Features
Nigeria: Any End To HIV/AIDS By 2030?
Since HIV/AIDS
became known, millions of people have been infected worldwide. The disease has recorded higher spread in the less developed climes like Nigeria, where such factors such as illiteracy, ignorance, tradition, poverty and the like have constituted serious challenges.
The question has been centred around the possibility of finding permanent cure to HIV/AIDS, notwithstanding the United Nation’s quest to end HIV/AIDS in 2030. In countries such as Nigeria, Ghana, Liberia and South Africa, which rely more on international donor agencies in terms of finance for HIV/AIDS-related programmes, the seeming inability of the federal and state governments to take up the responsibility of fully financing HIV programmes has further placed those countries in a precarious situation.
On July 14, 2015, the United Nations Programme on HIV/AIDS (UNAIDS), released a report, which showed that the global spread of HIV/AIDS has been reduced. At about the same time, media reports in Nigeria credited a statement to UNAIDS Nigeria Country Director, Dr. Bilali Camara, to the effect that ‘‘Nigeria is among countries which have reversed their HIV trend’’. He, however, did not state the extent to which the country has reversed the epidemic.
About a year earlier, precisely on July 16, 2014, the same UNAIDS had released a report it called the “Gap Report”, which revealed that 15 countries accounted for more than 75% of the 2.1 million new HIV infections that occurred in 2013. Among others, the report gave a damning verdict on Nigeria as a country with the highest HIV/AIDS mortality.
“Nigeria also accounts for one third of all new infections among children in the 20 worst hit countries in sub-Saharan Africa”, it stated.
Meanwhile, Nigeria’s HIV infection rate of 3.2 percent may appear considerably low when compared with South Africa’s 12.2 %, with a population of about 52.98 million, according to Human Sciences Research Council (HSRC).
A fact sheet released in 2014 on Nigeria by UNAIDS, said 3.4 million Nigerians are living with HIV/AIDS, with only 593, 000 of them on Anti Retroviral Drugs (ARVs), which represented a paltry 21% of total number who require treatment.
New child infections in 2013 alone stood at 51, 000 while infections among all ages was put at 220, 000. According to that document, there are 190, 000 HIV positive pregnant women, with 52, 500 of the women on Anti Retroviral Drugs (ARVs). Of this number of pregnant women needing treatment, Nigeria is unable to treat about 70%. The report further stated that only 12% (47, 300) of all infected children requiring treatments are able to access them, leaving out the majority 88%.
However, what looked like a semblance of success story was noticed in the Prevention of Mother-To-Child Transmission of HIV/AIDS (PMTCT), which went up to 27% in 2013 from the 19% that it stood in 2012, according to the United Nations Children’s Fund (UNICEF). UNICEF also said some states doubled or tripled the number of clinics providing HIV services, bringing the number of PMTCT sites to 2,216. UNICEF, however, said this is still far less than the 16,400 needed to cover the 88% that the crucial services had left out.
According to UNICEF, the annual number of new child infections went down from 60,000 in 2012 to 51,000 in 2013. Meanwhile, two in every three pregnant Nigerian women are not being catered for. So, the 190, 000 figure quoted for pregnant women needing care is more likely to be an understatement.
During a visit to Nigeria from 7 to 10 February, 2016, UNAIDS Executive Director, Michel Sidibé met with the Vice-President, Yemi Osinbajo, and urged the Federal Government to increase its support for the Maternal, Neonatal and Child Health Week, with the aim that all pregnant women are tested for HIV by the end of 2016, and all women who test HIV-positive have immediate access to antiretroviral therapy.
The Vice President told Sidibé during the meeting that Nigeria was making huge budget allocations for social investment programmes, in part, to increase access to health care and help end the AIDS epidemic. How much this amounts to, and to what extent such budget will truly be executed on the purpose it is meant for can only be imagined, given alleged non-accountability of funds allocated to the fight against the HIV/AIDS epidemic.
Recall that in October 2014, the Network of People Living with HIV/AIDS in Nigeria (NEPWHAN) had mobilised its members in Abuja to protest at the National Agency for the Control of AIDS (NACA) office, shutting business at the complex, over perceived unresponsiveness of the agency to the dwindling fortunes of the HIV/AIDS treatment programme in Nigeria.
NEPWHAN’s National Secretary, Victor Omoshein, had then remarked,‘‘We are concerned with the miserable conditions of people living with HIV/AIDS in Nigeria, as well as the high number of people dying daily from AIDS related complications due in large part to lack of access to antiretroviral medications as a result of withdrawn support by donor agencies.’’
