Our approach

At Wandikweza, we believe that healthcare should reach the people, not wait for people to reach healthcare. In Malawi’s most underserved and hard-to-reach communities, many families live too far from a health facility, cannot afford transportation, or face cultural and social barriers that prevent them from accessing care. We exist to change that.

Proactive Doorstep Care (PDC)

Our signature model, Proactive Doorstep Care (PDC), brings essential health services directly to the doorstep of vulnerable families. It is a community-based, integrated model of care that delivers maternal, newborn, child, and adolescent health services in the most remote parts of Malawi, before illness becomes emergency.

PDC is built on four interdependent pillars that work together to close the last-mile gap:

1. Community Health Workers (CHWs)

Local, trained, salaried, and supervised health workers embedded in the villages they serve.
CHWs conduct door-to-door visits offering:

Health education and promotion
Growth monitoring
Family planning and WASH education
Identification of danger signs and referral to higher-level care

They are the first point of contact — and the most trusted health voice in their communities.

2. Nurses on Bikes (NoBs)

Skilled nurses equipped with motorbikes to reach the hardest-to-access areas.

NoBs provide:

Antenatal and postnatal care
Family planning services
Mental health support
Emergency maternal referrals
Supervision and mentorship to CHWs

They serve as mobile midwives, mentors, and first responders, extending professional care where it is never been before.

3. Mobile Clinics

Regular outreach clinics conducted in villages without access to static health services.

These clinics deliver:

Immunizations
Cervical cancer screening
Basic diagnostics and treatment
Nutrition services
Health education campaigns

Mobile clinics are a bridge between homes and the formal health system, reducing missed opportunities for life-saving interventions.

Strengthening the capacity of local public health centers in the areas we serve.

Our support includes:

Integration of community-generated data (CHW referrals, defaulters)
Training and mentoring of facility staff
Equipment and supply gap filling
Coordinated referrals and back-referrals from community to facility

We work side-by-side with District Health Offices (DHOs) and health facilities, to reinforce, not replace the public health system.

4. Health Facility Support

What Makes Our Approach Different

We are proactive, not reactive. We prevent health crises by identifying risks early.
We are community-driven. Our CHWs are selected by the people and serve with their trust.
We are integrated. We deliver a full continuum of care, from household to health center.
We use real-time data. We monitor every visit, referral, and outcome to adapt as we go.

Where We Work

We currently implement PDC in Dowa, Mangochi, and Salima, and are expanding to additional districts including Mchinji, Nkhotakota, Kasungu, and Dedza by 2030, reaching those most often forgotten.

Whom We Serve

We serve people affected by poverty, distance, and disaster — especially: