In 1894 the mission extended to the Tumbuka, who were also being attacked by the powerful Ngoni; Laws opened a mission station near Rumphi that year. The Tumbuka, like the Tonga sought refuge among the missionaries and embraced Christianity. By contrast, the Yao were still completely distanced from Christianity, and were still writing and reading in Arabic, which would soon not be recognized in Malawi; this would prove to disadvantage the Yao. The failure to convert the Yao Muslims to Christianity contributed to the negative appearance of the Yao people in traditional Euro-centric history. The Yao socio-economic contribution to Malawi was not recognised, rather history judged them as great slave traders. Under H. H. Johnson, the British fought Yao chiefs such as Makanjila and Mponda Jalasi for five years before they were subdued. Today, fewer Yao are found in jobs requiring literacy, which has forced a large number of them to migrate to South Africa as a source of labour. The Yao believe that they have been deliberately marginalized by the authorities because of their faith; in Malawi, they are predominantly farmers, tailors, guards, fishermen or working in other unskilled manual jobs. At one time, a number of Yao concealed their names in order to progress in education: Mariam was known as Mary; Yusufu was called Joseph; Che Sigele became Jeanet.

The indigenous ethnic groups of Malawi have a rich tradition of basketry and mask carving, and some of these goods are used in traditional ceremonies still performed by native peoples. Wood carving and oil painting are also popular in more urban centres, with many of the items produced being sold to tourists. There are several internationally recognised literary figures from Malawi, including poet Jack Mapanje, history and fiction writer Paul Zeleza and authors Legson Kayira, Felix Mnthali, Frank Chipasula and David Rubadiri.[citation needed]


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This article analyses the development and implementation of family medicine training and practice in Malawi, with special attention given to its current status and the projected role the trained family physician will be expected to play in the future. The general aim of the paper is to briefly review the role of family physicians in rural areas, as well as to discuss the history of family medicine training in Malawi. The idea of formal family medicine training and practice in Malawi started as early as 2001 but did not come to fruition until 2011, with the start of the undergraduate clerkship in the fourth year of medical school at the University Of Malawi College Of Medicine. This energy was followed by the launch of a postgraduate training programme in early 2015. The challenges encountered in this endeavour are also reviewed. The paper concludes by discussing the expected role a Malawian family physician will play in the local context, considering the key roles that family physicians play elsewhere in Africa.

Reviewed by:  A History of Malawi, 1859-1966 by John McCracken  Joey Power   John McCracken , A History of Malawi, 1859-1966. Woodbridge: James Currey and Rochester NY: Boydell and Brewer (hb 85 - 978 1 84701 050 6). 2012, 485 pp. Inspired by John Iliffe's A Modern History of Tanganyika, John McCracken's long-awaited History of Malawi is the first attempt to write a comprehensive synthesis of the modern history of this small but significant Central African country since the 'nation-building' histories of the 1970s. The book weighs in at a whopping 485 pages, covers considerable thematic and chronological ground (its dates are 1859-1966) and integrates a prodigious amount of primary and second material to produce a very readable survey of Malawi's colonial past.

The book is divided into sixteen chapters, beginning with the tumultuous nineteenth century and the advent of European missionary enterprise in the region. Subsequent chapters establish the background to the colonial economy and the central roles played by both Islam and Christianity in forging new types of identity and, sometimes, unique forms of political action. There is an entire chapter, for example, that revisits the Chilembwe rising and its significance for Malawian history, with particular emphasis on its millenarian overtones. There are also chapters on the First World War and on the crucial inter-war years [End Page 517] during which economic patterns were established that would endure well into the post-war period -and were to have political significance as land hunger and agrarian reform efforts became the catalysts for rural unrest. Chapters follow on the Depression and how this led to the delay of development initiatives. The book also includes a re-examination of the role of various officials whose development and 'agrarian reform' efforts stoked rural resistance to colonial and ultimately federal overrule.

