Tag: HIV/AIDS

  • New waves of sexual violence  in underdeveloped  countries may  increase  global burden of  HIV/AIDS

    New waves of sexual violence in underdeveloped countries may increase global burden of HIV/AIDS

    It is sufficient to add that  positive behavior must be positively reinforced to be sustained, especially as concerns sex matters, which take all the available space whenever they find their ways into the mind and open up primitive instincts irrespective of social status.

    Studies have shown that 80 to 90% of HIV/AIDS infections have occurred through heterosexual (man and woman) route of transmission, which implies that in discriminate sex, often casual and unprotected ,remains one of the factors driving the pandemic.  The finding that majority of young people living with HIV are women and women have now found something new in raping men, may open the way for eventual take over of the Earth by a virus, even before the much talked about nuclear war.

    The best and sustainable way to prevent HIV in children is to prevent adults, men and women from getting infected and this can only be done when emphasis is placed on health education  and  health promotional activities  that  stress the importance of staying faithful, abstaining from unprotected and casual sex and using condom if unavoidable. As has been stressed, young women are particularly vulnerable for two reasons worthy of emphasis. The vaginal epithelium is more liable to injuries from forced  coitus, compared to order women with stratified squamous (highly resistant to wear and tear) . Older women, sex workers (brothel and non brothel based) have stronger ability to negotiate for safer and wet sex, attend workshops on sexually transmitted infections (STI) including HIV and are more knowledgeable.

    WHY WE ARE WHERE WE ARE

    A number of reasons can be drawn in an attempt to explain why things are now this way.

    There is hardly any policy without unintended consequences; perhaps we didn’t quite anticipate that the aggressive social marketing of antiretroviral drugs and  condoms including the female condom will turn out to embolden women to become rapists, and also diminish the fear factor that held or restrained potential rapists. Quite wrongly many people now tell their neighbours that there is and there was never actually any thing called HIV/AIDS. Others exhibiting assumed optimism tell their significant others that since the drugs are working, the virus after all is just about the same thing as malaria parasite

    We also failed to take advantage of the social media at inception to place age appropriate messages here and there to inform, educate and caution users

    People in the entertainment industry seem to be smiling to banks on a daily basis, with money coming from government and private organizations  , while the activities of  majority  of them are equally daily cutting away  the strings of basic cultural  and moral prescriptions that  before now bound families together , with  reasonable and meaningful  restrictions .

    What about the relevant laws? People are encouraged to commit crimes when they don’t see criminals  brought to justice . Law enforcement agents blame the victims  while the perpetrators go away freely smoking and boasting to  friends and assuring them  the police will do nothing. Of course every one seems to be getting away with  anything no matter how heinous ,at times forcing people to out of arrant frustration do what they think should be the most appropriate thing to do. There was a case of a young  known  outlaw  repeatedly committing  the abominable crime  on a married woman and warning  the husband of the victim to go to the police if he had the guts , but a group of boys tracked him down after he had gone out to do his thing and   after stripping him naked   cut off  every  thing completely leaving him bleeding profusely.

     

    To be Continued

  • Understanding the fake auto parts market

    Understanding the fake auto parts market

    I have observed, with total admiration, the great work being done by Kunle Shonaike  through his regular articles in Nigerian newspapers on automobile care and maintenance. He has opened my

    eyes to the  need for relevant enlightenment in a sector of the Nigerian economy which has cost us more lives than HIV/AIDS and Malaria put together, in the number of our compatriots who have needlessly lost their lives through vehicular accidents.  I  was particularly impressed when he wrote: ‘we are resolved to change this perverted tradition and we will start by running an enlightenment

    campaign  to change bad habits that have long been formed across the auto market’s major segments’.