According to Omoshein, ‘‘only 649, 000 out of about 1.8 million in need of treatment have access to drugs.’’ That figure represented about 30% of treatment needs.
The immediate past Director-General of the National Agency for the Control of AIDS (NACA), Prof John Idoko, had responded then that there were challenges, but reiterated government’s commitment to scaling up from 600, 000 to 1.4 million people on treatment. He, however, did not give a time frame for this government ambition.
There is no doubt that from inception, funding for Nigeria’s HIV/AIDS intervention has been donor dependent and donor driven, to the extent that about 90% of available funds come from donor agencies like the United States President’s Emergency Plan for AIDS Relief (PEPFAR), Global Fund, World Bank and several other international organisations.
Support ranges from training of personnel, provisions of technical know-how, supply of life-saving drugs and kits, etc. The Nigeria government’s contribution was mainly reduced to the provision of physical infrastructures such as hospital buildings and payment of salaries of medical and other allied personnel employed in the hospitals, while the core and major burden of intervention are borne by the donor agencies.
A major problem that has, however, short-changed the success story of the Nigerian intervention, is corruption. Most donor organisations have had issues with the Nigerian government over lack of accountability in the management of funds by Nigerian officials.
On several occasions, there were drugs stock-out, resulting in treatment truncation. There had also been instances where expired drugs were dispensed, fake and substandard testing kits deployed to testing centres, and when officials have had to destroy valuable supplies due to their expiration,
With the global financial crisis and changes in the priority focus of donor agencies, donor agencies now want the Nigerian government to contribute beyond just paying salaries and making available hospital spaces to actually invest in drugs purchase, equipment, training etc.
This current development clearly means that if the Vision 90:90:90 by 2030 and ending AIDS by 2030 must be achieved, the Nigerian government must go the extra mile. The first step should be allocation and release of necessary fund. This should be backed by policies that would ensure that monies meant for the execution of HIV/AIDS programmes would be used for no other purpose.
Unfortunately, the outrageous slashing of NACA’s proposed N18.9 billion for HIV/AIDS for the 2016 fiscal year to N1.5 billion by the two chambers of the National Assembly is a negative sign that may stand in the way of achieving Vision 90:90:90 by 2030.
In the words of the NEPWHAN National Coordinator, Victor Omoshehin, “If the government of change will not increase the domestic funding for HIV, then Nigeria cannot own up to the responsibility of achieving the Vision 90:90:90 by 2030 and we cannot end AIDS by 2030”.
Soibi Max-Alalibo
Features
Will Drug Trafficking Ever End ?
From the fore going, the fight against drug trafficking should be treated as an international challenge with open collaboration, if the world leadership must win the fight!.
The circumstances or should I say the improvement on drug related activities are modifying and updating on daily basis. A close friend of mine in the United States of America who recently visited Jamaica, came with a lot of complicated information about drug trafficking and transaction. Being a qualified Nurse in US and on a visit to the Reggae Country (Jamaica), she said she was put aback when a man approached her and introduced himself as a Pharmacist. According to her, she immediately picked interest due to her professional background. To her, a business partner is birthed. But she was shocked to the narrows on learning that drug dealers or traffickers and subriquited Pharmacist in that Country. From her account, they ( The Jamaican Pharmacists), are the first set to people to meet and greet you at the Airport. No government or authority challenges them in the open due to the sophisticated nature of their transportation
Come to think of it, who would want to attack a Pharmacist on duty? Nigerians are not left out in the improvement on drug deal. A chat with a confident in the National Drug Law Enforcement Agency ( NDLEA) Rivers State Command, so revealed. The Officer draw my attention to the movement of Dispatch Riders. He said part of the reasons they ride with almost speed equivalent of the thunder lightning, is to meet up with the appointment of delivering hard drug consignment to a client of theirs. According to him, those guys popularly referred to as Yahoo Boys are the ones who now payroll dispatch riders so that they can deliver their consignment ( hard drugs) on schedule no matter the sort of traffic or weather condition. The fear of loosing rich clients and that of the unknown treatment that may come of the Boys, as the officer puts it, drives the Riders crazy thus the reason to speed even at the expense of their lives.