John McCracken has provided a masterful survey of Malawi's modern past, encompassing political, economic and socio-cultural perspectives. A History of Malawi is bound to become the go-to text for students and scholars of colonial Malawi and those interested in the foundations of the post-colonial period. It is sure to have considerable local appeal (one hopes future editions will be more affordable), and must surely become a standard reference for those interested in Malawi's modern history, politics and economics.

Malawi is emerging victorious in its battle against the deadliest cholera outbreak in the country's history, which has killed nearly 2,000 people since its onset in March of last year. Health authorities say the country has seen a steady decline in the death rate, with no new cases or hospitalizations for the past two weeks.

Kollie knows firsthand how powerful educators can be. So, she continues to find ways to make a lasting impact on her students in the classroom through celebrating African-American history and Malawian history.

Located in the southeastern part of Africa, this former British colony (1891-1964) has an interesting history. One aspect of this history is that the country has gone through a few name changes. It was called the British Central Africa Protectorate from 1893 through 1907. From 1907 through 1964, its name was Nyasaland. Finally, it settled on Malawi at independence in 1964. So, of course, the laws published throughout the different phases in its history reflect the different names. Another interesting aspect of its history is that from 1953 through 1963, it was federated with Rhodesia (which included Northern Rhodesia (Zambia) and Southern Rhodesia (Zimbabwe)). This resulted in the establishment of a federal legislature and split the legislative jurisdiction between this body and the legislatures of the territories during that time. (Federation of Rhodesia and Nyasaland (Constitution) Order in Council, 1953.)

Malawi maintains an embassy in the United States at 1156 15th Street, NW, Suite 320, Washington, DC 20005 (tel. 202-721-0270; fax 202-721-0288). Malawi's Permanent Mission to the United Nations is located at: 600 Third Avenue, 30th Floor, New York, NY 10016 (tel. 212-949-0180; Fax: 212-599-5021. Malawi also maintains an Honorary Consulate in the Los Angeles area. Dr. J.F. Clements, Malawi Honorary Consul, Malawi Consulate may be reached at 44970 Via Renaissance, Temecula, California 92590 (office number, 951-676-2476; fax number, 951-676-1568; and e-mail, malawiconsul@yahoo.com). ECONOMY

Malawi is a landlocked, densely populated country. Its economy is heavily dependent on agriculture. Malawi has few exploitable mineral resources. Its two most important export crops are tobacco and tea. Traditionally Malawi has been self-sufficient in its staple food, maize, and during the 1980s exported substantial quantities to its drought-stricken neighbors. Agriculture represents 38.6% of the GDP, accounts for over 80% of the labor force, and represents about 80% of all exports. Nearly 90% of the population engages in subsistence farming. Smallholder farmers produce a variety of crops, including maize (corn), beans, rice, cassava, tobacco, and groundnuts (peanuts).The agricultural sector contributes about 63.7% of total income for the rural population, 65% of manufacturing sector's raw materials, and approximately 87% of total employment. Financial wealth is generally concentrated in the hands of a small elite. Malawi's manufacturing industries are situated around the city of Blantyre. Malawi's economic reliance on the export of agricultural commodities renders it particularly vulnerable to external shocks such as declining terms of trade and drought. High transport costs, which can comprise over 30% of its total import bill, constitute a serious impediment to economic development and trade. Malawi must import all its fuel products. Paucity of skilled labor; difficulty in obtaining expatriate employment permits; bureaucratic red tape; corruption; and inadequate and deteriorating road, electricity, water, and telecommunications infrastructure further hinder economic development in Malawi. However, recent government initiatives targeting improvements in the road infrastructure, together with private sector participation in railroad and telecommunications, have begun to render the investment environment more attractive. Malawi has undertaken economic structural adjustment programs supported by the World Bank, the International Monetary Fund (IMF), and other donors since 1981. Broad reform objectives include stimulation of private sector activity and participation through the elimination of price controls and industrial licensing, liberalization of trade and foreign exchange, rationalization of taxes, privatization of state-owned enterprises, and civil service reform. Malawi qualified for Highly Indebted Poor Country (HIPC) debt relief. As of late May 2004, the IMF program begun in 2000 was canceled and a Staff-Monitored Program (SMP) was implemented. In the wake of questions about fiscal creditability, the SMP's goal is to give Malawi's newly-elected government the chance to establish a track record of fiscal discipline. Real GDP increased by an estimated 3.9% in 2004, from 4.3% in 2003 and 2.4% in 2002. Inflation has been largely under control since 2003, averaging 10% in that year and 11.1% (est.) in 2004. Discount and commercial lending rates also declined from 40%-45% in 2003 to 25% in early 2004. The Kwacha slid from 90 to 101 against the U.S. dollar in mid-2003 and was at 108 to the U.S. dollar at the end of 2004. Malawi has bilateral trade agreements with its two major trading partners, South Africa and Zimbabwe, both of which allow duty-free entry of Malawian products into their countries. FOREIGN RELATIONS

