Tag: HIV

  • Why rate of deaths from HIV is falling, by minister

    Why rate of deaths from HIV is falling, by minister

    Minister  of Health Prof Isaac Adewole has attributed the reduction in the number of Nigerians dying from HIV-related diseases to increased awareness of their HIV status and use of drugs.

    Adewole spoke at a Joint Stakeholders Summit on Drug Resistance Monitoring, Early Infant Diagnosis and Viral Load in Lagos.

    The event was organised by the National HIV/AIDS Control Programme (NASCP).

    Adewole said: “More people are getting to know their status and accessing HIV treatment and care; as a result, HIV-related deaths are being averted. However, there is still programmatic challenge, such as therapy adherence and retention in care with attending issues, such as HIV drug resistance, be it pre-ART or acquired among the different population groups.”

    On drug resistance, the minister, who was represented by Dr Sunday Aboje, the National Coordinator, National AIDs/STIs Control Programme, said since its inceptions the national HIV response programme, has witnessed significant improvement through commitment of the various stakeholders. “Studies have shown that the surveillance and early identification of these issues which necessitates prompt intervention is required to prevent the untold effect of HIV drug resistance,” he said.

    The minister said there were still challenges in the management of HIV, despite the commitment of the government and donor partners to achieving global targets.

    According to him, only about 8.9 per cent of infants born to HIV positive women were being tested. “This is due to difficulty with tracking babies of HIV positive mothers delivered outside public health facilities. So also are poor Dried Blood Spots (testing of infant blood samples), viral load testing sample logistic systems and weak mentorship and supportive supervision at the health facility levels, among others,” Adewole said.

    The minister said a well-coordinated programme which involved all major implementers would help solve the problems.

    “Surmounting these challenges would require improving the implementation of the programme that will ultimately serve as good practice for other countries,” he noted.

    Consultant Haematologist, Prof. Sulaiman Akanmu said regular monitoring of drug resistance mutations in the form of studies by institutions would help influence policies. He said: “The studies about drug resistance are important and any institution offering anti-retroviral therapy must expect that resistance will naturally evolve. We must anticipate it and put measures in place to ensure that we are able to contain it.”

    Akanmu said the research was important is because before a medic could treat a patient in some countries, he must put him on an anti-retroviral therapy and drug resistance testing to determine the type of drugs to adminster to him.

    “That is not feasible in our clime. We really need to give it a public approach system in the sense that we will have to find out what is the common form of resistance that occurs in our patients. We use the report of the resistance testing study to inform policy on what we should consider as first line drug, second line drug and how we should manage what we call third line regimen. That is the reason why you must be able to do drug resistance testing,” he said.

    Senior Virologist, Institute of Human Virology, Nigeria, Dr Nicaise Ndembi, said there was the need to design surveys to provide evidence-driven interventions.

    Ndembi, however, said the country lacked the data which showed the problem of resistance. “Basically, the concept is that if you have more exposure to anti-retroviral therapy, the virus will select resistant mutations. Thus, the reason we should worry as a nation is because the more we have people being placed on treatment, the more we have cases of more resistance. We need more research studies to know the magnitude of the problem,” he said.

    Consultant in Public Health, Prof. Phyllis Kanki identified high cost of laboratory test, lack of patience to attend to or give treatment to patients as some challenges facing HIV treatment.

    “All the laboratory tests have a certain cost, no waiving, the other challenge is even though the therapy works pretty well it is still life long treatment. So, you have to exercise huge patience and the healthcare system is not ready to support a patient for many years. Finally, is the patients’ compliance. Patients may have issues with taking the drugs, they may want to stop and that can be a problem for them,” she added.

  • High rate of suicide by People Living with HIV in Nigeria

    High rate of suicide by People Living with HIV in Nigeria

    The Institute of Human Virology Nigeria (IHVN) says there is high prevalence of depression, suicide and alcohol abuse among People Living with HIV (PLHIV) in Nigeria.

    This was contained in a statement issued by the Communication Manager, IHVN, Mr Dennis Mordi, on Tuesday in Abuja.

    It said this was part of the research finding conducted by the institute in collaboration with GEDE Foundation, an NGO.

    It explained that the research study showed that one out of three PLHIV experienced a major depressive episode in the past year.

    The statement also said that one out of 12 PLHIV engage in harmful alcohol use and three out of 100 PLHIV have attempted suicide.

    IHVN Director Clinical, Medical Services, Dr Ernest Ekong, said that 28 per cent of the 1187 interviewees had a major depressive episode, while seven per cent abused alcohol and two per cent were alcohol dependent, it said.

    The statement also quoted Ekong as saying that 14 per cent of those who participated in the study had thought of committing suicide in their life time.

    “This study shows that mental health issues are very common among our patients and we found out that alcohol use is very common especially among women,” he said.

    According to him, 14 per cent of those who participated in the study had thought of committing suicide in their life time.

    “This study shows that mental health issues are very common among our patients. We found out that alcohol use was very common especially among women,” he said.

    Ekong said that the research findings would be useful in influencing policy such as determining the extra care needed to help PLHIV.

    He said that the institute was working with GEDE Foundation to develop a monitoring tool that can be used in health facilities to identify and support patients going into depression.

    He further said that the partnership would enable necessary intervention through counseling.

    He also stressed the need for training of healthcare workers to meet the mental needs of PLHIV.

    According to the statement, participants were drawn from University of Abuja Teaching Hospital, Asokoro District Hospital and Garki Hospital, all in Abuja.

    It added that patients receiving second-line anti-retroviral drugs participated in the study.

    The Managing Director of GEDE Foundation, Mr John Minto, noted that the study was significant because over 1000 respondents were involved and globally recognised data collection and analytical tools were used.

    “’Existing studies have showed to be rather small in terms of respondent numbers,

    “and this has made it difficult for government and other agencies to extrapolate findings and to address the key issues related to mental health, screening, treatment and referral services at the community level,” he said.

    Minto said his foundation is working with the National Agency for the Control of AIDS (NACA) to ensure that mental illness was included in the country’s HIV and AIDS National Strategic Framework.

