Hypertension
Regular blood pressure checks and taking medication every day help prevent stroke, heart attack and kidney damage.
Community-based NCD care in Malawi
Helping patients stay on track with their treatment.
Mlumikizi improves adherence to medication and lifestyle changes for people living with hypertension, diabetes and heart failure. It links weekly home visits by Health Surveillance Assistants with AI-assisted insights and clinical oversight.
- Hypertension
- Heart failure
- Diabetes
The challenge
80%
of Malawi's population lives in rural areas, where access to specialist healthcare is limited but the need for it is substantial.
Primary care, limited specialists
Many facilities rely on diploma-level clinicians, so specialist support matters most when managing complex, chronic conditions.
Poor adherence
At a family medicine training centre in Mangochi, poor adherence to medication and lifestyle changes stands out among patients with non-communicable diseases.
Broken continuity of care
These conditions need consistent treatment, regular follow-up and lasting lifestyle change. Keeping that going between clinic visits is hard.
Conditions we focus on
Chronic conditions that need continuous care
Mlumikizi supports people living with three of the most common non-communicable diseases, where everyday adherence makes the biggest difference.
Heart failure
Daily treatment, salt and fluid guidance, and spotting worsening symptoms early keep patients out of hospital.
Diabetes
Consistent treatment, glucose monitoring and lifestyle support reduce the risk of long-term complications.
How it works
From the community to the clinic
Mlumikizi connects community health workers, clinicians and specialist care around each patient.
01Weekly home visits
Health Surveillance Assistants (HSAs) visit patients every week, check how well they are following their medication and lifestyle plans, and record essential health information.
02AI-assisted analysis
Mlumikizi analyses the data collected, summarises each patient's progress, identifies potential risks and suggests tailored education and treatment-support options.
03Clinician alerts
When a patient needs urgent attention, the responsible clinician is alerted so an appointment can be arranged quickly.
Reminders and priorities. The system sends reminders for scheduled visits and highlights patients who may need extra attention, so teams can focus their time and resources where they matter most.
The platform
Built for the people who deliver care
For HSAs
A phone app for weekly community follow-up.
- Today's visits and overdue patients at a glance
- Simple weekly visit checklist for adherence
- Health education to share with patients
- Works on a phone and syncs with the clinic
For clinicians
A dashboard for clinical oversight across the whole programme.
- Register and manage NCD patients
- Schedule and track follow-up visits
- Monitor HSA activities and visit coverage
- Identify high-risk patients and coordinate urgent appointments
- Adherence trends and programme reports
Our approach
Bridging the gap between rural patients and the care they need
Community follow-up
Weekly HSA visits keep patients connected to care at home.
Intelligent data analysis
Progress summaries and risk flags from every visit.
Clinical oversight
Clinicians see who needs attention and act early.
Watch
Mlumikizi in two and a half minutes
Get in touch
Work with us
We are working with community health teams and clinicians to improve chronic disease care. If you would like to partner, pilot or learn more, we would love to hear from you.
hello@example.com Mangochi, Malawi
