Greetings in the name of our Lord, Jesus Christ. It is April and people have started harvesting their maize fields. The harvest has happened a little bit earlier this year as people are trying to protect their crops from theft. These theft cases have risen because a lot of people have empty fields due to the prolonged dry spell that Malawi experienced in January and February. This dry spell has really affected this country and the harvest is worrisome to the point that the Malawian President declared Malawi in a state of disaster.

Newa Amos

The Lord has been faithful to the Lutheran Mobile Clinic and all its staff. He is keeping us healthy so that we can continue serving his people. However, we are still experiencing a huge number of patients in all the clinic sites. The top diagnosis at all these sites remains malaria. For the past weeks, our Mwalaulomwe Clinic has seen a huge turnout of patients. So much so that we ran out of medication during clinic hours and had to send our ambulance back to our pharmacy in Lilongwe for restocking. This is happening because the government hospitals have a low supply of malaria commodities, includes malaria testing kits and medication. We hope that the supplies will be available soon and that God brings healing upon his people.

I would like to tell you about our disabled kids at Msambo Clinic; the Lord has been so faithful in their lives. Newa Amos is a four-year-old little boy. In 2022, at two years old, Newa suffered cerebral malaria and was admitted to Kamuzu Central Hospital in Lilongwe. This malaria affected him such that he lost developmental milestones. He could not sit, stand, or walk. He lost speech and started drooling. After he was cured of malaria, the boy was discharged through the physiotherapy department and the mother was told to visit three times a week. Due to transportation problems, the mother was unable to visit the hospital as required and was just staying at home with the little boy. After a few weeks, this mother together and her boy came to our clinic at Msambo to find out if we could help in any way. Our clinic was able to help with money for transport and the boy started getting physiotherapy sessions at Children of Blessings Hospital which is a little bit closer to her home.

2024 marks two years since Newa started his physiotherapy sessions at Children of Blessings. He visits the hospital two times a week. The mother was taught how to do the physiotherapy at home. Both the physiotherapists and the mother play a great role in making sure that Newa gets back on his feet. Today, Newa is four years old, and he can sit, stand and walk alone without support. He is now in a speech class, and he can utter a few inaudible words, but there is hope that he will be able to talk.

Currently, our clinic supports five kids with transportation money so that they get their physiotherapy at Children of Blessings. There is a great improvement in all four kids, and there is hope that they will be able to live normally. The mothers and the kids’ families are very happy and thankful for the help they receive.

The medical mission’s work in fighting disease and malnutrition in children, especially the disabled ones, helps to prolong their lives and gives them and their parents a chance to hear the gospel and be saved. We are so very thankful for all who give to the Central Africa Medical Mission to make it possible. May God continue blessing you.

Written by Violet Chikwatu, Nurse in Charge for the Lutheran Mobile Clinic in Malawi

The Central Africa Medical Mission (CAMM) mobile clinic in Malawi depends on having reliable ambulances for our daily trips to our clinics. While the Toyota Land Cruisers we use are rugged and tough, after a few years they start to require more and more maintenance. So, if we are going to use them on a daily basis, we cannot have them sitting in the shop waiting for repairs. For that reason, we replace them every five years.

Unfortunately, if we want to buy a new ambulance in Malawi, we cannot go down to the local dealer, pick one off the lot, pay for it, sign the paperwork, and drive it home that day.

Instead, we use a company called Toyota Gibraltar. They are named after where they are located, on the rock of Gibraltar, the British Overseas Territory and city located at the southern tip of the Iberian Peninsula in Spain. Toyota Gibraltar specializes in providing vehicles to non-governmental organizations, such as ours, who operate in third world countries within South America, Africa, and Asia. The advantage of using them is we see significant cost savings over the local Malawian Toyota dealer. The bad news is that it takes a while for the vehicle to arrive, and we (CAMM) must deal with all the local customs and vehicle registration issues instead of the dealer. As clinic administrator, Lusungu Mwambeye handles these challenging details with help and guidance from me.

