News Agency of Nigeria
Nigeria’s journey toward reducing HIV burden: Lessons from ACE-6 Project

Nigeria’s journey toward reducing HIV burden: Lessons from ACE-6 Project

 

 

 

 

 

 

By Oluwafunke Ishola

 

 

 

Margaret’s world took a dramatic turn the day she pricked herself with a contaminated needle while caring for a patient.

 

 

 

As a dedicated healthcare worker, she had always put others first, but now she couldn’t shake the nagging fear that her selflessness might have come at a terrible cost.

 

 

 

The days ticked by like hours, each one an agonising wait for the test results that would determine her fate.

 

 

 

When the news finally came, Margaret felt like she’d been punched in the gut – she was HIV positive.

 

 

 

The diagnosis was a harsh reminder that even the most vigilant among us can fall victim to circumstance.

 

 

 

As of 2024, no fewer than 40.8 million people worldwide were living with HIV, a portion of whom were health care workers, says the UNAIDS.

 

 

 

According to the Federal Ministry of Health, over 100,000 children and nearly two million adults are living with HIV in Nigeria, ranking as the fourth globally.

 

 

 

Human immunodeficiency virus (HIV) is a virus that attacks the body’s immune system. Without treatment, it can lead to AIDS (acquired immunodeficiency syndrome).

 

 

 

There is currently no effective cure, but proper medical care can control the virus.

 

 

 

People Living with HIV (PLHIV) in Nigeria face several challenges including stigma and discrimination from the public and healthcare workers, limited access to healthcare services due to financial and logistical barriers, poor understanding of antiretroviral therapy (ART) side effects, among others.

 

 

 

A Ray of Hope

 

In spite the challenges, several public-private interventions have brought hope and empowerment to countless individuals living with HIV, enabling them to manage their condition, rebuild their lives, and thrive.

 

Noteworthy is the Accelerating Control of the HIV Epidemic in Nigeria (ACE-6) Project, a USAID/PEPFAR-funded initiative designed to fast-track HIV epidemic control in the states of Bayelsa, Edo, and Lagos.

 

This life-changing intervention, implemented by Heartland Alliance LTD/GTE (HALG), leveraged evidence-based, high-impact interventions that focused on HIV prevention, case finding, care, and treatment, ensuring improved health outcomes for the general population.

 

Over the span of the five-year project, HIV testing services were provided to more than 2.1 million individuals, identifying 34,087 people living with HIV, many of whom had never known their status before.

 

In a remarkable achievement, 99 per cent of these individuals (33,804) were successfully linked to care and began treatment.

 

Among them were 3,631 pregnant and breastfeeding women who received antiretroviral therapy, helping to stop the virus from passing to their babies.

 

The ACE-6 project addressed the HIV epidemic with a broad, system-wide approach. It didn’t just provide care; it built capacity.

 

The project strengthened integrated services across adult and paediatric HIV care, TB/HIV co-management, prevention of mother-to-child transmission (PMTCT), and cervical cancer screening.

 

It supported laboratory systems with improved viral load testing and introduced performance monitoring tools that ensured services were delivered effectively.

 

For people living with HIV, timely access to viral load test results helps ensure that antiretroviral therapy is working to suppress the virus, keeping the immune system healthy, and achieving an undetectable viral load, which makes it impossible for the person to transmit the virus to others.

 

Implementation of the ACE-6 project at the Nigeria Institute of Medical Research (NIMR), ushered in a wave of innovation at the NIMR Mega PCR Lab, helping reduce critical turnaround time for viral load test results from 30 days to just three days.

 

Prof. Oliver Ezechi, Director of Medical Research at NIMR, disclosed that the ACE-6 project contributed to strengthening health systems, including laboratory systems, by improving laboratory capacity and innovations—evident in the achievement of reducing viral load turnaround time.

 

“Between 2022 and April 2024, NIMR’s Mega PCR Lab processed 715,409 viral load samples, operating at a daily capacity of 2,000 tests. That alone makes it a national reference point for laboratory performance.

 

“This indicates investments in laboratory strengthening and potentially adopting new technologies and processes for faster, more reliable results.”

 

According to him, emphasis on data management systems and community-based programming ensured that ACE-6 promoted improved data collection, quality assurance, and operational research to inform programme adjustments and policy decisions.

