Greetings in the name of our Lord, Jesus Christ, from the Lutheran Mobile Clinic in Malawi as we faithfully serve the communities of Msambo, Suzi, Mwalaulomwe, and Thunga. This month has been marked by God’s continued provision as we maintain our weekly schedule: Tuesday visits to Msambo, Wednesday outreach to Suzi, Thursday services at Mwalaulomwe, and bi-weekly Friday visits to Thunga. Through these consistent efforts, we’ve provided essential outpatient care, nutrition support, HIV testing and counselling, antenatal care, and child growth monitoring to thousands of community members who might otherwise lack access to quality healthcare

It’s June 2025, which means we are halfway through the year! It feels like yesterday when we were celebrating the New Year. We are so grateful for God’s love through all these months. As we are halfway through the year, we are also at the end of CAMM’s fiscal year, and it’s time we reflected on the challenges and opportunities at personal, organizational, national, and global levels. We need to rethink development and global issues. Let us begin by reflecting on recent reductions to U.S. foreign aid, as well as aid from the United Kingdom and the European Union. This has affected many local and international NGOs and has led to aid programs being cut, often leaving little to no assistance for those in need.

At Lutheran Mobile Clinic, we used to benefit from the U.S. malaria initiative, from which we could receive malaria control, diagnosis, and treatment supplies. Most years we treat around 16,000 cases of malaria. Malaria can be particularly life threatening or disabling in children. Prior to the cuts to USAID, we received a good supply of malaria testing kits and the malaria drug we call LA. As the cuts to USAID went into effect, we saw the district hospital requests to ration supplies with other public hospitals who did not have malaria treatment supplies. We had plenty of supplies and were happy to share them with facilities who had little. To date we have not seen a sustainable plan from the Malawi government to provide malaria treatment supplies, and we fear we may have to purchase them from local pharmacies. We have also noted an increase in the number of patients at our clinics. The ability of public hospitals and clinics to provide medications has worsened, with little or no medication available and high prices for consultation and medications at private clinics. People prefer to wait for the Lutheran Mobile Clinic to provide care and medication that is affordable and available. As if this is not enough, Malawi’s poor credit has spiked the rate of inflation which was already around 15% before the credit troubles. The prices of goods and commodities are through the roof, including medications, which makes life very tough for people earning maybe $50 to $100 per month.

In as much as things are not good, we are grateful for how we have managed our expenses at the mobile clinic, and we expect to come in just under budget when our fiscal year ends in late June. As a country, we need to develop strategies and thoughts on the aid structure and how we are going to reduce dependency. We need serious social and economic independence and not just political independence. This makes us value the Lutheran Mobile Clinic’s social and economic efforts and the support that we have from you all in the U.S.

Our HIV testing and counseling services have shown remarkable progress across all four clinic sites, reflecting broader national trends as Malawi advances toward achieving the 95-95-95 HIV targets. The reduced stigma we’ve witnessed demonstrates God’s healing power working through dedicated service. These achievements embody Christ’s command in Matthew 10:8: “Heal the sick, raise the dead, cleanse those who have leprosy, drive out demons. Freely you have received; freely give.” Our child growth monitoring and antenatal care programs have revealed both challenges and victories during this dry season, made possible through the generous support of our faithful donors. The funds you’ve provided have enabled us to purchase essential medical and nutrition supplies and maintain our vehicles for reliable community access, while your clothing donations have brought dignity and warmth to families facing economic hardship. Your donated pill bottles have proven invaluable for organizing medications and ensuring proper dosing for various conditions across all four clinic sites. As Proverbs 31:20 teaches us, “She opens her arms to the poor and extends her hands to the needy.” Your contributions have become instruments of his healing grace, enabling us to nurture life from conception through childhood and honor his precious gift at every stage.

May God bless you all for supporting the Central Africa Medical Mission (CAMM).