    I recall once seeing, somewhere in a sprawling Lagos market, some  people ‘reboring’ used tyres which they then put on the market as new ones to the unsuspecting public. Naturally, these tyres burst on the roads within weeks of their purchase causing fatalities that should not have arisen at all. Indeed, completely dead spark plugs are being imported into the country and subsequently washed with chemicals  and put out for sale as new with the impotent, if not complicit, Standard Organisation of Nigeria (SON),  looking helpless. That way, wives have lost husbands and vice versa, just as children their parents. It is fascinating to see that the Lagos State government has started a

    process of training and registering drivers but it is hoped that their training curriculum will be

    all-embracing.

    Fake auto parts must, however, account for a much higher number of vehicular accidents on our roads than second hand and rebored tyres. It is a huge market that has both local and international connections. Of course, the fakery industry, in general, is a multi-billion dollar business and it

    is doubtful if any country is free from its debilitating consequences.

    It is well known that, as in drugs, where the Amazon, Professor Dora Akunyili, as Director-General of the National Agency for Food and Drug Administration and Control (NAFDAC) fought a yeoman’s battle, spare parts fakery is equally huge and those involved in it would not bat an eyelid taking the lives of whoever may wish to put an end to their nefarious business. Fake auto parts supply is a

    global problem that has very serious negative impacts on both the automotive industry as well as on the end user. Indeed fitting fake parts, especially safety related parts, easily impacts on the safety of the user and , may be, his or her family as well.

    Facts and figures about this problem in Nigeria, like most other statistics in our country, are scarce. Fortunately, however, we can look at its effects in other countries , and from there, extrapolate what it is in  our all- comers, ill-regulated economy. In India, for instance, the Times of India reported not too long ago, that up to 20% of all road accidents can be attributed to fake parts. According to the US Federal Trade Commission estimates, global counterfeiting of automotive products is estimated at about $12 billion annually. The manufacturers, distributors as well as sellers of fake products want the end user to believe that they are buying quality products which they obviously are not. According to the Organisation for Economic Cooperation and Development (OECD), majority of counterfeit parts are made in China. Of course distribution channels are very diversified as unscrupulous dealers also import them to places like the United Arab Emirates ( UAE), where they are re-boxed under well known brand names, and then re-exported across the globe, Nigeria inclusive. Good news is, parts manufacturers ,vehicle assembly companies and government bodies, world-wide, are working together assiduously to find solutions to this humongous problem. Indeed, many countries are, on their own, already devising strategies to confront the problem.

    In the course of researching this problem, I spoke with Daniel Jolly, a Scot, Executive Director of a UK – based group of companies specializing in the global supply of automotive parts and related consultancy services. According to him, “Fake products are seriously polluting the automotive parts supply chain world-wide, but an added problem for the consumer”, he said, “is trying to understand what  a fake part is, and conversely, what is not”.

    So, what is the definition of a fake part? Fake parts , in his words, are “copy” parts manufactured mainly in countries with cheap labour which are then boxed either under the vehicle assembler’s brand logo or the parts manufacturer’s brand logo.

    The consultant said it is also very critical that people understand the different parts supply alternatives available to the consumer in the marketplace. According to him , vehicle assemblers such as Toyota, Ford etc do not manufacture their own spare parts. Rather, they buy their parts from global parts manufacturers such as Bosch, Mahle, Nisshinbo/TMD Friction and then have them boxed in their own vehicle assemblers’ brand logo e.g Toyota Genuine Parts.

    The different types of parts available in the global automotive parts supply chain, according to Jolly, can be described as follows. First, you have Original Equipment(OE) parts. These are used by the vehicle assemblers in assembling a new motor vehicle (automobile, light truck, or truck) and are also

    used by the vehicle assemblers in its service network. These are referred to as Original Equipment (OE) parts, manufactured and supplied from the Parts’ Manufacturers and boxed under the Vehicle Assembler’s brand logo( the so-called “genuine parts”).

    Secondly, you have OES parts that are supplied into the general marketplace. These are referred to as Original Equipment Service (OES) parts, supplied from the parts manufacturers and boxed under the parts manufacturer brand logo.

