Society for Family Health, Nigeria …Creating Change, Enhancing Lives Expanding Prevention Options & Shrinking Global Financing: Making Balanced Choices Sir Bright Ekweremadu
HIV & AIDS in Nigeria – Quick overview Nigeria has the 2 nd highest burden of HIV & AIDS in the world • Young people 15 – 29 have the highest rate of infection in the country • Priority populations include women and children • � HIV prevalence is still high among MARPs, widowed, separated or divorced women Establishing priority populations to be targeted and identifying appropriate • intervention strategies to reach them are among the primary mandates for HIV prevention funding In 2008, the total spending for HIV and AIDS tracked by funding sources was • $394,963,881.00 (N45, 420,846,315.00) . � Percentage for public funds at that time was only 7.6% 92.3% of the funding was external; a 6.9% increase from 2007 • Society for Family Health, Nigeria …Creating Change, Enhancing Lives
Scientific Advances: Policy Implications Interventions to promote accelerated ART remains one of the most important • scientific advances in HIV program interventions Translation into policy largely means implementing a series of interventions to • promote accelerated antiretroviral therapy, some of which are: � Timely ART: initiating treatment at an early stage of the disease (CD4 <350 or higher), in order to help prevent opportunistic infections � Treatment as Prevention: early initiation of treatment for HIV-positive people with HIV negative partners (“treatment as prevention” for sero- discordant couples, regardless of CD4 count), as well as all HIV+ pregnant and breastfeeding mothers. � PMTCT Option B+: immediate initiation of life-long treatment for HIV- positive pregnant and breastfeeding mothers, regardless of CD4 count, which provides increased protection for mothers and babies. � TB ART: immediate initiation of treatment for HIV-positive patients with active TB Society for Family Health, Nigeria …Creating Change, Enhancing Lives
HIV & AIDS spending in Nigeria Prevention Human 12.45% Resources 19.30% Care & Treatment Social 37.44% Protection 0.04% OVC activities Research 1.43% 0.42% Programme Management 24.52% Figures culled from NASA 2010 Society for Family Health, Nigeria …Creating Change, Enhancing Lives
HIV & AIDS financing in Nigeria – an overview Financing Sources in 2009 and 2010 culled from NASA 2010 Society for Family Health, Nigeria …Creating Change, Enhancing Lives
Top recipients of donor funding for global health – Nigeria #2
Options for increased government spending for HIV & AIDS interventions in Nigeria • Government must be at the driving seat for HIV & AIDS programming in Nigeria • To do this effectively, government must increase its funding contribution . • Suggested options include: � Increased national and state budgets – respect Abuja Commitment � Improve efficient use of available resources � Targeted intervention with focus on service delivery for priority groups � Set up HIV Trust fund – involve private sector and high net-worth individuals � Specific tax on some products and services which will be dedicated to HIV&AIDS programming Society for Family Health, Nigeria …Creating Change, Enhancing Lives
Preventing HIV & AIDS in Nigeria – our options Priority populations must be dealt with at the system level; and funding • made available Priority-setting is not an isolated event but takes place within the larger framework • of the planning process, which includes � Ongoing examination of trends in the epidemic through an analysis of the data available to identify the populations at greatest risk, � assessing the nation’s need for HIV testing with emphasis on the communities and their needs for prevention services, � Identifying effective strategies to address those identified needs, and � Compiling an inventory of the available resources in order to identify funding and service gaps. Society for Family Health, Nigeria …Creating Change, Enhancing Lives
Conclusions To ensure a sustainable health system, the sector cannot continue to • depend on donors Correct targeting is also of high importance • � Testing amongst MARPs and other priority populations must be scaled up � Treatment As Prevention, Test and Treat Scale up PMTCT services using and integrated systems approach • Innovations in funding • Society for Family Health, Nigeria …Creating Change, Enhancing Lives
Thank You Society for Family Health, Nigeria …Creating Change, Enhancing Lives
Recommend
More recommend