    “I am very confident that this will indeed be the case shortly,” he said. (NAN)

  • Grim facts as Kuje residents test for HIV

    Grim facts as Kuje residents test for HIV

    As residents of Kuje council were screened for HIV, it was revealed that out of 3.5m people living with the virus in the country, only 700,000 are on treatment. GBENGA OMOKHUNU reports

    It was a memorable day at the Kuje Area Council when residents gathered to be tested   free for HIV, and given drugs courtesy of AIDS Healthcare Foundation.

    The exercise was in commemoration of the 2016 Worlds AIDS Day.

    Many residents of Kuje, especially the rural ones, took the opportunity to get tested.

    The Clinical Coordinator of AIDS Healthcare Foundation, Abuja, Dr. Kema Onu expressed disappointment that out of 3.5 million persons living with HIV/AIDS in Nigeria, just about 700, 000 are on treatment.

    He said, “Worlds AIDS Day celebration has been on since 1988 December 1st. It is a forum where you can increase awareness. Prevention is what everybody is talking about and we want the world to know that for about 3.5 million persons living with HIV/AIDS in Nigeria just about 700,000 are on treatment and we feel that the 27per cent gap must be closed because if everybody is on treatment the risk of transmitting HIV/AIDS will be reduced significantly.

    “That is the viable prevention model. We are also seeing a very funny data where young women and girls…being the highest population of persons living with HIV/AIDS and we must domesticate the factors that are making these figures thrive. Young women and girls are the ones that are abused and they are the ones that are given out in early marriage against their will.

    “We are leaving the urban areas to the rural areas, we need to talk about HIV/AIDS and reach the underserved. People need to get HIV prevention services, everybody needs to keep the awareness on. Keeping the promise for those living with HIV/AIDS means taking their drugs. Everybody in the world has kept the silence promise to end the HIV/AIDS scourge.

    “To further enable this work, corruption must be stopped in government so as to channel the funds meant to end the HIV/AIDS scourge in the right way. Foreign donors should please increase their funding is this regard.”

    The Chairman of Kuje Area Council Abdullahi Galadima at the event said health is one of his major priority projects.

    He said the World AIDS Day will give all the opportunity to remove the fear of HIV/AIDS in the community.

    Galadima who was represented by the Vice Chairman of the council, Hon. Duda Tanko, said, “We all know that the first case of HIV was recorded in Nigeria in 1985. Ever since then, to 2014, the prevalence rate of HIV in Nigeria among sexually active adults stood at 3.17 percent. Before now people saw HIV infection as the end of the road and HIV was attached with a lot of discrimination and stigma. Many people died of HIV infection not because they have HIV; but because they were discriminated upon and stigmatised, they could not openly access HIV treatment and support.

    “Today the opportunity is here again for us to anchor and discuss extensively the scale up activities of HIV programme in Kuje Area Council and how we can leverage on that to achieve outstanding zero new infection, zero death due to HIV and zero discrimination.”

  • 512 new HIV cases in Borno IDPs’ camps

    512 new HIV cases in Borno IDPs’ camps

    •NSCDC deploys 240 to stop prostitution in camps

    Executive Secretary of Borno Agency for the Control of HIV/AIDS (BOSACA) Barkindo Saidu has said 512 new cases of the Human Immuno-Deficiency Virus (HIV) have been recorded in Internally Displaced Persons (IDPs) camps in the state.

    Saidu, who addressed reporters yesterday, said the cases were recorded after voluntary screening conducted in some IDPs’ camps.

    Of the 512 cases, two are children, he noted.

    “We are currently conducting voluntary HIV/AIDS screening in IDPs’ camps to determine the people’s status, especially those rescued from Boko Haram terrorists.

    “As at last week, we have recorded 512 positive cases, among which two are children.

    “Currently, 2.4 per cent of the state population are living with HIV/AIDS, which translates to 108,000 persons, going by the record of the National Population Commission.

    “But only a tiny portion of these people can access treatment because most anti-retroviral centres have closed.

    “Before the insurgency, we had 90 treatment centres in the state, but only 32 are functional today. The rest have been shut due to insurgency,” Saidu said.

    He called on the Federal Government and donor agencies to intervene in the situation.

    The Nigeria Security and Civil Defence Corps (NSCDC) in Benue State has deployed 240 officers in 16 IDPs camps to check prostitution.

    State Commandant Ibrahim Abdullahi, told the News Agency of Nigeria (NAN) yesterday, that “240 personnel were deployed in 16 IDPs camps in the state capital to check prostitution among the IDPs.

    “You will recall that the command raised the alarm, about five months ago, that some persons were taking advantage of the situation of the IDPs to engage them in prostitution.

    “When the alarm was raised, the ugly trend stopped, but I can tell you that they have now shifted their activities to the host communities, where they meet and do all sort of things without fear,” Abdullahi said.

  • Borno records 512 new HIV cases in IDPs’ camps

    Borno records 512 new HIV cases in IDPs’ camps

    Malam Barkindo Saidu, the Executive Secretary, Borno Agency for the Control of HIV/AIDS (BOSACA), says 512 new cases of HIV infections have been recorded in Internally Displaced Persons (IDPs) camps in the state.

    He spoke on Sunday in Maiduguri while briefing newsmen.

    Saidu said that the cases were recorded after voluntary screening in some IDPs’ camps in the state.
    He pointed out that two out of the 512 persons were children.
    “We are currently conducting voluntary screening on HIV/AIDS in IDPs’ camps across the state to determine the status of the people, especially those rescued from the Boko Haram terrorists.
    “As at last week, we have recorded 512 positive cases, among which two are children,” Saidu said.
    He said that the state had witnessed rising cases of the disease due largely to the Boko Haram terrorism.
    “Currently, 2.4 per cent of the population of the state are living with HIVand AIDS, which translates to 108,000 persons, going by the record of the National Population Commission.
    “But only a tiny portion of these people can access treatment because most anti retroviral centres have closed,” Saidu said.
    He explained that only 32 out of the 90 anti retroviral centres were still operational in the state.
    “Before the Boko Haram terrorism, we had 90 treatment centres across the state, but only 32 are still functional today.
    “The rest have been closed down due to the Boko Haram terrorism, ” Saidu said.
    He called on the Federal Government and donor agencies to intervene in the HIV and AIDS control in the state. (NAN)

  • HIV: Return of a pandemic

    HIV: Return of a pandemic

    It is official. The spread of the human immunodeficiency virus, HIV, is not declining; rather it is on the rise, the major reason being that those living with the virus are not ready to disclose their status for fear of stigma, and are therefore bearing in their strides, and endangering unsuspecting member of the public. Omolara Akintoye reports that achieving an HIV/AIDS free generation requires collective efforts

    I could not understand the look on their faces. Time after time, each of them would look at my medical reports and request to see the next person. The one would whisper, ‘Have you told her;’ and the other would say ‘no.’ At last, one of them took the letter to the doctor, who called me in and told me the damning news. ‘You are HIV positive.’”

