Collective Voices is an innovative initiative that reflects the notion that, in order for the objectives of 3MDG to be achieved, fundamental changes need to occur in the relationships between health care providers and the communities they serve, especially the poor and marginalized, to achieve improvements in service quality, access and utilisation. Hence the eventual goal of the initiative is for target communities to be empowered to voices their needs, and to access fair, responsive and inclusive health services through a breadth of health seeking behaviour change interventions, while producing changes in relationships between civil society, community and health service providers.