Why at the Doorstep

We bring health care to the doorstep because that is where life begins, and where care is needed most. For many families in Malawi’s rural and underserved areas, the nearest clinic is not just far, it is out of reach. Distance, transport costs, long wait times, and overcrowded facilities create barriers that delay or prevent care entirely. For pregnant women, young children, the elderly, and people with disabilities, these barriers can mean the difference between life and death.

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The doorstep is more than a location,  it is a symbol of accessibility, dignity, and trust. When a Community Health Worker or Nurse on Bike arrives at someone’s home, they are not just delivering services, they are building relationships, offering education, and creating a bridge between households and the broader health system. They identify illnesses early, provide preventive care, and empower families with knowledge to make informed health decisions.

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We start care at home to meet people where they are, both physically and emotionally. It allows us to understand their environment, their challenges and their strengths, all of which are critical to designing care that is effective and lasting. Because ultimately, health does not begin at a hospital door, it begins at home. And that is exactly where Wandikweza begins, too.