    That was how Shola Umar, then a teenager and an indigene of Lagos, discovered his HIV status 14 years ago in 2002. As if that was not devastating enough, he was sent out of the house by his mum, the moment he broke the news to her. Even the nurses and doctors, who should know better, joined in the stigmatisation. Those were the days when the HIV story was still shrouded in lots of mystery and heavily dreaded; but one still expected succour from such informed quarters.

    It all began when he discovered that he was always falling sick. Umar lamented that he would have died because those that he expected support from, especially his mother, deserted him. “My mum said if it is HIV, then it is from my father; so she sent me out of her house. But in spite of all the turbulence, I resolved to live above the challenges and stigma.” He said.

    Umar was however not totally alone. His maternal grandfather, who is a medical doctor, encouraged him to be strong. “At a point, my grandfather inquired what I wanted to do for a living; I told him I wanted to be a health worker on HIV issues.”

    And that was how he began his advocacy work. He explained that he has been doing advocacy work ever since; moving from one area to the other to sensitise people, especially in the suburbs of Lagos.

    “We went to different places in Lagos, especially where those commercial sex workers reside, to sensitise, as well as screen people, so they could know their status.”

    Umar has done advocacy work with the Lagos University Teaching Hospital, LUTH and is presently working with the General Hospital, Lagos Island, where he has joined a support group.

    Olaoye, who is based in Oyo State, is another person living with HIV. He said, “I’ve been living with this virus since 1998 and here I am, still healthy. Even my wife and our last child have this virus. We’re all on drugs and no one will ever know that we are infected.”

    Olaoye however advised people living with the virus to abstain from alcohol and smoking of India hemp and cigarette, as this could be damaging to their immune system. He also urged people to check their status on time, so they could immediately start treatment; in case they’re positive. He enjoined them to also go for counselling, to manage the psychological effect of the discovery.

    Olaoye also urged the government to bring in experts in the field, to further notch up the standard of care and treatment in the country to meet international standards.

    In the vein, Amina (not real name) discovered her HIV status when she was age 15, but was lucky to get the right counseling and is today happily married to a husband who is also positive. The greater news however, is that they both have a kid, who is negative.

    Different stories abound about People Living with HIV/AIDS. The saddest part however is the recent unprecedented rise in the statistics of infected people in certain parts of the country. For instance, the Lagos State government recently revealed that a whopping 9, 572 people tested positive to the virus in the state between January and June this year alone. This is especially scary, as it seems the people have largely let down their guards. It is for this reason that the theme of this year’s World AIDS Day commemoration, Hands Up for HIV Prevention, becomes highly instructive.

    Umar however blames the reason for this unhealthy rise partly on the problem of stigmatisation. He said, “Though it (stigmatisation) has reduced as a result of sensitisation and awareness, it is still on and is preventing many people who test positive from coming forward to declare their status. This, no doubt, is making the virus to be on the rise, rather than decline.”

    He disclosed that people come into the hospital on a daily basis to know their status, with many testing positive on a daily basis.

    In an interview with the Acting Executive Secretary of the Nigerian Business Coalition Against AIDS (NIBUCCA), Gbenga Adeolu-Alabi, he spoke extensively about what the organisation has been doing in the last 13 years to curb the spread of the virus in the workplace. NIBUCCA, he said, is the business community’s response to the HIV/AIDS challenge in Nigeria and was established in 2003 during the administration of President Olusegun Obasanjo, when the HIV prevalence was high.

    He pointed out that “those that are actually affected by HIV/AIDS are the working class between 19-50 years of age. That was what gave birth to Nigeria Business Coalition Against AIDS (NIBUCCA). That is why government thought it wise to establish NIBUCCA to address HIV/AIDS in the workplace.”

    So far, Adeolu-Alabi said the experience as Executive Secretary of the body has been interesting and challenging. “Interesting in the sense that all the organisations are not on the same page,” he said.

    He said the organisation can either be multinationals, national or the Small and Medium Scale Enterprise (SMEs), depending on their turnover. For multinationals, he said there is little or no challenge, because there is HIV policy enshrined in their charter. For the nationals, he said, once the management keys into the agenda of addressing HIV/AIDS issues, there isn’t much problem. He however said the only one with problem, are the SMEs, which lack the technical know-how, and that NIBUCCA’s job is to educate them. Thankfully, he said some of them are keying into the agenda.

    Explaining the challenges, Adeolu-Alabi said he has been able to interact with three sets of people in the course of his work namely, the unaffected, the affected and the infected. To the unaffected, he said NIBUCCA provides necessary information. “Most Nigerians who are unaffected believe HIV/AIDS is not real, so we put together programmes to enable them see that the pandemic is real.”

    For the infected (People Living With the Virus), he said NIBUCCA encourages them to change their behaviour.  “We introduce human face to the virus, as well as preach hope to them. We also provide job opportunities for them. NIBUCCA takes care of wives and children of those with the virus, whom we call Orphan and Vulnerable Children (OVC). Failure to do this will encourage stigma, which will no doubt aid the spread the virus the more.”

    Speaking about stigma, Adeolu-Alabi said though it has reduced but it is still there. “As a result of stigma and discrimination, PLWHAs (People Living With HIV/AIDS) don’t want to declare their status. In Africa, our health challenges are shrouded in secrecy because of stigma and discrimination.”

    Like Umar, Adeolu-Alabi is of the opinion that stigmatisation aids the spread of the virus. “Once you are infected, UN Initiative says you are expected to commence treatment, but once you get to the health facility and people get to know, stigma sets in, making such persons to run away from accessing treatment.”

    He said failure to access treatment automatically increases the infection, as the viral load keeps increasing; while accessing treatment prevents new infections, as it suppresses the virus and one can have sex once it gets to an undetectable level.

