Aliyah Kateregga, a mother of three, beams as she welcomes Betty, the community health worker (CHW) who has been a lifeline to her family, into her home in Kamugombwa Village, Masaka District, Central Uganda.

Aliyah, a farmer, is known in her community for keeping a clean and orderly home. Her three-year-old son rushes up to Betty, wrapping his arms around her and showing off a small bruise on his hand. With a warm smile, Betty gently examines his hand.

For this family, Betty is more than a visitor; she’s a trusted friend and caregiver. “She has been there for me since I was pregnant, attended the birth of my son, and continues to support me as I raise him,” Aliyah shares, her voice filled with gratitude.

“I credit Betty for the health of my children. She has taught us so much.” With her medical kit and a smartphone equipped with a health app, Betty traverses her village, visiting household after household. She delivers basic healthcare services to children and provides support to expectant mothers, bringing essential care to families like Aliyah’s.

Betty prioritizes checking on all newborns in her area within the first 48 hours of life to identify any potential health risks and ensure they receive the necessary care. “Betty is a great help to me, my children, and this whole community,” Aliyah says warmly.

Today, Betty is visiting Aliyah’s home to check on her 15-month-old daughter, Sumayiya. After careful assessment, Betty records the symptoms in her phone, which is powered by an app that helps her make informed diagnoses. “The baby has pneumonia. I’ll prescribe some medication for her and return to check on her progress.

If her symptoms don’t improve, I’ll arrange for further care at the health facility,” Betty explains to Aliyah. Along with the prescription, she advises Aliyah on the importance of a balanced diet and continued breastfeeding to help boost Sumayiya’s immunity and support recovery.

“Betty is always there when we need her and ensures everyone has access to the medicines they need,” Aliyah says, her voice breaking slightly with emotion. “Because of her, mothers and children in our community are living healthier lives. Tusiima nyo nyo nyo – we are very, very grateful.”

For Aliyah and her family, Betty’s presence isn’t just a service; it’s a source of hope in their everyday lives and reflects the impact CHWs have in their communities. They are a critical link to life-saving maternal and childcare at the last mile.