ANTIDOTE FOR “Affluenza or Sudden-wealth Syndrome”

ANTIDOTE FOR “Affluenza or Sudden-wealth Syndrome”



Affluenza or Sudden-wealth Syndrome could be defined as an extreme materialism or the guilt or lack of motivation experienced by people who have made or inherited large amounts of money which may be regarded as the impetus for accumulating wealth and for over-consumption of goods; or feelings of guilt and isolation from the dysfunctional pursuit of wealth and goods. Causes of Affluenza, among others, include consumerism, commercialism, and rampant materialism. However, my main message to those afflicted or are likely to be afflicted with this social disease is the ANTIDOTE: SIMPLE LIVING!


360 Basic Peer Evaluation Report for Rabson Kachala

360 Basic Peer Evaluation Report for Rabson Kachala

About the 360° Peer Evaluation Report


This Report is a 360° profile of my personality, skills and impact at my workplace as seen by my colleagues and others in my network. It is a snapshot of my professional indicators. 360° reports are used by thousands of companies and millions of professionals around the world to get an objective, outside view of personal performance and progress. Others often tell you things more objectively than you can see for yourself. Use this report to see how you are seen professionally by others and to advance your career. 


Birth History

Birth history from my dear mother reveals a normal birth, providing obvious joy as an ironical fifth offspring in a deep rooted and affectionate marriage. Little did my mother know that in three weeks time also, before the pains of labor subsidize back to re-position the womb (uterus), her life partner would unexpectedly depart forever through SUICIDE agony in blue light at her village house to leave her with full responsibility of bringing up Rabson Landson Justin Kachala (RLJK) to nurture him to be a responsible citizen in this global village. Indeed she did both motherly and fatherly-cares with passion, conviction, diligence and love!

High School Life

RLJK cried miserably for failing to be selected to the ONLY public grammar school of that time, Kamuzu Academy! As if it was NOT enough, RLJK also failed to qualify to clinch a deal of being selected to go to National Secondary Schools of those times although he led the whole district in Primary School Leaving Certificate (PSLC) Mock Examinations of 1990/1991 Financial Year. Instead RLJK was dumped at a District Secondary School-Ntcheu due to suspected below-average or average academic credentials in a national competitive education system of high school selection, I presume. Little did RLJK know that by being top of the class for Form One to Form Four during the Late Mr. Bryson Kalilani‘s Malawi Broadcasting Corporation (MBC) School Quiz  Master Competition (May His Soul Rest In Eternal Peace), he would academically challenge those privileged National Secondary School students etc. Little did RLJK also know that an innocent prime and affluent brought-up girl student at a stone’s throw distance Private Grammar High School would compete with him academically through same Quiz Preparatory Competition and become a true life-transformative inspiration for RLJK’s yardstick for success and God’s Glory! Her affluent brought-up and divine visions gave vivid prophesies to feed into RLJK determination for destined success. No wonder she forced herself to google RLJK’s name after close to 13 solid years of communication breakdown. Little did RLJK know that her divine effort to bring RLJK back to the appointed fullness of time would materialize into an executive personal but original King James Version Bible of 1611 as a witness of a divine shield, ladder, victory and fierce battle between Kingdom of Darkness and Kingdom of God for life transformation. May Almighty and Omnipotent God reward her abundantly on top of her PhD status and Associate Professorship at a reputable University Institution in this global village’s academia!

