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HIV/AIDS IN NIGERIA

By

MR. S. A. ILEUMA
National Planning
Commission
1
INTRODUCTI
ON

Nigeria is the most populous country in Africa with


population of 140 million. It has diverse cultures
with very high level of illiteracy compounded with
some other inhibitions such as paucity of basic
social needs including water, electricity and indeed
several others. Against all these National Action
Committee on AIDS, [NACA], took up five year
after the first formal discovery of AIDS incident in
the country in 1986.

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SITUATION
ANALYSIS
- Prevalence of HIV/AIDS was discovered in 1986.

- Since then the prevalence rate has been increasing in


Nigeria.

- It increased from 1.6% to 5.8% in the period between 1991


to 2001. Until 2005 when the first downward was recorded
at 4.4%.

- Estimated number of affected person in 2006 was 2.99


million with female constituting about 58%
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NATIONAL HIV PREVALENCE
TREND
[1992 – 1995]
7
5.
6
5. 8 5
5 4
4. 4.
4 3. 5 4
Perc
ent

8
3
1.
2
8
1
0 1992 1994 1996 1999 2001 2003 2005

[The prevalence rate of AIDS infection which stood at 5.8% in 2001, dropped to
5.0% in 2003 and to 4.4% in 2005.]

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NATIONAL ECONOMIC
EMPOWERMENT AND DEVELOPMENT
STRATEGY (NEEDS)
2003 - 2007 PROJECTED HIV

 NEEDS had projected that the HIV/AIDS


prevalence rate would drop by 0.2% annually.

 But the sentinel surveys in 2003 and 2005 show a


decline of 0.3 per cent in the prevalence rate.

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GOVERNMENT EFFORTS AT
REDUCING
HIV/AIDS IN THE COUNTRY

The Nigeria Government set-up NACA in 1996. By 2001 it had become


clear that the complexity of the HIV/AIDS epidemic required a
developmental, holistic, coordinated and multi-sectoral approach. The
strong political commitment of the President of Nigeria to fight HIV/AIDS
served as a powerful catalyst and motivator for establishing a
supraministerial and sectoral body, the National Agency for the
Control of AIDS (NACA). A national policy on HIV/AIDS was launched
in August 2002 to give policy direction and to make a policy statement
on the transformation of NACA from a Committee to a full-fledged
agency that is well positioned and poised to scale up the fight against
the epidemic. In 2001, with the passage of NACA bill by the National
Assembly, NACA is now self accounting.

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GOVERNMENT INSTITUTIONS
RESPONSIBLE FOR HIV CONTROL
IN NIGERIA
NACA National Agency for the Control of AIDS

SACA States Agency for the Control of AIDS

LACA Local Agency for the Control of AIDS

NACA and SACA collaborate to chart the way forward

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ROLES OF NACA

 To contain the spread of HIV/AIDS through advocacy,


information and education campaigns.

 It also focuses on the treatment and care for people living with
HIV/AIDS. This is a top priority to Nigeria Government.

 To break down barriers to HIV prevention and support


community based responses.

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The Role of NACA [Cont’d.]

 There is also the HIV/AIDs workplace policy which is expected


to be domesticated by every establishment (Public and Private)

 Monitoring and evaluation to be a vital component of HIV/AIDS


prevalence activities.

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KEY ISSUES AND
CHALLENGES

The major challenges confronting the country in combating the


spread of HIV/AIDS include:-

 Capacity gaps for effective implementation and coordination in all sectors


and at all levels.
 Inadequacy of strategic information that could permit interpretation of data.
 A weak legal and regulatory environment and poor coordination especially
among the national, state and local government NGO and private sector.
 Stigmatization and discrimination against those effected with HIV and AIDS
 Poor access to Anti-Retroviral Therapy [ARTs].
 Funding has continues to be a constraint in the fight against HIV/AIDS

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VISION

The long term vision is not only to reduce the


incidences of HIV/AIDS to the barest minimum
but also to create an environment in which all
Nigerians will be able to live socially and
economically – productive lives free of diseases
and its effects.

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POLICY
THRUST

The overall goal of the NEEDS HIV/AIDS policy is to


control the spread of HIV/AIDS in Nigeria, provide
equitable care and support for those infected with
HIV/AIDS and mitigated its impact to the point –
where it is no longer of public health, social, or
economic concern. The policy aims to create an
environment in which all Nigerians will be able to
live socially and economically – productive lives free
of the disease and its effects.

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GOVERNMENT POLICY UNDER THE
NEEDS-2 PROGRAMME

 Improve its stewardship over policy formulation on HIV/AIDS, related


Legislations, regulations, resources, mobilization, coordination,
monitoring and evaluation.
 Reduce the disease burden attributable to HIV/AIDS and other
opportunistic infections.
 Improve physical and financial access to good quality HIV/AIDS
treatment, care and related health services.
 Ensure the mainstreaming of HIV/AIDS issues into every sector since
HIV/AIDS is more of a development issue than a health issue.
 Foster effective collaboration and partnership necessary for mitigating
the impact of HIV/AIDS.
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TARGET

In order to achieve the above policy thrust, the following target


are set:
 A reduction in HIV/AIDS incidence and prevalence by a minimum
of 25% by 2011.
 Provisions of preventions, care, treatment and support for all
PLWHAS (100 per cent of people needing Anti-Retroviral
Therapy [ART] by 2011.
 To have 95% of the general population make the appropriate
behavioural changes (safe sex, abstainance etc) through social
mobilization by 2011.
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Target
[Cont’d.]

 To increase by 50% access to comprehensive gender – sensitive


prevention, care, treatment and support services for the general
population, PLWAS and OVC by 2011.
 To strengthen national capacity for monitoring and evaluation of
HIV/AIDS response such that the national monitoring and
evaluation plan is 100% implemented by 2011.
 To build national capacity for research knowledge sharing,
acquisition and utilization of new HIV/AID technologies.
 To improve the policy environment that support safer sex
practice, reduces stigma, discrimination, promotes positive living
and right of women and general population, particularly PLWAS.
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THEMATIC AREAS FOR
HIV INTERVENTION
 Effective coordination, resource mobilization and capacity
building.
 Prevention of new infections and universal precaution.
 Psychosocial support and economic empowerment of OVC and
PLWHAS.
 Expansion of equitable access to art and reduction of laboratory
monitoring cost.
 Monitoring and evaluation
 Impact mitigation, care and support of OVC
 Enabling environment
 Research and new knowledge
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CONCLUSION

Nigeria appreciates the efforts of the


International Organisation, Developed countries
and NGOs at reducing the prevalence of
HIV/AIDS globally. However, more assistance is
still needed in the areas of advocacy capacity
building and technical personnel.

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