The Health & Insurance Management Services Organization (HIMSO) is a Tanzanian non-profit dedicated to improving healthcare access for underserved communities through innovative, community-driven solutions. Since its establishment in 2012, HIMSO has pioneered sustainable health financing models, including micro-insurance schemes and emergency transport services, with a focus on reducing barriers to care in rural and remote areas. Its flagship program, Dharura Fasta, addresses critical delays in emergency medical access, particularly for maternal and child health, while its community-based health insurance initiatives empower low-income households to afford quality care. By partnering with local governments, training community health workers, and strengthening health systems, HIMSO bridges gaps in healthcare delivery—ensuring vulnerable populations receive timely, affordable, and dignified medical attention. Committed to universal health coverage, HIMSO combines grassroots engagement with scalable innovations to build healthier futures across Tanzania.