It may not seem like much to you and me -- indeed, it's unlikely to make a lot of sense -- but for the person who sent it, and more importantly the one who received it, it represents the dawn of a new era in rural health care in the region.
The first message read, "Ineyo ndinayenda mapesent awiri sakupeza bwino amenewa ndiavuto lakhasa," meaning, "There are two patients, very sick of cancer." It was quickly followed by another. "Mai laulentina adamwalira pa sabata kwa chamoto omweanali pa pa h.b.c." This one - "Laulentina, a patient in the Home Based Care program, died on Saturday." These messages, in Chichewa -- the local language -- represent the beginnings of a new mobile-phone-based health care initiative, centered around the humble SMS (short messaging service), which is set to revolutionize communication for doctors, nurses, staff and volunteers working to improve the health of a quarter of a million Malawians within a hundred-square-mile radius of St. Gabriel's, the hospital running the pilot.
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