Tag Archives: Queen Elizabeth Central Hospital

Dialysis machine shortages disrupt kidney patients’ treatment in Malawi

By Twink Jones Gadama

Kidney diseases continue to pose a significant public health challenge worldwide, with developing countries often facing additional burdens due to limited resources and inadequate infrastructure.

The recent incident at the Queen Elizabeth Central Hospital in Blantyre, Malawi, where 30 kidney patients were referred to Kamuzu Central Hospital, illustrates the challenges faced in providing effective treatment for patients with kidney diseases.

This analysis will examine the implications of the malfunctioning dialysis machines on patient care and shed light on the broader healthcare infrastructure issues in Malawi.

Background

Kidney diseases affect millions of people globally, demanding timely and consistent intervention to sustain patients’ health and well-being.

However, the availability and functionality of dialysis machines, a vital component of renal care, significantly impact the treatment of patients with kidney diseases.

In resource-limited settings like Malawi, where healthcare infrastructure is constrained, even minor equipment issues can lead to significant disruptions in patient care.

Patient Welfare and Access to Treatment

The malfunctioning of five dialysis machines at the Queen Elizabeth Central Hospital has had severe consequences for the 30 referred patients.

The disruption of treatment has not only caused inconvenience but has also compromised their health and well-being.

Patients with chronic kidney diseases require regular dialysis sessions to maintain their health and prevent complications.

The transfer of patients to Kamuzu Central Hospital in Lilongwe indicates an insufficient number of functioning machines within Blantyre. The travel burden placed on patients, especially those in critical conditions, amplifies the challenges they face.

Healthcare Infrastructure Constraints

The breakdown of the central point filter and subsequent procurement delays highlight larger issues within the healthcare system in Malawi.

Limited resources and challenges in procuring spare parts efficiently have resulted in delayed repairs. The lack of maintenance and inadequate support for technical difficulties adversely affect the availability and reliability of crucial medical equipment.

A comprehensive assessment of the healthcare infrastructure in Malawi is necessary to address these recurring issues.

Economic Implications

The relocation of patients to Kamuzu Central Hospital will not only strain healthcare resources in Lilongwe but may also create financial burdens for patients and their families.

Transportation costs, accommodation, and overall increased healthcare expenses due to the longer distance between the hospital and their homes place additional constraints on those already struggling financially.

These economic implications further underscore the need for an efficient healthcare infrastructure to minimize the socio-economic burden on patients.

Staff Capacity and Training

The lack of functional dialysis machines highlights the importance of a skilled workforce and a well-trained technical support team.

The delay in resolving the issue raises questions about the availability of trained technicians and engineers who can promptly identify and rectify technical problems.

Investment in continuous training programs for healthcare professionals, equipment maintenance staff, and engineers is crucial to ensuring the uninterrupted functioning of medical equipment, such as dialysis machines.

Long-term Solutions

Addressing the immediate issue of malfunctioning dialysis machines is essential. However, long-term solutions are necessary to prevent such disruptions in the future.

This requires robust contingency plans, regular maintenance schedules, and efficient procurement mechanisms to optimize the functionality of medical equipment.

Additionally, establishing partnerships with international organizations or neighboring countries with better resources and expertise could offer insights into improving the healthcare infrastructure in Malawi.

Conclusion

The malfunctioning of the dialysis machines at Queen Elizabeth Central Hospital is indicative of the persistent challenges faced by resource-limited countries in providing effective healthcare to patients with kidney diseases.

Prompt repairs, investments in healthcare infrastructure, training programs, and long-term solutions are necessary to ensure uninterrupted treatment and improve patient outcomes.

Addressing these issues requires collaborative efforts from the government, international organizations, and stakeholders within the healthcare system to ensure that the most vulnerable patients receive the care they urgently need.

Malawi’s Blantyre man arrested over illegal medical equipment possession

BLANTYRE-(MaraviPost)-Malawi Police in Blantyre are keeping in custody 41-year-old Hussein Majawa Ousman for illegal possession of medical equipment, including a laboratory coat labelled QECH (Queen Elizabeth Central Hospital).

Hussein Majawa Ousman arrested

According to Blantyre Police Deputy Public Relations Officer Aubrey Singanyama, on July 25, 2022 at around 10:00 hours, police detectives were tipped that the suspect who has been on the run for having committed the offence of operating a physiotherapy clinic without licence was seen heading towards the direction of Limbe.

Following up the matter, Police managed to arrest the suspect who was found with various assorted medical equipment in his laptop bag.

The suspect was also found with a laboratory coat labelled QECH and a wheelchair was also recovered from him upon further enquiries.