Life Partner Life

RLJK’s hunger for further education continuously and unilaterally until he grew grey hairs of wisdom as vindicated in James 3:17; Proverbs 3:7, Proverbs 13:10, Proverbs 14:8, Proverbs 15:31, Proverbs 19:20, Proverbs 29:15, Proverbs 1:7; Psalms 37:30, Psalms 51:6; 1 Corinthians 1:30; and Job 28:28, was halted to provide relief and HOPE to his dear lonely but hardworking and emancipating mother!!! Little did RLJK know that life partner proposition disappointments would be the order of the day regardless of solid investiments, empowerment, emancipation and unusual sacrifices in terms of academic status, living status, religious beliefs and affiliations etc!! RLJK stood by his principles that it was best for him to live single (by fooling the public with intracacies of life partner controversies) for the remaining part of his life because of two reasons; RLJK’s living principles were too harsh for any possible life partner and the bible allows one to live single (may be God wanted me to live that way)! However, from no where, an “ANGEL” came into RLJK’s vivid life to disapprove all previous life partner proposition disappointments and revived HOPES of my dear loving mother to witness God’s Glory! Little did RLJK know that, sometimes, honest people’s lives are taken earlier than the expectation of the so called “Men of God”! May Her Soul Rest in Eternal Peace!! RLJK’s memory from his agog ears resonate with her vivid voice of life  victimization since birth where her birth history mystery had gone together with her flesh to the grave; got worsened as she grew as a toddler, teenager, adulthood until she shared the traumatic life experience with RLJK. Both of us knew that we were “fated” against all odds and the high school affluent brought-up girl student remains RLJK’s living witness (today) that both of us were destined to live together until DEATH could set us APART but little did RLJK know that the one to depart earlier was that “ÄNGEL“! Indeed she saw her death coming vividly three weeks before that fateful Thursday, such that she got prepared with divine interventions and she led RLJK to a step further towards God’s Appointed Fullness of Time but RLJK resisted foolishly due to religious affiliation challenges in this global village analogue to Proverb 12:15-25, Proverbs 14:7-17, Proverbs 26: 4-14 (it was RLJK who was pushing her on the wrong side of her faith to satisfy cultural values). Then that fateful Thursday, she dumped workaholic RLJK at his office for her to die peacefully in our own private apartment where professional 24 hour guards were ready securing her flesh and house properties leaving her precious “SOUL” being taken AWAY!! Oooh my foot!!!!! RLJK’s hard won medical professional beliefs and ethics leaped AWAY from his HEART in disbelief to ACCEPT her untimely DEATH in such a shell-shocking manner!!!! Questions, questions, questions, questions, questions, questions, questions, questions but NO ANSWERS!!!!! May Her Soul Rest in Eternal Peace! Little did RLJK know that God tried to use all various opportunities to appoint the fullness of time for RLJK since his birth, brought-up, primary school, high school, college experience (where all meshos were born-again christians but RLJK was still living in Kingdom of Darkness), work experiences (to expound in the next blog news) and life partner experiences but RLJK denied foolishly all the offers on all tables of life!! (Proverbs 12:15 The way of a fool is right in his own eyes…). RLJK admittedly became a heart-broken lion on the verge of collapse but still lived in the wilderness (Kingdom of Darkness)……………………….Hey why RLJK???????????

Other Last Minute Agents of RLJK’s Clinching of God’s Appointed Fullness of Time

As a wounded lion wandering about in the wilderness (Kingdom of Darkness), eating grasses lusciously instead of meat as a carnivore until that fateful evening in Johannesburg, Republic of South Africa (RSA) when RLJK met Thobile Myeni from Kwa Zulu Natal (KZN) who spoke in “Ïsuzulu” and translated in English that “RLJK, I will continue praying for you to…………………” Thobile’s prayers were TOO powerful such that another “Man of God many miles away not in Nigeria, not in RSA, not in Kenya, not in Tanzania, not in Taiwan, nor in Japan but in Malawi (indeed you heard RLJK right that is in country nick-named The Warm Heart of Africa)” in the name of Prophet Michael Sangwa who saw vividly the linkage in his prophecy to one of his flocks but it was four months before RLJK could receive the fullness of God’s Time!!!  After four months when RLJK’s time for God’s Appointed Fullness Time came, no resistance, no rejection but full acceptance!!! Imagine five deliverances at once at one go!!!!!!!! However, the deliverances did NOT come on silver platter in RLJK’s life transformation as  it took a barbarous, fiercest and ferocious battle between Kingdom of Darkness and Kingdom of God that reached the climax on 2nd August, 2013!!! RLJK is the proudest Son of God after conquering the Kingdom of Darkness………………………….AMEN!! Indeed RLJK is proudly singing the Psalms Song of Victory after CONQUERING the Kingdom of Darkness effectively at Mount Carmel (1 Kings 18: 16-45) with Elijah…………….”Blessed be the Lord Who have NOT given RLJK as a prey to their teeth. RLJK’s soul escaped like a bird out of the snare of the fowlers: The snare is broken and RLJK had escaped” (Psalms 124: 6-7).


