Once upon a
time in Malawi

Few people are as passionate about their jobs as Rex and George.

As they stride towards today’s eye screening camp, whispers of quiet conversation can be heard. The group is larger than expected and people have travelled from far and wide to be here today.

It’s known by all that Rex and George are the people who can treat diseases and eye conditions previously thought untreatable.

The work of these two men is part of a project run by Sightsavers to protect the sight of thousands of people in Malawi. But this work wouldn’t be possible without the players of People’s Postcode Lottery.

Players of People’s Postcode Lottery have helped to fund Sightsavers projects in 14 countries

For the past three years, this funding has helped to support Rex and George on their mission to restore sight in southern Malawi.

Often called the ‘warm heart of Africa’, Malawi is known for its stunning and varied landscapes but renowned for the warmth and kindness of its people.

Map of Southern Malawi with the programme districts highlighted in yellow.
Map of Southern Malawi with the programme districts highlighted in yellow, apart from Chikwawa, which is highlighted in green with an arrow pointing towards it.
Map of Southern Malawi with the programme districts highlighted in yellow.
Map of Southern Malawi with the programme districts highlighted in yellow, apart from Chikwawa, which is highlighted in green with an arrow pointing towards it.

Since 2019, eye screening camps have been held across seven districts in the south of the country.

During today’s camp, Rex and George will examine people’s eyes, provide medicine for minor conditions and refer those with cataracts for sight-restoring surgery.

Chikwawa

Nestled between the Blantyre mountains and the Mozambique border, Chikwawa's plains are Rex and George's office.

The Shire River, known for its resident hippos, meanders through the countryside. On either side of the river, a lush green landscape with leafy sugarcane stretches all the way to the mountains.

Between the fields and river, a patchwork of settlements and farms is home to around 350,000 people. Away from the industrious sugarcane farming, families rely on these smallholdings for their food and livelihoods.

Since 2019, eye screening camps have been held across seven districts in the south of the country.

During today’s camp, Rex and George will examine people’s eyes, provide medicine for minor conditions and refer those with cataracts for sight-restoring surgery.

Map of Southern Malawi with the programme districts highlighted in yellow.

Chikwawa

Nestled between the Blantyre mountains and the Mozambique border, Chikwawa's plains are Rex and George's office.

The Shire River, known for its resident hippos, meanders through the countryside. On either side of the river, a lush green landscape with leafy sugarcane stretches all the way to the mountains.

Between the fields and river, a patchwork of settlements and farms are home to around 350,000 people. Away from the industrious sugarcane farming, families rely on these smallholdings for their food and livelihoods.

Map of Southern Malawi with the programme districts highlighted in yellow, apart from Chikwawa, which is highlighted in green with an arrow pointing towards it.

Ophthalmic clinical officer Rex Bwanausi smiling warmly at the camera.

For eight years, Rex Bwanausi has been working in Chikwawa as an ophthalmic clinical officer.

He travels north to south, east to west, to examine patients.

Rex stood outside the health centre amongst waiting patients, checking a woman's eyes by lifting her eyelid with his thumb.

Two main roads pierce the district, with smaller dust tracks branching off.

It’s along these roads and down these tracks that Rex and George travel every day to do their life-changing work.

Today, they will take the bumpy, uneven track to Dolo Health Centre. 

Rose, who helps spread the message that Rex is in town, explains why his presence means so much to the community.

“Mr Bwanausi does a commendable job in our area. To the point that in this area if you just say ‘Mr. Bwanausi is coming,’ it is like a president is coming. People applaud him because he is saving the lives of many people here in our area in Dolo in Chikwawa. If he is coming here today, just like how you saw, you will find that a hundred and something people will gather.”

‘President Bwanausi’

A man of true grit, Rex has the gravitas of a leader, the kindness of a favourite uncle and the skills of a doctor – topped off with a subtle sense of humour that makes him one of a kind.

Optometrist George Richards walking confidently towards the camera, looking into the lens, wearing a white lab coat open at the front and a Sightsavers and People's Postcode Lottery branded navy blue polo shirt and baseball cap.
Inside the health centre George screens a woman's eyes with an ophthalmoscope.

George has worked alongside Rex for the past year.

Cool and calm, he interacts with patients with warmth and efficiency. As an optometrist, it’s his role to examine and treat people’s eyes.

At the screening camp, Rex and George are on the lookout for patients with blinding cataracts, who they refer to the district hospital for surgery.

It’s going to take some time to screen the eyes of everyone at the camp but it’s something that Rex and George do with patience and warmth.  

People come from miles around to these eye screening camps. 

Word gets out on local radio, but it’s not always enough to convince people they should make the journey. Often, it’s friends and neighbours who make the difference. 

How the word spreads

Wilson is a doting grandfather and prides himself on helping his grandchildren with their homework.

Wilson sitting outside his house with his grandson, happily helping him with his homework.

He was so overjoyed to have his sight restored by cataract surgery that he became an activist for eye health in his community, sharing his story with his neighbours and encouraging them to seek medical treatment.

I became a programme ambassador because, when I saw the goodness that had been done, I didn't want to keep it to myself.
Wilson and Ganizani sat outside having a chat, Wilson's on the floor and Ganizani is on an an old, yellow petrol container.

One of those neighbours was Ganizani. He lost his sight in 2020 from cataracts in both eyes and was struggling to farm his smallholding and retain his independence.