    Third, are the Replacement Aftermarket parts. Replacement parts are automotive parts manufactured as a low cost alternative to the OE and OES parts. These parts manufacturers are not sanctioned by the vehicle assemblers but manufacture and box their parts under their own brand name/logo.

    Lastly, you have accessories which are parts made for comfort, convenience, performance, safety, or customization, and are designed for add-on after the original assembly of the motor vehicle.

    According to Jolly, there is a huge global challenge to combat the problem of fake parts but there is also a need for education on the subject. His words: “the recurring point is that people wrongly label OES parts as fakes because their understanding of a fake part is anything that does not come with the vehicle assembler logo on the box. This is far from the truth”

    Accoording to Jolly, in the more mature automotive markets such as that of Europe and North America, there is a vibrant aftermarket industry which readily compliments the existing Vehicle Assembler network. This has helped reduce ownership costs to the consumer whilst maintaining high levels of service and quality, thus ensuring safe trips.

    His advice to any country/government that is determined to confront this problem is to develop a vibrant and regulated aftermarket industry, and ensure that they engage technically qualified people/organisations to suggest or recommend appropriate course of action in this very important sector of any country’s economy.

    I cannot agree more since this will protect our citizenry from the horrible consequences of the booming fake spare parts’ market in Nigeria.

  • New waves of sexual violence  in underdeveloped  countries may  increase  global burden of  HIV/AIDS

    New waves of sexual violence in underdeveloped countries may increase global burden of HIV/AIDS

    It has been 22 years, since the Human immune deficiency virus emerged, in Nigeria and at the moment, there is no vaccine in site, other than prevention through behavior modification, which to a very large extent depends on STRICT PERSONAL DISCIPLINE , knowledge of the nature of the virus, mode of spread and treatment options.

    Published reports(Hassan,1998; Adeyi et al.2006) indicate that by far the primary mode of transmission is heterosexual, accounting for about 80% in Africa including Nigeria

    Though the reproductive age group of 18 49 is mostly affected, it should be known that children can contract the virus while still in their mothers’ wombs whereas the virus remains as long as the individual lives. The spectrum of clinical expression, range from the asymptomatic carrier, through mild to moderate illness which may progress to profound immunosuppressant status, characterized by opportunistic infections and neoplasia( new growth) and cancer. The asymptomatic carrier is the most dangerous element in the chain or network of infection, which is now the subject of a new approach towards finding contacts , as a result of the tip of the ice berg phenomenon. During a three to six weeks diagnostic window period which may be , followed by a longer (incubation) period, lasting from months to years, an individual sheds the deadly virus to anyone with whom he has genitor genital sexual intercourse; these people in turn incubate and spread the virus and before long, whole settlements, camps, villages and towns are infected through social networks of infections. It is relevant to know that who ever harbors any form of sexually transmitted pathogens could actually be an asymptomatic carrier of the virus at the time of manifestation or discovery

    Recent events in the underdeveloped parts of the world   including India , Pakistan Zimbabwe and Nigeria point to the possibility of complete reversal of the gains made in the battle against the HIV pandemic as we approach 2015. In these countries and many others , forcing people into sex(rape) has thrown up major public health issues , at least for those countries who understand the wider dimensions of the crime. Young men are raping grandmothers and old men are raping infants. Victims are now being killed in the process ,adding a new and extremely wicked dimension to it all. Before now it was unthinkable to hear of a woman raping a man of what ever age in Africa. The African woman was chaste, taciturn, and a good mother to all the family. In the past few months, the number of women accused of raping men has been on the increase; the situation in Zimbabwe getting to such heights that young men now dash away to safety whenever they see two women together heading in their direction . Other cases have been well documented in Nigeria of women raping young men and having such maladies recorded on cell phone

    Research on current regional burden of HIV/AIDS has failed to capture cases in remote parts of the African continent , and so available data strongly under estimate   the true situation . Beyond that , all the infrastructures assembled for the multi pronged anti HIV/AIDS battle are in the process of being completely abandoned. Rapists and other deviants repeatedly involved in sexual violence rely on many infrastructures many of which can be removed, but the most important of them , the infrastructure of the abnormal mind has not been adequately explored.

