The N-THRIP Community-Led Monitoring (CLM) project is a people-centred accountability initiative that improves the quality, accessibility and responsiveness of HIV and related health services. In Nasarawa State, ORHI leads it as the lead community-based organisation, putting people living with HIV and key populations at the heart of monitoring the health system.
Communities are not just users of health services. They are partners in finding gaps, tracking service delivery and co-creating solutions with providers and policy makers. The project gathers real-time evidence on people’s experience of HIV, TB, PMTCT, maternal and child health, malaria and general health services.
How it works
Data comes from client surveys, focus group discussions, key informant interviews, community meetings and facility visits. ORHI analyses it and takes it to duty bearers, from health facility managers to LGA and state officials, to close the gaps it reveals.
We look at:
- Quality of care and client satisfaction
- Barriers such as distance, cost, waiting times and stock-outs
- Stigma and discrimination, especially against key populations
- Gender and human rights issues
- Feedback and accountability, including through the Community iMonitor app
Partnerships
The project is coordinated nationally by the Network of People Living with HIV/AIDS in Nigeria (NEPWHAN), with technical support and programme coordination from the Institute of Human Virology Nigeria (IHVN). In Nasarawa, ORHI coordinates the other implementing CBOs, alongside the Ministry of Health, SASCP, SACA and LACA, the Hospital Management Board, Ward Development Committees and primary health care agencies.
The project is funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria.
Why it matters
Communities gain knowledge, confidence and a platform to speak up about their health rights. Providers get constructive, evidence-based feedback, and policy makers see frontline realities more clearly. In Nasarawa, CLM has improved dialogue between communities and facilities, resolved service gaps, and increased use of tools like the Community iMonitor app.
When communities lead, health systems listen, and care improves.
What the programme delivers
- Client surveys, focus groups and key informant interviews
- Facility visits and community engagement meetings
- Feedback through the Community iMonitor app
- Evidence presented to facility managers, LGA and state officials
