The Impact of National Strategies of HIV/AIDS Among Women in South-West Nigeria

THE IMPACT OF
NATIONAL STRATEGIES
OF HIV/AIDS AMONG
WOMEN IN SOUTH-WEST
NIGERIA

Table of Contents
INTRODUCTION ...............................................................................................3
BACKGROUND AND RATIONALE.......................................................................3
AIMS AND OBJECTIVES ....................................................................................5
METHODOLOGY................................................................................................5
LITERATURE SEARCH STRATEGY......................................................................7
PROJECT OUTLINE............................................................................................9
REFLECTION ..................................................................................................10
References.....................................................................................................10

RESEARCH STATEMENT / QUESTIONS
What is the effect of national strategies (2010- To present) in tackling HIV/Aids among women
in the South- West of Nigeria.
INTRODUCTION
The HIV is referred as Human Immunodeficiency Virus; it is the microorganism which
destroy and attack the contagion beside this it also affliction immune system and CD4 T cells
which assist the body to fight against them. If a suffered person is not take treatment then they
demolish the immune system and lead to AIDS. Acquired immunodeficiency syndrome (AIDS)
is a chronic and severe, life threatening condition caused by HIV. It damage body and unable to
fight against organism, it is sexually transmitted infection which is caused by HIV virus as well
as can be reason of death. it has also provide other pestiferous of worldwide involvement. (The
World Health Report, 2003).
BACKGROUND AND RATIONALE
Nigeria has the second largest HIV transition in the world. HIV prevalence among adults
is much less (1.5%) than other sub-Saharan African countries such as South Africa (20.4%) and
Zambia (11.3%), the size of Nigeria's population means 1.9 million people were living with HIV
in 2018. However, UNAIDS estimates that around two-thirds of new HIV infections in West and
Central Africa in 2017 occur in Nigeria. This is despite achieving a 5% reduction in new
infections between 2010 and 2017.
The National Strategic Plan is “An AIDS-free Nigeria, with zero new infection, zero
AIDS related discrimination and stigma” Goal of the National Strategic Plan. The goal of the
National Strategic Plan is to “Fast-track the national response towards ending AIDS in Nigeria
by 2030” Thematic Areas and Cross-Cutting Issues The National Strategic Plan has five thematic
areas: Prevention of HIV among General and Key Populations, HIV Testing Services,
Elimination of Mother-to-Child transmission of HIV (e MTCT), HIV Treatment; and, Care,
Support and Adherence (National Agency for Control of Aids, 2017)
According to Fagbamigbe, Adebayo and Idemudia (2016). It show that Nigeria the case
of HIV as increase by 1.8% to 4.5% to 5.8% in 1991, 1996, and 2001, respectively, a decline was

observed as 5.0% in 2003 and 4.4% in 2005. Also, 2008 and 2010 surveys show HIV prevalence
of 4.6%12 and 4.1%, several. However, a general population survey carried out in 2007 put HIV
prevalence at 3.6%, higher among females (4.0%) than males (3.2%). The latest national surveys
in 2012 showed a lower general population HIV prevalence of 3.4% in Nigeria, ranging from
3.2% to 3.6%. The 2010 national survey of MARPs reported that HIV prevalence of 27.4%
among brothel-based female sex workers, 21.1% among non-brothel-based female sex workers,
17.2% among men who have sex with men, and 4.2% among injecting drug users. (Fagbamigbe,
Adebayo and Idemudia, 2016).
Unequal gender nexus have a significant influence on men’s and women’s differentiated
risks to HIV infection, as well as their access to prevention, treatment, care and support. Gender
inequalities increase women’s exposure to infection, through their lower status and lower access
to education. The 2008 DHS showed a positive correlation between women’s participation in
household decision making and their access to health services (Samuels, Blake and Akinrimisi.
2012).
According to Odimegwu, Alabi, Wet and Akinyemi, (2018) confirms that HIV/AIDS is
more among women in southwestern Nigeria. HIV/AIDS in Nigeria is increasing among women
than men. (Samuelsen, Norgaard and Ostergaard, 2012). The difference in the prevalence of HIV
between women and men is more obvious among younger adults, with adolescent women
between ages 20 and 24 years more than thrice as likely to be carrier of HIV as male of same age
group. (UNNAIDS, 2014).
The spread of HIV in the last 3 decades has greatly affected health, welfare, employment
and criminal justice sectors; having negative impact on every social phase of human. Recent
epidemiological survey reveals that HIV is still a serious health issue that has continuously
drains our national, regional and state finance having claimed over 25 million lives over the last
3 decades. (Awofala and Ogundele, 2016).
According to Ogunbodede, (2004) major socioeconomic factors determining the spread
of HIV/AIDS in South West Nigeria has decline in social services, impoverishment, subordinate
position of women, modernization, rapid urbanization, wars and conflicts.
Analysis has revealed that despite that intervention, new infections rose from 11,230 in
2012 to 116,780 in 2013 with 112,239 PLHWAs (2012) and 115,578 (2013). As of 2012, the
number eligible for ART was 34,671 and 45,397 in 2013 but the number served was 9,632 with a