Nutrition challenges in Mwembezhi

Lutheran Mission Rural Health Centre stands as a beacon of hope for communities that face limited access to healthcare and resources. For many families, it is the first and sometimes only line of defense against malnutrition and its far-reaching consequences. At the heart of these efforts lies the Nutrition Department, a dedicated team working tirelessly to ensure that no child or mother is left behind in the fight against hunger and poor nutrition.

Mwembezhi Lutheran’s catchment area is predominantly rural, with most households relying on subsistence farming for both food and income. Seasonal food shortages, poor diets, and widespread poverty often make it difficult for families to provide consistent balanced meals. Limited awareness about proper nutrition further contributes to high rates of undernutrition, stunting, and micronutrient deficiencies among children under 5. Nutrition is not just a health issue; it’s a barrier to education and overall community development. Recognizing these challenges, Mwembezhi Lutheran Mission Rural Health Centre has a nutrition segment to help in early detection and treatment of malnourished children. We do clinical care, education, and community engagement to create lasting change.

Nutrition services at Mwembezhi
1. Growth monitoring and promotion (GMP)
We provide regular weighing and height checks for children who are under 5. Growth monitoring helps us detect early signs of malnutrition and intervene before problems escalate. Caregivers receive personalized counseling on age-appropriate feeding, hygiene practices, and how to make the most of locally available foods. Early childhood development (ECD) services are integrated into GMP, allowing us to assess developmental milestones and ensure that children are not only well fed but also mentally stimulated through play, laying the groundwork for a healthier future.

2. Management of acute malnutrition
Children presenting with moderate or severe acute malnutrition are given life-saving care. This includes Ready-to-Use Therapeutic Foods (RUTF), High Energy Protein Supplements (HEPS), and close follow-ups to monitor recovery. Children with medical complications are referred for inpatient treatment to ensure that no case falls through the cracks.

3. Maternal and child education and counseling
Expectant and breastfeeding mothers receive essential information on maintaining a balanced diet during pregnancy and lactation. Health talks emphasize exclusive breastfeeding for the first six months, timely introduction of complementary foods, and continued breastfeeding up to two years and beyond. Mothers are also encouraged to incorporate nutrient-rich locally available foods into their family meals.

4. Community outreach and awareness campaigns
Beyond the clinic walls, the staff and community health volunteers work hand-in-hand with villages. They conduct home visits, follow up with at-risk families, and lead cooking demonstrations that teach caregivers how to prepare balanced meals using locally available foods. These outreach activities not only extend the reach but also foster trust and awareness in the community.

5. Integration with other health services
We work together with Maternal and Child Health, HIV care, diabetes and hypertension clinics, and immunization programs. Late last year, one notable success story was of a diabetic patient who was on the verge of giving up life due to his condition. Through consistent counseling, dietary monitoring, and regular blood sugar checks, his glucose levels were brought under control solely through proper nutrition. Remarkably, he has maintained normal blood sugar levels for more than eight months without the need for medication. This integrated approach demonstrates that nutrition is not treated in isolation but as part of a broader continuum of care, addressing both the immediate and underlying causes of poor health.

The human impact
Beyond every statistic lies a story. Mothers who once feared losing their children to malnutrition now return to the center with healthy, thriving toddlers. Caregivers often share testimonials about how simple lessons on meal preparation and hygiene have transformed their family’s health. In October of last year, 1,700 children under 5 were screened for malnutrition, and 12.6 percent (214) were found to be moderately malnourished and 1.8 percent (31) were severely malnourished. This represented an overall malnutrition rate of 14.4 percent. Following close follow-ups and interventions, moderate cases reduced from 214 to 17 (92.1 percent reduction), severe cases from 31 to 6 (80.6 percent reduction), and the overall caseload from 245 to 23, marking a 90.6 percent overall improvement.

All the achievements in nutrition programs are a result of your support, help from CAMM, and the efforts of our dedicated staff.

Looking ahead
Despite successes, challenges remain. Persistent poverty, cultural feeding practices, and seasonal hunger continue to put families at risk. We will continue to encourage parents to bring their children for growth monitoring and promotion, ensuring that no child misses essential health services.

