Kashikishi is located in the northwestern part of Zambia on the large lake Merwu.The village belongs to the administrative district Nchelenge, in the province of Luapula, bordering on the Democratic Republic of Kongo and Tansania. Kashikishi has the main fish market on Lake Mweru. The village is known for its hospital, the St. Paul’s Mission Hospital, run by the Sisters of Mary Immaculate Conception, an originally Polish order. Most nuns today come from Zambia. Since 1993 the hospital has consistently been supported by the Basel Foundation for Medical Cooperation (BFV) with medical and technical advice. The main medical problems of the local population are malaria, measles , malnutrition , diarrhea , typhoid, cholera and tuberculosis . All these diseases are exacerbated by the AIDS epidemic. Up to 20% of adults in the region are HIV positive and many of the parental generation have died of AIDS. That’s why in many villages one sees almost exclusively children. Some of them are taken up by their extended families which however means an extra burden for them. Others live in orphanages and frequently the older take responsibility for their younger siblings.