Health stakeholders in Rivers State have called for stronger community-based sensitization and collaboration to sustain access to HIV, tuberculosis (TB), and malaria services amid declining donor funding and limited resources for community interventions.
The call was made during an advocacy
visit by the State Advocacy Team (SAT) to the Programme Manager of the Rivers
State Agency for the Control of HIV/AIDS (RIVSACA) on July 30, 2026, at the
agency’s state office in Port Harcourt.
The meeting focused on identifying
practical, cost-effective and sustainable approaches to increasing community
uptake of HIV, TB and malaria prevention, testing and treatment services,
particularly as donor-supported interventions face increasing funding
constraints.
Stakeholders acknowledged that
community-based testing, outreach programmes and integrated health campaigns
had contributed significantly to improving access to essential health services.
However, they noted that the changing funding environment required a shift towards
low-cost, high-impact approaches that could be sustained through existing
community structures.
Participants agreed that community
sensitisation and awareness creation offered one of the most feasible
strategies for maintaining demand for HIV, TB and malaria services.
Rather than relying on stand-alone
outreach programmes that require substantial financial and logistical
resources, stakeholders recommended integrating health messages into existing
community governance structures, social platforms and public gatherings.
Speaking during the meeting, SAT
member Mr. Messiah Fyneface and other participants stressed the need to
maximize existing community networks to reach residents with information on
available health services and encourage early utilisation.
The State Coordinator of the Network
of People Living with HIV/AIDS in Nigeria (NEPWHAN), Mrs. Chigozim Blessing,
emphasized the importance of engaging influential community stakeholders as
champions of health promotion.
She identified traditional rulers, Community
Development Committee executives, religious leaders, women and youth leaders,
Medical Officers of Health, Local Action Committee on AIDS (LACA) managers, TB
Local Government Focal Persons, Disease Surveillance and Notification Officers,
malaria programme focal persons, Ward Development Committees and Local
Development Committees among those who could play critical roles in sustaining
community health interventions.
According to her, strengthening
collaboration with these stakeholders would promote community ownership of
health programmes while improving referrals to health facilities providing free
HIV, TB and malaria services.
Pastor John Ihua-Maduenyi also
advocated the integration of health sensitisation into existing community
platforms, including church and mosque gatherings, community development
meetings, market association meetings, youth and women group activities, school
engagements and other routine social events.
Participants described the approach
as both cost-effective and sustainable because it would eliminate the need for
separate mobilisation exercises while allowing health messages to reach larger
audiences through trusted community channels.
Mrs. Blessing noted that
incorporating HIV, TB and malaria information into routine community
engagements could improve health-seeking behaviour, increase awareness of
available services and help address stigma and misconceptions surrounding HIV
and TB.
The stakeholders also emphasized the
need to leverage available resources instead of relying exclusively on direct
financial support for community interventions.
The State Advocacy Team recommended
stronger partnerships with government institutions and implementing partners to
access Information, Education and Communication materials, job aids, referral
tools, condoms, malaria prevention materials and other health promotion
commodities.
Institutions identified as strategic
partners included RIVSACA, the State AIDS and STIs Control Programme (SASCP),
the State Tuberculosis and Leprosy Control Programme (STBLCP), the State
Malaria Elimination Programme (SMEP), as well as other development partners.
Stakeholders said these institutions
could provide technical assistance, materials and health commodities needed to
support community sensitisation activities.
The meeting concluded that
institutionalising community-led sensitisation through existing governance and
leadership structures would provide a sustainable mechanism for maintaining
demand for HIV, TB and malaria services beyond the lifespan of donor-funded
projects.
Participants stressed that improved
coordination, resource leveraging and multisectoral collaboration would be
critical to ensuring continued access to essential health information and
increasing utilisation of free HIV, TB and malaria services across project
communities.

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