Tolvea Harm Reduction Initiative — Nigeria

Health care that meets people where they are.

Tolvea is a community-based initiative reducing the harms of substance use and expanding access to HIV, TB, and hepatitis prevention — through outreach, referral, and advocacy that never asks someone to prove they deserve care.

2026
Founded, Nigeria
4
Pathways of change
0 →
Judgment, as a precondition for care
A Nigeria where people who use drugs live free from HIV, TB, viral hepatitis, and preventable harm — with dignified, judgment-free access to care.
Our vision
What we do

Four pathways, one goal

Each pathway reinforces the others — outreach builds trust, trust enables referral, referral generates evidence, and evidence shapes policy.

01

Direct Service

Community outreach, peer education, and linkage to HIV, TB, and hepatitis testing and overdose prevention.

02

Capacity Building

Training peer educators and community health volunteers to sustain outreach locally.

03

Partnerships

Formal referral pathways with health facilities and treatment sites, closing the gap between risk and care.

04

Advocacy

Turning programme evidence into support for public-health-first policy, not punitive control.

Who we serve

Populations too often left out of the system

01

People who use drugs

02

People who inject drugs

03

Sex workers & their clients

04

Young people at high risk

Our approach

Why harm reduction works

Get involved

This work only happens community by community.

Whether you're a health facility looking to build a referral pathway, a funder aligned with evidence-based public health, or someone who wants to volunteer as a peer educator — we'd like to hear from you.

Based inIlorin, Kwara State, Nigeria
ScopeNational — expanding regionally
RegistrationIncorporated Trustees (in progress)