MACIS has a competent secretariat headed by a National Coordinator and guided by a Management Board. The network has a well-established structure that operates through regional and district CSO Nodes, selected by other CSOs at regional and district levels respectively to coordinate its activities. Through these Nodes, MACIS shares information and technical updates from MOH and other strategic forums, as well as coordinating capacity building activities, sharing best practices and scaling up evidence based practices. Conversely, MACIS filters critical information and issues from the grassroots through its wide network to feed into national and international policies and strategies.