 

“Prior to the ACE-6 intervention, the institute’s Mega PCR Laboratory, which serves 173 health facilities across five states in Nigeria, faced serious bottlenecks.

 

“Delayed sample processing, equipment issues, and logistical challenges created setbacks in treatment decisions for thousands of patients.”

 

Ezechi emphasised that the project restored confidence in the system, improved patient care, set a new benchmark for laboratory excellence and accelerated progress towards national and global goals to end AIDS by 2030, with measurable improvements in service coverage and health outcomes.

 

Besides, Dr Oladipupo Fisher, Lagos State HIV/AIDS Programme Coordinator, affirmed ACE-6’s impact in the state through its provision of HIV response in 11 local governments and linking over 50,000 people to treatment.

 

He emphasised that the project supported capacity building for healthcare workers to improve quality of care, ensuring that HIV prevention services are provided in line with the National Guidelines, assisting in reducing the transmission of HIV in line with the 2030 global target.

 

“The ACE-6 project actually aligned with the state’s strategic plan for HIV and AIDS response, which contributed towards achieving some of the activities and interventions outlined in the state’s five-year strategic plan for the period the project was implemented in the state.”

 

Lauding the project’s impact on expanding differentiated service delivery models, ensuring that people could access care in ways that were community-centred, flexible, and stigma-free.

 

Fisher explained that local ownership and sustainability were at the heart of the project’s model ensuring its integration into the state’s health system to strengthen retention in care and sustain HIV epidemic control.

 

According to Dr Amaka Ezeadikwa, Bayelsa State Programme Lead, ACE-6 project faced immense obstacles in the state, pointing to the team’s resilience and adaptability in developing context-specific solutions, which assisted in overcoming the challenges, kept the project on track, and ensured accomplishment of its goals.

 

“Floods in late 2022 submerged entire communities for over six weeks.

 

“But ACE-6 responded swiftly using Zipline drone deliveries, building mobile clinics on canoes, and creating spoke sites to sustain health services throughout the crisis.”

 

Ezeadikwa asserted that the project’s strategic engagement with traditional rulers, youth leaders, Traditional Birth Attendants (TBAs), and community volunteers built deep trust and expanded reach especially into riverine and underserved communities.

 

According to her, the ACE-6 project in Bayelsa achieved remarkable results across key HIV indicators, despite operating in one of Nigeria’s most logistically difficult states.

 

Highlighting the success to include linking newly diagnosed individuals to care at a remarkable 98 per cent rate, boosting PMTCT services to exceed 100 per cent of the state’s annual targets in 2024 and the availability of essential supplies throughout the project’s final year.

 

“Over the past two years, the programme consistently achieved more than 95 per cent Continuity of Treatment (CoT), a strong marker of retention.

 

“Since the second quarter of 2023, viral suppression levels have remained above 95 per cent, meaning the majority of clients had an undetectable viral load, reducing both illness and transmission risk.”

 

Furthermore, Ezeadikwa added that over 500 frontline health workers across all eight LGAs of Bayelsa received hands-on training in critical areas including clinical HIV care, TB/HIV co-infection management, PMTCT, nutrition, and data reporting.

 

“We knew capacity building wasn’t optional. It was central to sustainability,” said Ezeadikwa.

 

Dr Majekodunmi Omololuoye, Deputy Chief of Party, ACE-6 Project, laid the path forward to include sustainable health system strengthening efforts, such as training government staff, integrating them into service delivery and monitoring, and documenting processes for scale-up.

 

To build on ACE-6 project momentum, experts recommended scaling up innovative testing and linkage models, such as risk stratification, to improve case detection efficiency across broader regions, strengthening laboratory infrastructure and adopting rapid diagnostics to sustain improvements in viral load testing and other laboratory services.

 

They highlighted expanding community-based and decentralised treatment models to improve ART retention and viral suppression, especially among hard-to-reach populations and improving integration of HIV services with TB, cervical cancer screening, and mental health to provide comprehensive care.

 

They also called for developing policies that eliminate structural barriers such as user fees and stigma, informed by operational research findings.

 

Emphasising that stakeholders must collaborate to ensure sustainable funding with governments prioritising investments for HIV programmes to prevent service disruption and ensure long-term impact.

