Minister of Health, Dr. Osagie Ehanire, has expressed concern over new pediatric HIV infections in children aged 0-4 years.
He expressed his worry during a national dialogue on the Prevention of Mother to Child Transmission of HIV (PMTCT) on Tuesday in Abuja.
The dialogue was organized by the National AIDS/STIs Control Programme of the Federal Ministry of Health.
Ehanire said in spite of significant achievements in the HIV Programme, there were persisting poor outcomes in PMTCT, noting that the dialogue was prompted by the urgency to scale up sustainable programmes for PMTCT of HIV to eliminate new HIV infections among children.
“Nigeria, being one of the 21 priority countries in Sub-Saharan Africa for the elimination of vertical transmission of HIV, committed to and endorsed The Global Plan. We agreed to be held accountable for achieving the set targets by 2015. Since then, we implemented several pillars cutting across leadership, policy, and coordination.”
However, he said “data still points to overall underachievement in key result areas, including PMTCT. For example, PMTCT coverage is only 37 percent and 21,000 new pediatric HIV infections recorded in children aged 0-4 years in 2019.”
According to him, the growing cases are unacceptable. Ehanire explained the major bottlenecks impacting PMTCT negatively included the variable coverage of Antenatal care (ANC) services, unmet need for family planning, poor testing coverage for pregnant women, and poor tracking and retention in care for HIV exposed infants, among others.
“Overall, we estimate that 88 percent of pregnant women who test positive are on antiretrovirals (ARVs).”
The Permanent Secretary, Ministry of Health, Mr. Adulaziz Mashi Abdullahi, said the dialogue was to provide a platform for all actors to agree on key next steps toward achieving the goal of eliminating mother-to-child transmission of HIVAIDS in the country.
Abdullahi added that the ministry expected stakeholders to review efforts, political and technical issues hindering the achievement of the set goal. He noted that special attention was paid to optimizing PMTCT at health facilities and scaling up targeted community testing of pregnant women, improving demand creation and HIV case finding among pregnant women, and improving Early Infant Diagnosis (EID) services.
Dr. Gambo Aliyu, the Director-General, National Agency for the Control of AIDS (NACA), however, said in spite of unprecedented challenges posed by the COVID-19 pandemic, 350,000 Persons Living with HIV (PLWHIV) were identified in the last 18 months.
He added that “the 350,000 people identified were put under treatment in the last 18 months in spite of COVID-19. “This number is a break from the previous 50,000 to 60,000 a year.”
Aliyu said NACA accessed some rural communities and maintained services to be able to identify cases.
He explained that “from a few numbers of one-stop shops, it increased to 60 one-stop shops all over the country and all these accounted to the 350,000 we were able to identify, instead of the traditional 50,000 to 60,000 persons.
Results from the Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS) conducted in 2018 show about 1.9 million persons under the age of 64 are living with HIV.”
On mother-to-child HIV transmission, Aliyu said there was a need to tweak the existing strategy to stop the transmission.
The NACA boss, who said the number of women on HIV treatment had greatly improved between 2006 and 2019, emphasized that “it is not the PMTCT that is not working; it is the strategy that we have to tweak.
“If you look at the numbers we had as far back as 2006, we had about 13,000 women on treatment. As of 2019, about 421,000 women on treatment; this is over 200 percent increase.”
He, however, lamented that six million out of eight million pregnant women were not attending antenatal care.
“So, we are battling with two million that are attending antenatal care in implementing these services; for those that we have access to the services are delivered well.”
He noted that the only way to eliminate MTCT was to take services to the community level, adding that “if we can do that, I guarantee all of us that in the next 18 months, we will see huge rebound that we noticed with ART surge.”
