We Build Systems.
Not Programs.
Wandikweza is a Malawian organisation building last-mile maternal and child health systems that reach smallholder farming families continuously, at the household and before complications arise, from before the first pregnancy to the child's fifth birthday.
That system delivers care early, continuously and in time as government-owned infrastructure designed to reach smallholder farming families at the household, before complications arise and long before a crisis makes a facility journey necessary.
For Wandikweza, care that reaches people means care that arrives at the household.
The communities we exist to reach
Malawi's maternal and child health challenge is fundamentally a crisis of reach. Despite significant progress in strengthening the health system, including trained health workers, health facilities, and national maternal health policies, the country still records a maternal mortality ratio of 225 deaths per 100,000 live births.
The burden falls disproportionately on smallholder farming families in rural areas, where 84% of Malawi's population lives. Many families are separated from healthcare by long distances, poor road networks, seasonal flooding, and transport costs that exceed what farming households can reliably afford. As a result, preventable maternal and child deaths continue to occur not because healthcare is unavailable, but because it does not consistently reach families early enough, close enough, or often enough to prevent complications.
The barriers
These barriers are the predictable result of a health system designed around facilities rather than households. While many families can access care, those living in the last mile often face delayed antenatal enrolment, fragmented postnatal follow-up and weak continuity between community and facility services. A system that depends on families finding transport and reaching facilities on their own will inevitably miss those who face the greatest barriers to care.
The consequences
The consequences of this reach gap are predictable: pregnancies are identified late, danger signs go unnoticed, referrals are delayed, and manageable risks escalate into life-threatening emergencies. Malawi's neonatal mortality rate of 27 deaths per 1,000 live births and under-five mortality rate of 42 deaths per 1,000 live births reflect, in part, the cost of a system that often reaches families too late. The gap begins long before a woman or child arrives at a health facility.
Our Vision
A Malawi where no woman or newborn dies from a preventable complication.
Our Mission
Building a health system that reaches people early at the household level and connects them to care in time.
Our Goal
To reach 3 million people by 2030 through Proactive Doorstep Care across seven districts in Malawi, ensuring each person is reached early and connected to timely care across all levels of the health system.
Our Values
Prayer
We anchor everything in God. All that Wandikweza has every resource, every relationship, every life reached, every system built, comes from the LORD, through Him, and exists for Him. We hold nothing as our own achievement. We claim nothing as our own capability. What has been built here has been granted from above and we return the glory to where it belongs.
For from him and through him and for him are all things. To him be the glory forever. Romans 11:36
Teamwork
No single person builds a last-mile health system alone. Every layer of Proactive Doorstep Care depends on every other layer and every relationship that holds the system together is one we build with the same care we bring to the work itself.
Fun Through Work
The work is serious. The people doing it do not have to be. We celebrate progress, support one another and extend to our team the same humanity we extend to the communities we serve.
Excellence
We pursue the highest standards in everything we do. We are committed to quality, accountability, innovation and continuous improvement as we build health systems designed to last.
Our Promise: We are building a health system that reaches families before it is too late.
What we build
ACCOUNTABILITY & GOVERNANCE
We govern what we build
with the same rigour we build it
Annual Financial Statements
Independently audited. Available to all funders and institutional partners on request. Going concern confirmed FY2025.
Board of
Directors
Nine non-executive Directors with expertise across public health, financial management, maternal health, government systems, digital health, youth, and community development. Three standing committees.
Safeguarding and Fraud Policies
Zero-tolerance fraud policy with annual Board review. Comprehensive safeguarding policy covering all 280 CHWs, clinical staff, and partners. Confidential reporting mechanism in every district.