We ordered and paid for the vehicle in September of 2023. It arrived in Lilongwe on March 30, 2024. To get here, the vehicle traveled from Japan to Gibraltar. There, it was put in a container where it left Gibraltar by ship in late December enroute to Dar es Salaam, Tanzania, via Oman and Jakarta. Once in Dar es Salaam the container was put on a truck for the 1,000-mile overland trip to Lilongwe. The ambulance is now at the clinic house/office in Lilongwe, but it will be a while before we can put it on the
road. Lusungu still needs to get final customs clearance before we can begin the registration process. As we use the vehicle as an ambulance, we can import it duty free. A savings of $35,000, but duty-free status requires a lot more paperwork.

For registration, the vehicle first needs to be checked by Interpol to make sure it is not stolen. Then it must be inspected by Malawi Road Traffic to check the engine and chassis numbers match the paperwork, then it can be registered. Visits to the road traffic office are not for the faint-hearted; your local DMV is a haven of efficiency and serenity by comparison. Once registered it will go to Toyota Malawi to complete the delivery inspection and installation of the roof rack and any other remaining parts. Finally, it needs a government safety inspection called a Certificate of Fitness, throw in some insurance and we are ready to go. I’m praying that it will be ready for the road by late April. Then we can worry about selling the old ambulance.

It is getting toward the end of the rainy season in Malawi and Zambia. Malawi had a period of three weeks with no rain in the middle of their growing season, but rains had returned to the central region by early March. Unfortunately, a little too late. People are not expecting a good harvest. In Zambia this year, rains have been very sparse. The government has already declared a state of emergency and began scheduling power cuts because of low water levels in the Zambezi River – the country depends heavily on hydroelectric generation for its power needs. Normally by this time of year the fields are lush with freshly grown maize. I am no farmer but much of the maize I saw when I visited Zambia in March looked brown, stunted, and poor. Very likely, this is not going to be a good harvest, and hunger could be a very real possibility.

Thank you to everyone who made our new ambulance a reality and please pray for our brothers and sisters in Malawi and Zambia. They are going to need a lot of prayer and support this year.

Written by Gary Evans, CAMM Field Director

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Originally appears on the Central Africa Medical Mission website. Learn more and follow updates at camm.us.

As I write this letter, it is late December and it’s amazing how it feels just like yesterday that we were celebrating the beginning of 2023. Now that we are just a few days away from ending 2023, there is so much to be grateful for—especially the gift of life that the Lord has granted us throughout the year.

Here in Malawi, December always comes with heavy rains. It’s the time when all the farmers plant their fields knowing that the rainy season has arrived. However, this December was different because a lot of districts had not received any rain until mid-month. This brought so many worries to farmers as they had no hope on when the rains would start. But because our Lord is good, by December 20, Lilongwe and other districts received heavy rains. People were happy and ready to work in their fields.

Despite being happy about the rains, during this rainy season the clinic faced challenges in so many ways. December 20 was a clinic day at Suzi, and because it had rained heavily we had difficulty traveling to the clinic site. The road was bumpy and very muddy making it hard for driving. Despite all these difficulties, we still made it to the clinic as our land cruisers are good, even on bad roads.

Upon reaching the clinic, we found a large crowd of people—men, women, and children—sheltering under the roof of the clinic and some under the trees as it was still raining. The people were happy seeing us as they thought we wouldn’t make it due to the bad road. When our staff were setting up the clinic, our clinicians had already started seeing the patients that were triaged by the village staff before we arrived. These people were very sick and the complaint that presented the most was malaria.

Malaria is a condition that worsens during the rainy season and is one of the leading causes of death in Malawi. From the month of October on, our clinic started registering an increase in malaria cases that worsened in November and December. Not only has this malaria affected children under five, but it is also affecting adults. As a clinic, we are always prepared for this as we carry enough malaria testing kits and medication for uncomplicated malaria. Not only that, but we also carry with us medication for complicated malaria, which we give to patients before we refer them to hospitals for continued management. As always, our staff, who are hardworking and team players, did an outstanding job in dealing with the large number of patients we saw that day. When a staff member sees that a colleague needs help, they can be relied on to jump in and assist without being told to do so. We thank God for this and may he continue blessing all of the staff.

Written by Violet Chikwatu, nurse in charge at the Central Africa Medical Mission Lutheran Mobile clinic in Malawi. 

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