    Many questions now arise; what could be responsible for this level of carelessness or low risk perception on the part of African men and women boys and girls ?Are we paying the price for over emphasizing drug treatment of HIV/AIDS above other considerations? Has the aggressive social marketing of antiretroviral drugs   given people false hope ? Have we missed the point on safer sex with the use of condom?

    THE ISSUES

    The world health organization(WHO) defines violence as the intentional use of physical force or power ,threatened or actual, against oneself ,another person, or against a group, or community, that either results in or has a high likelihood of resulting in injury ,death, psychological harm, mal development or deprivation.

    Awareness of sexual identity begins about the age of 3 or five depending on environmental factors. For any individual , boy or girl after this period, an experience of any degree of sexual violence creates jeopardy in multiple dimensions as can be inferred from the above definition

    One’s behavior is seen primarily, as a function of beliefs, intuitive perception, and subjective evaluation. Vulnerability to particular health risks, perceived severity of health out come from experience, perceived emotional and social consequences of health related behaviour, are some of the variables, that can interact to determine the final out come of any steps taken to initiate and sustain behavioural modification that can positively influence risk avoidance patterns of bahaviour. The health belief model (Becker, 1974), and social cognitive learning theory (Rotter, 1954), both stress the importance of perceptions of the seriousness of a health threat, one’s personal vulnerability to a health threat, and an individual’s ability to reduce risk, as key determinants of health behaviour; when low, motivation to take necessary precautions is equally low.

     

  • Two-year jail, N1m fine for HIV/AIDS discrimination

    Two-year jail, N1m fine for HIV/AIDS discrimination

    The Senate passed yesterday a Bill to prevent stigmatisation of and discrimination against those living with or affected by the Human Immuno-Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) in Nigeria.

    It approved a two-year jail term or a maximum of N1 million fine against any institution or organisation that discloses the status of an infected person.

    The Bill stipulates a N500,000 fine for any individual who discloses the status of an infected person, which he or she may have obtained in confidence.

    The Chairman of the Senate Committee on Health, Ifeanyi Okowa (Delta North), said the Bill would protect the rights and dignity of people living with HIV/AIDS.

    Okowa noted that the Bill would also encourage those infected, to declare their HIV status in a more friendly Nigerian community.

    The lawmaker expressed confidence that the risk of transmission would be greatly reduced when the Bill is signed into law.

    Besides, the Bill makes it an offence for any employer, institution, body or individual to require an HIV test as a pre-condition to offer employment, access to public/private services or opportunities.

    It makes it punishable for any educational institution – private or public – to demand HIV/AIDS test as part of its routine medical requirements for admission or accreditation of students.

  • HIV/AIDS discrimination: Senate endorses two-year jail term

    HIV/AIDS discrimination: Senate endorses two-year jail term

    The Senate Thursday passed a Bill to prevent stigmatisation of and discrimination against those living with, or affected by the Human Immuno-Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) in Nigeria.

    The upper chamber also approved a two-year jail term or a maximum of N1million fine on any institution or organisation that discloses the status of an infected person.

    The Bill also stipulated a N500, 000 fine for any individual who discloses the status of an infected person which he or she may have obtained in confidence.

    Chairman, Senate Committee on Health, Senator Ifeanyi Okowa (Delta North) said the Bill is essentially to protect the human rights and dignity of people living with HIV/AIDS.

    Okowa added that the bill was also to encourage those that were infected, to declare their HIV status in a more friendly Nigerian community.

    The lawmaker expressed confidence that the risk of transmission would be greatly reduced if the bill is signed into law.

