Dr Mcphalane Ejah, a public health advocate, has warned that Nigeria is “sitting on a keg of gunpowder” due to rising youth ignorance about HIV.
Ejah, Chairman of the Prevention Technical Working Group on HIV in Cross River, issued the warning during an interview with News Agency of Nigeria on Monday in Calabar.
He said World AIDS Day, marked every Dec. 1, remained vital for honouring victims, supporting patients, fighting stigma, and promoting prevention.
He noted that many young people doubted HIV’s existence because they rarely encountered HIV messages on radio, billboards, or community platforms.
According to him, no deliberate effort exists to provide youth-friendly HIV information despite heavy youth engagement with digital media spaces.
He warned that excluding young people from HIV response plans left a large and vulnerable population segment exposed to avoidable risk.
Ejah said widespread claims of funding masked the reality that civil society organisations lacked support, leaving critical interventions underfunded.
He cautioned that without urgent attention, national HIV efforts would continue as ineffective, symbolic exercises with little practical impact.
He identified weak political commitment as a major barrier to equitable HIV prevention and care across the country.
He said state HIV agencies operated with insufficient budgets, adding that approved funds were often not released for implementation.
“Government agencies now depend on foreign partners, making the national HIV response partner-driven rather than government-led,” he said.
He stressed that agencies could not coordinate responses or monitor interventions when unable to finance their basic operational needs.
Ejah said Nigeria’s HIV response remained weakened by inadequate funding and “cosmetic” commitment at both federal and state levels.
He added that although the country once showed strong resolve, current funding levels did not support meaningful prevention or intervention work.
————–FG Provides Free Annual Liver, Kidney Tests For HIV Individuals
The Federal Government announced it has begun providing people living with HIV/AIDS access to free annual liver and kidney function tests through expanded health insurance, aiming to improve long-term health outcomes nationwide.
Dr Iziaq Salako, Minister of State for Health and Social Welfare, stated this during the 2025 World AIDS Day celebration in Abuja, organised by the National Agency for the Control of AIDS and partners.
Salako said the initiative was part of Nigeria’s efforts to strengthen quality care for people living with HIV, ensuring earlier diagnosis, better retention in treatment, and improved health outcomes for all patients.
“We are moving toward full integration of HIV, tuberculosis, malaria, nutrition, and the National AIDS, Viral Hepatitis and STIs Control Programme (NASCP) as one-stop services for children, adolescents, and adults,” he explained.
The minister said that during the 66th National Council of Health, the age of consent for voluntary HIV counselling and testing was reduced from 18 to 14 to increase adolescent testing rates.
Salako added that the NCH approved a national clinical mentorship programme, urging states to integrate mentorship into annual plans and budgets to reduce treatment loss to follow-up among people living with HIV.
Dr Temitope Ilori, Director General of NACA, said in spite of global disruptions, Nigeria was on track to meet the 2030 target of ending HIV, maintaining strong performance across diagnosis, treatment, and viral suppression.
“We have achieved an impressive 87–98–95 performance: 87 per cent know their status, 98 per cent of those are on treatment, and 95 per cent on treatment have viral suppression,” Ilori confirmed.
She added that Nigeria had recorded a 46 per cent decline in new HIV infections, with more people living with HIV enrolled and retained in care than ever before.
Abdulkadiri Ibrahim, President of the Network of People Living with HIV/AIDS in Nigeria (NEPWHAN), called for stronger domestic funding, improved community engagement, and expanded access to viral load testing for better patient outcomes.
Ibrahim emphasised that adherence, psychosocial support, follow-up for missed appointments, and retention strategies remained critical to closing gaps in prevention of mother-to-child transmission (PMTCT) and improving overall HIV management.
Mrs Esther Hindi, National Coordinator of the Association of Women Living with HIV/AIDS in Nigeria (ASWHAN), stressed that children continued to be born with HIV, urging expanded access to testing and treatment for pregnant women.
Elsie Attafuah, Acting UN Resident Representative, and Ayo Ipinmoye, Acting Chairman of the Global Fund, reaffirmed their commitment to supporting HIV prevention, treatment, civil society engagement, and strengthening Nigeria’s health system for resilience and equity.
Attafuah stressed the importance of domestic financing, human rights protection, community empowerment, and health system strengthening to enhance efficiency, resilience, and equitable access, ensuring sustainable HIV responses across the country.
“Together, we will sustain the HIV response, overcome disruptions, and build a future where every person can live with health, dignity, and hope,” she said, highlighting collective responsibility and commitment.
Dr Muyi Aina, Executive Director of the National Primary Health Care Development Agency, pledged continued promotion of accessible healthcare services nationwide to ensure equitable HIV testing, treatment, and preventive interventions for all Nigerians.
Activities to mark the day included awards presented to Odunayo Sanya, Executive Director of MTN Foundation, and Dr Allen Onyema, Chairman and Founder of Air Peace, recognising their contributions to health and community development.
