Proactive Doorstep Care
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 Nurses on Bikes, 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 Health Services Delivery
Child Health Services
Our services ensure that we meet the comprehensive health needs of children, promoting their survival, growth, and development in underserved communities.
Maternal Health Services
Our obstetric care programs aim to remedy the crucial "three delays" that can threaten the lives of both mother and child. These are: delay in deciding to seek care; delay in reaching a health facility; and delay in receiving appropriate treatment at the facility.
Malaria, Diarrhoea, Pneumonia prevention and Treatment
Community Health Workers provide Integrated Community Case Management (iCCM).
Family and Community Health Services
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.
Adolescents’ sexual and reproductive health
We provide access to comprehensive sexuality education; services to prevent, diagnose and treat STIs; and counselling on family planning. We empower young people to know and exercise their rights, including the right to delay marriage and the right to refuse unwanted sexual advances.
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 Services
We transfer patients from one level of care to the other when needed for proper management.
