Health System Transformation

The entrance to Homoine health centre, with people waiting outside under the verandaThe entrance to Homoine health centre, with people waiting outside under the veranda

Health advocates document every case they handle, generating real-time data rooted in patients' lived experiences. In the aggregate, this reveals patterns and systemic gaps that traditional health data often misses.

We partner with government to turn these frontline insights into nationwide improvements — grounding policy and practice in the real challenges faced by patients and health workers, and extending our impact far beyond the communities where we work directly.

our approach

Health System Transformation

Shaping national health policy

  • Matimba played a central role in drafting Mozambique's National Strategy for the Humanization of Healthcare and its first-ever strategy to combat illegal charges in clinics and hospitals.
  • As the Ministry of Health's lead civil society partner, we co-developed national guidelines to establish patient support offices in every health facility.
  • We also worked with the national HIV program to expand its quality improvement strategy beyond clinical indicators to include patients' experiences of care.
Two people sitting at a desk with a notebook during a meeting

Building health worker capacity

A health advocate and a nurse standing together in a busy health facility waiting area

Turning evidence into change

  • Working with provincial health leadership in 4 of Mozambique's 11 provinces, Matimba helped establish standards for humanized childbirth now protecting women across 492 public health facilities — covering privacy, informed consent, and support during delivery. We're now advocating for national policy to extend these protections to every woman in Mozambique.
  • In Inhambane province, we partnered with health leadership to launch a humanization initiative across all 144 facilities — ensuring patient privacy, upgrading bathrooms, and eliminating illegal fees, turning community concerns into concrete improvements.
A woman holding a baby while seated outdoors with other community members

Strengthening community voice in healthcare governance

Matimba champions policies that give patients and communities a meaningful role in healthcare governance — including greater recognition and support for village health committees. We developed a practical dialogue tool that helps communities and health facilities identify barriers and co-create solutions. The Ministry of Health has since adopted this approach nationwide, embedding community participation as a core component of the health system.

A woman speaking during an outdoor community meeting in Jangamo
A community meeting held in the shade of a large tree

"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. Now everyone knows that illegal charges aren't accepted here."

Dr. Osório Trigo, Director, Quissico Rural Hospital

Our Other Pillars

A health committee member smiling outdoors in a green Ministry of Health polo shirt

Our Theory
of Change

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Our Theory
of Change
An older woman in a teal headwrap and patterned blouse, photographed against a wall

Frontline Health Justice

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Frontline Health Justice
A health advocate standing to address a community group seated under trees

Health Justice at Scale

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Health Justice at Scale

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