Proactive Doorstep Care
Proactive Doorstep Care (PDC) is a an integrated last-mile health system that links households, Community Health Workers, Midwives on Wheels mobile outreach clinics and public health facilities into one coordinated continuum of care. Implemented within existing government systems, PDC strengthens sustainability, accountability and long-term impact.
Through trusted Community Health Workers and skilled Midwives on Wheels, PDC moves prevention, routine maternal and child health services and follow up directly into communities, reaching families who face barriers of distance, cost and limited health awareness. Mobile outreach clinics and strong referral pathways ensure that complications are identified early and managed promptly at the appropriate level of care.
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PDC supports women before, during and after pregnancy, while also addressing the health needs of newborns, children under five and adolescents. It integrates home-based care with facility services, to reduce delays, prevent avoidable complications and ensure continuity from the household to the health facility and back.
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​More than clinical delivery, PDC empowers families with knowledge and confidence to manage their health, creating a trusted community-based entry point into the public health system. Rooted in the principles of universal health coverage and aligned with SDG 3, Proactive Doorstep Care places communities at the center of healthcare, reducing preventable deaths, strengthening health systems 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.
