Hiv Aids Nigeria

7/30/2019 Hiv Aids Nigeria

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HIV/AIDS IN NIGERIA

MR. S. A. ILEUMA

National Planning Commission

By


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Nigeria is the most populous country in Africa with

population of 140 million. It has diverse cultureswith 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 ActionCommittee on AIDS, [NACA], took up five year

after the first formal discovery of AIDS incident in

the country in 1986.

INTRODUCTION


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- 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 recordedat 4.4%.

- Estimated number of affected person in 2006 was 2.99

million with female constituting about 58%

SITUATION ANALYSIS


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[The prevalence rate of AIDS infection which stood at 5.8% in 2001, dropped to5.0% in 2003 and to 4.4% in 2005.]

1992 1994 1996 1999 2001 2003 2005

7

6

5

4

3

2

1

0

NATIONAL HIVPREVALENCE TREND

[1992 1995]

Percent

1.8

3.8

4.5

5.4

5.8

5

4.4


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NATIONAL ECONOMIC EMPOWERMENT ANDDEVELOPMENT STRATEGY (NEEDS)

2003 - 2007 PROJECTED HIV

NEEDS had projected that the HIV/AIDSprevalence rate would drop by 0.2% annually.

But the sentinel surveys in 2003 and 2005 show adecline 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. Thestrong 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 statementon 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

SACA

LACA

NACA and SACA collaborate to chart the way forward

National Agency for the Control of AIDS

States Agency for the Control of AIDS

Local Agency for the Control of AIDS


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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 livingwith HIV/AIDS. This is a top priority to Nigeria Government.

To break down barriers to HIV prevention and supportcommunity based responses.


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There is also the HIV/AIDs workplace policy which is

expected to be domesticated by every establishment (Publicand Private)

Monitoring and evaluation to be a vital component of

HIV/AIDS prevalence activities.

The Role of NACA [Contd.]


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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, provideequitable 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 [Contd.]

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 capacitybuilding.

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 laboratorymonitoring 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 capacitybuilding and technical personnel.

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