Meanwhile, Ousman is in police custody and is expected to appear before court.

Hussein Majawa Ousman hails from Kapasule Village, Traditional Authority (T.A) Nsamala in Balaka District.

Man shot on both legs for trespassing at Sanjika Palace

Man shot on both legs for trespassing at Sanjika Palace

BLANTYRE-(MaraviPost)—A Malawian is in agony at the Queen Elizabeth Central Hospital (QECH) after surviving gun shots on Saturday night at Sanjika Palace.

Information reaching Maravi Post indicates that the victim, who was totally drunk, was shot on his both legs for trespassing at the Sanjika Palace, which is home to the State President in Blantyre.

According to a report from Sub Inspector Sambo, on 12/06/21  at around 21:20 hours the victim, identified as Dennis Chikhoza, who was then driving a vehicle registration number  DZ 7792 was totally drunk  while driving towards Sanjika Palace .

 Officers on the first Gate tried to stop him but he didn’t stop, as such he hit the gate and proceeded to the second gate damaging both barriers in the process.

The conduct of Chikhoza prompted officers on duty release bullets from a K2C riffle which landed on both legs.

Victim was referred to QECH for medical attention and his condition is improving.

Mean while investigations are in progress to establish the motive.

Lazarus Chakwera poor leadership style losing him allies

Malawi Corruption
Onjezani Kenani

In the last few days Lazarus Kadingus Chakwera the judiciary-imposed President of Malawi has seen his fortunes take a sudden turn from savior to Evil Incarnated. People that marched against Peter Mutharika and celebrated following the Concourt rulings for Lazarus Chakwera are now pointing fingers at his poor leadership or non-leadership style. Making speeches without action. Blaming others and never seek to shoulder blame. Promises that are never fulfilled. Lying his way to an alliance without respecting his partners.

so, writes Onjezani Kenani one of his many friends that helped put him in power:

In the last few days, the nation has expressed shock and anger following the release of the audit report that has shown how the K6.2 billion national covid response funds were abused.

Perhaps what has shocked Malawians more is not just the plunder itself since we all have become used to stories of rampant corruption for three decades. Rather, the most frustrating thing is that on 23rd June 2020—just 10 months ago—millions across the country rose early in the morning to stand on long queues to elect a new leadership. We did so because for months we had been told that things would be different; we were promised good governance and that there would be serious attempts to end corruption. The audit report, however, has shown that corruption is alive and well, and that there seems to be no serious effort to end it.  There is a business-as-usual attitude with no respect to public resources. The promissory note we were given is worthless. The promise of hope that we had is now confronted with the grim and sober reality that the fight against corruption appears to remain no more than a mere lip service.

Beatrice Mateyo

Malawians want answers on why and how at the peak of the COVID wave, when their relatives and friends were dying in large numbers and suffering was everywhere, government officials – who were trusted to serve the people – abused the very resources that were desperately needed.

During this tragic time, Malawians rushed to contribute whatever they could to limit the impact of the COVID pandemic. I have in mind a man from Dowa, who contributed K1,000; he said it was the only amount he could manage. I recall a woman who donated K75,000 as a way of mourning her brother who had died of COVID. Malawians scrambled to help one another because they were aware that in the hospitals, there was lack of basic tools and equipment that were required to fight COVID. At the time, there was no sign that the K6.2 billion the government had released in August 2020 had made any difference. This is a betrayal of trust and failure of leadership in a time of need.

We Malawians have to pause and reflect. A small oxygen plant able to generate oxygen costs $40,000. Twenty-eight of them could have provided sufficient oxygen for each district. That is K900 million. Remember the entire country has two small plants (one at Nkhata Bay and another at Phalombe) and two big plants, at Kamuzu Central and also at the Queen Elizabeth Central Hospitals. A Bilevel Positive Airway Pressure (BiPAP) machine –  used to treat conditions that affect your breathing – costs between $1000-$2000. Our hospitals had none. Twenty per district could have been less than K450 million. A basic ventilator costs less than K5 million in China. We could have afforded 20 per city and five per district. All this could have cost us no more than K2 billion. The K6.2 billion could have been adequate for an effective response to covid, had it been used for its intended purpose.

I am sure many Malawians will now reflect on how many deaths that could have been prevented. To be clear, I remain immensely proud of the ife-tokha-patokha philosophy that we Malawians demonstrated by coming together to rescue the situation on our own, but I am bringing this up to underscore the fact that perhaps our effort could have been better channeled elsewhere, if the K6.2 billion had been utilized in an effective manner.

