The renovated Oltukai Dispensary, serving approximately 2,700 women, has become a cornerstone of general health, pregnancy, childbirth, and postpartum care in the area. Its revamped facilities and services have made it the preferred choice, attracting women to travel even from larger towns to this small rural village.

In addition to renovating the dispensary, access to fresh water remains a critical issue in this community. Mwandamo addressed this by funding the installation of 17 storage tanks, each holding 5,000 liters, along with guttering for the primary school, teachers' housing, village offices, and the dispensary. This water collection initiative now benefits over 5,200 people directly.

Over the past year, we have hosted 10 women's circles, each attended by 10 to 20 women. These gatherings provide a safe space for conversation, education, sharing, and healing. By fostering an environment where women feel heard and valued, we take the first step toward empowerment and meaningful change.

Mwandamo is committed to ending period poverty—the lack of access to menstrual products, education, and hygiene facilities that affects millions of women and girls worldwide. Period poverty not only impacts health and dignity but also hinders education and economic opportunities, perpetuating cycles of inequality. By addressing this issue, Mwandamo empowers women and girls to live healthier, more confident lives.

Mwandamo contributed to a Miscarriage Awareness Film by hosting a healing women's circle and actively participating in the creative process. This collaboration aimed to foster understanding, provide support, and break the silence surrounding miscarriage, creating a space for shared experiences and awareness.

Caroline designed and led Mwandamo's first official antenatal workshop, bringing her extensive expertise and first hand understanding as a mother of two. Her compassionate approach provided invaluable guidance and support to expectant mothers, ensuring they received the best care throughout their pregnancy journey.

Mwandamo is a co-author on Emily Pfender's manuscript titled Dialogue for Dignity: How Communication Shapes Menstrual Health Outcomes in Tanzania. This collaboration highlights the critical role of communication in improving menstrual health awareness and outcomes, with a focus on empowering communities in Tanzania.