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Category Archives: ANTI RETROVIRAL

SEXUAL AND REPRODUCTIVE HEALTH RIGHTS WITH RESPECT TO HIV VIOLATIONS

by Hwande Richard

HIV is an acronym for Human Immune deficiency Virus; it is a virus that lives in human blood, sexual fluids, and breast milk. It weakens the immune system, so the body has a hard time fighting off common germs, viruses, fungi, and other invaders. It spreads mainly through unprotected sexual contact and sharing needles.[1] The first two HIV cases in Nigeria were reported in 1986 at the international AIDS conference, over thirty years ago. Ever since then the statistics of People Living with HIV have grown, these statistics have been researched and recorded by different organizations and bodies. The most recent research results released on 14 March, 2019 indicates a national HIV prevalence in Nigeria of 1.4% among adults aged 15–49 years. Previous estimates had indicated a national HIV prevalence of 2.8%. UNAIDS and the National Agency for the Control of AIDS estimate that there are 1.9 million people living with HIV in Nigeria. At the national level, viral suppression among people living with HIV aged 15–49 years stands at 42.3% (45.3% among women and 34.5% among men). When people living with HIV are virally suppressed they remain healthy and transmission of the virus is prevented. The new data differentiates HIV prevalence by state, indicating an epidemic that is having a greater impact in certain areas of the country. The South-South zone of the country has the highest HIV prevalence, at 3.1% among adults aged 15–49 years. HIV prevalence is also high in the North Central zone (2.0%) and in the South East zone (1.9%). HIV prevalence is lower in the South West zone (1.1%), the North East zone (1.1%) and the North West zone (0.6%).[2]

The State of HIV/AIDS in Nigeria & Benue State:

HIV/AIDS has in its reign harvested for its self a trajectory of effects in its course.  These myriad of effects cuts across core areas including economic, socio-cultural, health and other effects combined. Persons living with HIV/AIDS (PLWH) over time have been subjected to humiliation, discrimination and stigmatization; which is a clear violation of their Sexual and reproductive health right. These violations can be traced to the trepidation of contacting the virus from the affected person. The citizenry, both individuals and government establishment were party to these violations; for example, Government hospital refusal to treat a person living with HIV/AIDS or a family refusal to allow a PLWH to sleep under the same roof with the entire family. PLWHAs were practically treated with disgust regardless of the awareness creation done by the government.  Many people living with HIV, who are in good health, will want to enjoy their sexual and reproductive health rights which provides them with equal opportunities with a person living without the virus. The unbearable situation of the PLWH community in the Nigeria society led to the clamour by Civil society organizations and Nongovernmental organizations both national and international for an Act prohibiting discrimination based on HIV status.

The Nigerian legislation in the year 2014 finally passed an Act titled HIV and AIDS (Anti-Discrimination) Act. Despite the enactment of the HIV and AIDS (Anti-Discrimination) Act, 2014, the Nigeria society still grapples with issues of discrimination and the violation of People Living with HIV. HIV is a health status and not a death sentence; people living with HIV are human beings and are not only entitled to their basic fundamental rights but also their health rights. They deserve to be loved, understood and valued. They deserve to be happy, dream, achieve their goals and lead their normal lives. They are also part of the human resources of our great country Nigeria and they deserve to have good paying jobs and job security. Over the years many victims of these violations previously had little or no support that ensured that they received justice and this situation was given little attention.  This piece seeks to appraise the violation reports of people living with HIV within the last two years using records from Lawyers Alert. This report encompasses violations in the last two years as it affects the above target group. Their documentation is made via their online tool styled “LadockT”http://colahr.org/lawyersalert/index.php  which automatically analyzes these violations across locations with regard to State and Local Government, age groups and type of violation; it also exhibits trends and gaps. Their reports can be found at http://www.lawyersalertng.org/res.php

The report shows that with regard to PLWH, the Abuja Municipal Area Council in the FCT reports the highest number of incidents, followed by Karu local government area in Nasarawa state. Akure East in Ondo State, Awka North in Anambra State, Ibadan South East in Oyo State, Kebbi in Kebbi State, Kwande in BenueState and Lagos Mainland in Lagos State all show the same violation rate.

 

From the report, Emotional Abuse shows the highest rate of violation with 20% followed by Verbal Abuse with 17%,Economic Abuse, Freedom to Associate and Housing have  8% each. While Employment and Physical Abuse have 6%.Confidentiality Breach, Blackmailing and Institute of Learning have 4% each followed by the least rate of violations which are Personal Security, Forced Detention, Harassment, Medical Test and Child Custody having 3% each.

