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Olipa, 51, with her daughter Lucy and granddaughter at Nkhoma hospital where she is receiving palliative care and support. Olipa relies on the home care team to bring her pain medications as she can't get to the hospital herself. She spent two months without medications leaving her in terrible pain, unable to sleep. She has severe pain in her abdomen, legs and arms. Her husband divorced her. He was unable, unwilling even, to help her through this illness. Depending on pain, she walks around her home and village. She used to farm but now she feels lost, with nothing to do and no purpose. She says: 'I cannot carry my own grandchild. The pain is too great.' She has one son is able to collect the medication, morphine, but not frequently. She has another son with severe mental issues who hides behind a latrine in the village. Her daughter lives nearby but with a family of her own isn't able to do as much as she would like to support her mother financially. She helps with housework; sweeping and cooking. The home care team visit once a month. 'They cheer me up. I'm happy when I see them coming because I know that my pain will be taken away. I'm honoured that people would come and spend time with me.' She says that she was so embarrassed by the smell of her vaginal discharge that she stopped going to church. Members from the church still visit her and offer some material support. She cannot support herself, cannot work or provide food. She cannot afford the fertiliser so that her son can work the land they have. She feels hopeless and her poverty is exacerbated by her illness. Pioneering work with palliative care in rural Malawi is increasing the quality of life for thousands of people with terminal conditions including cancer, TB and arthritis-often linked to HIV infection which remains at around 10 percent of the adult population.