    Another major issue, Adeolu-Alabi said, is funds. He revealed that many years back, Nigeria was getting funds from donors such as Global Fund, USAID, among others, which were used to institutionalise HIV/AIDS programmes, especially in the workplaces. But now that the fund is no more forthcoming, most of the SMEs are struggling.

    “To compound the economic issues, Nigeria is now in recession and experiencing economic meltdown, which is called ‘donor fatigue’. Most PLWHAs are no more enjoying easy access to treatment, as most of the ART (anti-retroviral therapy) drugs from donors are no more there and government is not able to provide enough resources to sustain those on treatment. “The only way out,” he pointed out, “is for us to look inward and source for means of sustaining the programme by increasing the tempo of our activities.

    “Also, there is need for the three arms of government to make available a substantial amount of resources to be used to address HIV and AIDS.”

     The Lagos State government for one is not resting on its oars, especially with the alarming statistics of nearly ten thousand new cases in the first half of 2016 alone. Aside risky sexual behaviours, there are so many other activities people engage in that may promote the spread of HIV. This includes harmful traditional practices such as female genital mutilation. Three types of female circumcision occur in Africa.

    According to Oyefunsho Orenuga, a medical expert with the Lagos State government, the most extreme, termed infibulations or pharaonic circumcision, involves partial closure of the vaginal orifice after excision of varying amount of tissue from the vulva. In its extreme form, all of the mons veneris, labia majora and minora, and clitoris are removed and the involved areas closed by means of sutures or thorns. After the operation, the thighs are strapped together for 4-8 weeks, with complete occlusion of the insertion of a matchstick or other wooden object.

    A more moderate form of female circumcision is excision, which involves the removal of the clitoris and part of the labia minora. The mildest form, sunna circumcision, is circumferential excision of the clitoral prepuce.

    Another practice, that involves female genital mutilation, is making “gishiri cuts”, which are incisions on the vaginal wall, and presumably serve the same purpose as female circumcision.

    “Indeed, most of these cuts are done with tools or instruments that are not sterilised, more so, when those involved in this cultural practice, are not informed about HIV and its transmission. These instruments are thus used repeatedly on numerous girls, thereby increasing the risk of blood-transmitted diseases, including HIV/AIDS. Thus, in a society where information and education on the use of sterilised tools or instruments seem inadequate, the resultant effect is usually an increase in transmission of diseases, such as tetanus, HIV and Ebola virus. This is so because female circumcision has been postulated to increase the likelihood of AIDS transmission via increased exposure to blood in the vaginal cana,” she said.

    Another harmful practice, which can also aid the transmission of HIV/AIDS, is the tattoo craze, which Nigerians, seem to have caught. Among those who have heard about HIV/AIDS, most (62.7% of the men and 37.3% of the women) believe that HIV/AIDS could be transmitted through the tattoo incision. But despite this, The Nation gathered that most people are still willing to adorn the tattoos and allow their wards wear them.

    In tandem with the foregoing facts, Mrs. Orenuga is of the opinion that practices involving the use of shared instruments (injection of medicines, ritual scarification, group circumcision, genital tattooing, oral tattooing, other body tattooing, tribal markings and shaving of body hair with unsterilised blades) lead to HIV/AIDS transmission.

    Similarly, almost all (97.8%) of the women said they like their tattoos. But the question is how safe are the instruments being used for the process?

    Okanlawon, who resides in Bariga, Lagos and is into the business of tattoo, however said he has being sensitised by the Lagos State government on the usage of sterilised instruments and has therefore been using sterilised instruments ever since.

    But Mohammed, a nail cutter, who resides in Katangwa area of Agabado/Ijaye Local Government Area of Lagos, said he does not know anything about sterilisation of instruments. By implication, Mohammed is one of the uninformed people busy spreading the virus through ignorance.

    We’re committed to eradicating HIV by 2030  LSACA boss

    Speaking on its efforts to curb the HIV spread, the Chief Executive Officer, Lagos State AIDS Control Agency, LSACA, Dr. Oluseyi Temowo said the agency has mobilised its HCT trucks to all the nooks and crannies of the state to conduct free HIV Counselling and Testing. This, he said, would enable every Lagos resident to be aware of their health status.

    Access to HCT, Temowo said, would allow individuals to know their status and take appropriate steps to prevent the transmission to other people. The state, he said, also mobilises health officials, who go round the state to places like markets, garages, brothels and other such areas, where people engage in risky behaviours; to sensitise them as well as screen them to help them know their status.

    “For those that are positive,” he said, “this would also stop the progression to AIDS through lifestyle modification and health-seeking behaviours.”

    This, he said, is geared towards achieving the eradication of the virus by 2030. He said, “Achieving an AIDS-free generation requires collective efforts. This is why we are calling on government at all levels, individuals and organisations, to join us in this quest to make Lagos State an HIV Free Zone.

    Temowo therefore urged residents to visit all government hospitals within their areas, to access free HCT, even as HCT trucks continue to move around to reach other areas for this purpose.

    On how the recession is effecting people living with the virus, Temowo said “The Anti Retroviral drugs is free in Lagos, the CD4 count is free, the test in Hospitals like Yaba and Lagos State Teaching Hospitals are free; but for other hospitals and private hospitals, the test is not free.”

    He enjoined people living with the virus to patronise hospitals where the test is free. He also revealed that “Lagos State government still hopes to install more machines in other government hospitals, so that it can be free in all government hospitals.”

    Speaking on the “Hands Up for HIV Prevention’ theme for this year, Temowo said, it is a wake-up call for all, as well as to honour those that have died from the virus and focus on issues surrounding HIV and AIDS.”

    He said this is an indication that people are raising up their hands by going for HIV test, condom usage, eradication of female genital mutilation and reduction of harmful practices, voluntary medical male circumcision, prevention of mother-to-child transmission, counselling and testing among others.

    Temowo disclosed that in 2015, a total number of 599, 560 people were counselled, tested and received results, out of which 15, 311 people were found to be positive.

    “This implies that 52, 803 people living with the scourge are currently on Anti Retrovirals (ART).

    These statistics, Temowo said, simply means that there are many more people who are not aware that they have the virus. He said this is why knowing one’s status is very important.

