Setting
Kamuzu Central Hospital (KCH) is a national teaching hospital in Lilongwe, the capital of Malawi, and is one of two hospitals in the country that provides pediatric cancer treatment. KCH receives cancer referrals from the northern and central regions, serving half of the estimated 18 million people in Malawi. The KCH pediatric cancer ward consists of 24-30 beds and is staffed by the Texas Children’s Cancer and Hematology Centers Global Hematology Oncology Pediatric Excellence (HOPE)-Malawi program. Collaboration with the University of North Carolina (UNC) Project-Malawi provides additional support including a pediatric hematologist-oncologist, clinical research staff, comprehensive diagnostic services through the KCH-UNC Pathology Laboratory.21