Editorial
Beyond Drop In HIV/AIDS Cases
President Muhammadu Buhari on March 14, 2019, unveiled the 2018 Nigeria HIV/AIDS Indicator and Impact Survey, which indicated that the number of persons living with HIV/AIDS in the country has dropped from 3.2 million to 1.9 million, thereby sliding lower to the fourth position globally from its second position in previous years.
The survey, launched by the Federal Government in June, 2018, and co-funded by the United States Government, The Global Fund and other critical stakeholders in the fight against the scourge, also indicated that the number of women is double the number of men living with the virus, just as it regrettably revealed that while Akwa Ibom beat Rivers as the state with the highest prevalence rate, the North has lower HIV/AIDS burden than the South.
Figures from the 2018 survey show that the states with the highest prevalence rate are Akwa Ibom 5.5%, Benue 5.3%, Rivers 3.8%, Taraba 2.9%, Anambra 2.4% and Abia 2.1% while the states with the lowest prevalence rate include Bauchi 0.5%, Zamfara 0.5%, Sokoto 0.4%, Yobe 0.4%, Jigawa 0.3% and Katsina 0.3%. This is a significant drop from the 2015 figure, where Rivers topped the chart of HIV//AIDS prevalence states with 15.5%, followed by Taraba 10.5%, Kaduna 9.2%, Nasarawa 8.1%, FCT 7.5%, Akwa Ibom 6.5%, Sokoto 6.4%, Oyo 5.6%, Benue 5.6%, Yobe 5.3%, Cross River 4.4%, Ondo 4.3% and Gombe 3.4% in that order.
While urging stakeholders not to relent in the fight against HIV/AIDS, but to increase the momentum in efforts to end the pandemic ahead of 2030, Buhari said the people should not celebrate yet, as almost a million Nigerians living with HIV are currently not on treatment. The president said that, going forward, a more coordinated and funded national response was needed to achieve epidemic control and end HIV in Nigeria, while directing the National Agency for the Control of AIDS (NACA) and the Federal Ministry of Health to undertake detailed consultations and consensus-building with key sectoral ministries, the legislature, governors of high-prevalence states, development partners and civil society organisations to chart a new path and build on the results of the survey.
In 2017, 3.2 million people were living with HIV/AIDS, with 2.8% adult HIV prevalence rate, 210,000 new HIV infections, 150,000 AIDS-related deaths, 34% adults on antiretroviral treatment, and 26% children on antiretroviral treatment. However, in 2014, almost 3.4 million Nigerians were living with HIV/AIDS, with recorded AIDS-related deaths of 174,300 and a national prevalence rate of 3.0%.
The Tide is particularly aware that sentinel survey since 1991 has shown a mixed bag in the prevalence rates in Nigeria. For instance, the Nigerian Institute of Medical Research and NACA published a report indicating that in 1991, the prevalence rate was 1.8%, with 3.8% in 1993, 4.5% in 1996, 5.4% in 1999, and a peak of 5.8% in 2001.
We are also aware that the number of AIDS-related deaths has been of concern to many, with 20,000 recorded cases in 1990, 61,000 in 1995, 130,000 in 2000, 180,000 in 2005 and 2010, and stagnated at 150,000 from 2015 through 2017.
While The Tide acknowledges the decrease in the HIV-prevalence rate in the country as a result of the good progress in scaling up HIV treatment and prevention services in recent years, we are concerned that previous records show high death rates over the last 23 years, with no sign of ebbing to, at least, the 1990 figure. We are worried that figures of prevalence rate, number of persons living with the virus and HIV-related deaths in recent years do not add up when compared with the rising population of the country, especially given that there is a wide gap between the number of people living with the virus and those accessing antiretroviral treatment. We also demand a drastic reduction in the number of Nigerians susceptible to tuberculosis (TB) and hepatitis B, both of which have direct links to HIV/AIDS to reassure the people that investments made by governments in this regard are yielding desired results.
This is why we agree with Mr. President that it is not yet ‘Uhuru’ for Nigeria in its quest to end the HIV pandemic among its huge population of more than 180 million. We challenge all stakeholders, particularly the management of NACA and SACA in the various states as well as the federal and state ministries of health and their partners, to rejig strategies to further reduce the impact and prevalence of the scourge through adequate provision of antiretroviral drugs, making the drugs available and ensuring that those living and or infected with the virus have unfettered access to treatment centres. The Tide tasks governments at all levels to increase budgetary allocation to the health sector by not less than 25% to scale up funding of accelerated, coordinated efforts to end the HIV/AIDS pandemic in the country.
We insist that the more than one million people living with HIV/AIDS, who are yet to be captured in the treatment nexus should be reached and dragged into the net to further draw down the national prevalence rate. We think that while the world awaits a verifiable and sustainable cure for HIV/AIDS, Nigerians still trapped in the conundrum should be given the necessary opportunity to exit the trauma and stigma associated with the virus, through cascading sensitisation, testing, treatment and counselling in both urban and rural areas, so that no one infected with the virus is left behind.
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Editorial
That Oshiomhole’s Call On FG’s Road Projects
There are moments in the life of a legislature when plain speaking becomes a public service. Senator Adams Oshiomhole provided such a moment on the floor of the Senate when he accused the Minister of Works, Senator David Umahi, of manifestly neglecting critical federal arteries in Edo and Delta States, and implored his colleagues to prevail on the Minister to adopt a more equitable and genuinely national approach to road infrastructure delivery. It was blunt, it was uncomfortable, and it was necessary.
