In 2022, we helped renovate the outdated Oltukai Dispensary which serves 2700 women. Since then, it 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 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 funded the installation of 17 water storage tanks (each 5,000 litres) and rooftop guttering at the primary school, teachers' housing, village offices, and the dispensary. This water collection initiative now directly benefits more than 5,200 people.

In 2024, 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. So far Mwandamo has distributed 650 reusable sanitary kits to women and girls.

Mwandamo collaborated and contributed to a Miscarriage Awareness Film by hosting a healing women's circle and actively participating in the creative process. This 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 (pre-birth) workshop, bringing her extensive expertise as a midwife and firsthand 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 Dr Emily Pfender's manuscript titled Dialogue for Dignity: How Communication Shapes Menstrual Health Outcomes in Tanzania (Journal: Social Science & Medicine). This collaboration highlights the critical role of communication in improving menstrual health awareness and outcomes, with a focus on empowering communities in Tanzania.