Written by Jackson Kalewka, clinical officer in charge

Last month, my husband Gary and I visited Malawi and Zambia over 11 days, meeting with our leaders and staff and visiting clinics. This was my third trip to Africa in the three years since Gary and I returned to the United States. Gary had also been to Kenya to start preparations for our 2026 medical camp, and then joined me in Malawi. We stayed in the apartment adjoining the house in Lilongwe and were able to see just how our Clinic Administrator, Lusungu Mwambeye, is capably handling the challenges of running the Lutheran Mobile Clinic. One example is how she arranged for surveys to be done of all four of the clinic properties to obtain government leases and prevent people from encroaching on the properties. We were there for the monthly staff meeting, and saw everyone diligently working together on monthly inventory and statistics, so that Violet Chikwatu, Nurse in in Charge, could complete the government reports for May. Violet and Lusungu continue to work well together and keep things running smoothly.

Going out to the village clinics is always my favorite part of these visits. It was obvious that the many outpatients seen in a day reflected the recent higher numbers in our monthly reports. I noticed that some patients had been seen at local government clinics and prescribed medicine that they were told to obtain at our clinics, because those clinics didn’t have any. I observed the nurses at the pharmacy station calmly giving numerous injections and intravenous medications for children and adults who were seriously sick with pneumonia, asthma, and infections. There were several referrals to the hospital in Lilongwe. I saw in Violet’s record where in one day, eight patients were referred, mainly with severe pneumonia which is common in the cold season. These people depend on the preventative care and lifesaving treatment which the Lutheran Mobile Clinic provides. We are thankful that the Central Africa Medical Mission (CAMM) is able to afford the essential medications, and that Violet works hard to find them in pharmacies around Lilongwe. Most importantly, we know that our patients also hear the soul-saving message of the gospel.

Moms waiting for the under-fives clinic

I was still impressed with how—despite seeing 150-200 patients along with the under-fives, antenatal, family planning, nutrition and HIV testing/counseling clients—the clinicians and nurses worked cheerfully and efficiently as a team. The same volunteers which helped us through COVID were still doing blood pressure checks, malaria tests, weights, and directing patients to the proper lines. Violet stepped in to help in whatever station she was needed. The nurse-midwives were happy to receive a new fetal doppler we had brought, to more easily hear the infant heartbeat of our antenatal clients.

One of the highlights at Msambo clinic was being able to see all five of the children with disabilities who still receive regular physical therapy, and their mothers. All are continuing to make progress in mobility or speech. One little girl named Lontira who was born with a very deformed spine and has had difficulty sitting, is waiting for surgery. Her mom told me she will go to a hospital in Blantyre when the specialists come to Malawi to do these complicated procedures. She is a member of the Lutheran church in Msambo. We pray for her brave mom, and for Lontira to have a successful surgery, which will improve her mobility.

After a busy week, we flew to Zambia. We spent time with Alisad Banda, Clinic Administrator, who drove us out to Mwembezhi for a day at the Lutheran Rural Health Center. The staff warmly welcomed us as they prepared for under-fives and diabetic clinic (pictured above). We spoke with Future Beloyi, our nurse who recently completed midwifery training. She was also happy to receive a new fetal doppler for use with antenatals. We also spoke with Muzundwase Chikwekwe, a nurse who would soon start her midwifery training for the next 18 months. The clinic will benefit from having two Lutheran nurse-midwives, with about 150 deliveries at clinic in the past year.

We met with Jackson Kalekwa, clinical officer in charge, and Anthony Kasonga, laboratory technician, to discuss topics like the need for more space for maternity patients and a separate laboratory area for TB patients. Anthony is the chairman at Martin Luther Church, adjacent to the clinic. We learned that he has been instrumental in growing church attendance to about 100 people each Sunday, including many clinic staff members, despite there being no permanent pastor. Alisad also holds Bible studies for staff on a regular basis. Crispin Chikonka, the clinic’s psychosocial counselor, gives a devotion for clinic attendees each morning. The clinic now has a second clinical officer, Samalani Nyirenda, who works as a clinician alongside Jackson. We were glad to meet him in person and know that he was a welcome addition to the team.

That’s the update from the field! Gary and I joined three other CAMM committee members in attending the Lutheran Women’s Missionary Society (LWMS) Convention in Tulsa, Okalhoma, the last weekend of June. It was a joy to meet fellow CAMM supporters and speak with those who might be new to the medical mission. They have good questions and ideas for how to communicate about the mission and support our staff and patients. Thank you all so much for continuing to show your love for the work of CAMM and being faithful in prayer!

Written by Beth Evans, former nurse in charge for CAMM

Greetings in the name of our Lord Jesus Christ. We are in the season of Lent, where we reflect on the suffering and death of our Lord. Isaiah 53:4,5 says, “Surely he took up our pain and bore our suffering, yet we considered him punished by God, stricken by him, and afflicted. But he was pierced for our transgressions, he was crushed for our iniquities; the punishment that brought us peace was on him, and by his wounds we are healed.” This passage reminds us that the punishment and suffering of our Lord Jesus Christ brought us everlasting life and forgiveness of our sins.