The account of a prominent Party Promoter, Wayne Anthony, as obtained online recently, also pointed out that ‘No Legislation Will Stop Clubbers From Doing Drugs’ Party promoter, Wayne Anthony, arrived in Ibiza, a Spanish Island in 1988, at the same time as dance music and the party drug ecstasy. Despite hallucinating badly enough to make him give up the lifestyle forever, he says laws will never stop clubbers taking drugs. “I don’t think you can control these things,” said former party promoter Wayne Anthony. He arrived in Ibiza in 1988 and began setting up club nights and raves in some of the island’s most iconic venues. In the years that followed, the sleepy Spanish island turned into a raver’s haven of clubbing and hedonism, with party drugs like ecstasy commonly found. “What Ibiza represented was this beautiful, hot island which was visually stunning and we knew you could party there quite legally,” said Wayne. “You didn’t have to look over your shoulder. You could just be as free as you possibly could be.”
That freedom came with a price. Along with the lavish clubs, all-day-benders and hot Spanish sun came drug cartels and crime. The city transformed into one the world’s most vibrant party capitals, “fuelled by a dangerous and lucrative drugs trade which drew as many criminals to its shores as it did party animals”. Wayne, one of the contributors to the documentary, spoke to Sky News ahead of its release.”I’m not going to sit here and say the cartels aren’t there. They are all there and they’ve been there from the ’90s,” said Wayne. But he said most people tried to ignore the organised crime going on around them. According to Wayne, clubbers usually took the approach of: “‘Give me 10 E’s . Behind the scenes of the filming of Ibiza Narcos with Wayne Anthony. Behind the scenes of the filming of Ibiza Narcos with Wayne Anthony. Hallucinating giant spiders Although he described the Balearic island as the “motherland”, it was eventually a bad experience with drugs that convinced Wayne it was time to leave Ibiza.
He’d been partying for days when he realised he’d taken too many drugs. A friend told him to drink cough medicine, dangerous advice that he now says could have killed him. “I saw the worst hallucination I’ve ever seen in all of my life. I ended up locking myself in the villa with all the shutters down. When he sobered up, he realised he had “come to the end” of his party life on the island. “I never looked back. I never took another drug. I got away from the club world.” ‘I don’t think you’re going to be able to stop it’ Despite his life-changing experience, he doesn’t think criminalising drugs is a good idea – or particularly effective. “If you’re old enough to vote for who’s going to be a world leader, if you’re old enough to put your name down on debt for 25 years, I feel like you should be old enough to govern what you put inside your own body, you know?” said Wayne.
Back to Nigeria, some illicit drugs worth over N30billion seized at Onne Port in Rivers State.
This blood chilling development forced the Federal Government to declare a state of emergency at the Onne Port, following what authorities described as repeated incidents of importation of dangerous cargo, including arms and ammunition through the said port. To this effect, the government said it was immediately implementing emergency protocols at Onne Port for the next three months by conducting thorough examinations of all suspected containers in the premises.
The Comptroller-General of Customs, Bashir Adeniyi, in charge of the port via a press conference, said it henceforth, unveiled the seizures of illicit goods by the Nigeria Customs Service, Area 2 Command, Onne in Eleme Local Government Area of Rivers State. In defence for his action, Adeniyi said the recurring incidents posed a threat to national security, adding that the health of citizens at the Onne Port is increasingly being used as a destination for dangerous and illicit cargo, describing it as a disturbing trend.
The customs boss stated, “Earlier today, I joined numerous stakeholders to take a significant step towards the cause of trade facilitation through the inauguration of upgraded facilities provided by the West Africa Container Terminal, Onne. “As I express delight that trade facilitation is getting traction in Onne Port, I cannot help but call your attention to a grave concern. This has to do with the repeated incidents of national security breaches unfolding in Onne Port. I appreciate your presence, as we all have a shared responsibility in safeguarding our national security. As we are all aware, the policy thrust of Mr President supports the re-energising of our business environment to drive faster import clearance and grow our capacity for exports, Our emphasis has been to promote initiatives that speak to Trade facilitation and economic development. “It is a matter of regret that criminal elements in the international supply chain are exploiting our pro-trade stance to commit atrocities bordering on national security breaches”.
“The attempts to test our will through the importation of dangerous cargo through this port has necessitated the declaration of a state of emergency in Onne Port, coming on the heels of a seizure of a huge cache of arms a couple of months ago. It is disheartening that perpetrators have not backed down on their illegal acts. Recent intelligence and seizures have revealed a disturbing trend; Onne Port is increasingly being used as a destination for dangerous and illicit cargo. The scale and nature of these illegal importations pose a significant threat to our national security and the health of our citizens. Today, we are here to showcase yet another series of significant seizures made by the diligent officers of the Area 2 Command. On display are twelve containers of illicit goods intercepted through a combination of intelligence gathering, inter-agency collaboration, and meticulous physical examination. Seizures on Display include: Three (3) x 40-feet containers: Containing 562,600 bottles of 100ml cough syrup with codeine and 3,150 pieces of chilly cutters, with a Paid Duty Value (DPV) of N4,716,573,846.