Prophet Michael Sangwa: Cell phone-+265 997 005 183


Health Promotion is the main emphasis in the Malawi Health Sector Strategic Plan (HSSP) 2011-2016: What are the pressing Challenges in the implementation?

The Ministry of Health in Malawi have analyzed and evaluated the Programme of Work (POW) 1 that ran from 2004 to 2010 and introduced and launched the new Health Sector Strategic Plan (HSSP) 2011-2016. Some of the notable successes of the POW 1 include:
reduction in infant, under five and maternal mortality from 76/1000, 133/1000, 984/100,000, in 2004 to 66/1000, 122/1000 and 675/100,000 in 2010, respectively; increase in under one year children fully immunized, skilled attendance at birth, contraceptive prevalence rate (CPR), HIV infected persons accessing ARVs, primary health centres providing full range of essential health package (EHP) and tuberculosis (TB) cure rate from 75%, 56%, 28%, 3%, 9% and 76% in 2004 to 81%, 75%, 42%, 65%, 78% and 89% in 2010, respectively; and improvement in nurse/patient and doctor/patient ratios from 1/4,000 and 1/62,000 in 2004 to 1/2634 and 1/32,000 in 2010, respectively.
It is against this successful implementation of the POW 1 that the Ministry of Health in Malawi together with it’s Health Sector Stakeholders went further to produce the new HSSP 2011-2016 with higher expectations. Two areas of emphasis in the HSSP are Health Promotion of EHP and Health System Strengthening. The latter involves three-fold pillars that are development & management of HRH; improving supply chain management of drugs & medical supplies; and improving health infrastructure in the country. However, in Health Promotion as a component of the prevention and public health service, is where this article is dwelling upon to expound on the expected challenges and proposition of some tangible remedies.
Policy Level:
The current Malawi Public Health Act in use for the first Financial Year of implementing the HSSP 2011-2016 was enacted in 1948. Therefore, it does NOT need one to be a lawyer or a policy maker to visiolize the anticipated (possible) gaps at policy level to implement health promotion effectively. The Malawi Public Health Act 1948 has no clauses specific to non communicable diseases (NCDs), environment health social injustice, consumption of alcohol and smoking just to mention a few. Therefore, the HSSP implementation is likely to hit a fortress snag. The MOH in the country has been pressing for the review of the act document but our honourable (august) house has not prioritized it as it has been left at the law commission for a decade. With the current positive political will in the country where the Minister of Health is the Right Honourable Vice President for the first time, it is my humble hope that the MOH officials need to press even further this time around for the law commission to proceed with this act in the parliament.

Management Level:

The Malawi Health Education Services (HES) Department or Unit is under the Preventive Health Services Directorate in the Ministry of Health (MOH). As such, HES is more obliged for health promotion (HP) activities to do with preventive health services and administratively, sidelining curative and rehabilitative health promotion services which are equally important to clients, acute patients and chronic patients as the unit or department does NOT report directly to other directorates involved in curative and rehabilitative services (Clinical and Nursing Services Directorates). In principle, HES is expected to apply its services to both preventive, curative and rehabilitative clients, such that the HES services are cross cutting in nature. Health Promotion (HP) is defined by WHO as the process of enabling people to increase control over  the determinants of health and thereby improve their health ( Adapted from WHO 1998, Health Promotion Glossary, WHO/HPR/HEP/98.1) p.1. The emphasis is on “people to increase control over the determinants of their health” which MUST be interpreted NOT only at primary preventive stage BUT also at both secondary and tertiary preventive stages. Clients/patients with the disease condition already are NOT left out in HP!

Some preliminary studies of the “golden hour” management in trauma and NCDs accidents (comatose clients/patients) in Malawi are showing gaps by the public in how to position the comatose body in transit to the nearest health facilities to prevent further worsening of the condition etc. Such gaps could be filled through effective HP at work place through occupation health. just to mention a few.

