On strengthening primary care

De Maeseneer, et al's1 editorial reflect our experiences delivering health care in the rural areas of Malawi's central region.

Our NGO's initial work was in AIDS orphan support and AIDS education; in every village we found a significant number of children needing medical attention for acute and chronic conditions. Investigation found they had no practical access to medical care, because of poverty and geographical location. Typically the tarmac road would be over 25 km away …