Pilirani Shadi, 12, with her mother Alisaneti at the Queen Elizabeth Central Hospital. Pilirani became ill in 2012 and at first they visited a traditional healer who administered crushed herbs. They then travelled from their home in Nsanje, 200kms from Blantyre, to the capital where she was diagnosed with lymphoma. She has been treated with chemotherapy and has been staying, with her mother, in hospital for four weeks. 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.