“Others are, three x 40-feet containers containing 380,000 bottles of 100ml cough syrup with codeine, 24,480,000 tablets of Royal Tramadol Hydrochloride, 5,350,000 tablets of Tapentadol and Carisoprodol, and other items, with a DPV of N17,432,506,000 were seized”.
According to the report, more seized items were, “Five (5) x 40-feet containers; Containing 892,400 bottles of 100ml cough syrup with codeine, 1,300,000 tablets of 50mg Really Extra Diclofenac, 7,250,000 tablets of 5mg Trodol Benzhexol, and other items, with a DPV of N8, 128,568,295,90. This very action of the Nigeria Customs Service, further complicated the hope of how soon the fight against drug trafficking could be brought to a halt owing to its high profile nature.
Another hair-raising report of the illicit drug deal has it that when NDLEA bursted a Snake-Guarded Shrine Used For Storing Illicit Drugs sometime ago in Edo State. This very news report was published in The Tide Newspaper on June 24, 2024. According to the report, NDLEA said its operatives uncovered a shrine, guarded by a snake, being used for storing illicit drugs, during an operation in Edo State. The Agency in a statement by its spokesperson, Femi Babafemi, added that its operatives discovered a specially constructed large hole in a wall, hidden behind wallpapers and fetish objects used for drug storage. It further noted that methamphetamine, Loud, Colorado and Arizona, all strong strains of cannabis with a total weight of 8.743kg among others, were recovered from the shrine.
To be cont’d
King Onunwor
Features
Farmers/Herders Clash: Livestock Ministry As Solution
The persistent clash between farmers and herders in Nigeria has been a longstanding issue. These conflicts, often, over resources like land and water, have led to loss of lives, destruction of property, displacement of large numbers of people, deep-seated mistrust between communities and insecurity. Herders, traditionally nomadic, move their livestock in search of grazing land and water. Farmers, on the other hand, require the same resources for their crops. This competition often leads to clashes, especially in areas where land is becoming increasingly scarce due to population growth, climate change, and environmental degradation. As these clashes intensify, there has been a growing call for sustainable solutions. Two weeks ago, President Bola Tinubu took a bold step towards tackling the issue by inaugurating the Presidential Committee on Implementation of Livestock Reforms and creating the Ministry of Livestock Development.
The committee which has the president as the chairman and the former Chairman of the Independent National Electoral Commission (INEC), Professor Attahiru Jega as the deputy chairman has the mandate to address obstacles to agricultural productivity and open up new opportunities which benefit farmers, herders, processors, and distributors in the livestock-farming value chain as well as propose recommendations aimed at fostering a peaceful co-existence between herders and farmers, ensuring the security and economic well-being of Nigerians.The establishment of the Ministry of Livestock Development was part of the recommendations of the National Livestock Reforms Committee. Part of the 21 recommendations submitted to the president include: “This agenda should include the establishment and resuscitation of grazing reserves as suggested by many experts and well-meaning Nigerians and other methods of land utilisation.
“Create the Ministry of Livestock Resources in line with practice in many other West African countries. In the alternative, Federal and State Governments should expand the scope of existing Departments of Livestock Production to address the broader needs of the industry,” among others. Experts in the agricultural sector have posited that the livestock industry can create millions of jobs directly in farming, processing, and distribution, and indirectly in related sectors like feed production, veterinary services, and marketing. It provides livelihoods for rural populations, helping to reduce poverty and improve the quality of life in rural areas. It also increases the Gross Domestic Product (GDP) and foreign exchange earnings through the exports of livestock and livestock products such as meat, dairy, wool and leather.
According to them, a well-funded livestock industry supports the growth of agro-processing sectors, such as meat packing, dairy processing, and leather manufacturing, adds value to raw products and creates additional economic activity as well as stimulates the development of supply chains, including logistics, packaging, and retail, contributing to broader economic growth. It enhances economic resilience by diversifying the agricultural sector and providing a buffer against crop failures or other agricultural shocks and many more. Some other agriculturists have also opined that the livestock industry in Nigeria is currently underdeveloped and that by the creation of the ministry of livestock development will open up the industry which will be a huge money spinner for Nigeria.
