‘Life has been very difficult since the drought. I had to take my baby girls to the hospital because they were so thin and I thought they were going to die,’ says Estere Chimkango, 24, at her home in Chikwawa, in southern Malawi. She is HIV-positive and a single mother, and is enrolled in a nutrition programme in her local clinic. Malawi has made progress in tackling HIV, but the El Niño drought has brought new challenges. It has also affected Chimkango’s diet and her ability to take her medication.