Onjezani Kenani

Going forward, I guess I would be speaking for many if I said Malawians expect real and visible change in the fight against corruption. Each and every single suspect – without exception – should be arrested and tried for their role in plundering the K6.2 billion. On our books, we have the enabling laws to recover money and property from those who enriched themselves through thieving.

 With regard to the fight against corruption in general, the appointment of the highly principled and hardworking Madam Martha Chizuma as Director-General of the Anti-Corruption Bureau is a good start. In her capacity as Ombudsman, Madam Chizuma has defied all challenges – including being starved of funding, suffering a public campaign of personal abuse and threats in the past. Despite this, she has been relentless in the fight against corruption in all its forms.

To show the nation that we are serious on corruption, we should use her professionalism, zeal and focus on a way that benefits our country. Her office should be appropriately funded and fully staffed. She should also have authority to oversee the financial crimes unit and must be free from political influence. I also hope she will have adequate security and protection.

I – and I am sure millions of other Malawiansremain hopeful in the words of President Dr. Lazarus Chakwera, who, during the campaign, said that corruption would not be tolerated under his administration, and that neither he nor his team would shield anyone from prosecution. I also remain confident in the words of Vice President Dr. Saulos Chilima, who told Malawians that jails would be emptied of petty thieves who stole chickens, so that big thieves who plunder national funds should fill them instead. I have no doubt that Malawians are expecting to see real action on corruption.

I hope the leadership will take this case as an opportunity to restore some confidence in our government. That confidence will be restored by demonstrating that culprits are punished and what they stole from the poor to enrich themselves is taken away from them and given back to the people.

Good night.

Publisher Akwete Sande laid to rest

Akwete Sande – Photo from Frank Phiri

In Edward Kwisongole, a village near the old Malawian Capital Zomba, seasoned journalist Aaron Sande, better known as “Akwete” was on Friday escorted to his final resting place.

Sande, a noted journalist, publisher, poet and former government diplomat succumbed to cancer on September 17, 2020 at Queen Elizabeth Central Hospital in the Malawian commercial capital, Blantyre. He was 58.

Thousands of well-wishers, including a few of his peers and apprentices, were present as he was laid to rest with prayers and choral singing by a local branch of the Blantyre Synod of CCAP church.

Sande had converted from Islam along the way.

“He will best be remembered as a journalist-cum media activist. He has his own place in Malawi’s fledgling media history,” said retired former University of Malawi (The Polytechnic) journalism lecturer Costly Mtogolo.

Speaking on behalf of the local media industry, Associated Press (AP) Correspondent Gregory Gondwe praised the fallen journalist for his pioneering and brave spirit.

“Akwete Sande is one of the pioneers of Malawi’s new media wave that came after Malawi’s multiparty dispensation. As a publisher and editor for many years, he was an inspiration to many,” he said.

Gondwe, who is also Secretary General of the Association of Business Journalists (ABJ) credited Sande with mentoring up-coming journalists.

“He kept his door open and most journalists tapped into his vast knowledge of the trade,” he noted.

Sande’s health deteriorated this week following delays to receive corrective surgery of his condition in Harare, Zimbabwe on account of lack of funds.

A total of K8.5 million was required for his further treatment. The Malawi Media Hub, a grouping of media professionals on Whatsapp and other unidentified well-wishers raised over K1.5 million, according to Andrew Chikho who headed a fund-raising initiative. It was not enough.

Amongst other accolades, Akwete is credited with starting Malawi Today, a bi-weekly newspaper which he modelled on the USA Today. Prior he worked as a teacher, a radio journalist at state broadcaster MBC and as a diplomat in Namibia and Zimbabwe between 2000 and 2005.

Upon being withdrawn from diplomatic services, the veteran journalist returned to the newsroom at The Daily Times, as a Sub Editor. He later started Teldoc, a television production company in partnership with former Malawi News Agency (MANA) Editor Don Napuwa.

Understanding Chilima’s passion for revolutionary health care in Malawi

Malawi Lacks good Healthcare
One of the greatest challenges facing doctors in Malawi is a shortage of medical supplies and equipment. It is a continuing struggle to find funding to bring these basic, life-saving necessities to the multitude of patients requiring attention.

Written by Patseni Mauka

One of the things that UTM’s presidential candidate Dr Saulos Chilima has consistently been passionate about is the need to revolutionize the health sector in Malawi. Chilima and UTM have promised to construct modern district hospitals in Chikwawa, Blantyre, Zomba, Lilongwe, Dowa, Mzimba and Rumphi in order to decongest the existing central hospitals.

