USAID / Nigeria: Investing in People
Health, Nutrition and Population
Education
HIV/AIDS/TB

USAID/Nigeria PEPFAR and TB: Reduced Impact of HIV/AIDS and TB in Selected States (briefers)

LOP funding (2004-2009): $545 million

Problem Statement: HIV/AIDS is a growing menace in Nigeria . About 2.9 million Nigerians are HIV positive and about 300,000 new infections occur every year. The 20-24 age cohort has the highest prevalence at 6.5%. Approximately one million Nigerians have TB/HIV co-infection and about 50,000 new co-infections are added each year. 1.8 million orphans have already been created by the disease and this may reach 3 million by the end of the decade. Stigma, fear, and discrimination against people living with HIV/AIDS are high. Efforts to develop and disseminate behavior change messages are increasing, but basic prevention, treatment, care, and support capacity and infrastructure is weak, with service delivery being largely in the hands of the private and NGO sectors.

PEPFAR and TB Strategy: Nigeria is a priority country for the U.S. Government which is presently the largest HIV/AIDS donor in the country. HIV/AIDS funding increased from a modest $2.7 million in FY 1999 to $25.5 million in 2003. With the advent of President Bush's Global HIV/AIDS Initiative (GHAI) in 2004, the U.S. government (USG) funding has increased tremendously as follows:

• $26 Million for COP 2004 with the USAID portion at $13 Million
  
• $79 Million for COP 2005 with USAID portion at $48 Million
  
• $163 Million for COP 2006 with USAID portion at $68 Million
  
• $305 Million for COP 2007 with USAID portion at $137 Million
  

These increasing resources will allow the USG to move from 6 focal states in 2004 to nationwide coverage by the end of the project period. USAID will collaborate with other USG agencies in Nigeria to implement sustainable care, prevention and treatment programs. Specifically, USAID will support the Nigerian national goal to provide universal access to antiretroviral treatment, focus behavior change efforts with abstinence and be faithful messages targeted towards youths and condom and other prevention activities targeting “most at risk populations” (MARPs) such as prostitutes, truck drivers, uniformed personnel and people living with HIV/AIDS. USAID will also provide prevention for positives and treatment for opportunistic infections and STIs, provide care and support for People living with HIV/AIDS and orphans and vulnerable children (OVC), create demand for and provide voluntary counseling and testing services, strengthen HIV/AIDS activities within Nigeria's uniformed forces, strengthen national efforts in policy and systems development, support capacity building for indigenous NGOs, CSOs and FBOs to respond to IV/AIDS in their communities.

USAID will support systems strengthening for the Government of Nigeria by providing technical assistance to the National AIDS Control Agency (NACA) which coordinates the nation's multi-sectoral response, including the Global Fund for AIDS, Tuberculosis and Malaria award for HIV/AIDS programming of which 3 are USAID Implementing Partners (FHI, JSI and SFH). USAID will also continue to support the Nigeria National Response Information Management System (NNRIMS), the National logistics system, the Federal Ministry of Health's (FMoH) Blood Transfusion Service (NBTS), HIV/AIDS Department and the TB program. USAID supported the development of the HIV/AIDS Emergency Action Plan and the national policy and will continue to support the development of an enabling environment for HIV/AIDS+TB programs.

Expected Results from 2004-2008 in collaboration with other USG agencies:

• Treat 350,000 PLWHA with Antiretroviral Treatment (ART);

• Prevent 1.1 million new infections; and

• Provide care and support to 1.7 million HIV-affected individuals, including 1,350,000 on palliative care and 400,000 orphans and vulnerable children.

Activities: