As World Marks AIDS Day… 

Tomorrow, December 1, 2020, the world will commemorate World AIDS Day. On this day, people
around the world unite to show solidarity and support for persons living with HIV/AIDS and remember those who have died from AIDS-related illnesses.
Each World AIDS Day focuses on a specific theme, but this year seems to have dual theme all tailored towards sharing the responsibility of ending the impact and resilience of HIV/AIDS . Thus, this year, the theme revolves around “Global Solidarity, Shared Responsibility”. Again, this year’s theme combines a growing list of challenges that World AIDS Day has alerted people to globally.
Founded in 1988, World AIDS Day was the first ever international day for global health. Every year, United Nations agencies, governments and civil society groups coalesce to campaign around specific themes related to HIV to create awareness.
World AIDS Day remains as relevant today as it has always been, reminding people and governments that HIV has not gone away despite the overwhelming presence of the COVID-19 pandemic. Therefore, there is still a critical need for more funding for AIDS to increase awareness of the impact of HIV on people’s lives to end stigma and discrimination and to improve the quality of life of people living with HIV.
This year, the world’s attention has been directed by the COVID-19 pandemic on health and how pandemics affect lives and livelihoods. COVID-19 is showing once again how health is interlinked with other critical issues, such as reducing inequality, human rights, gender equality, social protection and economic growth. Hence, the theme.
COVID-19 has proved that indeed no one is safe in a pandemic until everyone is safe. Thus, leaving people behind is not an option if we are to succeed in the fight. Eliminating stigma and discrimination, making people our priority and basing our responses on respect for human rights and gender-responsive approaches are key to ending the colliding pandemics of HIV and COVID-19.
Global Solidarity and Shared Responsibility requires that we view global health responses, including the AIDS response, in a collective and new way. It, therefore, calls on the world to come together under the exercise of strong leadership that will create equal societies, the right to health for all and a robust and equitable global recovery. This World AIDS Day also calls on countries to step up their efforts to achieve healthier societies.
It has been estimated that 38 million people globally were living with HIV. Out of this figure, 25.4 million people were accessing antiretroviral therapy. While 1.7 million people became newly infected with HIV globally, 690, 000 people died from AIDS-related illnesses in the last year.
Given this development, it is now imperative for the introduction of a permanent cure for AIDS. If scientists developed a SARS-CoV-2 vaccine within a year and a half, and are still learning what COVID-19 infections look like and how to vaccinate against them, why is it hard to develop a HIV vaccine since its outbreak several years ago? In 1984, officials declared that an HIV vaccine would be ready for testing in two years. More than 35 years later, however, there is no HIV vaccine.
As the world focuses on this global health concern to humanity, Nigeria also joins the urgent call for a collective effort to alleviate the plight of AIDS patients in the country. Working on the local theme: “United to End AIDS in the Midst of COVID-19: Get Tested”, the Federal Government laments the low response of people to HIV/AIDS testing and appealed to citizens to embrace it.
The Director-General of the National Agency for Control of AIDS (NACA), Dr Gambo Aliyu, speaking at the 2020 World AIDS Day celebration in Abuja, regretted that the COVID-19 pandemic had adversely impacted the HIV/AIDS programmes in the country. Aliyu clearly identified stigma and discrimination as major causes of low response to testing and decided that his organisation would fight against such issues.
It has been rated that Nigeria has the second largest HIV epidemic in the world. Although HIV prevalence among adults is much less (1.3%) than other sub-Saharan African countries such as South Africa (19%) and Zambia (11.5%), the size of Nigeria’s population means 1.8 million people were living with HIV in 2019. Recent drops in prevalence estimates for the country has been attributed to better surveillance.
Nevertheless, the Joint United Nations Programme on HIV/AIDS (UNAIDS), estimates that around two-thirds of new HIV infections in West and Central Africa in 2019 occurred in Nigeria. Together with South Africa and Uganda, the country accounts for around half of all new HIV infections in sub-Saharan Africa every year. This is despite achieving a 13% reduction in new infections between 2010 and 2019.
NACA can reinvigorate the fight against the twin problem of discrimination and stigmatisation by employing interventions that will properly direct and improve young people’s knowledge of HIV, reducing negative stigma belief through media campaigns and increasing access to HIV testing through home-based testing and “opt-out” strategy at the point of care. This will drastically reduce the prevalent rate as well.
A major setback in the fight against HIV/AIDS in the COVID-19 era emanated from poor financing. Though NACA confirms it has been receiving some funding, the Federal Government needs to do more to enable the organisation increase its testing capacity and treatment of more AIDS victims to inspire courage and confidence in them and get them tested for the ailment.
It is commendable that NACA is beginning to enlist the support of the private sector to find a lasting solution to the HIV/AIDS pandemic in the country. The organisation should similarly solicit the assistance of some wealthy Nigerians like Alhaji Aliko Dangote, Chief Femi Otedola, Chief Mike Adenuga, Chief (Mrs) Folorinsho Alakija, among others. Also, universities in the country should be enabled to come up with antidotes to the HIV/AIDS challenge through research efforts. This no doubt will greatly boost our national image.
Afterall, two Nigerians are involved in the discovery of the vaccine recently discovered to cure 95% of Covid – 19 infections. If that be the case, why not find a cure for HIV? There is no gainsaying that such a feat will put Nigeria on the global map.

By:  Sogbeba Dokubo