    “It is a common knowledge that an HIV positive person can be symptom free for 10 years and will continue to infect others, if not checked and treated.”

    He confirmed that no fewer than 9,579 people tested positive to HIV, of the 616,318 that attended the HIV Counselling and Testing (HCT) awareness programme between January to June, 2016, and reiterated that being HIV positive does not translate to death with, appropriate medications.

    Temowo concluded that achieving HIV/AIDS free generation requires collective efforts, stressing that this is why LSACA is calling on government at all levels, individuals and organisations to join in the quest to make Lagos State an HIV Free Zone and meet the 2030 target.

  • World AIDS Day: Hands up for HIV prevention

    SIR: The first world AIDS day was held in 1988 after health ministers from around the world met in London and agreed to such a day as a way of highlighting the enormity of the AIDS pandemic and nation’s responsibility to ensure universal treatment, care and support for people living with HIV and AIDS.

    The idea was conceived in 1987 by two public information officers, James W. Bunn and Thomas Netter, who were workers of the WHO’s global programme on AIDS but the final approval was given by Dr Jonathan Mann ,former head of the Global programme on AIDS but now known as UNAIDS . It is observed annually on December 1. It is recognized by United Nations and all her affiliate international organisations and member countries.

    The theme for this year is ‘Hands Up For HIV Prevention’.

    In Nigeria, UNAIDS reports that about 60,000 babies are born with HIV annually .The figure has remained unchanged since 2009 and Nigeria remains the highest contributor of children acquiring HIV. The USA Consul-General reports that about 600,000 Nigerians on Anti-Retroviral medications.

    As of 2013, AIDS has killed more than 36 million people worldwide (1981-2012), and an estimated 35.3 million people are living with HIV, making it one of the most important global public health issues in recorded history. Despite recent improved access to antiretroviral treatments in many regions of the world, the AIDS epidemic claims an estimated 2 million lives each year, of which about 270,000 are children.

    The National Agency for the Control of Aids (NACA) should map out strategies to go to our rural settings to enlighten the masses because many people in those settings are still naive of this deadly virus. NACA can as well go to secondary schools in order to enlighten the fledgling students there and sex education can also be included in our academic curricula.

    People should be enlightened on the ways of transmission of the virus and how to avoid them through safe sexual and good hospital practices, Safe antenatal and postnatal care, proper use of uncontaminated sharp objects/instruments and safe disposal of contaminated objects etc. The governments, at the federal, state and local government levels, need to do more in ensuring that not only the ART drugs but also other tests and services are rendered free to the HIV patients. In some settings, some of them are mandated to pay for laboratory services hence those that don’t have the money for the tests may not be able access full medical treatment.

    If Nigeria is truly the Africa’s largest economy, we don’t need to overemphasise on the need for all services and treatments to be rendered free to the victims of HIV infections. Legislation can be enacted to ensure that multinational companies contribute a particular percentage of their income to the HIV campaign. All forms of discrimination against people living with the virus must be stopped.

     

    • Dr Paul John,

    Port Harcourt, Rivers State.

  • LSACA trains Tbas on Hiv transmission in expectant mothers

    The Lagos State AIDS Control Agency (LSACA) has commenced the training of Traditional Birth Attendants (TBAs) in the five divisions of the state in Ikeja.

    Its Chief Executive Officer, Dr. Oluseyi Temowo, said the aim was to sensitise the birth attendants on the 90-90-90 initiative and Prevention of Mother-to-Child Transmission (PMTCT) of HIV, Service Linkages and Universal Precautions programmes.

    The agency, he said, would boost its implementation strategies to achieve the initiatives’ objectives to ensure that those tested would access anti-retroviral treatment, thereby reducing the exposure to HIV. As a result, he said, the state would reduce and, ultimately, eradicate the disease by 2030.

    The LSACA added that the TBAs and their clients form part of the key target population that are important to HIV response in the state. He urged them to observe the precautions by washing their hands regularly before and after attending to their clients.

    Specifically, Temowo told them to maintain a cleaner environment where they are attending to clients.

    He said the provision of PMTCT services by care providers outside the hospital would assist in the agency in the HIV response, noting that PMTCT occurs during pregnancy, labour or delivery and breastfeeding.

  • Nigerian women farmers take to Kilimanjaro

    Nigerian women farmers take to Kilimanjaro

    Nigerian rural women farmers joined over 300 other women all over Africa to climb Mount Kilimanjaro in Tanzania in demand for a just and equitable distribution of farm lands in Africa. Assistant Editor, Seun Akioye who joined the women at the foot of Mount Kilimanjaro reports.

    There is something disturbing about the eyes of Anne Ambayi anytime she talks about her difficult life in Nyanza province of Kenya. Even though, Anne narrates a biter experience, there was nothing in her eyes that speaks of her true feelings. There was no bitterness in her eyes, neither was there forgiveness.

    The story of Anne’s struggle with the culture of the Luo people of Nyanza province began in the year 2000 when her husband Steven Ambayi died. It was not his death that crashed her life but that he died of the dreaded Acquired Immune Deficiency Syndrome (HIV/AIDS).

    Anne tested positive too. But it was not contracting the disease that became her immediate problem and struggle; it was the fight against one of the most entrenched cultures in Africa: The inheritance culture.

    “I have not been inherited,” Anne said with an expression that was difficult to decipher. “A widow has no right to own any farm or plant anything until she has been inherited, at the death of your husband, you must take a man to have sexual relationship with you. For you to be able to plant in the Shamba (land) there must be a man who will be having sex with you even though you don’t marry him.

    “Especially when you want to plant, harvest, that is the culture. My husband died in 2000 and I have not been inherited because of HIV Aids. That time it was very much affecting people, my husband died of HIV Aids and I felt that maybe I am positive and I will infect a man, I decided to go for a test and I decided to stay like that. From that time I have been living alone with my kids, been without a man has brought a lot of trouble in my life.”

    Anne’s problems were compounded because she had no male child, her three female children also stands disinherited and the only way to feed her family is to allow a man turn her into a sex slave so she could  have access to land, to plant, and to harvest. “That is the culture of the Luo people,” she said.

