Obstetrics and Gynecology in Malawi

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Obstetrics and Gynecology in Malawi Through sharing real experiences of practicing medicine in a developing country, I would like to honor the strong and inspiring women of Malawi.

Maria Fearing - Daughter of AfricaI cannot help but be impressed by the life and legacy of Maria Fearing (1838 – 1937). ...
19/11/2025

Maria Fearing - Daughter of Africa

I cannot help but be impressed by the life and legacy of Maria Fearing (1838 – 1937). Born into slavery on a cotton plantation in Alabama in the American South, the plantation owner’s wife chose Fearing to work as a house-girl. Her mistress included her with her own children with the religious education in the home.
Freed from slavery in 1865 at the end of the American Civil War, Fearing attended the Freedman’s Bureau School in Talladega and qualified to become a teacher in the public schools. She saved enough to buy her own home in Anniston, Alabama.
In 1894, after hearing a sermon by William Sheppard, a pioneering African American Presbyterian missionary in the Belgian Congo, Fearing felt called to volunteer tor Christian work in central Africa. Even though the Presbyterian Mission Board was not willing to help her financially, probably because of her age of 56, Fearing was so determined to go that she sold her home and used the funds to pay her own transportation to the Belgian Congo.
Fearing adjusted well to the austere but simple life in Luebo, Belgian Congo. She knew the local language well enough after a year to teach classes and translate hymns. She started a home and school for girls who had been kidnapped by rival Congolese tribes. One of the primary missions at Luebo at that time was to rescue Africans enslaved by other Africans. Fearing taught sanitation, sewing, cooking, reading, and childcare. She became a mother to dozens at her school who had been orphaned, abandoned, or redeemed from slavery, and remained in the Congo for the next 20 years, until lovingly forced to return to the United States.

A Visit to a Refugee CampFor most Americans, a visit to a refugee camp might bring up images of overcrowded conditions o...
12/07/2024

A Visit to a Refugee Camp
For most Americans, a visit to a refugee camp might bring up images of overcrowded conditions of living, children shifting through rubbish, and babies with flies hovering around their eyes. My visit yesterday to the Dzaleka Refugee Camp in Dowa, Malawi, was not like that at all. For one thing this camp has been in this location for 30 years. Some of the young people living there were born there. The camp is located in the peaceful but poverty-stricken country of Malawi.
Most of the refugees at this camp are from the Democratic Republic of Congo, Rwanda, Burundi, or Ethiopia. Most of the refugees have fled areas of conflict and danger in their home countries. They have left behind loved ones at home, but they can converse by WhatsApp to keep up with local events. Although living in the camp is difficult and restrictive, most of the people I talked to were glad to be in Malawi where they are relatively safe. There is a large problem of local theft within the village. The camp does seem like a large village, or rather two villages, one on each side of the highway that runs through the town of Dowa.
I went to visit some Congolese friends of mine, a family with an 18-month-old toddler. As we walked toward their home, several children greeted my host saying “Hello, teacher.” It struck me as unusual that they were speaking English rather than the local language Chichewa. My host is teaching French and English at a local private primary school. His pay is about $30 a month from the school, which is less than one dollar a day, lining up with the extreme poverty of Malawi. However, he has recently graduated from a plumbing school for refugees and can supplement his income with plumbing jobs.
I was so moved when this young man told me he is supporting four children at primary school out of his own pocket. They are not his relatives. The monthly school fees are 4000 Malawi kwachas, equivalent to two dollars.
I had such a pleasant visit with this young family. Our conversation was sprinkled with thoughts of hope for the future, of maybe moving to nearby Lilongwe, the capital of Malawi, sometime soon. The government is allowing refugees to move out of the camp at this time.
Two young male refugees accompanied me back to the main highway where I could catch the minibus back to Lilongwe where I am staying. We conversed part of the time in English and part of the time in French. I learned French while I was working in the Congo decades ago. It struck me that these young men were earnest, hardworking, hopeful world citizens. Not only were they fluent in English and French, but also in Swahili, and probably a few other languages. My idea of a refugee was completely changed by this visit.

Greetings from Daeyang University and Daeyang Luke Hospital in Lilongwe, Malawi, Africa, where I am staying currently un...
06/07/2024

Greetings from Daeyang University and Daeyang Luke Hospital in Lilongwe, Malawi, Africa, where I am staying currently until July 16. I enjoyed 8 wonderful years at the hospital serving as an obstetrician/gynecologist. Now, I have the privilege of serving as a lecturer at the Ekwendeni College of Health Sciences in northern Malawi at Ekwendeni.