This month’s newsletter tells the story of Smith Patulani, an under-5 child who is a patient at our Msambo clinic. Smith was born in October 2023 at Daeyang Luke Hospital in Lilongwe. According to Smith’s mother, Modester Patulani, Smith was born through a normal spontaneous vertex delivery, and there were no complications during birth and throughout the postpartum period. The family of Mr. and Mrs. Patulani hails from Kabula village, Traditional/Authority Chimutu in Lilongwe District. The village is not far from our Msambo clinic.

In February 2025, Smith got sick. He was presenting with fever, vomiting, and general body weakness. Upon seeing this, his parents took him to a local hospital, the Chankhungu Health Center. Chankhungu Health Center is one of the government health centers close to Smith’s village. At Chankhungu, Smith was tested for malaria, and the result came out positive. He was given a first line malaria treatment (lumefantrine artemether), which he took for three days at home, and he got well.

One Monday morning in early March, Smith’s father discovered that Smith’s lower limbs were not functional. He informed the mother, and they were both shocked, knowing that the child was fine after completing his malaria treatment in February. They then visited the Lutheran Mobile Clinic at Msambo on 17th March 2025, where they met one of our clinical officers, Davie Khumula.

At the clinic, Davie asked the mother some questions, including the medical history of the child. The mother explained everything and of course the malaria that he had in February. Davie also asked if the child received the polio vaccine, and the mother said the child completed all the vaccines, including the polio vaccine. The child was then examined for any possible signs of malaria, and there were none. Davie then examined the child’s legs for muscle strength, reflexes, and muscle tone.

He found that the muscle strength and reflexes were absent, and there was decreased muscle tone. Davie then explained more about the child’s condition to the parents, his plan of referring him to a hospital, and its importance. Smith was then referred to Kamuzu Central Hospital for further investigation for the possible cause of the paralysis, management, and initiation of physiotherapy treatment. We look forward to hearing more from Smith’s parents and how he is coping with physiotherapy treatment.

Lastly, we would like to extend our heartfelt gratitude to all the people who think about us. Your prayers keep us going. Your various donations have been of great impact to us, and that is why we keep running. May the good Lord continue blessing you and all that you do. As we journey through this season of Lent, may we embrace reflection and renewal, fostering a spirit of compassion and gratitude in our hearts.

Written by Violet Chikwatu, nurse in charge

Greetings in the Name of Christ!

As we enter the beautiful season of Christmas, we reflect on the joy and hope that it brings to our hearts and communities. We are reminded of the words from Isaiah 9:6: “For to us a child is born, to us a son is given; and the government shall be upon his shoulder, and his name shall be called Wonderful Counselor, Mighty God, Everlasting Father, Prince of Peace.” This verse serves as a reminder that we can find solace and direction in Christ. As we continue to celebrate His birth, let us reflect on the profound impact He has on our lives and strive to share His peace and love with others.

Climate Changes Impacting Farmers

December has traditionally been a rainy month, crucial for our local farmers in Malawi. However, this year, we are facing an unexpected heat wave that poses a serious threat to their livelihoods. Many farmers who have already planted their crops are now watching them wilt under the relentless sun, this has caused huge devastation with the current cost of agricultural supplies which has skyrocketed, making it even more challenging. Just two years ago, the price of fertilizer was around 20,000 Malawi Kwacha ($20), but now it has risen to an alarming 120,000 Malawi Kwacha ($70). This steep increase strains our farmers’ budgets and limits their ability to sustain their crops.

The implications are dire, if this heat wave continues, we may face a significant drop in yields, leading to potential food shortages and increased hunger in our communities. The combination of wilting crops and high input costs paints a troubling picture for the coming months for many Malawians.

Gratitude for Support

Despite these challenges, we find strength in our community. We want to express our heartfelt gratitude to CAMM and our generous donors who through your donations, made this year impactful in the communities Lutheran Mobile Clinic serves. As a token of thanks to

our dedicated staff we organized a wonderful early Christmas dinner for our general staff and a festive lunch for our professional staff just to appreciate them for their tireless work during 2024. The team’s commitment and efforts on behalf of the Lutheran Mobile Clinic and CAMM are truly appreciated.