    After the death of her husband, her in-laws insisted on her being “inherited”, her refusal made them come to eject her forcefully from the Shamba. “One morning they came, with knives and cutlass, I didn’t know what to do so I gathered my three children and we started shouting, we were screaming so the community came, people prevailed over them and they left us. For one year, I didn’t farm, my children were without food, I was washing clothes to survive,” she said and for the first time, her eyes revealed a weakness. She smiled.

    The second year, hunger drove her back to the Shamba and she started planting, groundnut, millet and vegetables. “ I thought they would kill me, I was ready for anything, but when they saw me on the land, they just left me alone,” she said with another smile, it was a smile of victory.

     

    African culture disinherits women farmers

    Over 300 African rural farmers including Ambayi came together in Arusha, Tanzania to press African governments into action on social and cultural factors, land laws and policies that disinherits rural African women from owing lands to farm.  The conference, “Women To Kilimanjaro” was organized by Actionaid, an international nongovernmental organization which supports social changes in societies. Actionaid is supported by the African Union, Oxfam, International Land Coalition (ILC) and Institute for Poverty, Land and Agrarian Studies (IPLAS).

    Barbara Olaunyama
    Barbara Olaunyama

    The Women  To  Kilimanjaro Initiative was conceived in 2012 and it was aimed at  creating a space for rural women to participate in decision making on  matters dear to them. One of these is the issue of access and ownership of land in Africa.

    The Initiative also involved climbing Mount Kilimanjaro. Standing at 5,888metres or 19,341 ft above sea level (2014 measurement), it is the highest peak in Africa. The farmers would take some of the key demands of the women assembly up to Uhuru, the highest peak of Kilimanjaro.

    Some of the key demands include: Full implementation of the African Union Guiding Principles on large scale land based investment and Tenure Guidelines on land, ensuring free, prior and informed consent  for all communities affected by land transfers, review public policies and projects that incentivize land grabbing and support policies that prioritize the needs of women small scale food producers.

    Other demands are: Regulate businesses involved in land deals so that they are fully accountable for respecting human rights, tenure rights and environmental, social and labour standards, strengthen the Africa Land Policy Centre resource capacity and enact and enforce laws that secure participation and representation of women in decision making in land and natural resource governance.

      The issues of land ownership and access have been paramount in rural sub-Saharan communities. Though there is no reliable statistics, but it is estimated that women own less than 20 percent of the lands in Africa. Also, the percentages of ownership and access differ from each region and country.  According to some statistics, women represent between 60 and 80 percent of the agricultural labour force, and play an increasingly important role in Natural Resource Management and food production.

    The women also depended on a variety of international charters and conventions which many of the African countries have signed and ratified. Some of these include the Maputo Declaration, The Convention on the Elimination of All Forms of Discrimination against Women (CEDAW), The Beijing Express Declaration, the Sustainable Development Goals (SDG), the African Charter on Human and People’s Right, International Covenant on  Social Economic and Cultural Rights (ICESCR),  Declaration of the International Conference on Agrarian Reform and Rural Development (DICAFRRD).

    While many African countries including Nigeria have signed and ratified these conventions, rural farmers in Africa still faces increasing discrimination based on customary traditions which relegates women in decision making and inheritance.

    The Kilimanjaro Initiative noted that customary regimes are largely responsible for land tenure in sub Saharan Africa, in countries where legal framework exist, men rely on traditional customs to continue to discriminate against women ownership of land especially through inheritance.

    HIV/AIDs, Land Grabbing, land privatization are also factors espoused for the discrimination on land ownership. This was the case of Ambayi.

    “I am not following the culture ,they ostracized me because I have not cleansed myself, till now I have not cleansed myself so I stay like that. When anybody comes to me, I tell them I have not cleansed myself. The culture hinders us, if you are not inherited you stay without food, the government can stop these culture, how does it benefit the woman, it has made men to insult and take land from women, Ambayi said.

    Following her positive test for HIV, she joined a group of other positive widows to press for her rights. “I joined the group of women living positive, Power Positive, then there was no drug, we strengthen each other. It acts as pressure group. In Nyanza,  they say to us that we are positive and will soon die so we don’t need anything.  It is trouble, when your husband dies, we say cry with one eye and look at your property with the other because the in-laws will take it.”

    Our land is our life

    There are many heartbreaking stories coming out of Africa on women and access to land and these stories are supported by the brutal tradition and culture about the superiority of the male child. Take for instance in Nyanza province of Kenya where Anne Ambayi resides,  boys are the owners of the land. “ If you don’t have boys you cannot be given a land,” says Millicent Adhiambo, a woman’s right activist in Kenya.

    Adhiambo said land is the most important commodity in rural Kenya where most of the women depend on the farm for subsistence living. “ The rural women are suffering, if only they have access to land life will be better, the problem is traced to the grassroots where discriminatory cultures are still being enforced on land. Once a widow, the first thing that is taken away from you is the land, the widow who is the breadwinner has nothing to feed her family on,” Adhiambo said.

    But the culture of depriving women of land cuts across Africa, there is 58 years old widow Barbara Saunyama from Manicaland province in Zimbabwe. When her husband died in 1996, the family came for the family land.

    Barbara and her three children were thrown out, now 20 years after, through a corporative organisation organized by Actionaid, many widows were able to come together to buy land to farm. “ Now I can live happy and train my children in school,” she said. But in Manicaland, the land not only belongs to the man, the produce of the farms belongs to him too. “ The man can rent the land to the woman but whatever she produces goes to the man, the women work for the men, whatever money we make is given to them and mostly the men are not faithful that is why many rural women have committed suicide,” Barbara revealed.

    The story of 45 year-old Grace Mariwa from Sesheke Province in Zambia is not much different after her husband died leaving her with five children, her land was taken away by the community and she was left with nothing. “Women don’t have powers to get land in my province, only the men can get title deeds to land. Now, I have been given a land by the women’s group I belong to, whatever we make we share together, it is hardly enough but it is something,” Grace said.

    Across the continents, there are different layers of restrictions placed on women over land ownership, in some countries, women cannot buy land even if they are economically viable to do so while in others, land may be sold to women with money.

     The case of Ghana is however curious, according to Alia Mumuni, Programme Officer of Actionaid Ghana, in the Ashante region where the lineage is matrilineal, women are able to inherit and own lands but in the northern regions, women are not permitted even though, they may be sold some land if they have money.  Also, the power of land administration rests on the traditional rulers who ultimately use it against the women.

