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Ghislain Gaya. Lives in Douala, Cameroon. Maryam Ibrahim Gaya. Gay Fency Classic. Works at Warri - Delta state, Nigeria. Studied at Delta state polytechnic ozoro. HIV prevalence among formerly married women is as high as 5. Recent studies have shown that being formerly married can be one of the strongest HIV risk factors among women. Surveys have also shown that only There are a number of reasons why more people are not testing for HIV in Nigeria.

These include supply problems with testing kits and logistic issues getting further supplies. There is also a common belief that HTC centres are where HIV-positive people go to access care, rather than them being testing centres for those who don't know their status.

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A push on the number of sites providing HTC services has resulted in a huge increase, from around 1, in to more than 8, in The plan also hopes to integrate screening for other co-infections into HIV testing and counselling services. The Minister of Health in Nigeria recently released a statement in support of self-testing.

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Nigeria has put in place policies that allow for self-testing, but these testing kits are not yet available across the country. They identify strengthening community structures as being a main way to achieve this. According to data, The end of term review of the national HIV strategy identified condom uptake as having been a major area of challenge, identifying cost, low availability and resistance to condom promotion from certain key religious and cultural groups to have been some of the main barriers to progress. The review also identified low uptake of lubricants, as having been a key failing, with only The National Strategic Framework aims to increase condom use, particularly among young people and those who have never been married.

PrEP is not available to the general public in Nigeria, however some serodiscordant couples have been able to access the drug through demonstration projects. In , people were on PrEP in Nigeria. Just over a quarter As such, reducing mother-to-child transmission remains a major target area. Of these 23 countries, Nigeria has the second lowest level of ART coverage in pregnant women. The number of pregnant women visiting health facilities remains low, as does the number of health facilities providing PMTCT services, with only 7, health facilities providing PMTCT in It is hoped that large-scale communications like this will encourage women to come forward for testing to prevent their babies being born with HIV.

Poor treatment coverage and adherence means that the number of AIDS-related deaths in the country has remained high with , deaths in Although Nigeria adopted a 'test and treat' policy in , which means that anyone with a positive diagnosis is eligible for treatment, this is far from a reality. Nevertheless, efforts have been made to scale-up treatment access, and , more people were enrolled on antiretroviral treatment between and March Yet weaknesses in the health system exist and create a barrier to many people accessing or staying on treatment.

Even when ART can be accessed, drug supplies are known to run out and cause stockouts. Studies have shown that these fees and high costs of travel to clinics can be a barrier to many people accessing care. Services offering HIV care have become more scarce in the midst of the conflict. Recent research into the role of civil society in the HIV response in Nigeria revealed that while civil society organisations CSOs play a key role in service delivery and HIV education, they rarely are given the opportunity to directly impact on policy or play a central role in democratic processes.

CSOs working with men who have sex with men face further difficulties in even registering as an organisation Although NACA claimed to seek civil society input in the formulation of their last National Strategic Framework, there is currently no civil society forum.

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This was identified by the African Commission as being a key action to further protect and promote the human rights of key groups. One of the actions of this proposed group would be the monitoring of the anti-HIV discrimination and stigma bill.

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Nigeria has the fourth biggest tuberculosis TB epidemic in the world. Nigeria also falls behind when it comes to providing preventative TB treatment. When cases of TB are not reported, active TB is more likely to spread, as more people go untreated. TB can become resistant to drugs when people start treatment, but fail to complete their course or take their medication incorrectly.

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This is why counselling around TB treatment is so important. In it was estimated that 4. The national strategic framework identifies certain cultural practices that increase HIV vulnerability among the general population in Nigeria.

These include female genital mutilation FGM , denial of women's access to inheritance, widowhood rites, encouragement of multiple sexual partners for males, and marriage of young girls to much older men. In addition to these stigma remains a key barrier to the HIV response in Nigeria, with In early , President Jonathan signed a new antidiscrimination bill into law which secured the rights of people living with HIV, protecting HIV-positive employees from unfair dismissal and from mandatory HIV testing.

One of the major barriers to accessing HIV prevention programmes for men who have sex with men are laws that criminalise their activities. For example, same-sex relations in Nigeria can be punished with 14 years imprisonment. This is not only limiting access to HIV prevention programming for this community, but causing nationwide stigma and discrimination against people based on their sexual orientation.

In there were only 1, facilities providing HIV treatment, according to the national strategic framework. Although rates are low 0. Although there are guidelines for certain practices, the lack of universal precautions and failure to record blood safety information in all circumstances means this transmission route remains. Nigeria also aims to increase private sector investment in the response from 2. Nigeria is working hard to reverse the trend of a donor-driven approach to our national HIV programmes, as more financial resources are being allocated for the procurement of medicines.

Nigeria is an enormous, populous country, and so it has a very high number of people living with HIV despite a relatively low HIV prevalence. Providing antiretroviral treatment for all people living with HIV not only benefits those already living with HIV, it also dramatically reduces the chance of onwards HIV transmission to others.

In a country such as Nigeria, where so many people are not on treatment, it is hard to tackle the HIV epidemic. Considerable commitment, funding and resources need to be mobilised to expand access to treatment as a prevention method. Despite government commitment to the HIV response, punitive laws such as the anti-homosexuality bill damage progress. Indeed, a worrying rise in HIV prevalence is emerging among men who have sex with men just as punishments for homosexual acts increase, suggesting this group is finding it more and more difficult to access HIV services.

Engaging all members of society, especially those who are most vulnerable to HIV, is key to a unified and considered HIV response. Finally, encouraging HIV testing among the Nigerian population to ensure everyone knows their HIV status is key to any informed strategic plan. Without knowing the extent of how many people are living with HIV it is hard to mitigate new infections and provide HIV treatment to all. Please let us know any comments you have about the content on this page.

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