One of Patrick Mandeule's sons carries a walking frame to his father. Patrick has a leg tumour but while his relatives are very loving and supportive, but they cannot afford to support him. Fortunately his family is helped financially by his old employer in Blantyre where he worked as a gardener. He says that he went to a number of hospitals before going to Mulanje Mission Hospital. He says: 'Arriving at Mulanje was different. I felt loved and cared for. They are good people and I am blessed.' He has four children, the eldest is in secondary school, he lives with them, his wife and his mother-in-law. He says: 'My only fear is not being able to provide for my family.' He receives visits from the hospital's home care team of whom he says: 'They need to keep doing this, not just for me, but for other people like me.'
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.