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Cynthia Evance, lies beside her mother at their home in the suburb of Chilobwe. The 14 year old has brain damage caused by HIV-related meningitis and is cared for by her mother and 12 year old sister with support from the Queen Elizabeth Central Hospital. 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.