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Our Model: Proactive Doorstep Care

Wandikweza provides maternal and child health services at community and primary level in remote areas to provide an entry point to maternal and child health care. 

Sustainable Development Goals (SDGs) particularly SDG 3 dwells on universal health coverage. 
Therefore, community health care forms an integral component of sustaining our programs. Evidence show that community health activities contribute to improvements in health outcomes, especially for women and children, such as the decline in child mortality and malaria fatality rates.

 

We define health as physical, mental, social, and spiritual. Critical to maternal and child health transformation is a participatory approach that builds on what people already know and assets they already have. This gives them confidence that they have worthwhile things they can share. Our model includes many other activities which show the people they have the ability as individuals and as a community to reshape their own lives and their neighborhood. People look at their neighbors with a new set of eyes through the use of Asset Based Community Development (ABCD) where the emphasis is on individual and neighborhood assets, not problems.

Wandikweza responds to the “Three Delays” that contribute to high perinatal mortality rates. Our Proactive Doorstep Care combines medical care with family development and community engagement. Through home visits, we identify and address the root causes of poor maternal and child health outcomes. The dedicated Community Health Workers and Nurses on Bikes engage in a holistic initiative that supports poor families to achieve continued social stability for better maternal and child health outcomes. We address the root causes of poor maternal and child health outcomes and not just treating the symptoms. We feel confident that we would be able to sustain our operations while working towards our scale plans in the next 7 years (2024 - 2030).

Why Proactive Doorstep Care?

Because care starts at home. 

Wandikweza partners with public health facilities at primary care level in providing Proactive Doorstep Care to address barriers that cause delay in seeking, reaching and receiving maternal and child health care in Malawi.

 

The results?

Empowered women who have knowledge, attitudes, skills and environment to co-manage their care process.

 

We work with District Health offices to ensure program implementation is embedded in government systems, leveraging existing government infrastructures and personnel. We integrate the program’s impact data into the government’s data collection systems. This enables outcomes to be routinely and consistently shared with government partners. 

We implement our programs within existing government delivery and data systems.

At the frontline of care delivery

Community Health Workers (CHWs)

Through salaried, skilled, supervised and supplied CHWs, communities are lifted out of cycles of poverty and disease. The CHWs promote good health; helping people realize they have assets that can be used. They focus on community assets and not needs.

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Nurses on Bikes

The Nurses on Bikes provide care at the doorstep to women of child bearing age before, during and after pregnancy until the child is five years old

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Care delivered at the doorstep - community level

Maternal and Child care

Through home visits, Community Health Workers empower women to take charge of their health. The Nurses on a Bike provide antenatal and postnatal care at the doorstep

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Malaria, Diarrhoea, Pnemonia prevention and Treatment

Community Health Workers provide Integrated Community Case Management (iCCM). 

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Emotional Care

We provide the mental healthcare through health education and support to clients with emotional needs.

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Malnutrition prevention and Treatment

CHWs screen and treat for malnutrition in under children. Severe malnutrition cases are referred to public health facilities for proper management. They make follow-up and recovery support in the home.

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Immunizations

Community Health Workers are trained to administer routine immunizations

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Non-Communicable Disease (NCD) screening

At community-level, the CHWs provide NCD interventions that are integrated in their routine work. They conduct door-to-door screenings that seek to improve detect of NCDs and ensure timely referrals for treatment.

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Clinical Refferals

Community Health Workers refer sever cases to public health facilities for early and proper management

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Youth services

The goal of this work is towards reduced HIV infection and teenage pregnancy amongst
adolescent girls and enhance access to sexual reproductive health services and rights
information. 

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