ACOMIN Seeks Increased Monitoring of Malaria, TB, HIV Intervention Programmes

Onyebuchi Ezigbo in Abuja 

The Civil Society in Malaria Control, Immunization and Nutrition (ACOMIN) is advocating expanded Community-Led Monitoring (CLM) action on the impact and reach of healthcare services, particularly those aimed at addressing tuberculosis, malaria and HIV in Nigeria.

It said the CLM action has helped in advocacy mission to Jigawa State Branch of the Association of Local Governments of Nigeria (ALGON) resulting in the procurement of hospital equipment valued at N190 million to support healthcare facilities. 

Under the GC7 Global Fund Project Grant, ACOMIN is implementing CLM to improve the availability, accessibility. acceptability, affordability, and quality of healthcare services across 13 states of Adamawa, Delta, Gombe, Jigawa, Niger, Kano, Kaduna, Kwara, Katsina, Ogun, Osun, Taraba, and Yobe, covering 130 Local Government Areas 

The intervention engages 260 community-based organizations (CBOs) and facilities at any given time and works with 780 trained community volunteers. 

Based on successes recorded through the Community-led Monitoring activities in some of the states which has enabled significant facility-level recoveries at Primary Healthcare centres, including the restoration of night shifts, water supply, initiation of TB services, and reactivation of antenatal care (ANC) services, ACOMIN said there is need further extend the initiative to other states in the country.

Speaking at an Advocacy-Focused Media Dissemination Meeting on GC7 Global Fund Malaria Grant for Community-Led Monitoring Project, ACOMIN National Coordinator Ayo Ipinmoye said the desire is to see the initiative expand in both geography and scope, including integration of pandemic preparedness. 

“This is a call to wider coverage of the successes and sustainability of community driven evidence to enforcement. 

“ACOMIN urges all stakeholders and institutions, including government agencies (federal, state, and local governments), private sector and philanthropists, media organizations, communities (traditional and religious leaders) through collaborative partnership be involved, and act swiftly to make efforts to address the systemic constraints such as data fragmentation, limited responsiveness, infrastructural deficits,” he said.

Ipinmoye said that efforts are underway to develop an integrated digital CLM data repository, in partnership with Dure Technology, to harmonize community data with national systems such as the Demographic and Health Information Survey (DHIS) and Logistics Management Information System (LMIS).

According to him, ACOMIN is also advocating for improved funding and sustainability through integration of CLM into national plans and budgets, and for stronger policy uptake and full institutionalization of CLM frameworks.

Ipinmoye said that Community-Led Monitoring has strengthened evidence-based decision-making and brought grassroots priorities into policymaking in Nigeria, especially in health systems like ATM response and primary healthcare. 

“Its strengths lie in enhanced accountability, enriched local insights, multi-stakeholder dialogue, and empowered communities contributing directly to policy conversations,” he said.  

As part of the CLM initiative, ACOMIN said it has been able influence government policies and decisions in several states, including Jigawa, Katsina, and Taraba.

He explained that between October and November 2025, 397 tangible and intangible results were documented across four categories, namely; 185 capital assets, 140 current assets and deployment of 40 health workers.

Ipinmoye said that ACOMIN’s engagement with state-level stakeholders in Jigawa State, particularly the Association of Local Governments of Nigeria (ALGON) resulted in six ACOMIN supported facilities being placed under ALGON management. 

He said that ALGON also procured hospital equipment valued at N190 million to support these facilities. 

“Additionally, CLM-informed advocacy on malaria prevention through environmental management led to the institutionalization of monthly environmental sanitation in the state.

In Katsina State, Ipinmoye said that CLM data highlighted human resource gaps in health facilities. Advocacy by the State Advocacy Team (SAT, leading to the ongoing recruitment of health workers across all 23 LGAs

For Taraba State, he said the CLM data revealed commodity stock-outs, prompting advocacy that led to the supply of TB sputum cups and HIV testing kits to selected primary healthcare centers in Mutum Biyu and Manya.