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Palliative Care, Malawi

True Colours Trust – Palliative Care in Malawi

A seven-day field visit across Chiradzulu, Machinga and Mangochi districts in southern Malawi, documenting how palliative care teams reach people living with serious illness – in clinics, on the road and in their homes.

For many families in rural Malawi, a clinic visit means hours on foot, a motorbike taxi they can barely afford, or carrying a loved one on their back. The palliative care teams go to them – walking hill paths and dirt tracks with their medical kits to bring pain relief, counselling and practical support to patients who would otherwise go without.

Images from this commission will feature in a public exhibition in London in April 2027.

"Anna is a joy to work with. Not only does she capture the most beautiful, sensitive and emotive photographs, but she takes time to get to know her subjects, holding human relationships and dignity as the most important element of storytelling. As well as being a wonderful photographer, Anna is a lovely human being, kind, compassionate and incredibly easy to work with. Our work together has felt like a real collaboration, and it's fantastic to meet a photographer who brings such heart and professionalism to a project."
– Catherine Korris, Head of Programmes, True Colours Trust

Ellen and David travel to patients' homes by motorbike taxi, the only practical way to reach many villages
Fred walks the hill path to a patient's home, Chiradzulu District
Community Health Workers: the eyes and ears of the palliative care team in the community
Chiradzulu District Hospital, southern Malawi
Patients wait outside the Palliative Care clinic
Mr McKenzie with Ellen: “Their support has meant that I am alive today.”
Felix's walking stick, cut from a tree branch, helps him move independently again
Ellen sets off from the hospital for a day of home visits
Ciena, 17, with her two-week-old daughter Katerina at the rehabilitation clinic
Jonathon gently removes Katerina's plaster as Ciena and her sister Maria look on
Lucy and Ellen celebrate Lucy's new independence
Zione, Lucy's daughter and caregiver, is always there for her mother
Margaret, 100, with her granddaughter Diana, who brought her home to care for her
Ellen and David check in on Stellia and her mother Dorothy
Ibra, full of joy
Simon wheels his son Ibra out to greet the team
Lucia and her son Mwenye
Lucia carries Mwenye on her back while his wheelchair waits for repair
Iweni and his mother weave mats to sell
Iweni
Annies smiles in recognition of the care she receives from Cecilia
Annies and her sister Mary
Annies' family build a second house to give her more space and privacy
Fred mentors the Mangochi team in compassionate, non-judgemental care
At the well, Machinga District
Sifting maize outside a family home
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