The specifics of his complaint deserve restating. Drawing attention to the recent approval of some 20 new road projects despite the parlous state of existing ones, the former Edo State governor lamented that Nigerians cannot travel from Benin to Warri, Benin to Asaba, Benin to Auchi, or Auchi to Okene without encountering severe distress. He alleged a deliberate omission of these corridors from the national budget in the last three years, save for palliative interventions directed by President Bola Tinubu through tax credit arrangements. His question — “What have we done wrong?” — resonates far beyond the chambers of the National Assembly.
We lend our full and unequivocal support to that call. The Auchi-Benin Road, for instance, has been in a deplorable and near-impassable condition for several years, turning what should be a two-hour journey into an all-day ordeal of broken axles, extortionate fares, and despondent commuters. The media have, on multiple occasions, chronicled the suffering of motorists, traders, and students who ply that route. To describe it as a federal road today is to stretch the meaning of the term beyond recognition.
This pattern of sidelining is not confined to Edo or Delta. Even here in Rivers State, the disposition of the Federal Ministry of Works has left much to be desired, particularly along the Eleme axis of the East-West Road. That road, which ought to be a flagship of federal presence in the Niger Delta, has remained in a wretched state for long. Those who use it daily — workers at the Eleme Petrochemical Complex, the two refineries, Onne Port, and the countless ancillary industries — can attest to its deterioration. Work has proceeded in fits and starts without the sustained urgency such a strategic road demands.
The Eleme stretch is not a mere intra-state byway. It is the gateway to the nation’s economic jugular. According to the Federal Ministry of Works and Housing’s 2023 Highway Condition Survey, only about 35 per cent of the country’s 36,000 kilometres of federal roads are rated as being in good or fair condition, with the remainder classified as poor or very poor. The East-West Road, conceived in the 1970s to bind the entire Niger Delta, remains unfinished in critical sections more than four decades after. If it had been treated as a priority, the perennial gridlock, carnage, and economic loss on the Eleme-Refinery junction would have long been consigned to history.
The irony is as painful as it is glaring. The Niger Delta remains the goose that lays the golden eggs. Data from the Nigeria Extractive Industries Transparency Initiative [NEITI 2023 Oil and Gas Audit] show that the region still accounts for over 78 per cent of Nigeria’s federally collected export earnings and about 65 per cent of total government revenue. The National Bureau of Statistics [NBS Foreign Trade Report Q4 2024] similarly confirms that crude oil continues to dominate export receipts. By every metric of equity and economic logic, a region that sustains the national purse deserves first-rate consideration in the allocation of infrastructure, not afterthoughts and tokenism.
Road infrastructure is not largesse to be dispensed by favour; it is the skeleton upon which commerce, cohesion, and citizenship hang. When contracts are concentrated in one geopolitical zone while other zones are left to contend with craters, it erodes trust in the federation itself. The World Bank’s Nigeria Development Update [June 2023] estimated that poor transport connectivity inflates the cost of moving goods by up to 40 per cent and costs the Nigerian economy an estimated $1.5 billion annually in lost man-hours and vehicle maintenance. If we profess to be one country, then equity must be the compass that guides key institutions before any project is executed. Development must spread round, not pool in one place as though other regions do not matter.
There is also a grave security dimension that can no longer be ignored. The deplorable condition of federal roads has become a veritable enabler of criminality. The NBS Crime Experience and Security Perception Survey reported over 2.5 million incidents of kidnapping-related occurrences nationally, with transport workers identifying bad road spots as prime ambush points. When vehicles are forced to crawl at 10 kilometres per hour through failed sections at Auchi, Sapele Road, or Eleme, they become sitting ducks for armed gangs. Fixing bad roads, therefore, is not merely about convenience; it is about safeguarding lives.
By his intervention, Senator Oshiomhole has hit the nail on the head and reminded Minister Umahi of a fundamental constitutional truth: public office is held in trust. The Ministry of Works is not a personal estate where contracts are awarded according to whim or political convenience. It is a national institution funded by the collective resources of Nigerians, including the oil and gas rents from the very communities whose roads are now neglected. The Minister must demonstrate balance, transparency, and a pan-Nigerian outlook in the distribution of projects that impact the daily existence of citizens. Selective neglect breeds suspicion, and suspicion is corrosive at a time when the nation is preaching unity, oneness, equity, and justice.
Consequently, the National Assembly must go beyond rhetoric and assert its oversight powers with vigour. Sections 88 and 89 of the 1999 Constitution [as amended] empower the legislature to investigate and expose any maladministration in the execution of federal projects. If an office holder is not acting rightly, it is the duty of the Senate and the House of Representatives to call him to order. Oversight must not be reduced to budget approval ceremonies; it must translate to field verification, public hearings, and insistence that the Federal Character principle, as enshrined in Section 14(3) of the Constitution, reflects in road awards.
Let the Auchi-Okene, Benin-Warri, Benin-Asaba, and Eleme East-West gangways be restored to motorable dignity. Let priority be given to completing existing, economically vital roads before embarking on new ones. If those who, through their resources, sustain the federation are sidelined in the distribution of tangible dividends, it tells poorly of our nationhood. Bad roads must be fixed, and they must be fixed now, with fairness as the guiding standard.
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