The Nigerian Government says it is intensifying efforts to tackle longstanding challenges in its HIV response.
The Coordinating Minister of Health and Social Welfare, Prof. Muhammad Ali Pate, disclosed this on Monday, during a webinar roundtable with the Global Fund, to commemorate the 2024 World AIDS Day.
Pate was represented by the Director-General of National Agency for the Control of AIDS, Dr Temitope Ilori.
He said that part of the effort included the criminalisation of key populations and limited funding for health services.
According to him, a key government official in the health sector had outlined a series of strategic initiatives aimed at improving care accessibility, resource mobilisation, and service integration.
Speaking on the criminalisation of key populations, the Minister acknowledged its impact on healthcare access despite the existence of supportive facilities such as one-stop shops, youth-friendly services, and the Key Population Secretariat.
“Criminal laws still pose challenges in accessing care. However, we are working closely with stakeholders to ensure these populations are not left behind,” he said.
In a bid to strengthen domestic funding, Pate highlighted the importance of engaging state and local governments.
He said that the new law granting autonomy to local governments was a game changer.
“It will enable resource mobilisation at the local level, ensuring that funding for HIV response reaches communities where it is most needed,” he said.
He also said that efforts were underway to integrate HIV services into the broader healthcare system and decentralise service delivery.
He said that this transition would enhance efficiency and accessibility.
“We are moving away from vertical programmes and working to embed HIV services into the mainstream sector while decentralising care to ensure it reaches underserved areas,” he said.
According to Pate, data quality and digitalisation are also at the forefront of Nigeria’s HIV response strategy.
He noted improvements in data collection and reporting, which have earned Nigeria recognition from UNAIDS.
“We are now prioritising digital health initiatives, including electronic medical records and data systems, to strengthen accountability and decision-making,” he said.
He said that the government’s Sector-Wide Approach (SWAP), championed by the health ministry was fostering greater accountability and collaboration among stakeholders.
He described SWAP as a framework that promotes “one reporting line, one accountability system, and one unified project”.
Despite funding challenges, the minister expressed optimism about Nigeria’s progress.
“By engaging the private sector, state governments, and local governments, and leveraging digital health innovations, we are addressing barriers and building a more sustainable healthcare system,” he said.
The lead of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), Dr John Nkengasong expressed the programme’s commitment to supporting local manufacturing in Africa.
Nkengasong said that local manufacturing served as a cornerstone for sustaining the HIV response and strengthening global health security.
He said that PEPFAR’s strategy focused on three dimensions, which are Market Shaping, Regulatory Strengthening and Partnership Building.
”Market shaping is pledge to purchase up to 15 million made-in-Africa HIV rapid tests and 2–2.5 million antiretrovirals (ARVs) to stimulate local production and ensure market sustainability.
“Regulatory strengthening implies support for improving regulatory agencies across the continent to ensure locally manufactured products meet international quality standards.
“Partnwrship building means ongoing collaboration with the Global Fund, regional entities, and initiatives like an African Union approval framework to mobilise resources and establish robust production systems,” he said.
He said that local manufacturing provided a platform for resilience, citing the COVID-19 pandemic as a stark example of the need for Africa-based diagnostic production.
“This initiative aims to foster long-term health independence and security across the continent,” he said.
The Deputy Executive Director of the Policy, Advocacy, and Knowledge Branch at UNAIDS, Ms Christine Stegling emphasised the importance of predictability in donor funding.
Stegling said that there was the need to know what is available for global health in the years to come.
“I think what we are finding at the moment is unpredictability and not clarity about what we are dealing with,” she said.
She further stressed the role of multi-sectoral approaches in addressing health challenges
“We have only been as successful as we have been because we had a whole-of-government, whole-of-society approach.
“It is not just about health financing… we are looking at gender financing, human rights financing, financing of democratic space,” she said.
The World AIDS Day is crucial for raising awareness about HIV/AIDS, a condition that continues to impact millions worldwide.
It is observed annually on Dec. 1 to raise awareness about HIV/AIDS, show support for people living with HIV, and remember those who have died from AIDS-related illnesses.
It is a global initiative that encourages individuals, communities, and governments to take action in the fight against HIV/AIDS.
NAN