    .

    Voices of Nigeria’s women farmers

    Lovelyn Ejim Nnenna has been farming since she was old enough to carry the cutlass and hoes following her parents to the farm, so it was only natural that she would read crop science in tertiary institution and end up with a job in the farm.

    Today, she has six hectares of farm land with about two hectares going into rice farming. “ I make enough for my family at the end of the year, I have never borrowed money from the bank since I started farming because my husband supports me,” Nnenna said.

    Nnenna who resides in Enugu with her husband said there is access to land but no ownership, even though she owns her own farm, it has not always been so easy. “The farm I have is mine but I still push for others, I got the land from my father, the ones he bought and inherited, I am the only surviving child of my father so I inherited everything.

    “But the uncles were funny but God made it possible for me to suppress them. It was a real war, they came with guns and machetes inside my compound and it was not a joke, but people were there so they could not shoot, they wanted to chase me out of the farm,” she narrated.

    In her community, if a woman leases a land for farm and if the crops happen to yield in multiple fold, the owners of the land would demand the land back and replace it with an inferior land and production will drop.

    “ That is why we are canvasing for land ownership. What we are saying is not to buy land, I am a child, they will say I will go to my husband’s house, they will disinherit me in my father’s house, it is all over Nigeria. Our push is that every child born into a family has the right to inherit the land in that house.”

    Nnenna is not alone in this push for land ownership in Nigeria, in 2012 Actionaid Nigeria helped to organise the Nigerian small scale women farmers into a formidable organisation that would amplify the voice of the rural farmers.

    The organisation that was born, Smallholders Women Farmers Organisation in Nigeria (SWOFON) began to aggressively enlist rural women in its rank. By 2016, the group has at least 500,000 registered rural women farmers according to Nnenna who is the national secretary.

    SWOFON began an advocacy to improve the lives of women farmers especially regarding land allocation and ownership. They want a review of the land tenure system to enable smallholder women farmers own and control land, review customary land laws for women to inherit land for sustainability and government to allocate land to women farmers’ cooperative societies.

    Nnenna: “SWOFON is a big platform, we have up to 500,000 women in our register, small scale farmers, we want to see that the lowest woman in the community is respected with her farm activities. We have contributed to the economy,  but these women are in the remote areas, they get nothing from the government.”

    One of the women who didn’t get anything from the government or family is Otiunya Regina from Afikpo Ebonyi state. In her community, the men own the land and it doesn’t matter if you have a male child, the woman would still be disinherited.  “In my community, they own land by the kinsmen, women don’t own land in Ebonyi state, land is not for us as women. You can buy land though; but if your husband dies they will stop giving you land even if you have 100 boys. I am telling you the truth. I and my husband bought the land I am planting, we are planting cassava, my brother has so many hectares of land and he even promised to give me five hectares.”

    But her case is not isolated. Okoye Georgina has a two hectare farmland in Agwu, Enugu state where she plants only food crops even though her desire is for the big time cash crop farming. “ I am an accountant by training, after school I could not get a job so I decided to go into farming,” Okoye said.

    Unlike many of the women, Okoye married a man who “hates farming”. But her husband has come around after years of planting. Okoye said she is not rich and barely makes enough for her family. “ It is very annoying, we women are just like a visitor in our own land, the woman has no right to own a land only the male child does,” she said.

    Okoye’s mother suffered the same fate, disinherited after the death of her father, she labored to train all her five children both males and females. Today, Okoye’s two hectare farm was leased from her brothers and she paid a “certain amount to them.”

    “ I cannot plant cash crop on their land, I am the one farming on the land and when they are discussing about it I cannot be there. If I have anything to say I will have to beg my own younger brother, the one I trained to help me put my case forward to my other brothers, it is very frustrating and annoying.”

    There is a little dimension to it from the northern part of Nigeria. Hannatu Soni, from Kaduna state says in many parts of the north where the traditional values hold sway, women can only own land on conditions. Soni owns two farms, one was  given to her by her husband and the other leased from family.

    “If you want  to enjoy anything from your late husband, you either agree to marry from his family or you forfeit  your inheritance.  You may be given something small from the properties but when it comes to farmland, they don’t believe a woman can inherit farmland.

    “Most women either rent or benefit from their husbands farm, if they are widows, they may be given a farm that is not fertile, so when she invests all she has and tried to revive the land, you find  that in the coming years they will take the land from her. You hardly benefit from land inheritance, “ she said.

    In the Niger Delta, the situation is the same. Mrs. Esther Grace, a smallholder farmer from Delta State who struggles with unprofitable farm said women do not inherit land in her culture. “ In our own area, women can’t inherit a land from the parents but you can buy the land for yourself, if you don’t have money that means no land. I have three acres and my major crop is cassava.”

    Sarah Yapwa is currently the President of SWOFON and the wife of a preacher. She has two hectares of maize and beans farmland in Billinri community, Gombe state. One of her farms belongs to her husband and the other was bought. She has been fortunate to have an understanding husband who allowed her ownership of land. But it has not always been so. She was disinherited from her father’s land by her own brothers.

    “ In the northern part of  Nigeria in the Muslim community the wife has right to land but  in the Christian community, the girl child is supposed to have land  according to the Bible but our men decided to use tradition because it favours them, the tradition says the land belongs to the man. This is wrong, when God created Adam and put in the garden and Eve too He put in the garden not that Adam should come and carry Eve into the garden.

    “We are crying that the men should give us our land, it belongs to the men and women, we should have equal land, we are indigenes of the land, this is our Garden of Eden. The big issue is inheritance and there are communities where even if you have the money as a woman they will not sell land to you. There are communities in the East and North. Your brother or husband must come with you before they sell the land to you, this is annoying, it is wrong,” Yapwa said.

     She cries against the culture of disinheriting women: “The woman has no inheritance, the culture and society are against her having land, as a father, your daughter will not inherit you, as a wife you cannot inherit your husband. In some places if you have a son, they will give him his portion and the mother can farm on the son’s farm. But in some communities, they will tell you to come and marry your husband’s brother before you can farm on the land.

    “That should not be so, the woman should be allowed to choose the man she wants to marry if she wants to marry again, that is why most women are frustrated and go into prostitution. I have seen some of them prostituting themselves because they cannot inherit their father or husband.”

