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Magrete Chalamela, recipient of ARV treatment, at the Love and Hope Clinic in Nakuru, Kenya.

Mission Statement

Our aim is to support innovative locally lead healthcare programmes which address HIV in the context of maternal and infant mortality. The current focus of our work is in Lilongwe the capital of Malawi.

Bwaila Maternity Hospital Lilongwe Update

In 2009, The Rose Project funded the new Bwaila Maternity Hospital. This hospital replaced a shed like structure which was built in 1939 - as a temporary structure to manage 4,000 annual births! Prior to its closure, the hospital was managing 11,000 annual births-



The new Bwaila Maternity hospital (the busiest maternity hospital in Malawi) is responsible for 15,000 births each year . Whilst there is an acute shortage of skilled healthcare workers in Malawi the situation has improved over the last five years. This is due to the increase in intake of medical and nursing students to the university -the results are already visible at Bwaila Maternity Hospital where for the first time since the hospital opened, there are enough midwives in the Labour Ward. When the new hospital opened there was no resident obstetrician - however there are now two. This is making a substantial difference to clinical care for patients.



Malawi has the highest incidence of maternal mortality for a non conflict country. Many women have just one antenatal visit which results in a high level of complications when patients present for delivery. In addition the incidence of HIV amongst the women attending the hospital is high leading which also contributes to an increased level of complications.



Mother to child HIV transmission during pregnancy is the second most common form of HIV transmission in Malawi and accounts for 30,000 babies being born HIV with the virus each year. With treatment this is preventable. Prevention of mother to child HIV transmission in pregnancy, is central to the care provided at Bwaila Maternity Hospital.



A number of international organisations have joined forces with The Rose Project in the past 4 years in an effort to improve maternal and infant care at the hospital. These include Freedom from Fistula Foundation Scotland , the University of North Carolina, and Haukeland University Hospital Norway. These organisations in partnership with the District Health Officer are presently implementing a number of training programmes for midwives and it is envisaged that a residency programme for medical graduates in the specialty of obstetrics will begin shortly at the hospital.



The Rose Project continues to fund Rachel Macleod, senior midwife manager who works in the labour ward at the hospital.



The photographs of the Labour Ward below have been taken with the patients permission



In 2010 Freedom from Fistula Foundation (Scotland )opened a fistula unit at Bwaila Maternity Hospital. Obstetric fistula is a serious problem in the world's poorest countries, where most mothers give birth without any medical help The condition leads to social stigma leaving many women ostracised by their families. To date 400 women have had fistula repair transforming their lives.



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    Bwaila Maternity Unit. Lilongwe, Malawi. Lilongwe, Malawi. August 2011

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    Attending the midwives morning meeting. Lilongwe, Malawi. August 2011

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    Rachel is mentoring the young midwives and nurses working in labour ward. Lilongwe, Malawi. August 2011

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    Assisting young girl during exams. Lilongwe, Malawi. August 2011

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    Happiness to succeed in reanimate a newborn. Lilongwe, Malawi. August 20

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    First Aid inside labour ward, when main theatre is not available. Lilongwe, Malawi. August 2011

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    The blackboard is constantly updated on women conditions in labour ward. Lilongwe, Malawi. August 2011

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    Rachel is reanimating a newborn. Lilongwe, Malawi. August 2011

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    The woman is bleeding and needs urgently blood transfusion. Lilongwe, Malawi. August 2011

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    A baby born already dead. Lilongwe, Malawi. August 2011




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About Rose

Rose Atieno was a young Kenyan who Mary Donohoe had the privilege to meet on her first trip to Nakuru, Kenya in 2003

Latest News

HIV Counselling and Testing in the rural Health Centres of Lilongwe 2008-2012
Home Based Care Programme, Catholic Diocese of Lilongwe Likuni area
HIV Transmission from Mother to Child in Pregnancy:
27TH February 2013: The number of births continue to rise at Bwaila Maternity Hospital.
25th October 2012

Featured Project



Health workers heading out to the rural clinics on motorbikes provided by The Rose Project.   Read More....

Day shift at Bwaila Maternity Hospital - 29th January 2013



Ten delivery rooms and a nurse’s station. That’s a total of eleven wall clocks - each one in a different state of repair and each one reading a different time but I know its around 7.15am, as I arrive on Bwaila Labour Ward. Someone asked me last week, “do you ever know what you’re going to find or what you will be doing each day when you start work in the morning?” Never! Read More.....
Mary Robinson
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"It's always a small group of people who make a major impact and The Rose Project has demonstrated this."
Bill Clinton
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"The Rose Project is doing magnificent work. We will be partnering with The Rose Project and working with them."
Seamus Heaney
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"The Rose Project is an exemplary response to a terrible situation, a reminder of the stern and beautiful truth we were once taught in the cathecism; my neighbour is all mankind, it cries out for support."


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International Partners

Irish Aid
Ireland's programme of official development assistance to developing countries.
Freedom from Fistula Foundation
Our vision is for all women in Africa to have access to healthcare during pregnancy and childbirth and to help eradicate obstetric fistulas.
CAFOD
CAFOD works to end poverty and make a just world. It is the official overseas development and relief agency of the Catholic communities of England and Wales.
The Irish Hospice Foundation
is a not-for-profit organisation that promotes the hospice philosophy and supports the development of hospice and palliative care.
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Business & Media

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The Rose Project is doing magnificent work. We will be partnering with The Rose Project and working with them

Bill Clinton

42nd President of the United States, speaking at an event in honour of Rose Atieno, the 16 millionth person to die of AIDS in Africa.

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The Rose Project can make a difference for people living with or affected by HIV or AIDS. We help by funding projects that make a real difference.