Malawi healthcare worker WASH in Kwitanda

In Kwitanda, we implement community-led health interventions  to drive lasting change with sustainable impact.

Kwitanda Community Health Project

Community-Led Intervention at the Last Mile

Since 2008, VillageReach has led efforts in the Kwitanda catchment area in Malawi to strengthen the health system at the community and facility levels by increasing health worker capacity, implementing cost-effective interventions, supporting preventative health programs, implementing community-based treatment programs, and improving communication systems between community health workers and health centers.  Kwitanda is essentially the last mile, and  as such gives us the opportunity to impact health at the community level, to implement proven health interventions with first-hand insight into all key contributing factors.  In this sense, Kwitanda is an “innovation incubator,”  supported and lead by community members.

VillageReach is currently focused on maternal, neonatal, and child health (MNCH) activities in Kwitanda by

  • emphasizing interventions that facilitate greater access to and use of skilled care for pregnancy and birth
  • improving infrastructure and community health practices that have direct impact on maternal and child health (such as clean water and sanitation)
  • continuing support for community-based health services including village clinics and outreach ANC clinics


Ongoing data collection and reporting efforts are providing real-time insight into our activities and the needs of the community, particularly among women and children. These efforts include the registration of each pregnant woman in Kwitanda along with data on the services and treatments received through the course of the pregnancy. This data will increase insight into the proportion of women receiving key MCH services, including tetanus prevention, delivery in a facility, and attendance at PNC, among others.

For children under five, monthly data collection efforts focus on malaria, diarrhea, and ARI indicators to help understand disease incidence and identify factors that affect access to treatment including availability of village clinics and stock-out information.

The Role of HSAs in Kwitanda

One of the most unique aspects of Kwitanda is our direct engagement with community health workers, or Health Surveilance Assistansts (HSAs). VillageReach employs local HSAs who provide basic health services, lead advocacy, education and awareness efforts and data collection activities.

In the Kwitanda region, women may travel as many as 19 kilometers to seek maternal care.  VillageReach HSAs like Anstey and Gladys (see right)  help reduce the distance between mothers and provide the support that they need to keep themselves and their children safe and healthy.

From the Field

Health Worker at the last mile

One of Anstey’s primary responsibilities is to run a village clinic that is in part funded by VillageReach. She operates the clinic, which supports four villages, two days per week.

Read Anstey’s Profile


Galdys’ work to improve the lives of mothers and babies in the Kwitanda community is incredibly important. She has formed a maternal and neonatal health committee with fifteen volunteers to mobilize and educate the population.

Read Glady’s Profile


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Malawi healthcare worker