    Yapwa believes without smallholder farmers, the economy of Africa would have collapsed. “Without the small scale farmers feeding Nigeria the economy of Africa will collapse,  the beans, the millet, the vegetables that we eat are from these women. So only if government will do away with these foreign investors who will collect the land with the support of the government, and the women becomes labourer on our own land. It happens in Kogi.

    “The money the government is investing into new alliance and investors, they should put it in SWOFON, give us the big land and mechanization, we need the power tiller not the big tractors. We have access some now that is why we are able to farm two hectares, we cannot do that with hoe.”

    But the Lagos state example is instructive, Chinasa Asonye, a former accountant who became a rice farmer and now manufacturer said the government through  Rice for Job initiative gave women land and grains and even helped them improve to mechanized farming.

    “We have started training the youths through the  Commercial Agricultural Development Project (CADP).  This year, they empowered me with a processing machine, I have the processing unit, storage and drying. My rice farm is about six hectares. But we have specialized, I am fully into processing, we are classified now as off takers, we go and buy off the rice, I go around the country to buy rice from the women,” Asonye said.

    Asonye believes that  if the government can empower local rice farmers, there will be no need for rice importation in Nigeria. “The problem is government has not empowered the local farmers, they need to give them milling machine and processing unit. In Ebonyi state, in one community, there is only one milling machine there,  if all women have my kind of processing unit, the rice we have can feed the whole nation.

     “We don’t import beans or yam, go to Kebbi, you will be stepping on rice in Yobe and Kebbi, they will be begging you to come and buy because after harvesting they cannot process,” she said.

    Ojobo Ode Atuluku, the Executive Director, Actionaid Nigeria believes the Kilimanjaro Initiative will send a message to Nigerian government: “Kilimanjaro is significant for Nigeria because when it comes to women’s land rights, Nigeria stands at the back of the queue , some laws  like the Land Use Act which has been a controversial document since 1978,under it women cannot get land, because only if you have the economic, political and able to traverse the labyrinth of the land allocation procedure that you are able to get a little piece of land.

    “ In traditional practices, women cannot own or inherit the land, families deprive women of land, there are a lot of complicated issues, the African Union leaders have made a commitment including the Nigerian government that by 2025, land ownership for women won’t be an issue. This is very significant for Nigerian women and as long as land remains something that we hold important as access to food  and credit, we hope the government will sit up and listen.”

     

    A Charter of Demands

    The African women farmers were not interested in rhetoric and empty promises, they were determined to make their voices heard and they chose an unusual location to present their demands:  At Uhuru peak on Mount Kilimanjaro.

     Thirty-eight of the over 300 women began climbing the mountain two days before the gathering of the women. It took the climbers five days to summit and return to the foot of  Kilimanjaro to a heroic welcome from their compatriots.

    “We have taken our demands all the way to Uhuru peak, we are sending a strong message to the African governments that our land is our life,” Constance Okeke, one of the coordinators of the Kilimanjaro Initiative said.

    The demands of the women was further strengthened by the declaration of the African Union Summit that 2016 is “ Africa Year of Human Rights with particular focus on the Rights of Women.” The Kilimanjaro Initiative therefore offers a unique window of opportunity to unify and amplify the struggles of rural women in a politically  correct climate.

    Some of the demands taken to Uhuru peak on Kilimanjaro include: Women empowerment – land rights, technology, economically, Translation of land laws and policies into local languages, Digital inventory of public, community, and private lands so that all land is identified, recorded, and made public for safeguarding , 50% involvement of women in decision-making bodies and implementation on land issues and matters (including in the valuation of land and payment of compensation for natural resources), Women and communities must have a say on who and what kind of investments and companies invest in their communities.

    Others are: Investments in land should be done in partnership with communities, governments, and investors, The challenges of people living with disabilities and other vulnerable groups (people living with HIV/AIDs, widows,), namely stigma, discrimination, cultural biases, lack of access to information and infrastructure must be taken into account in all land matters and they must be represented in decision-making bodies and involved in the implementation process, Pastoral lands must be protected, Ban oppressive cultural practices  and Government should enact laws to provide security and protection of women’s rights defenders.

    In rural Africa, the women wants the widows to be issued with title deeds, they want the laws their countries have signed to be implemented correctly and land redistribution should take place. “ Let all the widows be issued with title deeds, let the laws be implemented correctly, without land there is no food, without food there is no life,” Ambayi shouted.

  • Girls in Aba start sex at age 10 – Research

    A medical practitioner, Dr Godwin Uwaoma, said on Thursday that girls in Aba, Abia engage in active sexual activities from the age of 10, raising higher chances of contracting HIV.

    Uwaoma, the Chairman of the Thematic Working Group at the Nigerian Faith Based Advisory Council for AIDS (NFACA), told the News Agency of Nigeria (NAN) in Aba that a 2014 research revealed the development.

    He said that the study was conducted to find out the awareness of preventive measures among youths in the secondary schools for the Department of Public Health at the Imo State University.

    “We discovered that some girls in Aba start sexual activities at the age 10 to 12 and that at the age of 12, girls in Aba have “regular boyfriends” with whom they agree to have sex regularly.

    “This was not known before.  Usually HIV prevention was targeted at age 15 upward but we now know that before 15 they have become sexually active.

    “And there is a lot of difference between when you are forced into it and you remove yourself thereafter and when at this age you now have a regular partner.

    “That was what we discovered and it is not normal but an aberration but obviously the fact is there,” he said.

    At a lecture organised by the Aba chapter of the Nigerian Medical Association (NMA) to mark their week, Uwaoma called for prevention rather than cure which was unavailable for HIV cases.

    He urged the students to desist from watching pornographic films, playing sexual games with opposite sex and keeping bad friends to save them from sexual temptations.

    In another lecture titled “Sex and Puberty,” Dr Kenneth Ngwogu, a lecturer at the Abia State University, said that puberty brought changes in character and body composition to young people.

    Noting that most youths ruined their lives through dangerous actions like early sex, Ngwogu urged them to consult doctors or adults to manage the challenges of puberty.

    He charged the youth to desist from sexual activities which could refocus their attention while in school to reach their goals of becoming successful people.