Sister Denisa; the Sister in Charge of the hospital greeted us when we visited the hospital in September 2009. The hospital has a catchment area of 14,159 (which covers 87 villages) 6,604 of these are under 5 years old. In addition to the services provided at the hospital, they have 12 outreach clinics the furthest of which was 24 km away from the hospital. These are visited every 2 weeks. The nearest referral hospital is 78 km away at Mzimba, over a very poor quality road. They carry out minor surgery but most of the care is in general medicine, paediatrics and obstetrics. The medicines that Inter Care has provided are the only donated medicines that they receive and the shelves in the pharmacy were very poorly stocked. It emerged that they provide palliative care for around 120 HIV/AID’s patients and would benefit greatly from receiving PWA parcels. They do not provide ARV treatment as this is all referred to Mzimba. Last month they carried out 380 HIV tests of which 12 were positive, the hospital sees around 600-700 patients per month. The hospital provides the transport for patients to collect their medication using their ambulance, which is the only vehicle that they have.The staff consists of 8 nurses, 1 clinical officer, 1 medical assistant and 1 pharmacy attendant and the hospital has 80 beds including 5 male,18 female, 15 paeds,7 labour ward and recovery, 8 Prenatal, 14 postnatal, 9 Premature babies, 7 rehab, 6 and isolation beds. After the visit, we had 3 ½ hours of difficult terrain to cover back to Mzuzu. The roads were very uneven and bumpy.