This is a preview of a premium article. Subscribe or Log In to gain access.

One Wednesday morning in February, at the Area 25 health clinic on the outskirts of Lilongwe, Malawi’s capital, an exuberant local nurse named Alice Banda helps Margaret Boniface deliver her second child. The nurse wraps the newborn in a colourful cloth and urges him onto his mother’s breast. Then Banda tries to figure out how to get the baby off to the hospital in time for the newborn-size dose of antiretroviral (ARV) drugs he needs to protect him from his mother’s HIV.

Subscribe or Log In to read more.