    Besides, the bill made it an offence for any employer, institution, body or individual to require an HIV test as a pre-condition to an offer of employment, access to public/private services or opportunities.

    It further made it punishable for any educational institution, private or public, to demand HIV/AIDS testing as part of its routine medical testing requirements for admission or accreditation of students.

    The bill further stipulated that every person living HIV/AIDS shall be assured of freedom from unlawful termination of his or her employment by reason of his or her status.

    Senate President, David Mark, noted that the issue of HIV/AIDS is not something that people should be ashamed of anymore “because we all know that it existed.”

    He said those affected should make their status known to those concerned in order to get necessary support and assistance.

    Mark said: “HIV/AIDS is not something that people should be afraid of anymore because we know it does exist, it is better that we take care and look after those who are affected by it rather than discriminate against them.”

  • HIV/AIDS prevalence drops in Kogi – Agency

    Kogi State Agency for the Control of AIDS says the prevalence of HIV and AIDS in the state has dropped from 5.8 per cent in 2010 to 1.4 per cent in 2012.

    Hajia Rahinatu Bala, the Executive Secretary of the agency, made this known while on fact finding visit to Lokoja.

    Bala also lauded the coordinators of HIV and AIDS in the state for their contributions toward achieving the feat.

    She urged the coordinators not to relent in their efforts, saying that the agency’s target was to achieve zero prevalence as soon as possible.

    Bala also commended Gov. Idris Wada for his interest and support to the agency since his assumption of office.

    In his remark, Mr Henry Ukwubile, the Special Adviser to the Governor on HIV and AIDS, urged the coordinators to prepare for sustainability of the programme.

    Ukwubile said that plan by some partners to withdraw support for the programme in 2015 should not lead to its collapse.

    He urged other stakeholders to brace up for the challenge of reducing the spread of the scourge.

  • Agency re-launches programme in Lagos

    After three-year lull, the National Primary Healthcare Development Agency has re-launched its Ward Development Committee (WDC) programme at Ipaja in the Ayobo Ipaja Local Council Development Area of Lagos State.

    The maiden inauguration of the programme took place in October, 2011. The enlarged 20-man committee is headed by Elder Joseph Olushola Esan, the immediate past chairman of the Community Development Committee (CDC) of the Ayobo/Ipaja LCDA in the Alimosho Local Government of the state.

    Re-launching the programme during a one-day workshop in the CDC Hall of the LCDA, the facilitator, Mrs. R.A Usman, from the Headquarters of the National Primary Healthcare Development Agency, Abuja, assisted by Comrade Francis Ade Balogun from the Alimosho Local Government, said the programme was essentially based on HIV/AIDS this time, but urged members not to lose sight of the healthcare services such as ante-natal, delivery, pre-natal and growth.

    Stressing further, Usman said that since HIV/AIDS was prevalent among the youths and the middle-aged who engaged in immoral sexual activities, members should strive hard to reduce the spread of the killer disease through sensitisation and awareness creation.

    Esan assured the facilitator of the determination of his committee to live up to expectation, stressing that it was a challenge not only to the committee but to the entire people of Ipaja to improve on the healthcare delivery services and reduce infant mortality to zero level.

    On HIV/AIDS, Esan promised to use advocacy and counseling in the community, stressing that youths commit immoral sexual activities in uncompleted buildings. Esan reminded the facilitator of some of the constraints facing his committee such as mortality, identification and funds. He, however, promised to liaise with the chairman of the council, Alhaji Shakirudeen Yusuf Adisa, for an office accommodation within the council’s secretariat to be used as HIV/AIDS Local Office.

  • Expert advises HIV positive women on family planning

    A Gynaecologist, Dr Prosper Igboeli, on Thursday advised women living with HIV to embrace family planning practice to avoid unwanted pregnancy and transmission of the infection to their babies.

