Call for PWUD-Led Community-Based Organisation for Implementation of Needle and Syringe Program (NSP), Harm Reduction and Support for Medication Assisted Treatment (MAT) in Borno State. at Leprosy and TB Relief Initiative Nigeria (LTR)

LTR NIGERIA: Call for PWUD-Led Community-Based Organisation for Implementation of Needle and Syringe Program (NSP), Harm Reduction and Support for Medication Assisted Treatment (MAT) in Borno State.

About LTR

The Leprosy and Tuberculosis Relief (LTR) Initiative Nigeria formerly NLR Nigeria is a non-governmental organization which has been working with Nigeria Government in promoting and supporting directly and indirectly the total eradication of Leprosy and Tuberculosis as well as their consequences in Nigeria.

LTR, through The Institute of Human Virology, Nigeria (IHVN) as Principal Recipient (PR) with funding from The Global Fund (GF), is implementing the Grant Cycle 7 (GC7) grant, a combined TB & HIV effort pivotal to transforming TB & HIV programs. Under the leadership and coordination of the National AIDS and STDs Control Programme (NASCP), the National TB and Leprosy Control Programme (NTBLCP), and the National Agency for the Control of AIDS (NACA), this project increases the identification of all forms of TB cases in the community and ensure prompt access to high-quality, patient-centred prevention and treatment through a Nationwide coverage of TB Public-Private Mix active TB case finding effort, and Community TB testing. The HIV component of the grant focuses community PMTCT in the 5 LTR’s implementation states: Adamawa, Borno, Gombe, Plateau and Yobe States.

LTR calls for expression of interest for PWUD-Led Community-Based Organisation for Implementation of Needle and Syringe Program (NSP), Harm Reduction and Support for Medication Assisted Treatment (MAT) in Borno State.

Background

People Who Use Drugs (PWUD) remain a key population disproportionately affected by HIV, viral hepatitis, tuberculosis, overdose, and other health and social vulnerabilities. Harm reduction interventions, including Needle and Syringe Programs (NSP) and Medication Assisted Treatment (MAT) are globally recommended evidence-based strategies for reducing HIV transmission, preventing overdose, and improving access to health services among PWUD.

In Nigeria, community-led and peer-driven interventions are critical to reaching hidden populations and ensuring trust, acceptability, and continuity of care. PWUD-led Community-Based Organizations' (CBOs) play an important role in delivering prevention services, facilitating linkage to care, and supporting treatment adherence.

These Terms of Reference outline the engagement of a PWUD-led CBO to implement NSP services, comprehensive harm-reduction interventions, and support linkage to and adherence to MAT services in designated communities.

General Objective

To reduce HIV, viral hepatitis transmission, and overdose risks among PWUD through community-led harm reduction interventions.

Key Deliverables

The CBO will be expected to carry out:

• Functional community-based NSP service points.
• Monthly outreach reports and program data.
• Documented PWUD referrals to MAT and health services.
• Evidence of commodity distribution and utilization tracking.
• Community engagement and advocacy reports.

Eligibility Criteria

To qualify for engagement, the CBO must meet the following criteria:

• Organisational Requirements
• Must be a registered Community Based Organisation with appropriate legal status.
• Must demonstrate PWUD leadership or strong representation of PWUD in governance or program implementation.
• Minimum 2 years of experience implementing community-based health or harm reduction programs.
• Demonstrated experience working with Key Populations, particularly PWUD.
• Evidence of implementing or supporting:
• HIV prevention services
• Ability to mobilize and manage peer outreach workers.
• Experience in community mapping and hotspot outreach.
• Ability to maintain program records and submit regular reports.
• Willingness to comply with data protection and confidentiality standards.
• Ethical and Rights-Based Approach in Service Provision
• Respect for human rights and dignity of PWUD.
• Confidentiality of client information.
• Non-discriminatory service delivery.
• Gender-sensitive and inclusive programming
• The organization should have access to Peer outreach workers (preferably PWUD peers)
• Community mobilizers, Program coordinator, Monitoring and evaluation focal person
• Have presence in the target geographic location. 
• Demonstrate capacity to engage in hard-to-reach populations. 
• Has ability to collaborate with health facilities and MAT centres.

Duration of Engagement

The engagement will be for an initial period of 12 months, subject to performance review and funding availability.