Written by Lusungu Mwambeye, clinic administrator at the Lutheran Mobile Clinic in Malawi

Last December the clinic lost one of our members of staff, a nurse/midwife by the name of Mayase Banda. Mrs. Banda had worked at the clinic for 13 years. On Sundays, she would attend Martin Luther Church, which is on the grounds of the clinic. Pastor Titus Mbele conducted her funeral service. Is there anything one can talk about that happens without God being involved? I am not sure of anything, but one thing is that God exists everywhere and, at the end of the day, there is nothing that happens for no reason. She was one of the senior nurses, and we appreciate her work and time spent at the clinic.

Working as a member of the administrative staff at the Lutheran Mission Rural Health Centre, I am grateful for God’s grace. The facility has seen people come to the health center from as far as 15 kilometers to seek medical services, and we have heard people say, “We came this far because the medicines in this facility are prayed for and we trust that we shall find the help.” Others still say because of the name of God they trust they will be healed.

Appreciating God is acknowledging that while we were lost in sin, God did everything according to his plan to save us from the powers of Satan and power of death and indeed purchased us with his blood. Jesus Christ suffered death for the whole world to be saved. It’s a gift worth appreciating. Maybe a question would be this: How do we show appreciation for what God has done in our lives? How do we as individuals, parents, children, families show this appreciation? When you are alone and look around at how far God has brought you, do you pause for a moment and appreciate him?

Appreciating God comes in many ways. I would rather raise a generation that will have fear for the Lord at all times. There are times when I see children who do not always live as God and their parents have taught them to live.

Finally, it would be a great thing if children would be encouraged to maintain the legacy of a Christian family, so that even when the parents are gone the faith will remain. As people, we discuss how well-mannered the children are, but sometimes I find it difficult to help families realize that they could do more to help their children to be faithful, truthful, honest.

I ask that you continue to pray for families and children and encourage them to grow strong in their faith.

Written by Alisad Banda, clinic administrator in Zambia

HYPERTENSION AT LUTHERAN MISSION RURAL HEALTH CENTER (MWEMBEZHI)
The hypertension program started when the clinic saw the need. Patients were traveling to hospitals in Lusaka (the capital of Zambia) for drugs refills. This is about 50 miles from the Mwembezhi area. Due to lack of funds, most of the patients were unable to travel to Lusaka. In 2004, we had seven patients who suffered strokes in our catchment area; of those, three of them died the same month because of hypertension. Seeing the need, we began the program for those who were not able to go to Lusaka for treatment and medications.

The program began with only ten patients. The number has kept on increasing so much that now we have 561 hypertensive patients. To make sure we attend to patients in line with the Ministry of Health policy, members of staff sat and started a special blood pressure clinic one Saturday per month. Since Saturday is not a working day, it helped members of staff to decongest patients on treatment days. On Blood Pressure day, all members of staff report for work at 8:00 a.m. Blood pressure check-ups are done. We have essential hypertension (the diastolic blood pressure between 90 to 99mmHg) and crisis hypertension (the diastolic blood pressure above 100mmHg). All patients with essential hypertension are given their monthly drugs refill. Patients with crisis hypertension are admitted for observations. They can only be discharged when their blood pressure stabilizes. If it fails to stabilize, we refer to the hospital for investigations and further management.

However, hypertension has no signs and is not painful. As a result, it is very difficult to convince patients to take drugs for life. Some older people still believe in witchcraft. In 2019, we lost one Village Headman who came to clinic because of an abscess. He was also found to have hypertension. He was given drugs for the abscess and hypertension, but when the abscess healed, he refused to take the hypertension drugs. He said he cannot continue taking drugs. After four months, he was brought to the clinic with a stroke. We referred him to the hospital, but the hospital could not help. After his death and burial, Mr. Kalekwa called for a meeting with the Village headmen to explain his death. Headmen who believed in witchcraft saw the need for taking hypertensive drugs. The senior headman told other headmen to stop believing in old beliefs. He said they should always work hand in hand with health personnel to avoid disease complications. All the headmen promised to educate their citizens.

Drugs for hypertension are purchased by our clinic administrator, Mr. Banda, through the help we get from CAMM. The clinic staff work hard to provide good quality health services to all hypertensive patients. We start every morning with devotion and a prayer, followed by health education. All hypertensive patients are happy with and appreciate the services we provide.

May the almighty God bless you all in helping the poor in Zambia.

Written by Jackson Kalekwa, clinical officer in charge