We also extend our thanks to our generous donors who have contributed various donations, including monetary gifts, baby clothes pill bottles etc. Your support plays a vital role in helping us serve those in need, bringing comfort and joy during this season of giving. Thank You to Our Donors.

Closing thoughts
As we celebrate this season of giving and joy, let us remember the true spirit of Christmas. May your days be filled with peace, hope, and love.

Thank you for being a part of our community. Wishing you all a blessed and joyous Christmas and a prosperous New Year!

Written by Lusungu Mwambeye, Clinic Administrator 

Partnerships are everywhere in our Christian faith: partnerships with our fellow believers, partnerships with our home churches, partnerships with the pastors that guide us, and most ultimately our partnership with God. In Philippians 1: 3-6 we are reminded by God that partnerships are necessary to share the good news of the gospel.

The Central Africa Medical Mission (CAMM) started as a partnership; the Lutheran missionaries used the Central Africa Medical Mission to provide healthcare to the local community and because the community’s physical needs were being taken care of, doors were opened for the missionaries to share God’s spiritual love and healing with those visiting the clinic.

Today, CAMM operates with many partnerships. We partner with the missionaries through the Board of World Missions and the One Africa Team, with local national staff, with local African pastors, and with supporters all across the United States and abroad.

The Board of World Missions and the One Africa Team help support CAMM by providing spiritual support, marketing support, and help to lead CAMM’s mission. WELS Christian Aid & Relief (CAR) provides CAMM with financial grant support. CAMM has been extremely blessed by CAR with their grants to purchase medicine, fuel, and vaccinations. They are a key financial supporter for the short-term medical camps that were held in Kenya in 2024 and the camp that is planned for February of 2025.

While today we have all national staff at our clinics, originally CAMM employed an American nurse-in-charge and an American clinic administrator in both Zambia and Malawi. The individuals who held these positions moved far away from their families and lived in Malawi and Zambia for three years or more. They helped lead the national staff and relayed communication on clinic operations back to the CAMM stateside committee, even though communication was slow due to limitations in phone and mail service, especially from our start in 1961 through the late 1990’s. CAMM relied on the leadership and professional background of the American nurse-in-charge and American clinic administrator at each clinic to ensure the clinics ran smoothly, and their partnership was essential to the success of CAMM, especially in those early years.

In 1994, the Lutheran Rural Health Centre in Zambia was turned over to national staff to run the clinic. The same followed for the Malawi staff in 2022. Where would CAMM be now without the knowledge, commitment, and integrity of the Malawian and Zambian staff? CAMM relies on them to ensure devotions are held each morning and to treat each patient that arrives at our clinics with empathy and professionalism. The staff is the face of our clinics and through the love and compassion they share with each patient, they are reflections of God’s compassion to them. The local pastors of the Lutheran Church of Central Africa are also key partners with CAMM, as they have an important role to further develop the spiritual welfare of each staff member and patient.

Finally, all of our supporters are key partners with CAMM. Schools, churches, and women’s groups, including LWMS, help spread the word about the work of CAMM with even more individuals across the country. And this in turn has caused an outpouring of support, in the form of prayers, monetary donations, assembling and mailing parcels to the clinics, and special projects such as a CAMM baby shower, chili potlucks, special mission Sundays, and school mission projects, which help fund building projects and new vehicles. The CAMM stateside committee members are filled with gratitude when we see photos of these activities or learn of all the assistance that is being provided. Since CAMM is supported solely by donations, we would not be able to carry out our work without the partnership of all of you, our supporters.

God has truly blessed the work of the Central Africa Medical Mission for over 60 years, beyond what we ever could have imagined. May he continue to use all of these partnerships to guide and bless our work in the future to provide Christ-centered health care and to share the gospel with all those who come to the clinics.

Have a blessed Christmas season as we celebrate the joyous birth of our Savior!

Written by Angela Sievert, Central Africa Medical Mission chair

The Lutheran Mission Rural Health Centre (Mwembezhi) in Zambia has been providing both physical and spiritual help to both the clients and patients in its 63 years of existence. It is the hand of God that has brought us this far. God established this work through His missionaries and their wives who were serving this area at a time when it was most difficult to live in Africa. Today the clinic stands tall with its ever-increasing population which has grown significantly since the 1990’s. The area has witnessed growth in both population and infrastructure since the area was declared a district in 2011 by the President at that time. There would have been even more growth in population and infrastructure had the President lived to see his vision through.

