OneImpact Nigeria CLM Pilot & Implementation
A national digital community-led monitoring initiative enabling TB-affected communities to report service barriers, improve accountability, and strengthen tuberculosis prevention and care in Nigeria.
Implementation at a glance
We deployed the OneImpact Community-Led Monitoring (CLM) platform across Lagos and the Federal Capital Territory, with pilot sites in Alimosho and Ajeromi LGAs. The implementation involved training community health workers and volunteers to use digital tools for health data collection and community monitoring, integrating local knowledge with technology-enabled accountability.
Through partnerships with the National TB Control Programme, state health agencies, and community organizations, we embedded the platform into existing health systems. This ensured sustainability and alignment with national priorities, while strengthening the capacity of communities to monitor health outcomes and hold stakeholders accountable for results.
Thematic Areas
Tuberculosis, community-led monitoring, digital health, human rights
Timeline
2021–2025
Geographic Scope
Lagos, FCT, 11 states scaled nationally
Our Role
Lead implementer, co-developer
Key Partners
NTBLCP, Lagos State TB Programme, Dure Technologies, TB People Nigeria, Lawyers Alert
Funding Support
Stop TB Partnership through UNOPS
The problem we set out to solve
Tuberculosis control in Nigeria has been constrained by weak accountability mechanisms, persistent stigma, and limited community feedback within health systems. People affected by TB frequently encounter service barriers including delayed diagnosis, gaps in household contact screening, drug stock-outs, stigma, and rights violations, with few structured pathways for escalation or resolution.
National strategies have recognised the importance of community engagement and preventive therapy, particularly for children and adolescents. However, prior to OneImpact Nigeria, community-generated data was not systematically captured or integrated into programme decision-making, limiting the ability of TB programmes to identify and address service gaps in real time.
Objectives
Five core objectives shaped our work
Community voice
Enable TB-affected individuals to safely report service barriers and rights violations.
Accountability systems
Strengthen community-led monitoring as a core accountability mechanism within TB programmes.
Prevention uptake
Improve uptake of TB preventive therapy, particularly among child household contacts.
Real-time response
Facilitate timely response by national and state TB authorities using community data.
Reduce stigma
Reduce stigma and human-rights-related barriers to TB services in target communities.
Implementation
How we moved from pilot to scale
Five years of deliberate action across communities and systems.
Platform
Deployed OneImpact CLM in Lagos and FCT
Pilot sites in Alimosho and Ajeromi LGAs tested the platform with real communities.
Scaled nationally across 11 states
Expansion followed successful pilot validation and government buy-in.
Integrated monitoring for accountability
Community-led monitoring embedded in health systems to strengthen accountability and equity.
Training
Trained healthcare workers and TB survivors
Training programmes built local capacity for sustained implementation.
Support
Established OneImpact TB support groups
Peer-led groups in Lagos State provided ongoing support and community accountability.
Impact
Scale and reach across Nigeria
The platform reached hundreds of thousands of people with actionable TB information and created pathways for communities to report and resolve service failures. Government adoption at national scale ensured the model would persist and expand beyond the initial pilot phase.
People reached annually
2,400+
Through volunteer-led health education and outreach
Healthcare workers & TB survivors engaged
100+
Capacity building & psychosocial support
Platform users onboarded
33,000+
Active community members across all states
Project gallery
Browse through images documenting OneImpact Nigeria’s implementation, community engagement, and institutional collaboration.
Innovation
Why this approach stands apart
OneImpact Nigeria operationalises community-led monitoring as a real-time accountability system rather than a retrospective reporting exercise. By centring TB-affected people as active contributors to programme data, the initiative strengthens trust, improves responsiveness, and embeds rights-based approaches into TB service delivery. The integration of OneImpact into national TB systems represents a shift from project-based monitoring to institutionalised community accountability.
Partners and stakeholders
This project succeeded through deliberate collaboration across government agencies, community organizations, and international partners committed to health system strengthening.
Sustainability
How change continues beyond the project
Based on demonstrated impact, OneImpact Nigeria has been endorsed as a best-practice CLM model and institutionalised within national TB response structures. Integration with the national TB toll-free number and inclusion of OneImpact access tools in routine patient workflows support long-term sustainability. With support from the Global Fund (GC7), OneImpact CLM is being scaled to 11 additional states, with further capacity building planned for monitoring and evaluation personnel.