Systems Strengthening

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

Systems Strengthening

Shaping national policy

  • Namati played a central role in drafting Mozambique's National Strategy for the Humanization of Healthcare and its first-ever strategy to combat bribery in the health sector. 
  • 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 the Ministry of Health published a right to health manual grounded in compassionate, patient-centered care and community participation.
  • We co-developed a national training package on human rights and ethics for health providers and co-facilitated national and provincial trainings-of-trainers.
  • Namati and the MoH drafted an operations manual and training package for patient support offices, with trainings across the country.
  • We developed a training package for HIV counselors on communication, informed consent, and patient dignity in both facility and community settings

Turning evidence into change

  • Working with provincial health leadership, Namati helped establish standards for humanized childbirth now protecting women across 267 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

Namati 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.

Group of people seated in a circle under two large leafy trees in a grassy outdoor area, with a person standing near a flip chart.

“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

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Our Theory of Change

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Frontline Health Justice

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Scaling with Community Partners

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