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Our approach

​Applying the Three Delays Model


Transforming maternal and child health care delivery to reach every woman and newborn 

We respond to the “Three Delays” that contribute to high perinatal mortality rates. Our Proactive Doorstep Care combines medical care with family development and community engagement. Through home visits, we identify and address the root causes of poor maternal and child health outcomes. The dedicated Community Health Workers and Nurses on Bikes engage in a holistic initiative that supports poor families to achieve continued social stability for better maternal and child health outcomes. We address the root causes of poor maternal and child health outcomes and not just treating the symptoms. We feel confident that we would be able to sustain our operations while working towards our scale plans in the next 7 years (2024 - 2030).

Our Golden Rule

Every woman in Malawi should be able to reach a primary level health facility in times of emergency within 60 minutes.


1: Delay in decision to seek care - Community engagement through CHWs

  • Provide communities (men and women) with information on pregnancy, childbirth and newborn health care so they know when to seek medical help.

  • Facilitate income generation schemes for women to enable them to become financially independent and empowered to make decisions about their own sexual and reproductive health and to become co-managers in their care process.


2: Delay in reaching care - Strengthen referral systems through transportation (NoBs & mobile clinics)

  • Improving access to healthcare with the provision of Nurses on Bikes in remote areas as well as mobile clinics to provide care.

  • We support waiting houses next to health centres for expectant mothers to stay in before their due date so when they go into labour assistance is on site.

  • Provision of village ambulance services for emergency transportation to improve access to health centres.


3: Delay in receiving adequate health care - Building clinical capacity of primary level health facilities

  • Support continuous personal development for midwives, nurses and clinicians

  • Adequate infrastructure to provide Emergency Obstetric and Newborn Care

  • Ensure health centres are suitably equipped to provide safe deliveries (sufficient medical supplies, equipment, and medications).

  • Improve referral capacity to support transfers to higher-level care (24/7 availability of ambulances)

We implement our programs within existing government delivery and data systems.

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