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Annie Khyuza Kasaka, 36, a registered midwife/palliative care nurse at Mulanje Mission Hospital, talks to another woman while visiting Mary John Glanya, 48, who has TB of the spine. Mary, who has no power to move her lower limbs, must lie outside her house to stay cool. Her husband, Lloyd Glanya, remains faithful to her as carer but finds it hard to earn a living and also look after Mary.<br />
 Pioneering work with palliative care in rural Malawi is increasing the quality of life for thousands of people with terminal conditions including cancer, TB and arthritis-often linked to HIV infection which remains at around 10 percent of the adult population.