    Igboeli, who is the Managing Director of M and M Fertility Centre, Abuja gave the advice in an interview with the News Agency of Nigeria (NAN) in Abuja.

    He said that family planning would enable them enrich them with the knowledge of when to have babies and the precautionary steps to ensure safe delivery.

    The gynecologist said the CD4 level, which is the white blood cells that are essential part of the human immune system, must be at a particular level before pregnancy could occur.

    “The prevention of unintended pregnancies in HIV-positive women is very necessary.

    “It is important for HIV positive women to know the level of their CD4 count before thinking of getting pregnant and then seek the advice of HIV experts.

    “Again, some of them already have one or two children, but many of them are getting pregnant just because they do not have access to family planning.”

    Igboeli said the women needed not only rely on anti-retroviral drugs but reproductive healthcare, family planning means and care as well.

    He said whenever such women decide to get pregnant; they must be given proper education on how to access the prevention from Mother to Child Transmission (PMTCT) services.

    Igboeli advised all expectant mothers to attend anti-natal clinic to enable them detect any abnormality in the unborn child.

  • ‘Treatment errors threaten PLWHA’s survival in Nigeria’

    ‘Treatment errors threaten PLWHA’s survival in Nigeria’

    NigeriaHIVinfo.com  is worried over  a journal report that details high incidence of errors in antiretroviral prescriptions in Nigeria which it says ultimately leads to drug resistance, treatment failure, and death.

    Steve Aborisade, Coordinator of the organisation in this statement urges those directing the country’s intervention to see the urgent need to respond with more clarity of purpose and entrench a new regime driven by accountability and openness even in the midst of constraints to available resources.

    Full text of the statement follows:

    As an organisation we have had reasons to contemplate the colour and shape of silence in the face of crass impunity at play in the Nigeria’s HIV/AIDS corridor and the inherent implication to the individual’s right to health. Indeed, silence at times thunders so loudly that it hurts the ears. Like Samuel Butler once stated ‘‘it is tact that is golden, not silence’’.  It is in this regard that we felt the imperative, once again, to raise a sound of alarm hoping that those at the helm of affairs of our national intervention would see the need to do things right.

    A clear narrative of our current concern relates to outcome of a new research effort whose report was released in January 2014 and published in the open access journal PlOS ONE www.plosone.org, January 2014, Volume 9, Issue 1, e87338 which detailed the shamefully high incidence of errors in antiretroviral prescriptions in Nigeria. Errors in antiretroviral prescription ultimately lead to drug resistance, treatment failure, and death.

    Result of the research sadly concludes and graphically details the grave implications to treatment outcomes in HIV patients. An important concern to us will be the infringement that this could represent to the right to health of Nigerians who are on HIV medications and on the government programs.

     

    The insights which the report provides represent a dull blight on an already contentious treatment program dangerously buoyed by marked integrity deficits. The report concluded that errors were detected in the prescriptions of almost all adult patients, while commonplace errors included prescribing incorrect antiretroviral drugs or combinations; prescribing drugs that were contraindicated or that interacted with other medications; and inappropriate frequency or duration of therapy.

     

    The study involved 14 HIV treatment centres in Nigeria randomly selected from 69 health facilities that had program for active screening of medication errors and was conducted between 2009 and 2011. Report stated that prescriptions of 6882 HIV-positive patients were checked for errors with a total of 110,000 prescriptions issued representing an average of 16 prescriptions per participant. Total number of drug items dispensed was 306,000. ‘‘Approximately two-thirds (67%) of the participants were women and 94% were over 15 years of age. All the participants were screened for prescribing errors, which were detected for 93% of people aged over 15 years and for 62% of younger people. Over a quarter (26%) of errors involved prescribing incorrect antiretroviral drugs or regimens; a fifth involved possible contraindications or interactions; and 17% involved inappropriate duration or frequency of medication.’’ “The incidence of medication errors was somewhat high,” concluded the authors of the report.

