1.6 million Nigerians on HIV treatment – NACA

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The National Agency for the Control of AIDS has said that out of the 1.9 million Nigerians with the human immunodeficiency virus, 1,619,133 are reportedly receiving treatment.

At a news conference held on Thursday in Abuja in honor of World AIDS Day with the theme “Equalize to eliminate AIDS: Equal access to treatment and prevention services,” NACA Director General Dr. Gambo Aliyu announced this.

By reducing, economic, social, cultural, and legal barriers to HIV prevention services across population groups that are vulnerable to HIV, Dr. Aliyu said this year’s WAD intends to promote equal access across the population that is marginalized among vulnerable and critical affected population groups.

HIV attacks the body’s defenses. If HIV is not treated, it can cause AIDS, an immune system disorder.

Every year on December 1st, the WAD is observed to enhance awareness, remember the deceased, and recognize achievements including better access to treatment and prevention programs.

Aliyu said, “Nigeria’s success story is evident from the significant dip in the HIV prevalence of 3.4 per cent in 2017 to a population-based prevalence of 1.3 per cent in 2018.

“As of the end of September 2022, we have 1,619,133 persons on treatment, which represents a significant leap when compared to 838,020 persons in 2017. Our treatment sites have increased from 251 in 2007 to 2,262 in 2020.

“New HIV infections gradually declined from 103,404 in 2019 to 92,323 in 2021. There has also been significant growth in key population treatment centres from 10 sites in 2017 with a coverage of 16,147 to 118 in 2021 with coverage of over 221,010 individuals.”

He added that the pre-COVID-19 molecular laboratory testing sites were 27 but it is now done in over 100 molecular testing sites where the virus can be monitored for prevention and treatment purposes.

“Through our Alignment 2.0, HIV prevention and treatment is shifting ownership to states while guaranteeing continued partnership and support from donors.

“The launch of the N62bn Trust Fund of Nigeria constitutes a further step towards sustained country-level funding and ownership of the national response.

“As we sustain the epidemic control achieved thus far, more focus will be directed at ensuring increased availability, quality, and suitability of services, for HIV treatment, testing, and prevention, so that everyone is well-served.

“Access to prevention, treatment, care, and support services will be intensified for hard-to-reach populations especially those communities circumscribed by conflict,” he noted.

Dr. Akudo Ikpeazu, the National Coordinator of the Federal Ministry of Health’s National AIDS, Sexually Transmitted Infections Control, and Hepatitis Programme, said addressing inequalities that stand in the way of putting an end to the epidemic is necessary.

She said, “Today, we have 90 per cent of people living with HIV who know their status, we also have 98 per cent of those who know their status on HIV treatment and 95 per cent of those on treatment who have achieved viral suppression.

“Despite the availability of free treatment services as of today, we still have an unacceptable number of children less than 15 years living with HIV who are difficult to find and place on treatment. For children, unlike what we have for adults, we have the same statistics, 34 per cent (of people living with HIV who know their status), 100 per cent of those who know who are on treatment, and 81 per cent of those who have achieved viral suppression.

“We need to equalize access to essential services, particularly for children, pregnant women, key population, and their partners. To do this, we must in a consistent manner, address and remove all structural barriers that impact negatively on access to services.

“Some of the specific strides we have made this year in addressing these issues around access include prevention of mother-to-child transmission mapping to identify all places where pregnant women get delivery services to find the HIV pregnant positive women.

“Based on the findings, we are working towards expanding the point of service from the current 6,000 to about 40,000 locations across the 36 states and the FCT. Our aim is to find all pregnant women to test all of them to ensure that all who are positive are placed on treatment and ensure that we can report on every mother who has been tested and placed on treatment.”

Additionally, due to testing, treatment, and the ability to live a normal life, Dr. Leo Zekeng, the UNAIDS Country Director, stated that worldwide, new HIV infections have fallen by around 32% and AIDS-related death has decreased by about 52%.

“We are here today to remind ourselves that AIDS is still an unfinished business. As of last year, 36 million people died because of AIDS and we still have 38 million adults and children living with HIV/AIDS. So, it is unfinished business,” Zekeng noted.

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