children, particularly where meningitis and malaria have been the diagnosis. Also fuel is very hard to get at the moment and priority is given to an ambulance.

Evelyne comes to Chimteka with an SOS Lilongwe friend and provides physio for a number of disabled children.
We calculated that over 300 children/adults are benefiting from physio/epilepsy and orthopedic services
The partitions in Chioshya Health Centre were completed, with the static Community Therapeutic Care (CTC) program for malnourished children scheduled to begin soon. There are three new rooms; two HIV testing and counseling rooms and a plaster room rather than one barely used empty space.
This is a very exciting development with all the records for malnourished children/infants kept at Chioshya rather than Kochelera and the end of collecting the outreach team twice per month!
A big problem has arisen with the Mchinji Government hospitals completely running out of frontline drugs for the treatment of malaria and other life threatening conditions. The patients from our area have to be treated (those that can afford it) at Mission hospitals.
We have the final days training for the Eranger operator volunteers.As we take Zikkie back to Lilongwe for his flight back to South Africa, we also took the opportunity to license the Eranger and purchase a number plate so the Eranger is know completely road worthy.
All chiefs were gathered together for the official launch of the Eranger motorcycle ambulance.
During the very successful working visit of Annie Bowen-Wright (of the Dineen Chimteka Trust), medical equipment was purchased including:
2 standing fans; Electrical extension cord; 4 artery forceps; 1 scissors; 2 zinc plasters; 1 ultrasound gel; 8 mats for physiotherapy floor work;
tools and wood to construct specialist equipment for the disabled
The District Health Officer said circumstances are now such that we can be a part of their development of Chiosya Health Clinic e.g, construction of a maternity block. >BR>
Chioshya Health Centre has been selected to have its own permanent CTC program for malnourished infants beginning in November.
Evelyne and Special Needs Education Advisors (SNEA) from Mchinji started disability training in Chimteka Teacher Development Centre (TDC) for teachers from the 2 primary school. The training focused on the role of teachers in the educational development of children.
The District Health measles vaccination campaign begins, and the medicine we donated has been rapidly utilized.
The District Health requested our assistance in a mass measles vaccination campaign beginning the 9th August.

The DHO is very supportive of the potential program of the proposed pilot ambulance trailer project and pledges a number of resources; motorcycle, fuel, driver etc.DHO who is very supportive of the potential program of the proposed pilot ambulance trailer project in conjunction with Imperial College (UK) and pledges a number of resources; motorcycle, fuel, driver etc.
• Health screening of CBCC children and Primary children (Chimteka II) with various medical conditions. Outbreak of ringworm.
• 51 blankets and educational aids were donated by visiting Canadian girls, while 700 mosquito nets were donated by Dr Gaby - distribution to target the under 5’s CBCC kids.
• A motorcycle ambulance trailer has been found that may offer more flexibility as we would also have a motorcycle that could be used for other purposes when the trailer is disconnected. The unit has been developed by Imperial College (UK).

The Chiosya Health Centre
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1. Chiosyia Health clinic serves a population of about 25,000 people.
2. Dr Joseph Bwezonii is the only doctor available.
3. Nurse/midwife Fortina Kalitsuro serves the population single-handedly.
4. Ms Grace MacLean - Volunteer Nutritionist.
Women of child bearing age account for 23% of the Chioshya catchment area.
Children less than 5 years account for 17% and under 12 years, 5%.
Antenatal outpatient clinics at the Chioshya health centre provide the following treatment: Iron supplementation, to prevent/treat iron-deficiency anaemia during pregnancy, vitamin A supplements, treatment/prevention of malaria, antiretroviral therapy for HIV positive Mums (including treatment at time of delivery to decrease the rate of mother-to–child–transmission of the virus).

  • The local Health Centre is situated on the edge of Chimteka and approx 40 kms from Mchinji. It services Chimteka and the surrounding area, catering for the medical needs of over 25,000 people. Plans include extending the existing centre, refurbishing the original and buying much needed medical equipment.

  • Facilitated a volunteer midwife for one month and another volunteer at the health clinic for three months to help with the Development Plan

  • 2008 and earlier

  • Purchased and distributed 1,500 mosquito nets catering for all households in the Chimteka area. Monitoring was ongoing to ensure proper usage of nets
  • Purchased and distributed 1,300 blankets to orphans, other vulnerable children, the elderly and sick
  • Started planning the development of the Chiosya health centre for the area
  • Purchased an extensive supply of medical equipment including baby heart monitors and implements such as scissors and clamps for the clinic, which services the medical needs of 25,000 people and on average sees 60 live births per month with a regular staff of one medical officer and one midwife.
  • Our HIV/AIDS Support group has grown to 154 people, and after several Focus Group Discussions their need for transport to the District Hospital was highlighted as a potential new project
  • Facilitated the local delivery and administration of ARV drugs to sufferers of HIV Aids by agreeing to transport a Clinical Officer from the District Health Board to Chimteka twice a month
  • Facilitated the training of personnel in Chimteka, to test for HIV aids and to provide counseling to those suffering from same. Opened a VCT room at the centre for this purpose
  • Purchased and distributed bales of clothing to 600 orphans and other vulnerable children

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