We Build Systems.
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 of him and through him and to him, are all things: to whom be glory forever.” Romans 11:36
We are a Christian faith-based organisation that believes all things come from God, are sustained by Him and exist for His glory. Our work is an expression of gratitude for His grace and a response to His call to serve.
We seek to make the Lord’s love visible through compassionate, dignified and excellent healthcare. We value prayer because we depend on God for wisdom, provision and direction in all we do. Guided by our faith, we serve every person according to need and without discrimination, bringing healing, hope and practical care to families and communities.
For Wandikweza, care that reaches people means care that arrives at the household.
The communities we exist to reach
Wandikweza exists to reach women, newborns, children, adolescents and families living in rural and underserved communities where timely healthcare is often difficult to access.
Many families are separated from care by long distances, poor road networks, unaffordable transport and weak connections between household, community and facility services. Pregnancies may be identified late, danger signs can go unnoticed, referrals may be delayed and families can be lost to follow-up.
These families do not need a health system that waits for them to arrive at a facility. They need connected care that reaches them early at home, follows them continuously and links them to appropriate clinical and emergency services in time.
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 child dies from a preventable complication.
Our Mission
To build a health system that reaches families early at home 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
Prayer is how Wandikweza keeps its work rooted in its source. Romans 11:36 shapes how we pray. We pray from gratitude, because everything we have to offer comes from God. We pray through dependence, asking Him to work through our hands, our judgement and our teams. We pray for His glory, dedicating the work to Him rather than to our own name. Prayer does not replace skill, protocol or urgency. It sustains the people who deliver them and it shapes how we treat every person with dignity.
"For from him and through him and for him are all things. To him be the glory forever! Amen.”
Romans 11:36.
Teamwork
Teamwork is a chain of connected responsibilities from the Board to the household. The Board provides oversight and approves priorities and resources. Executive leadership turns these into decisions and support. Finance, people, operations, data and district teams make delivery possible. Frontline workers connect families to timely care. Each level communicates, fulfils its part, confirms handovers and helps clear obstacles without blame. Information and feedback also travel back up from households to leaders and the Board.
“Two are better than one, because they have a good return for their labour: if either of them falls down, one can help the other up.”
Ecclesiastes 4:9 - 10.
Fun Through Work
We create warmth, encouragement and appropriate moments of joy while doing demanding work. We celebrate effort and learning, support one another and make the workplace humane. Fun always respects clients, colleagues, confidentiality and the urgency of care, and it never replaces attention to workload, safety or rest.
“A cheerful heart is good medicine.”
Proverbs 17:22
Excellence
We deliver safe, reliable, respectful care and keep improving it. Excellence means following standards, recording honestly, learning from variation and closing the loop when something goes wrong. It is a disciplined practice, not a claim of perfection.
“Whatever you do, work at it with all your heart, as working for the Lord, not for human masters.”
Colossians 3:23
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.