Emmanuel who is from Nsamera Mozambique arrived at Nsanje district hospital with advanced HIV and related opportunistic infections cryptococcal meningitis and TB. He underwent a lumbar puncture to evacuate fluid creating pressure in the spinal column and brain caused by cryptococcal meningitis.
Emmanuel says: “I was refereed here from Ndamera health center due to coughing and stomachache. I waited for two days because I was told that the right doctor to help me was not around.
“I tested HIV positive at Ndamera last year but the doctor did not explain well the way forward, so I didn’t start medication. I haven’t started taking ARVs yet because I have just been admitted. My hands and legs feel numb.”
In 2016, an MSF survey of 1183 admissions in hospital over six months revealed that HIV inpatients accounted for 26 % of all admissions in male and female wards, and HIV deaths made up 54 % of all deaths. Over 80% of HIV admissions arrived in advanced stages of the disease (defined as a CD4 count