Who We Are

A 100% women owned and led non-profit organisation that creates pathways to change.

What We Do

The organization focuses on health systems strengthening for effective service provision.

Why We Do It

To create pathways for sustainable social change that empowers South Africans to live a healthy productive life.

Pathways to Change is a non-profit organization that is 100% women led and managed. The organization focuses on health systems strengthening for effective service provision.

Pathways to Change works with vulnerable communities and target populations, government departments and various stakeholders  to advance sexual and reproductive health and rights in communities around South Africa. We have been providing services for health systems strengthening since 2001 and supported programs in the Eastern Cape, Gauteng, Kwa-Zulu Natal, Northern Cape, North-West, Free State and Western Cape provinces.

About Us

Pathways to Change is a resourceful and innovative non-profit organization with a mission to educate and empower South Africans to make responsible life choices by facilitating implementation of interventions that are evidence informed and rights-based.

Our Values

  • Empowerment – at Pathways to Change we encourage empowerment at all levels and are advocates for “teaching how to fish” rather than providing “the meal”. We believe if communities and health staff are empowered that they can develop and design innovative strategies as they understand their circumstances better than we could. We believe empowerment is integral to sustainability.
  • Results driven.
  • Accountability and transparency
  • Social change
  • Innovation  – at Pathways to Change we are committed to finding new and innovative ways of addressing health challenges. We are constantly ensuring that our implementation processes are current and in line with global best practices.


Crosscutting themes that underpin Pathways to Change Interventions

  • Create enabling environments
  • Capacity building
  • Address structural determinants
  • Socio-economic empowerment
  • Gender equity
  • Shifting cultural paradigms
  • Advocate for rights-based policies and practices

Our Areas Of Expertise

Adolescents & Youth

Adolescents and youth (10-24 years) have the right to live healthy sexual and reproductive lives. However, many adolescents and youth lack the information, skills, agency, and access to services that enable them to fulfill that right.

Sexual Reproductive Health & Rights

Strengthen primary health care clinics and community health workers so more people in more places have access to the contraceptive information and services they need.


Deliver comprehensive care for adolescents and young people living HIV and their families at times and locations that are convenient to them.

Peer Education Programme

The programme is intended to empower young people to pass knowledge and skills on to their peers who come from similar backgrounds and are experiencing similar life challenges.

Population Health and Environment

Together with various partners, Pathways to Change improves community knowledge of the links between human and ecosystem health and the relevance of rights-based family planning as contributing to environmental sustainability.

Comprehensive Abortion Care

Focused on capacity building of communities and health systems to enable free and early access to safe abortion services in the Eastern and Western Cape Provinces.

Menstrual Health Management

Ensuring that myths, taboos, and stigma around menstruation are addressed by providing women, girls, men, and boys access to information on menstruation.