ASWHAN serves as the central body of all support groups of women living with HIV in Nigeria. At the apex of ASWHAN organogram is the Delegates Assembly which comprises delegates from the 36 state chapters of ASWHAN and the Federal Capital Teerritory. The Delegates Assembly meets once every three years and takes all major decisions on behalf of the organization, for example, admission of new members into the Board of Trustee, amendment of the constitution, election of new management board and zonal officials, etc.   Next to the Delegates Assembly is the Board of Trustees (BOT) which plays advisory role for the organization’s management.  Next to the Board of Trustees is the management board which comprises of all national officials of the organization.  The national officials are elected at the Delegates Assembly for a term of three years.  The management board coordinates all the activities of the Network, including resource mobilization, approval of policies, workplans, programmes, budgets, timelines and disciplinary matters.

The National Secretariat is responsible for the day-to-day management of the organization, including project design, development, implementation, monitoring and evaluation The Secretariat comprises of a team of programme and administrative staff, and is headed by the National Coordinator. Apart from the National Coordinator who heads the national secretariat of ASWHAN, there are also Zonal Coordinators and Secretaries in six geopolitical zones in Nigeria who coordinate State Chapters of ASWHAN in their respective zones. The State coordinators are responsible for coordination of activities of support groups in their respective states. The coordinators of support groups are responsible for implementation of activities at the community levels. Such decentralization of roles has made it easy for wider reach of ASWHAN activities and has reduced the workload of the national secretariat.