SITU
Community health workers meeting outside a rural clinic
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Embedded

Health Systems Network

Community-Led Primary Healthcare Infrastructure

Health SystemsRwanda, Tanzania, Mozambique

Initiative Stages:

Pilot— Testing and learning
Scaling— Expanding proven model
Embedded— Institutionalised in system
1The Problem

What Is Broken, and For Whom

Placeholder copy. Rural communities across East Africa remain underserved by primary healthcare, with community health workers under-supported, under-resourced, and disconnected from formal health systems.
2SITU’s Role

What SITU Specifically Contributes

Placeholder copy. SITU provides the governance architecture and fiduciary backbone for a cross-country network integrating community health workers into national primary healthcare systems.
3Journey So Far

Key Milestones

1

2021: Network founded with health ministries in Rwanda and Tanzania

2

2023: Community health worker model formally adopted into national guidelines

3

2025: Model embedded across three countries with sustained government financing

Long-term Ambition

Placeholder copy. Institutionalise community-led primary healthcare as a permanent, government-financed layer of the health system across the East African Community.

Current Stage

Pilot
Scaling
Embedded

Early Evidence

2,600+

Community Health Workers

1.4M

People Covered

3

National Systems

+41%

Primary Care Visits

Partners Involved

Ministries of Health (Rwanda, Tanzania, Mozambique)

World Health Organization

Community Health Impact Coalition

Regional Health Financing Facility

Partner on this initiative