 

Achieving these, they submitted, will accelerate Nigeria’s progress toward ending HIV as a public health threat by 2030. (NANFeatures)

 

****If used, please credit the writer and the News Agency of Nigeria.

Rotaract Club to raise awareness on sickle cell, cancer, HIV/AIDS

Rotaract Club to raise awareness on sickle cell, cancer, HIV/AIDS

By Philip Yatai 

The Rotaract Club of Omole-Golden, Lagos, says it has concluded plans for its maiden fashion show to raise awareness on sickle cell, cancer, HIV/AIDS and polio.

The club’s Co-Project Chair for Disease Prevention and Treatment, Daniella Olayinka, disclosed this in a statement in Abuja on Friday.

The News Agency of Nigeria (NAN) reports that Rotaract clubs are a global youth programme under Rotary International, focused on developing young leaders through service and community engagement.

Olayinka said that the event hoped to reach over 300 people physically and more than 3,000 virtually.

She said the event was organised in partnership with Rotary Club of Omole-Golden, Rotary Club International, Rotary Club of Okowonjo, Nigeria National Polioplus Committee, and Tonymay Foundation and Hope for HIV/AIDS International.

Olayinka explained that the programme was under the club’s disease control and treatment project, “using fashion as our voice on the runway”.

The co-project chair said the two-day event, scheduled for April 25 and 26, titled, “Catwalk for a Cause: Fashioning Awareness”, would be a creative blend of fashion, education and free medical outreach.

She added that the free health services would consist of blood pressure checks, glucose testing, HIV/AIDS testing and counseling, malaria testing, polio vaccination, and simple cancer education.

“First day of the event, will take place at Ogba Central Mall, Ogba, Lagos and will be a marketplace outreach offering the aforementioned free health services.

“The second day will feature brief masterclasses by health professionals and a themed fashion show where each attire represents one of the diseases,” she said.

Olayinka said that the goal was to make health awareness engaging and relatable, using fashion to spark conversations and spread knowledge.

She added that the programme was also designed to raise funds for NGOs working to support individuals affected by cancer, sickle cell, polio and HIV/AIDS. (NAN)

Edited by Mark Longyen

U.S. waiver offers relief for HIV treatment programme, says NACA DG

U.S. waiver offers relief for HIV treatment programme, says NACA DG

HIV

By Justina Auta

Dr Temitope Ilori, Director General of the National Agency for the Control of AIDS (NACA), says the recent U.S. waiver on lifesaving medicines and medical services provides relief for global HIV treatment.

President Donald Trump previously issued an executive order halting foreign aid spending for 90 days.

Ilori, in a statement in Abuja, said the waiver would allow continuous distribution of HIV medications and medical services supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) in Nigeria.

She noted that the reassessment of U.S. foreign aid raised concerns among stakeholders regarding HIV/AIDS and TB technical support and funding.

Nigeria has the highest number of people living with HIV in West and Central Africa.

“Over two decades, global AIDS response partners have supported Nigeria in scaling up HIV/AIDS prevention, treatment, care, and support.

“The U.S. government, through PEPFAR, has significantly supported Nigeria’s HIV/AIDS response, particularly in sustaining treatment for people living with HIV.

“PEPFAR-Nigeria remains the largest donor for treatment, covering approximately 90 per cent of the burden,” she said.

She added that the waiver allows the continued distribution of HIV medications and medical services under PEPFAR in Nigeria.

“The Nigerian government appreciates the U.S. waiver and remains mindful of potential foreign aid changes under the new administration.

“We will intensify domestic resource mobilisation to ensure ownership and sustainability of the HIV response.

“This will reduce risks from donor policy shifts while ensuring Nigeria achieves its strategic HIV response goals,” she said.

She added that through stakeholder collaboration, favourable policies, and advocacy, Nigeria can still achieve its goal of ending AIDS by 2030.

“We encourage patients to continue accessing HIV treatment services nationwide.

“We urge state governors, private sector partners, National and State Assembly members, CSOs, media, and other stakeholders to remain committed to fighting HIV/AIDS.

“We appreciate the U.S. Government and international partners for their ongoing support of Nigeria’s HIV response,” she added. (NAN)

Edited by Kamal Tayo Oropo

X
Welcome to NAN
Need help? Choose an option below and let me be your assistant.
Email SubscriptionSite SearchSend Us Email