In 2017, MCI began by providing meals to patients' families at KCH, many of whom are subsistence farmers without access to funds to purchase food when away from their villages.

In the last 18 months we have focused our efforts on children with Severe Acute Malnutrition (SAM). The KCH Department of Paediatrics admits about 500 children with SAM per year, and one in ten of these children will die on the wards. Over the last 3 years MCI has worked in partnership with the Department of Paediatrics and a consortium of universities working in Malawi (PACHIMAKE) to strengthen the care of severely malnourished children admitted to KCH. We have helped facilitate a locally-led Quality Improvement project that uses hospital data to address gaps in the cascade of care for this high-risk group of patients. This has included the hiring of two full-time nutritionists on the KCH Nutritional Rehabilitation Unit (NRU), trainings for nurses and clinicians, and provision of supplies when there are shortages.