One size does not fit all
Using a human-centered, community-led approach, Wandikweza adapts its Proactive Doorstep Care model to respond to the specific needs of women, newborns, and children living in extreme poverty, ensuring care is accessible, culturally appropriate and effective in every community we serve.
We implement our programs within existing government systems to ensure sustainability and impact. Our Proactive Doorstep Care (PDC) model delivers essential maternal and child health services directly to the homes of underserved families through a network of Community Health Workers, Nurses on Bikes, mobile clinics and public facility partnerships. We focus on prevention, early detection and timely care to support women before, during and after pregnancy, while also addressing the needs of newborns, children under five, and adolescents.
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More than clinical care, PDC empowers families with knowledge and tools to manage their health, creating a trusted, community-based entry point to the health system. Rooted in the principles of universal health coverage and aligned with SDG 3, our model places communities at the heart of healthcare, reducing maternal and child mortality, preventing disease and delivering dignity and hope to every doorstep.
Results of Proactive Doorstep Care (PDC)
At Wandikweza, the impact of Proactive Doorstep Care (PDC) is seen not just in numbers, but in the lives, health, and dignity of the communities we serve. By bringing care to the doorstep, we empower individuals and transform entire households. Here's what that transformation looks like:
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Women are informed, equipped and empowered
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Through consistent home visits and one-on-one counseling, women gain the knowledge, confidence, and tools to care for themselves and their children. They understand the importance of early antenatal care, safe deliveries, exclusive breastfeeding, family planning, and nutrition. With access to timely services and trusted support from CHWs and Midwives on Wheels, women are not only surviving childbirth, they are leading healthier, more empowered lives.
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Children are healthier and safer
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PDC ensures children under five are monitored, vaccinated, and protected. Growth monitoring, early detection of malnutrition, timely treatment of illnesses and follow-up care mean children are more likely to reach their developmental milestones and survive critical early years. Immunization coverage improves, malaria cases are managed at home or referred early and diarrheal diseases are prevented through WASH education. In every village we serve, childhood health outcomes are improving, one doorstep at a time.
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Families thrive
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When health care is consistent and accessible, families no longer face impossible decisions between health and survival. Caregivers can stay home instead of walking long distances. Adolescent girls stay in school because their health and dignity are protected. Household income is preserved when illnesses are prevented or treated early. And as families grow healthier, they also grow more resilient, informed and hopeful about the future.
At the frontline of Service Delivery
Community-Based Health Services
Newborn and Child Health Services
Home-based newborn follow-up, under-five illness screening, growth monitoring, nutrition counseling, immunization follow-up and timely referral for common childhood illnesses.
Maternal Health Services
Early identification of pregnancy, antenatal follow-up, birth preparedness, danger-sign screening, referral coordination and postnatal care, supporting women from pregnancy through recovery.
Family and Community Engagement
Health education, male and partner engagement, caregiver support, and community dialogue to strengthen household decision-making and shared responsibility for health.
Health Promotion and Prevention
Community-wide education on disease prevention, hygiene, nutrition, family planning and healthy care-seeking behaviors, addressing the social foundations of health.
Adolescent Health and Wellbeing
Age-appropriate sexual and reproductive health education, mental health and psychosocial support, nutrition screening, protection and safeguarding and referral to youth-friendly services.
Additional Services
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.
Referral and Emergency Support
Early identification of complications, referral coordination, follow-up after facility care and linkage to emergency transport where available, reducing delays in lifesaving care.
