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Setting up and running a paediatric emergency department in a hospital in Malawi: 15 years on
  1. Elizabeth M Molyneux1,
  2. Josephine Langton1,
  3. Jenala Njiram’madzi1,
  4. Ann M Robertson2
  1. 1 Paediatric Department, College of Medicine, Queen Elizabeth Central Hospital, Blantyre, Malawi
  2. 2 Emergency Department, Macclesfield Hospital, Macclesfield, UK
  1. Correspondence to Professor Elizabeth M Molyneux; emmolyneux{at}


Paediatric emergency care is not recognised as a specialty in many countries in Africa but is being practised increasingly. Setting up a paediatric emergency care unit takes time and often involves trial and error. Here we describe the start of the paediatric emergency department in Blantyre, Malawi, a low-income country and how it has continued to evolve over 15 years, in the hope that our experience will inform and assist others who are already developing their own emergency unit or wishing to do so.

  • Accident & Emergency
  • Tropical Paediatrics

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:

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  • Contributors EMM devised the paper and wrote the draft which was reviewed by all the authors. All the authors have looked after children in the emergency department.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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