It is against this background that I have the opinion of recommending the HES in Malawi to be empowered to execute its duties comprehensively, such that it is better and logical in principle to be an independent directorate to coordinate diligently and effectively with, not only, Health Sector Directorates, but also, other related sectors including safe water supply, availability of healthy foods (agriculture and trade agreements), environmental affairs (climate change issue predisposing to emerging and re-emerging diseases) and education sectors for comprehensive approach to HP!. It is ONLY if this is achieved for HES to operate fully to fulfill its mandate of HP enshrined in WHO of : “HP is the comprehensive social and political process, which involves actions directed at strengthening the skills of individuals to improve their health. It also involves changing social, environmental and economic conditions so as to alleviate their impact on public and individual health”. WHO advocates HP to emphasize on the main prerequisites for health including  peace, shelter, education, food, income, a stable eco-system, sustainable resources, social justice, and equity for total health to be achieved.

Health Expenditure Discrepancy in Malawi:
The Malawi National Health Accounts (NHA) 2010 results have clearly shown this discrepancy depicting the worsening of this phenomenon in the first NHA results that were conducted in 1998. The Malawi NHA 2010 focused on 2006/2007, 2007/2008 and 2008/2009 Financial Years and showed that the average expenditures were 24.7% and 46.0% for Preventive & Public Health Services and Curative Care Services, respectively. The remaining 27.3% was for health administration and other forms. Out of the 46% expenditures on curative health services, inpatient curative care services was 20.2%. The analysis of this results does NOT need one to be a chief accountant to note the discrepancy in health expenditure in resource constraint country like Malawi. Of course, curative care services costs are increasing spontaneously globally through highly advanced dynamic diagnostics, treatment and rehabilitation services.

Some of the leading challenges to this phenomenon include allocation of resources for HES or HP under one health sector directorate, preventive health services. I am of the opinion that if HP is comprehensively looked into in all major health sector directorates’ allocation to involve both secondary and tertiary preventive HP, this discrepancy might be reduced or eliminated for good. On the other hand, all stakeholders of health sector are encouraged to include specific allocation to HES in their programs to institutionalize HP in HES as a directorate of MOH.


Let me thank everybody in this global village wherever you are for your unwavering support during my DEEPEST SORROW TIME! Indeed I have lost my spouse tragically!


She was a selflessly loving and a caring WOMAN in terms of:


A caring and ever smiling darling at both worst closet enemies and worst farthest enemies.


She was cheering both enemies and friends EQUALLY with human face publicly; caring both my kids and my numerous dependents without FAVOURITISM; supporting her enemies SELFLESSLY to travel to places in this global village where herself has never gone to and also supporting people to do various businesses with bigger capitals than what she has ever done in her life.


She was uplifting and promoting my hard working spirit at work places and at school, as well as caring my ugly body wholeheartedly with PASSION and diligence.


She sacrificed her RICH STATUS in different societies for the sake of the underprivileged. She also obeyed and respected wholeheartedly my HARD and STRONG LIVING PRINCIPLES (principled man, caring man, generous man, professional man and controversial man) which had labelled RABSON as an non-understandable CREATURE in various societies in this global village.


She accepted her mental limitation capacities before my privileged mental philosophies. Surprisingly, she promoted the healthy mind growth of both our kids, dependents and that of her SPECIAL HUBBY to flourish even further!


She SACRIFICED her dear and precious LIFE by ACCEPTING this TRAGIC DEATH CALL through her DREAM and REAL  VISIONARY CONFRONTATION she managed to divulge and share with her CONFIDANTS. She also respected my scientific philosophies in line with my religious beliefs with PASSION.

Therefore, the tragic LOSS of such unbelievable CREATURE on earth to me means that all of you in this global village MUST expect RABSON’s poor performance (mentally, physically, socially, philosophically and psychologically). 

However, ALL of you, wherever you are in this global village MUST be ASSURED with 100% CONFIDENCE spiritually, philosophically, psychologically, mentally and socially that my SPOUSE is NOW SAFELY RESTING IN HER ETERNAL LIFE OF HER SOUL.

Let me also take this opportunity to DECLARE and INFORM this global village that my spiritual belief has risen above the BIBLICAL gist of “until death set us apart” phenomenon of flesh marriage since 14th June, 2012 by NOW believing in the continuation of SOUL marriage! I hope all of you will support me to commit my oath of soul marriage with divine ETHICS! AMEN!


Double Health Burden in Developing Coutnries in the Post-MDGs Goals


Determinants of health or risk factors of health in this article are described, from downstream to upstream, as biological, behavioral, societal and structural determinants.

However, the pathogenesis and pathophysiology of health burden in this article is classified as either communicable or non-communicable disease.

