Nigeria commits to HIV/AIDS response despite Trump administration order

January 30, 2025 – Abuja, Nigeria – In response to recent developments regarding U.S. foreign aid, the Nigerian government has shown both concern and optimism.

These sentiments reflect the potential impact on its ongoing fight against HIV/AIDS, a critical health issue in the nation.

The new U.S. Administration’s executive order, issued last week, mandates a 90-day reevaluation of foreign development assistance.

Consequently, this raised alarms among stakeholders who are deeply invested in Nigeria’s health initiatives and their future funding.

Nigeria, which has the highest number of people living with the Human Immunodeficiency Virus (HIV) in West and Central Africa, heavily relies on international support.

This assistance is vital for bolstering its comprehensive HIV/AIDS response and ensuring effective treatment and care for affected individuals.

Over the past two decades, the U.S. government, particularly through the President’s Emergency Plan for AIDS Relief (PEPFAR), has significantly contributed to Nigeria’s health efforts.

Specifically, it has provided essential technical support and funding for prevention, treatment, and care for those impacted by the virus.

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PEPFAR remains Nigeria’s largest donor, covering approximately 90% of the treatment burden for people living with HIV.

This substantial support underscores the importance of continued international collaboration in addressing the HIV/AIDS epidemic in Nigeria.

The implications of the recent executive order, which paused foreign aid, were met with widespread concern from health advocates.

Additionally, government officials expressed their worries about the potential impact on ongoing health initiatives and programs.

Their apprehension highlights the potential disruption to ongoing health programs and services that rely on this funding.

However, the U.S. Administration issued a waiver on January 28, 2025, allowing for the continued distribution of lifesaving medicines.

This decision ensures that critical medical services related to HIV treatment remain accessible, providing a vital lifeline for many Nigerians in need.

This waiver is seen as a crucial reprieve for Nigeria’s ongoing HIV treatment programs.

It guarantees that antiretroviral medications (ARVs) and essential medical services will continue to be available to those affected by HIV.

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Dr. Temitope Ilori, Director General of the National Agency for the Control of AIDS (NACA), acknowledged the waiver’s significance.

He emphasized the need for strategic planning, especially in light of potential changes to foreign aid policies. Additionally, these changes could affect health initiatives.

“We appreciate the United States Government’s commitment to our health initiatives,” Dr. Ilori stated, highlighting the importance of continued collaboration.

“However, we are mindful of the uncertainties that could arise as the new administration reassesses its foreign aid strategy,” he added, noting the need for vigilance in planning.

In response to these challenges, the Nigerian government plans to intensify domestic resource mobilization efforts.

This strategy aims to ensure ownership and sustainability of the HIV response, reducing reliance on external funding sources.

This proactive approach seeks to mitigate risks associated with shifts in donor aid while maintaining progress toward the country’s strategic goals in combating HIV/AIDS.

Dr. Ilori emphasized the importance of stakeholder collaboration, urging all sectors of society to remain committed.

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He called upon state governors, private sector partners, and civil society organizations to unite in the fight against HIV/AIDS.

“By creating a favorable policy environment and advocating for our needs, we can still achieve our target of ending AIDS by 2030,” he asserted, reinforcing the collective responsibility of all stakeholders.

The Nigerian government encourages the patient community to continue accessing HIV treatment services.

Various service delivery points across the country remain open and ready to support individuals living with HIV.

As the nation navigates the complexities of international aid and health funding, it remains steadfast in its commitment.

The health and well-being of its citizens continue to be a top priority for the Nigerian government.

In conclusion, the Nigerian government expresses gratitude to the United States and its international partners.

Their ongoing support and contributions to the national HIV response reaffirm Nigeria’s dedication to ending the AIDS epidemic in the country.

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