Using books to improve healthcare

Meet the midwife using books to provide better health information to her community

Fikanayo in Malawi is a registered nurse midwife. She is currently studying for a Masters at the Malawi College of Medicine and also teaches other midwives.

Limited resources mean that many universities, training colleges and even hospitals in Malawi struggle to provide staff and students with the up-to-date books they need to support their work and studies. Yet they are vital for the provision of safe healthcare and the training of the next generation of medical staff.

Fikanayo has achieved much in her career thanks to books you have helped to send – and the information she is able to access is enabling her to provide high quality healthcare in her local area. Here, she tells us how books are helping:




I was motivated to become a nurse midwife because growing up I just had that passion – when someone was hurt I would be the first one to take care of them.

I did my bachelors in midwifery at Kamuzu College of Nursing and after that I developed an interest in epidemiology and communicable diseases – so that’s why I applied for the Masters in Public Health.


The average person in Malawi has few healthcare options. If our pre and postnatal clinic wasn’t there, it would be a big burden on the hospital. We offer free maternal services to all the women in the catchment area and without it local mums would struggle. They would have to go a very long distance to seek healthcare.


Women living in remote and rural communities in Malawi sometimes have to travel miles to access pre-and-postnatal healthcare


Working as a midwife here in Malawi – especially in the remote area where I work – it is like you are the chief consultant! You are the obstetrician, the gynaecologist, the anaesthetist, the paediatrician. You have to manage the baby, the mother, the pregnant women at the same time as being the midwife. You are manning the antenatal clinic, you are the one in charge in the labour ward, in the nursery. There are times that you are not sure what to do! For instance, you might have a lady in labour who has a condition you have never come across.



Currently, for my studies I am doing research on diabetes, specifically self-care. When I was working on the wards, I saw a lot of patients with diabetes and many of them developed complications – becoming blind, having amputations, some of them even having a stroke. There is not much information about diabetes so my intervention is trying to make sure that they get adequate support at home. I thought if we give out enough information then it means that they might be able to manage their diabetes better.


Women and baby
Fikanayo uses you help to send to provide quality healthcare to pregnant and post-natal women and their children


So the idea is I take the information I learn here [in the library] and turn it into information for the patients in their homes.



Even currently with my students, when we are doing clinical practise I still refer them to books because there are books which guide you on how you can do you practice. There are some which contain nursing procedures which students might not understand – so you refer the student to a book and say ‘You might not yet understand perfectly because of the way I am explaining it but go to the book and read about it.’


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