Malawi has continued the pro-Western foreign policy established by former President Banda. It maintains excellent diplomatic relations with principal Western countries. Malawi's close relations with South Africa throughout the apartheid era strained its relations with other African nations. Following the collapse of apartheid in 1994, Malawi developed, and currently maintains, strong diplomatic relations with all African countries. Between 1985 and 1995, Malawi accommodated more than a million refugees from Mozambique. The refugee crisis placed a substantial strain on Malawi's economy but also drew significant inflows of international assistance. The accommodation and eventual repatriation of the Mozambicans is considered a major success by international organizations. In 1996, Malawi received a number of Rwandan and Congolese refugees seeking asylum. The government did not turn away refugees, but it did invoke the principle of "first country of asylum." Under this principle, refugees who requested asylum in another country first, or who had the opportunity to do so, would not subsequently be granted asylum in Malawi. There were no reports of the forcible repatriation of refugees. Important bilateral donors, in addition to the U.S., include Canada, Libya, Germany, Iceland, Japan, the Netherlands, Norway, Sweden, Taiwan, and the United Kingdom. Multilateral donors include the World Bank, the IMF, the European Union, the African Development Bank, and the United Nations organizations. Malawi is a member of the following international organizations: UN and some of its specialized and related agencies (i.e. UNCTAD, UNESCO, UNIDO), IMF, World Bank, Multilateral Investment Guarantee Agency (MIGA), World Intellectual Property Organization (WIPO), Berne Convention, Universal Copyright Convention, African Union, Lome Convention, African Development Bank (AFDB), Southern African Development Community (SADC), the Common Market for East and Southern Africa (COMESA), Nonaligned Movement, G-77, and the World Health Organization (WHO). U.S.-MALAWIAN RELATIONS

The transition from a one-party state to a multi-party democracy significantly strengthened the already cordial U.S. relationship with Malawi. Significant numbers of Malawians study in the United States. The United States has an active Peace Corps program, Centers for Disease Control and Prevention, Department of Health and Human Services, and an Agency for International Development (USAID) mission in Malawi. U.S. and Malawian views on the necessity of economic and political stability in southern Africa generally coincide. Through a pragmatic assessment of its own national interests and foreign policy objectives, Malawi advocates peaceful solutions to the region's problems through negotiation. Malawi works to achieve these objectives in the United Nations, COMESA, and SADC. Malawi is the first southern African country to receive peacekeeping training under the U.S.-sponsored African Crisis Response Force Initiative (ACRI) and has joined the successor program, African Contingency Operations Training Assistance (ACOTA). It has an active slate of peacetime engagement military-to-military programs. The two countries maintain a continuing dialogue through diplomatic representatives and periodic visits by senior officials. U.S. Agency for International Development (USAID)

The United States has a substantial foreign assistance program in Malawi. The U.S. Government provides about $31 million annually in development assistance under USAID's Country Strategic Plan (CSP) for the period 2001- 2007. The primary goal of USAID assistance is poverty reduction and increased food security through broad-based, market-led economic growth, focusing on four areas: sustainable increases in rural incomes, increased civic involvement in the rule of law, increased use of improved health behaviors and services, and improved quality and efficiency of basic education. The USAID program is implemented in partnership with the Government of Malawi, nongovernmental organizations (NGOs), U.S. private voluntary organizations, contractors, and other partners. 17dc91bb1f

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