     

    To us at NigeriaHIVinfo.com, the findings become worrisome as it raises serious concerns around the integrity of our ART regime, especially from the research conclusion which suggests that active screening for medication errors is feasible even in resource-limited settings like ours if only we would build the capacity of those manning our facilities. Our concerns become heightened going by the connection that this report has to the findings of the 2010 Global Burden of Disease (GBD) Study. The global burden of disease Study is a comprehensive regional and global assessment of mortality and disability from major diseases, injuries, and risk factors involving 187 countries of the world from 1990-2010.

     

    In showing how exceptional the AIDS epidemic has become, the 2010 GBD report noted that death and disability due to HIV has increased by 354% during that time with no other disease burden increasing by more than the 69% increase seen in diabetes since 1990. ‘‘The disease burden of tuberculosis and malaria, which are at number seven and number 13 respectively, has fallen by 20% since 1990.’’ HIV is said to be responsible for 3.3% of all the number and proportion of disability-adjusted life-years (DALYs) lost worldwide. It noted that in high-prevalence countries such as South Africa it is responsible for up to 40% of DALYs lost. Interestingly, Nigeria contributes more to the global burden of disease in absolute numbers than it does in prevalence.

     

    The study also sees HIV and AIDS as exceptional for its age profile. ‘‘Whereas most other conditions disproportionately affect the old and the very young, HIV is the number one cause of DALYs lost for women aged 25 to 45 and men aged 30 to 45.’’ Nigeria’s predominantly youthful population to us constitutes a peculiar catchment bracket here, and cause of worry.

     

    The GDB report also identified HIV/AIDS as the worst health problem in the West African countries of Gabon and Equatorial Guinea, ‘‘and number two in the populous countries of Nigeria, Ghana and Cameroon.’’

     

    The forgoing constitutes serious grounds for concerns, and justifiably so considering the gale of recent controversy around the supply and dispensing of a supposedly substandard antiretroviral medication by the Federal Ministry of Health to treatment centres across the country which is yet to abate, coupled with the reality of Nigeria’s inability to treat most of its people requiring HIV treatment and our advertised failure to halt new infections in both children and adults. This gross shortcoming represents likely factors capable of collapsing the foundation of our ART regime with the modest gains recorded overtime in the light of revelations which question the capability, sincerity and indeed clarity of our policy direction and of our program implementation. It sadly also makes mockery of our president’s avowed commitment which fueled his declaring last year that no Nigerian life would be lost to HIV/AIDS again.

     

    It is our hope that those directing our intervention will see the urgent need to respond with more clarity of purpose, as we demand that they entrench a new regime driven by accountability and openness even in the midst of constraints to available resources. The Nigerian people deserve an explanation as to how we remain at this junction having in mind the huge investments in tax payers’ money and foreign donor’s grants that the HIV intervention continues to consume.

     

     

  • Anti-Gay Law: NACA insincere, says group

    Anti-Gay Law: NACA insincere, says group

    A non-governmental organisation, Nigeria HIV Info has accused the National Agency for the Control of AIDS (NACA) and its Director General, Prof. John Idoko of insincerity over the statement made on the controversial Same Sex (Prohibition) Law.

    The DG of NACA, according to the group, had issued a statement which suggested that the newly signed law would not have adverse effects on the programs meant to bring succour to the people living with HIV/AIDS in Nigeria.

    Prof Idoko was quoted in a news release signed by the Coordinator of NigeriaHIVInfo.com, Steve Aborisade as saying: “Nothing in the same sex Marriage (Prohibition) Law refers to or prohibits programs targeted at Prevention, Treatment, Care and Support for people living with HIV or affected by AIDS in Nigeria. No provision of this law will deny anybody in Nigeria access to HIV treatment and other medical service“

    “A perusal of the Same Sex Marriage Act 2013, makes clear that the provisions thereof do not have any negative effect on the HIV/ AIDS Prevention, Treatment, Care and Support Programs or any other such programs currently in operation in Nigeria’’

    The NGO countered NACA’s boss comment saying: “The proposed bill, for emphasis, goes beyond the banning of gay marriages… but what it actually does is to spell new crimes of homosexuality while criminalizing HIV/AIDS services to sexual minority.

