Editorial
Tackling The HIV/AIDS Scourge
Nigeria participated in the global commemoration of World AIDS Day on December 1, 2023, with all levels of government, local communities, and civic organisations actively participating in the movement to prevent HIV/AIDS’ continued proliferation and eliminate it in the country. The event gathered global support for those living with and impacted by HIV, as well as commemorating the lives of people affected.
According to the World Health Organisation (WHO), this year’s theme: “Let Communities Lead” emphasises the crucial role that communities can and should play in achieving the objective of zero new HIV infections in the country. WHO acknowledges that the involvement of communities affected by HIV, as well as networks of individuals from key populations and youth leaders, has been and remains crucial for advancement in the HIV response.
The global health body highly recommends that local communities collaborate with state governments, the Federal Government, and non-governmental organisations (NGOs) to offer crucial services for prevention, testing, and treatment support. This partnership should aim to establish trust, develop innovative solutions, promote health, monitor the implementation of policies and programmes, and ensure accountability of care providers.
In 2021, Statista reported 1.9 million Nigerians living with HIV, with women being the most affected group. The number of HIV-positive children under 14 reached 170,000. Only 1.46 million individuals in Nigeria had access to antiretroviral therapy by 2020, with 86.04 per cent of the population receiving it. The administration of antiretroviral drugs successfully reached 86.04 per cent of the population.
Despite the steady increase in the number of People Living With HIV/AIDS (PLWHA), who are receiving antiretroviral therapy (ART) from 2010 to 2020, with the figure rising from 340,000 to 1.46 million, there is still a need for further efforts to improve access. While progress has been made, it is crucial to continue working towards increasing accessibility to ART for all those in need.
The United Nations predicts that the HIV/AIDS epidemic could be eradicated by 2030 through innovative and consistent remedial programmes. The organisation emphasises the necessity for new approaches and a commitment to tackling the global health crisis. Effective prevention strategies, access to treatment, and addressing social and economic factors will help end the scourge within the next decade.
Consequently, the global body urges governments, communities, and care givers to maintain their unwavering dedication and persistence in these eradication endeavours. The key message conveyed by the body is that the goal of eradicating HIV/AIDS can only be accomplished if local communities and support services are provided with the necessary resources and support.
However, Nigeria faces a challenge in sustaining these efforts. The campaign against HIV/AIDS in the country has weakened or declined in recent years, posing a hurdle for the government and advocacy groups involved. This suggests that a renewed commitment and stronger initiatives to combat HIV/AIDS within Nigeria is required.
There is a unanimous agreement among political leaders, civil society, and development partners that to eradicate AIDS as a public health threat in Nigeria, all tiers of government must enhance their domestic funding.
Regrettably, several states have not been adequately addressing the proliferation of this menace. World AIDS Day, therefore, presents an opportunity for states to allocate additional resources towards combating this affliction.
Rivers State has sadly been ranked as the third highest state in Nigeria with a high prevalence of HIV/AIDS, despite the availability of free treatment. This information was revealed by the State Commissioner for Health, Dr Adaeze Oreh, in a statement released to commemorate this year’s event. The 2018 National AIDS Indicator and Impact Survey indicated that the state came after Akwa Ibom and Benue states in terms of the number of people living with the virus.
The commissioner said that 95 per cent of those affected were aware of their HIV status, with 98 per cent receiving necessary treatment. Furthermore, 87 per cent of individuals are virally suppressed and are currently being treated across 116 medical facilities throughout the state. Considering these statistics, it is essential for the state to exert more effort in eradicating this disease.
The Nigerian Agency for the Control of AIDS needs to enhance its programmes and eliminate barriers for Nigerians living with HIV/AIDS to access necessary drugs. The Coordinating Minister of Health, Ali Pate, must prioritise and allocate funds to the HIV/AIDS programme, ensuring adequate funding and revitalisation of the programme.
The prevention and control of HIV in Nigeria require collective efforts and comprehensive education.
To elicit the desired change, everyone should assume responsibility for their own health. This entails actively seeking knowledge about the causes, transmission modes, and risk factors associated with HIV. By fostering a culture of awareness, people can make informed decisions and take precautions to safeguard their well-being. Indeed, this is how communities lead for results.
Also, to reduce HIV exposure, Nigerians should adopt a lifestyle that avoids risky behaviours like unprotected sexual intercourse, needle sharing, and illicit drug use. Avoidance of risky behaviours reduces vulnerability to contracting the disease. However, the responsibility should not solely fall on individuals; all stakeholders should be involved in this campaign. By involving all stakeholders, communities become the rallying point for galvanising and mobilising resources to tame the scourge.
Again, collaboration among government bodies, non-governmental organisations, healthcare professionals, and community leaders is crucial for effective HIV prevention and control. This will enable accurate information dissemination, accessible healthcare services, and broader preventive measures to promote a knowledgeable, responsible communities better equipped to tackle the HIV challenges. Of course, letting communities lead provides the best workable pathway to winning the war against HIV/AIDS and accelerating better health for all in our time.
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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.
Editorial
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