Nzama is a collection of remote and very rural village settlements at the end of a 15km long and sometimes very difficult mud track to the west of Ntcheu. It is not signposted off the main road and is quite difficult to find, but there are many settlements of mud brick thatched houses round about and clearly quite a large number of people live in the surrounding area.

The health centre itself is no more than a dirt yard with small buildings on 3 sides. It is staffed by 3 nurses and 9 patient attendants and they deliver 30 or 40 babies a month. In addition they see between 5 and 15 patients a day. They are very close to the border and many of their patients come from Mozambique.

The centre has no telephone and uses a two way radio when it is necessary to call out an ambulance.

We visited in September 2009 and discovered the clinic has a catchment of 13,768 which includes 20 villages in Malawi, however 85% of their patients come across the border from Mozambique. They dealt with 114 deliveries Jan to March 2009 and recently this has increased to 50-70 per month. The clinic buys their medicines from a company in Blantyre and are in debt for MKW 400,000.