Formerly Nurses on Bikes
Skilled maternal care, reaching beyond the facility.
Midwives on Wheels are qualified midwifery professionals who deliver skilled maternal and newborn health care beyond facility walls, as a core component of Wandikweza’s Proactive Doorstep Care model. They extend the reach of the public health system into hard-to-reach communities, ensuring women and newborns receive timely, high-quality care when cost, distance or lack of awareness would otherwise place lives at risk.
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Their role is not to replace facility-based services, but to bridge the gap between households and health facilities, supporting early detection of complications, effective referrals and follow-up care.
What Midwives on Wheels Deliver
Midwives on Wheels provide skilled, mobile maternal and newborn health services that complement community-based care and strengthen linkages to public health facilities. Their work ensures women and newborns receive timely, professional support throughout the continuum of care.
Antenatal Care and Monitoring
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Clinical assessments, including blood pressure monitoring, anemia screening, and fetal growth assessment
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Early identification of pregnancy-related risks and complications
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Counseling on nutrition, malaria prevention, and danger signs in pregnancy
Birth Preparedness and Referral Planning
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Support for individualized birth planning, including identification of delivery facilities
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Coordination of referral pathways and emergency transport plans
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Engagement of families and partners in preparedness and decision-making
Postnatal and Newborn Care
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Early postnatal follow-up for mothers and newborns
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Monitoring for postpartum complications and newborn danger signs
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Breastfeeding support and counseling on maternal recovery
Family Planning and Reproductive Health
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Counseling on postpartum family planning and healthy spacing of pregnancies
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Referral and linkage to appropriate reproductive health services
Emergency Response and Referral Coordination
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Rapid clinical assessment when complications arise
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Coordination with health facilities and emergency transport systems
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Follow-up after referral to ensure continuity of care
Clinical Support to Frontline Teams
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Mentorship and clinical guidance for Community Health Workers
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Support in complex case identification and referral decisions
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Contribution to quality improvement at the community level