The clinic serves eight separate areas within our catchment and was seeing about eighteen thousand eight hundred people per year. In 2023 The Zambia government built two new health posts within our catchment area. These health posts were designed to provide people with a clinic closer to their homes rather than travel to Mwembezhi. The Mutombe health post is located about eight kilometres from our clinic and the Shikatende health post is about twelve Kilometres from Mwembezhi. Each health post was given a population of around five thousand people to serve thereby lowering the population served at Mwambezhi by around 10,000. However, it did not work out that way. People prefer coming to Mwembezhi over the health posts for reasons such as “at the Mwembezhi clinic they pray to God” and “offer Bible reading” (devotion), they have drugs and at the centre there are “Doctors” available (Doctors in this case meaning medical staff in white coats). True to the peoples’ words, we are vessels of God sent for the sake of providing physical and spiritual help to our brothers and sisters in that area. As a team, we believe that the clinic is a Christ-centered facility. We treat, but Jesus Christ heals.

I am grateful to hear how people in the area praise God and mostly I hear them saying “Leza alelekwe pakutupa chibadela cha Lutheran” meaning that “May the name of God be glorified for giving us the Lutheran clinic”. Hearing of the nice comments reminds me of the favour of God in our lives and how we ought to be grateful to Him. We are grateful for everything that God allowed us to see and do this year and remain grateful to all who pray for and support the Clinic. Let’s encourage each other to live for God and be grateful to Him, especially around this time.

As children of God let’s remember what He has given us despite the many challenges we face. There is an example of two people travelling in a public bus, one passenger (a woman) accidently spilled something on a smartly dressed passenger (a man) who was seated next to her and his clothes became dirty. It was expected that this smartly dressed man would get angry at the woman. But to the surprise of everyone the man smiled and said, “It’s okay my sister, I will be dropping at the next station and home is near.” The point is, let’s not
stress too much on the issues beyond our control, rather we hand over everything to God and be grateful for what He has given us.

With prayer and believing in God’s promises it was possible to establish the clinic that does His work now as it did 60 years ago. The God our forefathers served is the same God today. The clinic serves as a ready platform to extend God’s grace to His people, showing the love of Jesus to all who come. Our hope is that more will praise God for his salvation through Jesus as well as being grateful for the medical care given at our clinic. Thank you for your time.

Written by Alisad Banda, CAMM Clinic Administrator in Zambia.

I recently traveled to Malawi and Zambia and was looking forward to sharing some updated information and news about the field. My wife Beth and I recently gave a presentation about CAMM for the Grand Canyon Circuit of LWMS (Lutheran Women’s Missionary Society) at a retreat at a camp outside of Prescott, Ariz. There were about 80 women attending and three Arizona pastors who helped with devotions and worship. We were glad to see our former Malawi Mission Liaison, Rev. John Holtz, and a former pastor in Zambia, Rev. John Hartman and his wife, Sharon.

At the retreat we had the opportunity to learn about the mission work to the Native American Mission, including the school in Peridot. We also heard about the mission to the children in Mexico and its Spanish ministry to Mexicans in Tucson.

We shared our slides about the Lutheran Mobile Clinic in Malawi, the Lutheran Rural Health Center in Zambia, and the medical camp that was run in Kenya last February. We enjoyed answering questions and feeling so much support for the ongoing work of CAMM. We knew these women would be praying for our African staff and supporting the mission with their prayers and offerings. It was apparent that many of them also had ministries in their churches and with other mission organizations. We give thanks for these brothers and sisters in Christ, who love Jesus and want to help spread the gospel around the world!

In other news, in Malawi we have recently completed the construction of two private consultation rooms at our clinic at Thunga Village. We have seen that outpatient numbers have been growing at this clinic, which has caused crowding and even less privacy. We decided that it was it about time that these patients were provided the same degree of privacy as the patients at our other clinics, hence the new consultation rooms were built. Now all outpatient consultations at all four of our clinics are conducted in private.

Also, in Malawi, after a few months of wondering why we have not received many parcels, we have just received 40 parcels of pill bottles and other supplies. Supplies were getting low and we were beginning to worry. But the Lord provided. We suspected that something was amiss either at the post office or customs, but only recently discovered that parcels were being held by the Malawi Revenue Agency (MRA) for possible customs duty. Lusungu Mwambeye – our administrator in Malawi – was able to work with the MRA and get the parcels released to us without duty. She also obtained a letter from MRA giving us customs clearance for three months. While our stocks are looking good today, it can take up to three months for a parcel to arrive, so please keep the parcels coming so that we always have a ready supply of pill bottles, blankets, hats, onesies, etc. for our patients.

Written by Mr. Gary Evans, CAMM Field Director.