SUB-SAHARAN African countries, among which is Nigeria, have
shown progress in the fight against Human Immunodeficiency Virus (HIV) /
Acquired Immune Deficiency Syndrome (AIDS) infections and deaths, a
report recently released by the Joint United Nations Programme on
HIV/AIDS (UNAIDS) shows.
UNAIDS Regional Fact Sheet 2012 shows a
decline in new HIV infections and AIDS-related deaths of about 25 and 32
per cent in that order.
In 2011, according to the report, there
were an estimated 1.8 million (1.6 million- 2 million) new HIV
infections in sub-Saharan Africa compared to 2.4 million (2.2
million–2.5 million) new infections in 2001-a 25 per cent decline. Between
2005 and 2011, the number of people dying from AIDS-related causes in
the region declined by 32 per cent, from 1.8 million (1.6 million–1.9
million) to 1.2 million (1.1 million–1.3 million). Since 2004, the
number of tuberculosis (TB) related deaths among people living with HIV
have also fallen by 28 per cent in the region.
This achievement,
however, stigma and discrimination continue to impede effective HIV
responses in many countries. Women in sub-Saharan Africa remain
disproportionately impacted by the HIV epidemic, accounting for 58 per
cent of all people living with HIV in the region in 2011.
Data
collected through the People Living with HIV Stigma Index between 2008
and 2011, show that more than half of people living with HIV in Zambia
(52 per cent), Rwanda (53 per cent) and Kenya (56 per cent) reported
being verbally abused as a result of their HIV status. In Nigeria
and Ethiopia, one in five people living with HIV (20 per cent) reported
suicidal feeling because of their HIV status. In Cameroon, 13 per cent
of people living with HIV reported being denied access to health
services, including dental care, on the basis on their HIV status.
Notwithstanding,
Nigeria still got some credits because in 2012, a Lagos high court
ended a 17-year legal battle between Georgina Ahamefule and HIV/AIDS
discrimination. This gained her the reputation “Breaker of Silence” and
won her an award at the Journalist Against AIDS Red Ribbon Awards in
Lagos. More on the positive sides, the report also revealed that
the Prevention of Mother-To-Child-Transmission (PMTCT) programme among
others to safeguard mother-to-child infections is yielding dividends. This
was evident in progress made in preventing new infections among
children between 2009 and 2011, where the number of children newly
infected with HIV fell by 24 per cent.
Specifically, in six
countries of the sub Saharan region - Burundi, Kenya, Namibia, South
Africa, Togo and Zambia - the number of children newly infected with HIV
declined by 40 - 59 per cent between 2009 and 2011. Fourteen additional
countries in the region reported declines of 20-39 per cent. However,
11 countries saw more modest declines of 1–19 per cent. In four
countries - Angola, Congo, Equatorial Guinea, Guinea-Bissau - the number
of new HIV infections among children increased.
In 2011, coverage
of services to prevent mother-to-child-transmission (PMTCT) of HIV in
sub-Saharan Africa reached 59 per cent (53 – 66 per cent). Six
countries in the region achieved PMTCT coverage of more than 75 per
cent: Botswana, Ghana, Namibia, South Africa, Swaziland and Zambia. Seven
countries reported PMTCT coverage of less than 25 per cent, Angola,
Chad, Congo, Eritrea, Ethiopia, Nigeria and South Sudan. On
expanded coverage of HIV testing and treatment, surveys conducted
between 2004 and 2011 in 14 countries in sub-Saharan Africa found
significant increases in the percentage of adults who had taken an HIV
test in the previous 12 months and received their results. In
Lesotho, for instance, an estimated 42 per cent of adult women reported
that they had been tested for HIV in 2009 compared to about six per cent
in 2004. In Rwanda, nearly 39 per cent of adult women were tested for
HIV in 2010 compared to about 12 per cent in 2005.
In Ethiopia, an
estimated 21 per cent of adult men were tested for HIV in 2011 compared
to approximately two per cent in 2005. Approximately 23 per cent of
adult men in Kenya were tested for HIV between 2008-9 compared to about
eight per cent of men in 2003. Among countries surveyed, HIV
testing rates tended to be higher among women than men, this may be due,
in part, to increased availability of HIV testing in antenatal
settings.
“Increases in HIV testing coverage can be linked to the
scale up of antiretroviral therapy programmes and investment in a broad
array of HIV testing strategies, such as provider-initiated testing and
counseling, rapid testing technologies and home-based testing
campaigns,” the report stated. The agency further noted that HIV
treatment had also recorded significant progress. For instance, in 2011,
an estimated 56 per cent of people eligible for HIV treatment in
sub-Saharan Africa were receiving it- compared to a global average of 54
per cent.
Five countries have achieved more than 80 per cent
coverage of HIV treatment, they are: Botswana, Namibia, Rwanda,
Swaziland and Zambia. Benin, Kenya, Malawi, South Africa and Zimbabwe
achieved more than 60 per cent coverage of HIV treatment. Coverage of antiretroviral therapy in three countries -Madagascar, Somalia and South Sudan- is less than 20 per cent.
“Wider
access to treatment is saving lives: since1995, antiretroviral therapy
has added approximately nine million life-years in sub-Saharan Africa.
Available evidence continues to highlight the urgent need to improve
retention rates for people enrolled in HIV treatment and care.” Sub-Saharan
Africa remains the most heavily affected region in the global HIV
epidemic. In 2011, an estimated 23.5million (22.1– 24.8 million) people
living with HIV resided in the region, representing 69 per cent of the
global HIV burden.
In 2011, 92 per cent of pregnant women living
with HIV resided in sub-Saharan Africa. More than 90 per cent of
children who acquired HIV in2011 live in sub-Saharan Africa. Despite
an overall shortfall in domestic AIDS investments, some countries have
assumed a greater role in funding their own national HIV responses
In
21 countries of sub-Saharan Africa, external funding sources account for
more than 50 per cent of HIV investments. However, some countries in
the region are assuming a greater role in funding national responses to
HIV.
For example: Botswana and South Africa cover more than 75 per
cent of their national HIV responses through domestic public sources;
Namibia, Gabon and Mauritius fund more than half of their national HIV
responses. Kenya doubled its domestic HIV spending from 2008 to
2010; Togo doubled its domestic HIV spending from 2007 to 2010; and
Rwanda doubled its domestic spending from 2006 to 2009.