    “To us, Prof. Idoko’s statement and NACA’s position represents the height of hypocrisy and insensitivity by an agency in charge of the national HIV/AIDS intervention of a country like Nigeria which bears the second largest global burden of the HIV/AIDS epidemic.

    “Even when the issue involved is as sensitive and touchy to majority of Nigerians and its government as it is, we had expected that NACA and Prof. Idoko could at least be guided in their response by prevailing facts on the situation of things which makes a mockery of their assertion and is a direct contrast to their advertised position.”

    The statement reads further: “To say that a law which criminalizes an identified most at risk population and prescribes jail terms for those who work with them will not ‘deny anybody in Nigeria access to HIV treatment and other medical services’ is in the least, a disservice to the spirit of the efforts to curtail the impact of HIV/AIDS in our country. We were not expecting Prof. Idoko and NACA to deny the negative impact that criminalization and prejudice poses for individuals who already face all forms of blackmail, family rejection and brutality without a reprieve from our security apparatus. We expect that NACA should also know how difficult an effort it is to establish HIV initiatives for most-at-risk groups in the face public hostility.

    “It is ironic that NACA and Prof. Idoko’s view is contrary to the views expressed by majority of service providers that the law seriously threatens the fragile health and community based HIV initiatives for the community which are sprouting up across the cities of Nigeria. The general consensus, if NACA cares to listen is that the future of these projects is now in jeopardy.

    The humanitarian organisation elaborated more on the rate at which HIV/AIDS affects the country. “In case Prof. Idoko and NACA are experiencing a momentary amnesia about our HIV situation, here are facts to refresh their memory: Nigeria’s 2010 Integrated Biological and Behavioural Surveillance (IBBS) survey for key at risk populations released in 2011 says over 50% gay partners have sex with female partners, while 40.8% have sex with girl friends. HIV/AIDS prevalence amongst this group is above 12% compared to the 4.1% in the general population. The intersection with the general population where about 50% have ongoing sexual interaction with the general population in the light of the high HIV prevalence in the group, to us is enough reason to reappraise the kind of access they have to HIV services. We must be mindful that the gay population in Nigeria is speculated at about 15.4 million. This important intersection with the general population is something this law has ignored.

    “Meanwhile, of Nigeria’s estimated population of 170 million less than 2.5 million have ever tested for HIV. Annual new infections are put at 323,000 adults and 57,000 children surpassing the number that the country can put on treatment. UNAIDS 2013 progress report says that between 2009 to 2012 Nigeria was only able to reduce infection rates in children from 65,000 in 2009 to 60,000 in 2012. Till date, less than 10 percent of Antenatal facilities offer PMTCT services while Nigeria’s PMTCT coverage shuts out over 70% of HIV positive mothers who needs them.

    “While the UNAIDS 2013 progress report praised South Africa for halving new AIDS infection by 50%, it sadly noted that Nigeria records a 60% increase. Till date, the anti HIV/AIDS stigma bill which was first presented to the National Assembly sometimes in 2006 remained to be passed.

    “With this background, and given our inability to treat our people who require HIV treatment, our failure to halt new infections in both children and adults and with our faltering ART regime, our take is that NACA must be seen as concerned that in the real sense we have a long way to go, while such journey calls for more openness and sensitivity to the real challenges bedeviling our programs. Our expectation is that NACA and its leadership will join the clamour by concerned civil society groups that there is a compelling need for our government to revisit several provisions of this law which are a direct threat to the modest gains of our public health intervention.”

    It would be recalled that President Goodluck Jonathan on January 7 this year signed into law the Act. Offenders risk 14 years imprisonment.