Health System Transformation

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.

Building health worker capacity
- In 2016, Namati and Mozambique's Ministry of Health co-published the country's first right to health manual — a joint blueprint for compassionate, patient-centered care and community participation.
- Together with the Ministry of Health, we co-developed a manual and training package for health providers on human rights, stigma, and discrimination, and co-facilitated national and provincial trainings-of-trainers to take it nationwide.
- Matimba and the MoH co-drafted an operations manual and training package for patient support offices, with trainings across the country.
- With the MoH we developed a training manual for HIV counselors on humanized communication, informed consent, and patient dignity in both facility and community settings.

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.

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.


Our Other Pillars

Our Theory
of Change
Learn More
Our Theory
of Change
of Change

Frontline Health Justice
Learn More
Frontline Health Justice

Health Justice at Scale
Learn More
Health Justice at Scale
.png)