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"I was nine months pregnant. When I got to the hospital, the nurse told me I had to pay 1,000 meticais. I didn't have the money, so she left me alone in the birthing room. When she finally came, my baby had already died."
Our Impact
Change happens at every level. Patients access care with dignity. Health workers are better equipped to deliver quality care. Communities hold systems accountable in ways they couldn't before. Their voices and experiences are the force behind collective action and the foundation of lasting change.
Impact Since 2013
We've shown that learning from patients' lived experiences can drive nationwide policy reforms and reshape how services are delivered on the ground.
62,297
Barriers to care resolved
168,032
People seeking justice
(71% women)
20,076
Health workers trained
1,136
New health advocates
trained and mentored
3.4 million
People with access to improved services
“People used to think doctors were the only ones with power. The most vulnerable weren’t able to speak up or participate in their own health, and they simply stayed away. But together we learned that many challenges — like long delays and lack of privacy — were relatively easy to overcome.”
Dr. Arlindo Romão, Director, Chicuque Rural Hospital
“Our hospital used to be infamous for bribery and illegal fees. In the past health workers didn’t really regard patients as individuals with rights. They acted as though they were doing patients a favor. But we’ve seen a huge change. Health workers now know that bribery isn’t accepted here.”
Dr. Usorio Trigo, Director, Quissico Hospital
Maternal and newborn health
26% increase in institutional births at Namati-supported health facilities in the two years after we expanded to Inhambane Province — more than double the 12% rate at other facilities.
Patient privacy and dignity
Together with Inhambane Province's health leadership, Namati launched a humanization initiative across 144 facilities — with tangible results in just 18 months:
- 62% increase in privacy at pharmacy windows
- 23% increase in facilities with dignified bathrooms
- 19% increase in privacy in consult and testing rooms
HIV treatment retention
Breaches of privacy, disrespectful treatment, staff absenteeism, lack of information, shortage of medicines and supplies — these are the barriers that push HIV patients out of care. Our health advocates work alongside health workers and communities to address each one, resolving 84% of the cases they take on.
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How We Measure Impact
We track every case we take on and every dialogue we facilitate — measuring not just what we do, but whether it works, and using that evidence to continuously refine our approach.
Health advocates document cases and community dialogues in real-time digital forms. This data flows into dashboards that reveal patterns, surface best practices, and give government and civil society concrete insight into how health policy plays out on the ground.
We also gather regular feedback directly from patients, communities, and health workers. Their experiences are our most honest measure of progress.
In Their Own Words
Hear directly from the women and men across Mozambique who have navigated injustice, found solidarity, and raised their voices - many for the first time.
Silvia’s Story
Too often, patients have to choose between their health and their privacy.
Else's Story
Maternity patients are particularly vulnerable to bribery, abuse, and illegal fees.
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Avelino’s Story
Privacy and dignity are lifesaving for people living with HIV.