As well as the clinical work and teaching done based here in Blantyre, we have long realised the need to support fellow health workers based at district hospitals. Many patients come to Queens for diagnosis and management plans to be made with their ongoing care taken over by the district hospital after discharge. In order to ensure continued holistic support, appropriate referrals and ongoing pain management palliative care teams in the districts need to be well co-ordinated and have good drug supplies. A small team from Umodzi and Tiyanjane made presentations to medical and nursing staff at six different district hospitals during December and January, and clinical staff from these sites will come to us for attachments in the near future. This networking raises the real possibility of continuity of care and relief from pain all the way back to the home setting – sometimes as far away as the borders of Malawi itself.