In epidemiological transition, developed countries have seen their efforts tailored towards eliminating communicable disease burden with a subdue shift towards non-communicable disease burden with concurrent demographic shift from stark increase in population growth rates due to medical innovative in disease therapy and improvement in personal hygiene to a re-leveling of population growth due to subsequent declines in fertility rates. Through this phenomenon, as a public health specialist, I may describe developed countries as progressing towards single health burden. On the other hand, developing countries like African continent as a whole is going through intense double health burden.

This article, therefore, expounds on the dual facets of double health burden in Africa.

The first facet of double burden in Africa is manifested in malnutrition. Malnutrition is this article is defined in terms of body-mass-index BMI) measurement as either underweight (BMI<17.0) or obesity (BMI>30.0). Studies have shown that there are 220 million and 300 million population with underweight and obesity, respectively globally.  Of these, 170 million underweight population and 120 million obese population are from developing countries (Professor David Sanders from “WHO Collaborating Centre for Research and Training in Human Resources for Health”).

The second facet of double health burden in developing countries like Africa is witnessed through equal burden of both communicable and non-communicable diseases (NCDs). The plight of population living in developing countries due to communicable diseases is today very conspicuous as many African countries are struggling to achieve the Millennium Development Goals (MDGs) which are to be measured and evaluated in two years time.

On obesity in Africa, South Africa is now the world’s third fattest country after the U.S. and U.K. according to results of the GlaxoSmithKline (GSK) national health survey released September 8, 2010 where the results have shown that 61 percent of the adult population in the country is overweight, obese or morbidly obese and worse enough 17 percent of children under the age of nine in RSA are overweight (Source: “Our pot bellies rank with world’s largest.” Cape Times. 9 Sept. 2010).

In Malawi, NCDs are on the increase too such that the country had lost, among many people, two prominent figures in June, 2005 and April, 2012 in positions of Speaker of the Parliament and Head of State, respectively. However, the latter’s postmortem results from Milpark Hospital in RSA are NOT yet out although the diagnosis and cause of death by the Malawian Doctors at Kamuzu Central Hospital had certified NCD as the leading cause.

In this article, I shall dwell much on societal and structural determinants of obesity that lead to NCDs because individual behavior is a subset of both through upstreaming factors.

Societal factors in African countries include shortage of healthy low-fat food and little fresh fruit and vegetables in the townships; the majority of local shops and street vendors’ stalls sell fatty foods in forms of fatty meat and sausages that are NOT regulated; unavailability and low promotion of “low-fat milk”; and high stigma over losing weight exercises as narrated in RSA research: “I am scared of exercising because I will lose weight and people may think that I have HIV/AIDS” (Chopra M, Puoane T. Diabetes Voice 2003; 48: 24–6).

Structural factors include rapid growth of supermarkets that share more than 50% of food sales in semi-urban and rural areas in most African countries. Most of these foods are unhealthy and not regulated at production or importation in African countries. The study done in RSA showed that supermarkets now share at least 50-60% of food sales in South Africa and nearly two-thirds of households in a rural area in South Africa are now buying their food at supermarkets (Source: D’Haese, Marijke, and Guido Van Huylenbroeck. “The rise of supermarkets and changing expenditure patterns of poor rural households case study in the Transkei area, South Africa.” Food Policy 30 (2005): 97-113).

In the same study, it was noted that healthier foods typically cost between 10% and 60% more when compared on a weight basis (Rand per 100g) and between 30% and 110% more when compared based on the cost of food energy (Rand per 100 kJ).

The following are my personal and health professional probable global, continental, regional and national solutions to the unchecked diseases (NCDs) of rich people in African countries with emphasis on prevention:

  1. Factoring in unhealthy foods internalization or externalization externality cost of “unhealthy foods-external” in Trade Agreements and Trade Policies.
  2. Strict policies on importing unhealthy foods through internalization or externalization the externality cost of “unhealthy foods-external”.
  3. Legislative policies aligned in line with public health act on NCDs
  4. Health promotion of NCDs to all people at all levels.
  5. Punitive measures in Health Insurance schemes (MASM, social insurance etc) to internalize the externality cost of “unhealthy foods-external” and “overweight”.

Health Sector-Financing in Malawi

Health Sector-Financing in Malawi.

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