
Reaching the families who need care the most
Wandikweza serves pregnant women, postpartum mothers, newborn babies, children under five, adolescents and the families who care for them in rural Malawi.
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We work in districts where many families rely on small-scale farming and seasonal income, often living on less than two dollars a day. Most households depend on subsistence agriculture with limited cash income. In these communities, long distances to health facilities, limited transport options, food insecurity and seasonal flooding make access to maternal and child health services difficult.
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For many families, a single medical emergency can mean selling livestock, missing a planting season or losing the income they depend on for survival. These financial and geographic barriers often lead to repeated delays in seeking care, especially during pregnancy, childbirth and early childhood illness.
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We focus on women who are pregnant today, babies born this month, children who need vaccines and nutrition support, adolescents who need accurate health information and caregivers responsible for making health decisions at home. These are families who are often missed by facility-based systems because services are too far, too costly or too difficult to reach in time.
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Our Proactive Doorstep Care model begins by listening. Communities understand their realities better than anyone else. We work alongside them to identify the barriers they face, whether cost, distance, lack of information or weak emergency referral pathways and we adapt our approach to fit their context.
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In delivering care directly at the household and community level, we ensure timely, life-saving services reach families before complications become emergencies. Our goal is simple: no woman or child should suffer or die because care was too far away or came too late.

