Background and aim: Malignant hilar obstruction usually presents in advanced-stage disease with a poor prognosis. Effective biliary drainage is essential for the beginning of palliative chemotherapy.

Residents of Gwanda, the Matabeleland South capital, have expressed concern over the town's drainage system, which has been overwhelmed by recent heavy rains, leading to flooded streets and homes.

At the same time, social inequalities among health personnel reflect structural weaknesses in the health system that require urgent attention. Collective efforts from the government, private sector, ...