What We Do

As a non-profit organisation, our focus lies in 6 core areas that are designed to pave the way to meaningful change .

Pathways to Change is 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.

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. Pathways to Change focuses on the unique sexual and reproductive health needs of adolescents by designing and delivering quality youth-friendly services tailored to adolescents aged 10-14 and young people aged 15-24 with a focus on gender norms and how they can contribute to increased vulnerability for young women; builds the capacity of the Provincial Departments of Health to deliver, coordinate, and monitor youth-friendly services; produced an enhanced youth-friendly services training and mentoring package that encompasses core standards, implementation steps, and focuses on the whole services package.

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; ensure that all relevant commodities are always available so that adolescents and young people can choose the method that is best suited to their circumstances; connect communities and health systems so people receive the services they need and the quality of care they deserve; and engage with various stakeholders and gate keepers to eliminate all biases and misconceptions that can create barriers for sexual reproductive health and rights.


Deliver comprehensive care for adolescents and young people living HIV and their families at times and locations that are convenient to them; support key populations—including men who have sex with men, female sex workers, and transgender women—to make sure they can exercise their rights and receive quality services free from stigma, discrimination, or judgment; promote testing—in communities and facilities so people know their status and can initiate treatment as early as possible; and integrate HIV services with other sexual and reproductive health interventions, recognizing the opportunity to meet people’s needs in a single visit.

Population Health and Environment (PHE)

Together with various partners, Pathways to Change improves community knowledge of the links between human and ecosystem health and the relevance of rights-based sexual and reproductive health as contributing to environmental sustainability; builds the capacity of health service providers in the project site’s clinics through training programs; creates systems strengthening plans for individual clinics—a proven method in ensuring the immediate sexual and reproductive health service gaps of particular clinics are met and all gaps are addressed over time; initiate peer education programs to include community members in the health and prosperity of their peers and neighbours; and empower local farmers, targeting especially vulnerable women and youth, with skills to help them adapt to the rapidly changing local environment, such as training on conservation agriculture and improved household health practices.

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. Pathways to Change supports quality CAC service provision at provider and institutional levels; ensures services are comprehensive across facilities and integrated into all SRH services; creates compassionate, stigma-free service delivery environments. At the community level, Pathways to Change ensures the capacity of communities to demand access to quality services, in accordance with national laws; support community-led stigma reduction efforts; promote sustained community involvement through key leaders, norm influencers, and vulnerable groups.

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, are experiencing similar challenges in life and are/have been exposed to similar environmental, social, physical and/or psychological factors that impact on health seeking behaviour and life choices. Pathways to Change provides training, mentoring and support of peer educators in health and community settings to ensure that the “teach one, teach all” concept is rolled out and that young people have positive health seeking behaviour.

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; ensuring women and girls have access to safe and hygienic menstrual products (e.g. menstrual cups, re-usable sanitary pads), services and facilities.

Our Mission Statement

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.