The Incredible Story of Kingsley KalangaI met him while I was teaching freshman anatomy and physiology at Daeyang Nursin...
04/07/2024

The Incredible Story of Kingsley Kalanga
I met him while I was teaching freshman anatomy and physiology at Daeyang Nursing College in Lilongwe, Malawi. Just having been elected as president of his class, he had such a bright smile and an engaging manner. The only problem was that Kingsley was coming late to class as well as about half of the other students in the class. I told him that he had to come to class on time to set an example for the rest of the class. Incredibly, Kingsley started coming on time to class and a lot of other students improved in their timekeeping as well.
What a surprise to see him today. He came to where I am staying on the campus of Daeyang University for such a nice visit. He earned a Bachelor of Science in Nursing and Midwifery in 2021 from Daeyang Nursing College. Now, in 2024, he has his own private clinic in a nearby town, plus his own private secondary school with about 330 students, 12 teachers, school guards, and a driver, no to mention that he has 4 vehicles, one of which is an ambulance. He is assisting 16 needy students at the secondary school out of his own pocket. He said he was so happy to see me today. I also was so happy and encouraged. I told him he was already doing what I wanted him to do, and that is helping others less fortunate than himself.

Wow, I just got a message from Facebook that I have 2,223 followers of Obstetrics and Gynecology in Malawi. I am amazed!...
29/06/2024

Wow, I just got a message from Facebook that I have 2,223 followers of Obstetrics and Gynecology in Malawi. I am amazed! I would like to share this screenshot from Globocan 2022. Globoncan follows all cancers in the world and publishes the data every few years. This screenshot shows global breast cancer in women in pink and global cancer of the cervix in orange. Malawi, where I have been working for 20 years is orange. I would like to take Malawi out of the orange. It is a big job.

Why are these students happy? They are happy because they are at the end of this semester of academic work at the Ekwend...
27/06/2024

Why are these students happy? They are happy because they are at the end of this semester of academic work at the Ekwendeni College of Health Sciences at Ekwendeni in northern Malawi, Africa. They are training to be Clinical Officers, which are like Physician's Assistants in the USA. They will be taking on tremendous responsibilities in the near future. Next week they will begin practical training at a tertiary hospital in Malawi.

First a story. Shortly after I moved to northern Malawi last year, I went shopping at a big grocery store in Mzuzu. I mo...
16/06/2024

First a story. Shortly after I moved to northern Malawi last year, I went shopping at a big grocery store in Mzuzu. I moved through the store gathering my purchases, paid for them, and exited through the front entrance. Just as I was heading for the street, a guard from the store ran after me and asked me to stop. I was surprised, and said that I had paid for everything in my backpack if he wanted to check. He said the manager of the store wanted to see me. It turned out that the manager and his wife were patients of mine in Lilongwe, where I used to work as an obstetrician. I had delivered their two daughters by cesarean section. He wanted to greet me and invite me to visit his wife and daughters, which I did. It was a joy to be able to help celebrate the 7th birthday of their youngest daughter this week.

I got to celebrate my birthday with colleagues at the Ekwendeni College of Health Sciences. Malawians really know how to...
02/04/2024

I got to celebrate my birthday with colleagues at the Ekwendeni College of Health Sciences. Malawians really know how to celebrate. Thank you to all on Facebook for your kind birthday wishes.

16/03/2024

New post at Obstetrics and Gynecology in Malawi

16/03/2024

Concentrating on learning

Starting a new role as a lecturer at the Ekwendeni College of Health Sciences in Ekwendeni, Malawi, which is a part of t...
16/03/2024

Starting a new role as a lecturer at the Ekwendeni College of Health Sciences in Ekwendeni, Malawi, which is a part of the University of Livingstonia, I now have a great job and a great opportunity. I recently spent a week as a preceptor at Mzuzu Central Hospital working with Clinical Officer students from our college in the Department of Obstetrics and Gynecology. These students have had a year of classroom instruction and practical training in a skills laboratory on the campus. Now it is time for them to experience the real world of clinical medicine.
The working day in the Department starts at 8 AM when the clinicians who have often been up all- night taking care of patients give an oral report of what has happened and what needs to happen soon. After this meeting the most critical and ill patients will be seen first, and the regular workday will begin.
Eager to learn and sometimes not knowing what is really going on, the students will go to their various workstations. It is my job to explain and challenge the students to think, ask questions, and learn.
Recently, as shown in the photos, we had a demonstration of how to use a lifesaving device. This Non-Pneumatic Anti-Shock Garment is a first-aid device made of neoprene and Velcro that looks like the bottom half of a wetsuit cut into segments. Clinicians in training need to know how to accurately apply the garment, and how to remove it at the correct time. This garment can help support a patient in shock from blood loss while intravenous fluids are given, and the blood loss is stopped. Used correctly, it can save lives, especially mothers arriving in shock after a postpartum hemorrhage.
After practicing as an obstetrician/gynecologist for a total of 27 years in Africa, I now have the privilege of passing on the torch to the next generation of Clinical Officers in Malawi. Thanks be to God.

Christmas Day in 2021 was on a Sunday. I was planning to make rounds as usual at Daeyang Luke Hospital in Lilongwe, Mala...
24/12/2023

Christmas Day in 2021 was on a Sunday. I was planning to make rounds as usual at Daeyang Luke Hospital in Lilongwe, Malawi. Things were busy on the labor ward with babies being born right and left. These three Malawian mothers had delivered four babies before 10 AM and I got to share in the Christmas joy. One of the moms has twins.

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