NAPHAM believes that in all issues that affect PLHIV, the PLHIV themselves need to be involved. This is in line with the Greater Involvement of People living with AIDS (GIPA) principle. Their involvement is key in decision making processes that include involvement in relevant structures such as Village Development Committees, Area Development Committees, Health Centre Advisory Committees, and District AIDS Coordinating Committees. However, their involvement is most often compromised due to stigma and discrimination. NAPHAM empowers the PLHIV to engage authorities at national, district and community levels to address challenges PLHIV face.
Access to health care services remains very crucial in the life of a PLHIV just like any other citizen. PLHIV go to the health facilities to access ARVs, Viral Load testing apart from other general health care services. In the event pf poor service delivery, PLHIV suffer most. As such NAPHAM through the members, engages authorities at national, district and community levels to address challenges relating to poor access of health services. This is mostly done through the Community Score Cards and interface meetings. NAPHAM has Support Group Leaders Committees at every district level to support such engagements.