“Don’t worry with my health on campaign trail, I will rest after elections”-Chilima

UTM has also promised to construct mental health hospitals attached to Mzuzu, Kamuzu and Queen Elizabeth Central Hospitals. The party has also promised to build and rehabilitate health facilities to improve quality. Chilima has been passionate about UTM’s promise of increasing the range of diagnostic tests and super specialized services such as cardiology done by our hospitals in order to significantly reduce referrals to regional hospitals and outside Malawi.

Those blessed with good health and have never been seriously ill, might find it difficult to appreciate Chilima’s passion to revolutionize Malawi’s health care system. But fellow Malawians are dying of treatable illness due to poor health facilities, equipment and inadequate health personal.

In June 2014, The Nation Newspaper reported a sad story of a 27-year-old woman, referred to Chintheche Hospital from Liwuzi Health Centre, who died due to post-partum hemorrhage. The woman was reportedly supposed to travel 40 kilometers to Nkhata Bay District Hospital for an operation, but unfortunately, she did not make it. She died on arrival at the hospital. Chintheche Rural Hospital is 40 kilometers south of Nkhata Bay. The hospital, which caters for 25 000 people, does not have a functional operating theatre.

In March this year, The Nation Newspaper also reported about a 25-year-old woman diagnosed with heart failure who was discharged from Queen Elizabeth Central Hospital (QECH) to wait for death at home, unless she gets specialized treatment outside the country. Linda Thuzi was told by doctors at QECH that her case requires surgery either in South Africa or India. With an unemployed husband, she just went home and is waiting for help from well-wishers.

Kamuzu Central Hospital
Crisis at Kamuzu Central Hospital: CT scan machine, X-ray down

Referral hospitals in Malawi lack consistent basic services like CT scan and MRI. Sometimes doctors have had to complain in the media in order to get help for their patients. Regional hospitals operate without essential equipment and drugs, yet they serve millions of Malawians. An example is Kamuzu Central Hospital (KCH) which serves the central region and a population of approximately 5 million people.

Last month, the media reported that employees of Nkhotakota District Hospital had to petition the District Commissioner (DC) to intervene and address the problems at the hospital. In their petition, they mentioned transport woes and persistent water supply challenges. The hospital which reportedly serves a population of about 400 000, can only now afford one meal per day for its in-patients. The sad stories of our collapsing health care system are numerous.

Malawi needs a passionate leader like Chilima to solve its problems including the health care system. When Chilima talks about health sector problems and suggested solutions, you know that he knows what he is talking about and is determined to do something about it. It’s not just empty rhetoric that we hear from other leaders that just read scripts provided by their strategists. With a qualified health and development specialist as his running mate, Chilima will deliver on his promises.

TB drugs torment HIV-positive patients in Malawi

Tuberculosis (TB) drugs that some people on antiretroviral (ARV) treatment are taking, are resulting in drastic health crises in some parts of the country, we have learnt.

Our investigations have established that some patients are provided with conflicting information on how they are supposed to take ARVs and TB drugs simultaneously resulting into health challenges such as mental disorders, hepatitis, fever and splitting headaches.

While these are said to be synonymous with TB drugs, HIV research experts argue that they can be avoided if patients are given sufficient and correct information.

“Protecting HIV patients from TB attacks is a medically-proved intervention. But what matters is how you handle it so that the patients are not left tormented. In cases where side effects are numerous and drastic, you are supposed to inform the patients about what they should do,” a doctor with a public health facility, who pleaded for anonymity, said.

Some HIV-positive people that we have talked to in Lilongwe and Blantyre have complained that after they started taking ARVs together with TB drugs, their health rapidly deteriorated.

One such patient, Lucy Chikanga of Blantyre, claimed she was being forced to take TB drugs even after complaining that they were resulting in serious health challenges some of which she had never experienced before.

“I have never suffered from TB but I am being given both ARVs and TB drugs apparently because I am living in a TB-prone area.

However, when I reported that I was feeling pain to my health facility, I was warned against stopping taking the TB drugs, having taken them for some months,” Chikanga said.

She added that it was only after she had visited Queen Elizabeth Central Hospital that she was advised to stop taking the TB drugs until a proper assessment of her condition was done.

In response to our questionnaire, the Ministry of Health and Population, through its spokesperson Joshua Malango, said clients on some TB interventions may experience nausea, vomiting and mild itchy skin rash as side effects.

But those that we talked to registered more serious side effects.

Malango said: “Isoniazid Preventive Therapy (IPT) is one of the three interventions of preventing TB in HIV infected clients through provision of anti- TB drugs. Scientific evidence highlights that combining anti-retroviral therapy (ART) and IPT significantly reduces the incidence of TB.

