06/12/2024
World AIDS Day 2024 Press Briefing by the Honourable Commissioner of Health Anambra State, Dr. Afam Obidike today being the 4th of December, 2024
Distinguished stakeholders, and esteemed guests,
Today, as we join the world in commemorating World AIDS Day 2024 under the theme "Take the Rights Path, Sustain HIV Response, Stop HIV Among Children to End AIDS in Nigeria by 2030" we reflect on the milestones achieved and the challenges that still lie ahead in our quest to achieve an AIDS-free Anambra State by 2030. This theme calls for deliberate, rights-based approaches that prioritize inclusion, equity, and the well-being of every individual, especially those living with or affected by HIV/AIDS.
Anambra State has made tremendous progress in recent years. Through the partnership between the State Ministry of Health - State AIDS/STI Control Programme (SASCP), Anambra State AIDS Control Agency (ANSACA), Key Implementing Partners, Development Partners, and Civil Society organizations, comprehensive HIV services have been extended to 175 health facilities across 21 LGAs. From January to October 2024 alone, 257,953 individuals were tested for HIV, with 3,138 (1.2%) newly testing positive and an impressive 99% of those tested positive, successfully linked to antiretroviral therapy (ART). Currently, 49,067 individuals living with HIV have been placed on Anti-retroviral treatment. As part of the state’s HIV prevention efforts, the state, through its partners' support, has distributed 1,406,744 condoms and 26,640 lubricants to support safe practices among key populations and the general public. These distributions underline the state and its partners’ commitment to mitigating transmission risks and supporting comprehensive prevention strategies.
The Prevention of Mother-to-Child Transmission (PMTCT) program has been pivotal to our progress in reducing pediatric HIV. According to Spectrum projections, an estimated 5,167 pregnant women in Anambra State required PMTCT services in 2024. Through the efforts of mentor mothers and implementing partners, there has been an increased demand for testing among pregnant women in the community, with 56,199 antenatal attendees tested for HIV, and 560 HIV-positive pregnant women (both known and new cases) identified, all of whom were successfully linked to care. The integration of innovative diagnostics like m-PIMA machines for Early Infant Diagnostics has improved our ability to test HIV-exposed infants and ensure they are linked to care promptly. This is a significant stride toward ensuring healthier outcomes for mothers and their babies.
Rights-based approaches remain central to the efforts of the Anambra State Government Ensuring that services are provided in a non-discriminatory manner to foster increased uptake of services. Anambra State AIDS Control Agency (ANSACA), which provides multisectoral coordination for the state HIV response, promotes inclusive and sustainable responses in collaboration with the Ministry of Health. The agency has strengthened Local Action Committees (LACAs) to provide the needed oversight at the Local Government level, and supported GBV and human rights interventions that pose a barrier to accessing HIV prevention, treatment, and care services, in collaboration with the relevant line ministries. The current effort to domesticate the HIV anti-discrimination Act is a further testament to the proactive work of the Anambra State Government to protect the rights of those People Living with HIV.
Our focus on adolescents and young people has shown some improvement. In 2024, over 42 adolescents trained as Change Agents have driven HIV awareness campaigns in 179 communities in Anambra state. Additionally, targeted interventions for key populations and radio jingles have expanded access to HIV self-testing and HIV sensitization reaching over 5 million people. Likewise, HIV testing has improved with the distribution of HIV self-test kits.
Despite these achievements, challenges persist. Stigma, discrimination, gender-based violence, human rights violations, and breaches of confidentiality in healthcare settings remain significant barriers, deterring many from seeking care or adhering to treatment. Operational hurdles, such as insecurity in parts of the state and disruptions from the sit-at-home directives, further hinder our efforts to deliver uninterrupted healthcare services. Addressing these challenges requires innovative solutions, such as decentralized service delivery, enhanced training for healthcare workers, robust community engagement to combat stigma, and domesticating relevant laws to combat stigma and discrimination.
Looking ahead, the path to an AIDS-free Anambra State must be guided by equity, accountability, and resilience. We must continue to strengthen healthcare infrastructure, invest in local capacity-building, and expand access to inclusive, high-quality services for all.
We extend our heartfelt gratitude to all organizations within the HIV response in Anambra state, your dedication, resilience, innovation, and collaboration in advancing the HIV response is not taken for granted. Your contributions have been invaluable in driving our collective progress and ensuring that no one is left behind.
Distinguished guests, the theme "Take the Rights Path, Sustain HIV Response, Stop HIV Among Children" serves as both a call to action and a roadmap. Let us re-commit to a future where every child, adolescent, and individual has access to the care, support, and dignity they deserve.
Together, we can achieve an AIDS-free Anambra State, a state where rights-based approaches ensure health equity and hope for all.
Thank you.