False beliefs about medical treatment can be common in rural communities, and Ganizani had been scared by rumours that his eyes might be removed during surgery and his sight gone forever. Ganizani's wife Dayilesi heard that surgery meant Ganizani’s eyes would be removed: “They said they remove an eye, put it in a plate, remove an eye, put it in a plate… and they leave you to go home blind, without eyes, and never see again.”

But Wilson explained what the surgery was really like and told Ganizani about Rex and his work. Reassured, Ganizani agreed to go for screening followed by sight-restoring surgery.

Ganizani and his wife Dalies sat outside smiling and laughing as some food cooks in a pot on the fire in front of them.

Word of Ganizani’s successful surgery got around and eventually reached Alice, who lives a short stroll from Ganizani’s house past some fields of maize.

Hearing Ganizani’s story prompted Alice, who was also experiencing sight loss from cataracts, to seek out Wilson for more information.

Wilson and Alice talking whilst sat outside on a straw mat.

Listen to Alice describe how it all happened, in her own inimitable style.

Graphic design to represent the small community in which Wilson, Ganizani and Alice live. Three settlements around a baobab tree and amongst foliage, overlooked by a mountain with the sun rising behind it.
Ganizani stood smiling in his faded grey, pinstripe suit outside his brick home.
Alice stood smiling at the camera outside her temporary home made of corrugated iron.

Angeshita’s story

Thanks to volunteers spreading the message, the number of people attending eye screening camps has increased significantly since 2019.

One of these people is Angeshita.

Angeshita’s life has changed dramatically as a result of cataract surgery.

Watch to the end of this short film to see how sometimes, pure joy can only be expressed through dancing!

“When they removed the bandage, I just saw total brightness.

All lights inside my eyes! I was so happy inside my heart.”

Rex sat opposite Angeshita during her eye screening at the health centre, when he discovered she had bilateral cataracts. George is writing down some information in the background.

A gift that keeps on giving

Thanks to players of People’s Postcode Lottery, Rex and his colleagues have delivered thousands of cataract operations in southern Malawi and as a result, transformed the lives of countless people.

Alefa farming after sight restoring surgery.

Alefa farming after sight restoring surgery.

Ganizani and his wife Dayilesi sat smiling outside their house.

Ganizani and his wife Dayilesi enjoying cooking a meal. Ganizani received cataract surgery as part of the programme in 2020.

Ganizani and his wife Dayilesi enjoying cooking a meal. Ganizani received cataract surgery as part of the programme in 2020.

Ntheteme living independently after surgery.

Ntheteme living independently after surgery.

Dorothy and Rose dancing with joy in the hospital waiting room after Dorothy had her bandages removed after cataract surgery.

Dorothy dancing with joy.

Dorothy dancing with joy.

Alice listening intently to Wilson as he speaks.

Alice and Wilson chatting.

Alice and Wilson chatting.

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Alefa farming after sight restoring surgery.

Alefa farming after sight restoring surgery.

Ganizani and his wife Dayilesi sat smiling outside their house.

Ganizani and his wife Dayilesi enjoying cooking a meal. Ganizani received cataract surgery as part of the programme in 2020.

Ganizani and his wife Dayilesi enjoying cooking a meal. Ganizani received cataract surgery as part of the programme in 2020.

Ntheteme living independently after surgery.

Ntheteme living independently after surgery.

Dorothy and Rose dancing with joy in the hospital waiting room after Dorothy had her bandages removed after cataract surgery.

Dorothy dancing with joy.

Dorothy dancing with joy.

Alice listening intently to Wilson as he speaks.

Alice and Wilson chatting.

Alice and Wilson chatting.

The end of a long day

As the tiring but fulfilling day draws to a close, Rex and George reflect on another successful eye screening camp. They’ve checked hundreds of people’s eyes and referred many people for surgery. They pull into Chikwawa town as the sun sets and the smell of food from nearby street vendors hangs in the air. George jumps out of the vehicle and wishes Rex a safe journey home.

He buys some food at the market for his evening meal and chats to the vendor about the prospect of his beloved football team, the Mighty Wanderers, winning this weekend’s game.

Rex drives home to his wife and family. He sits in his favourite chair, drinks a cup of coffee and finally relaxes.

And tomorrow, their work begins again. Travelling on the roads of Chikwawa, past the fields and the river, driven by their passion for restoring sight.

To find out more about the Sightsavers projects that players of People's Postcode Lottery support click here:

To explore other projects and organisations supported by People's Postcode Lottery click here:

Rex and George walking confidently through the hospital car park with their white lab coats open to reveal Sightsavers and People's Postcode Lottery branded navy blue polo shirts.

With thanks to...

Players of People’s Postcode Lottery, Rex Bwanausi, George Richards, staff at Chikwawa District Hospital, staff at Dolo Health Centre, staff at Nanthusi Health Centre, Angeshita and family, Dorothy and family, Mickson and family, Wilson and family, Ganizani and Dayilesi, Alice and family, Alefa and family, Ntheteme and family, Naomie Msungeni, Effie Kaminyoghe, Bright Chiwaula, Mabuchi Chirambo, Levison Chingaipe, Dereck Mamiwa, Funsani Scander, Madalitso Band, Neil Nayer, Bongo Joe Records and Homeline Media Malawi (Bennie, Andrew and Spencer).