Malawi is one of the poorest countries in the world having a GDP per capita of just £275. Life expectancy at birth is 35 years, with under 5 child mortality being 172 deaths per 1,000 live births. There are 700,000 orphaned and vulnerable children in Malawi because of HIV/AIDS (90,000 are HIV positive). Poor medical resources and insufficient numbers of health care staff prevent delivery of a high standard of medical care. There is approximately one doctor and 26 nurses for each 100,000 people - there are only 260 doctors and 7,600 nurses in total. Birmingham Children’s Hospital (BCH) is an internationally recognised NHS Foundation trust providing undergraduate & postgraduate education to paediatric health care staff and Queen Elizabeth Central Hospital (QECH), Blantyre, Malawi is the only comprehensive government funded training institution in the country. The Project works through the education and development of QECH paediatric medical and related healthcare staff in-country, delivered by doctors, nurses and other healthcare professionals from Birmingham Children’s Hospital. Funding requirements of the Project are ongoing. To provide the desired level of support some £2 million will be required, phased over a 4 year period. A full Business Plan and further details are available on request.