Reports have shown that a Livestock Ministry can play a pivotal role in mitigating conflicts between farmers and herders by implementing policies and programmes aimed at fostering coexistence and sustainable resource management. The Ministry can work towards clearly demarcating grazing routes and farming areas. This would reduce instances of trespassing and accidental crop destruction, a common flashpoint for conflict. While introducing rotational grazing systems can ensure that land is used sustainably, preventing overgrazing and land degradation, establishing water points and boreholes specifically for livestock can reduce competition for water resources. Similarly, promoting the development of pasturelands through reseeding and controlled burns can improve grazing conditions.
According to a veterinary doctor, Dr Andrew Obadiah, by providing training for herders on sustainable livestock practices and for farmers on conflict resolution, both parties can understand the importance of coexistence. He said that extension services of the ministry can offer advice on improving livestock health and productivity, reducing the need for large herds and extensive grazing. “Setting up local committees involving both farmers and herders to mediate disputes can provide a platform for dialogue and peaceful resolution. Encouraging community-based conflict early warning systems can help prevent clashes before they escalate”, he emphasised.For Mrs. Stella Ugwu, a farmer, having a ministry dedicated to the development of the livestock industry can help in diversifying income sources for both farmers and herders and in turn reduce dependence on land.
”For instance, promoting agro-pastoralism can provide farmers with livestock and herders with agricultural produce”, she explained, adding that providing incentives for adopting sustainable practices, such as subsidies for fodder production or crop insurance, can ease economic pressures. Ugwu was however of the opinion that the creation of a new ministry to handle livestock affairs was uncalled for, since the job can effectively be done by the Technical and Service Department of the Federal Ministry of Agriculture and food security and its equivalent on the states level.In some countries, the establishment of a Livestock Ministry or similar bodies has shown promising results. For example, Ethiopia’s Ministry of Agriculture includes a dedicated department for livestock which has successfully implemented programmes to improve pastoral livelihoods and reduce conflicts.
In Kenya, the establishment of the National Drought Management Authority has helped manage resources better, thus reducing clashes between herders and farmers during dry seasons.The president of Miyetti Allah Cattle Breeders Association of Nigeria (MACBAN), Othman Ngelzarma, sees the Ministry of Livestock Development achieving the same feat for Nigeria in the near future. He told newsmen that, “MACBAN expresses its deepest appreciation to the Federal Government for creating a ministry of livestock to unlock the trillion-naira livestock economy and create qualitative and productive jobs across the value chain to improve the Nigerian economy. With this development, MACBAN believes the hope of the Nigerian pastoralists is now achieved under the Renewed Hope Agenda.
However, the Middle Belt Forum took a different view of the proposed Ministry of Livestock Development, saying it was not enough to sustainably resolve the decades-long farmers-herders crisis in the country. According to the National President of the association, Mr. Bitrus Pogu, what is needed to end the perennial farmers/herders clashes is a deliberate action by regulatory bodies and the government to stop criminal elements from carrying out deadly attacks on innocent Nigerians, mainly farmers. Hear him: “If the reason for creating the Ministry is to stop clashes, I think it is wrong because all of these attacks and killings that are happening have nothing to do with conflicts between farmers and herders. “Farmers have never connived at any given time to go and attack herders, but rather, criminals who happen to be Fulani gang up and attack farmers, kill, maim and chase them out of their ancestral homes.
“Then, the Fulani will come and occupy them. So, it is more about invasion, criminality, and terrorism. And the majority of those they hire to do these evils are not even those who have cattle. So, a deliberate action has to be taken by the government against the perpetrators, which will address the criminality.” Mr. Pogu suggested that the government should adopt ranching for productivity and enduring peace between the pastoralists and farmers in particular and the entire country in general.While the establishment of a Livestock Ministry presents a viable solution, it is not without challenges. Funding constraints, bureaucratic inefficiencies, and corruption can hamper its effectiveness. Additionally, deeply ingrained cultural practices and mistrust between farmers and herders can be difficult to overcome.
Critics argue that without a holistic approach that includes land reform, climate change adaptation, and broader economic development, a Livestock Ministry alone may not be sufficient. Therefore, it must work in tandem with other governmental and non-governmental bodies to ensure comprehensive solutions. “A dedicated Livestock Ministry, with its focus on sustainable resource management, conflict resolution, and economic incentives, offers a promising avenue to address the root causes of these clashes. However, its success depends on effective implementation, adequate funding, and the cooperation of all stakeholders involved. With the right strategies and commitment, devoid of any political or selfish interest, it can play a crucial role in fostering peace and prosperity in affected regions”, they advised.
Calista Ezeaku