“The other two interventions are Intensified Case Finding for TB which focuses on screening, and diagnosis of TB and Infection Control (IC) measures. Malawi is implementing this combined intervention of ART and IPT in five high-TB-burden districts of Lilongwe, Blantyre, Zomba, Thyolo and Chiradzulu.”

The districts were selected apparently due to high numbers of reported TB cases.

“The country considered these interventions because the risk of developing TB is 50 percent among people living with HIV in their lifetime. In addition, HIV increases the progression of latent TB to TB disease. However, the situation can be reversed by taking lifelong IPT alongside ART,” Malango added.

But the doctor who pleaded for anonymity told us that ART patients, “being delicate patients”, need a lot of information on what can work for them and how to avoid what is not working.

He further said in situations where the patients display drastic side effects, they must be sufficiently advised on what to do next including abandoning the TB drugs, where necessary or altering the dosages.

“These are medical issues, and we ought to be very careful with the instructions we give to patients. One simple instruction can kill if not properly relayed,” the doctor warned.

Some patients said they, in fact, do not know anything about what they should do in cases of side effects other than to continue taking both drugs for fear of “

Breaking News Malawian surgeon separates Siamese twins

June 21, 2018

In a historic medical success moment, a local surgical team this morning successfully separated conjoined twins at the Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi.

Professor Eric Borgestien led a team of paediatric surgeons to perform the procedure at the QECH, the first time ever such a procedure has been attempted in the country.

The news was confirmed by the hospital’s Twitter account @QECH_Chipatala.

The QECH is Malawi’s largest referral hospital located in the commercial city of Blantyre.

In its tweet, the hospital reports that the operation went smoothly, and the children are currently admitted at the hospital’s Pediatric Intensive Care Unit.

According to the information gathered from the Twitter account, the operation was conducted at the QECH’s Mercy James Institute for Pediatric Surgery and Intensive Care. This center was built with funds from US pop star Madonna, and officially opened on 11 July, 2017.

Madonna named the specialised health centre after her adopted daughter, 11-year-old Mercy James, a Malawian whom she adopted in 2009.

Borgstein is a Malawian born pediatric surgeon, who serves as a Professor of Surgery at the College of Medicine which is a constituent college of University of Malawi, UNIMA.

Aside from this position as a Medical Director at Mercy James centre, he is also Consultant Pediatric Surgeon at QECH.

Professor Borgstein is a Fellow of the Royal College of Surgeons of Edinburgh. He started work as a surgeon at QECH in 1992. He has strong interest in surgical training and has played a leading role in the establishment of the Master of Medicine program in pediatric surgery at the College of Medicine.

He is the son of famous medical doctors, late Dr. Jan Borgstein (Malawi’s great bone surgeon), and his mother pediatrician, Dr (Mrs) Borgstein.

Driver abandons truck after killing a pedestrian in Blantyre

BLANTYRE-(MaraviPost)-A 16 year old Ibra Umali was on Thursday killed on a road accident after being hit by a truck along Misesa Manje road in Blantyre.

It is alleged that a Freight liner truck registration numbers ZA 3925/ZA 2714 that was coming from the direction of Manje heading Blantyre Teachers College hit the deceased who was walking along the road.

The decease sustained severe head injury and was taken to Queen Elizabeth Central Hospital where he was pronounced dead upon arrival.

The driver abandoned the said vehicle and he is still at large. Meanwhile investigations are underway to apprehend the driver.

The deceased hailed from Ligwang’wa village, Traditional Authority (T.A) Kalembo in Balaka district.

Man found dead in Soche Quarry Dam

The body of a dead man was on Saturday found floating in a dam at Soche Quarry in the area of Group Village Headwoman (GVH) Misesa in Blantyre, Police at Soche Sub Station have confirmed.

Authenticating the development on Tuesday, Police said the deceased, whose details are not known, was found floating by members of the community surrounding the area on Saturday October 14 in the morning.

It is said that the police went to the scene where they removed the body from the dam with assistance from members of the community police, but it was in a decomposing state.

The body was taken to Queen Elizabeth Central Hospital for post-mortem to establish the cause of his death, whose results are yet to be out.

The body is still in the mortuary at Queens.

The public has since been requested to report to their nearest police in case their relative or neighbour is missing.

The community has also been called upon to desist from visiting the place saying it continues claiming lives of people.

According to the sources, similar incidences have been happening at the dam almost yearly, whereby GVH Misesa in whose area the dam is located, has since been calling upon relevant authorities to cover the dam with some earth to prevent such cases at the dam but to no unveil.

The Soche Quarry Dam was created for quarry extraction between 1970s and early 2000s.