Of all the children seen each year at QECH some 26,000 have to be admitted for specialist treatment


We have 10 specialist children’s wards:


Accident & Emergency unit (to be restructured and refurbished to meet the changing demand and needs) which are high dependency unit (to come on stream Spring 2021), medical Bay for chronically ill and neurological problems, special care for the very ill, oncology, orthopaedic, malnutrition treatment, babies born outside hospital, neo-natal with high dependency facility and Kangaroo Care for premature babies.



One Stop Centre for victims of abuse – children, girls and women

Specialist outpatient clinics for HIV care, heart disease, neurological problems, sickle cell disease, TB, renal disease, diabetes, and general paediatrics


(all Blanytre unless otherwise stated)

We currently have; 15 Malawian consultants  (5 in Lilongwe and 5 expats), 12 Malawian registrars (1 expat), 21 qualified Malawian Clinical Officers, and 100 students each year (5th year in Blantyre), 121 each year (3rd year in Lilongwe).


GDP per cap£300
Mortality of under 5s per 1000 births424.36.5
Life expectancy at birth m/f61/67 yrs80/83 years76/81 years
Doctors/Nurses per 100kpop4/44280/810260/1450


  • As much as 10% of the population of Malawi may be infected.
  • There are an estimated 15,000 deaths per year related to HIV/Aids
  • Some 90,000 children may be HIV positive.
  • About 500,000 children are orphaned because of Aids.
  • Another 200,000 children are vulnerable because of HIV / Aids.
  • In comparison in the Uk 1200 children are HIV positive with less than 2 related deaths per annum.



Inpatient child mortality has fallen to around 4%; 20 years ago it was about 20%.



Our biggest causes of death are now in neonates – prematurity and birth asphyxia. We are working hard to improve neonatal care.



Child Mortality (per 1,000 live births)



(under 1 month old)
(Under 1 year)
(Under 5 years)
Malawi child in-patient mortality1 in 51 in 201 in 1001 in 100
Maternal Mortality
(per 100,000 births)
Life expectancy
(years of age)

Data sources include – World Health Organisation; UN Inter-Agency Group; World Bank

It is very pleasing to see the trend of the numbers in Malawi but with still a long way to go and still many challenges ahead.

The care workload is seasonal. The hot rainy months of December to April or May bring such illnesses as malaria, typhoid, cholera, gastro enteritis and malnutrition – all against a backdrop of HIV/AIDS and stunted growth.

The mothers or grannies stay on the wards with their children and do much of the basic care. Little ones may need their mothers for breast milk.

With so much still to do and to achieve, it is essential for us to welcome new donors to join our loyal existing donors as we all strive to not only improve the lives of so many young Malawians but literally to give life to so many of them who otherwise would be lost to the nation and the world.

Charity Commission number 1140578 Registered Office: c/o Squire Sanders (UK) LLP, Rutland House, 148 Edmund Street, Birmingham, B3 2JR