VIOLATIONS JULY 2017 APRIL 2019 INCREASE DECREASE
Emotional Abuse 20% 20%
Verbal Abuse 16% 17% 1%
Economic Abuse 4% 8% 4%
Freedom to Associate 6% 8% 2%
Housing 8% 8%
Employment 4% 6% 2%
Physical Abuse 2% 6% 4%
Confidentiality Breach 6% 4% 2%
Blackmailing 4% 4%
Institute of Learning 6% 4% 2%
Personal Security 2% 3% 1%
Forced Detention 2% 3% 1%
Harassment 4% 3% 1%
Medical Test 4% 3% 1%
Child Custody 4% 3% 1%

Table. Showing Percentage increase and decrease of PLWH – Violations in the last two years.

From the table above we can see the increase and decrease of the reportage of various violations of People living with HIV. It is very important that every one wakes up and begin to respect each other’s Sexual and Reproductive Health Rights and report violations where they occur.

 

 

 

 

 

 

 

 

 

 

 

 

 

[1] https://www.webmd.com/hiv-aids/understanding-aids-hiv-basics#1

[2] https://reliefweb.int/report/nigeria/new-survey-results-indicate-nigeria-has-hiv-prevalence-14

 

 

Hwande Richard was a Legal Officer working with Lawyers Alert

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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USER FEE CHARGE: A HINDRANCE TO HIV CONTROL IN NIGERIA

Ayomide Joshua

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Over the years, a lot have been done to exterminate or reduce the spread of HIV to the barest minimum. Many drugs have been invented to treat HIV. One drug that immediately comes to mind is the anti-retro viral (ARV). The ARV has been known to be very effective in HIV treatment as constant dosage reduces the viral load to zero. What this means is that any person living with HIV who is constantly taking the ARV will continue to enjoy sound health for as long as he keeps taking the drug. Another drug that has been found to be effective is one which injection a person takes once in a year. As the HIV positive person keeps taking this injection yearly, he keeps enjoying sound health. The injection reduces the viral load in his/her body system to zero level. However, this injection is very expensive and not very much available like the ARV.

STRATEGY FOR HIV CONTROL

Prior to the invention of the ARV, especially in the 80s and 90s, the world witnessed rapid spread of HIV infections and many people died of AIDS.  During these periods, some drugs were invented which were helpful in the treatment of HIV but they were expensive and only few people afford to pay for them. As a result, the condition of majority HIV positive persons who could not afford those drugs worsened from HIV infection to full blown AIDS, leading to their eventual death. Worried by this development, the United Nations came up with two strategies for HIV response and control.The strategies are;

  1. The ARV should be made available everywhere;
  2. The ARV should be free so that every person living with HIV should obtain the drug regularly.

No doubt, these strategies have gone a long way in helping to treat and contain the spread of HIV. A front liner in the campaign for the right and welfare of persons living with HIV/AIDS once testified: “I am a living testimony to the effectiveness of the ARV. I have been taking the ARV for over 13years and I have been enjoying sound health.”

Currently, statistics shows that 63.9 million persons are living with HIV/AIDS in the world while 3.1 million persons are living with HIV/AIDS in Nigeria and of the 3.1 million persons, 28% of them are children.

 

ACCESS TO HIV TREATMENT AND THE USER FEE CHARGE

The strategies for HIV control has been effective in Nigeria. For instance, the ARV are very much available in our health institutions and PLWHIV are accessing the drug. However, there are many people living with HIV who are finding it difficult to obtain ARV regularly due to the fact that they are being compelled to pay user fee before they can obtain it.

“User fee” means an amount that a person living with HIV is asked to pay before accessing HIV treatment. Towards the end of December 2018, a large number of persons living with HIV trooped out with various banners and posters to protest against the user fee charge. One of them who was interviewed by a journalist said that the user fee that is imposed by public health institutions was worsening his condition of health. He said each time he went to the public health institution where he normally obtain ARV, they would ask him to pay N1, 000 and sometimes N500 before giving him the ARV. He said further that anytime he didn’t have money to pay for the treatment, they will not give him the ARV. And once there is no ARV for him to take, his condition of health would start deteriorating. While they kept demonstrating against the user fee charge, the person living with HIV appealed to the government to remove the user fee charge so that they could have access to HIV treatment and enjoy sound health.

REMOVING HINDRANCE TO HIV CONTROL

The fact is, if we are going to make any head way in our national HIV response, we must remove anything that will act as a cog in the wheel of our progress

In Nigeria, we are very good at shooting ourselves in the foot or working agent our self. We always want to make things difficult for ourselves. HIV treatment have been made available for fee, yet our public health institutions have made user free mandatory for persons living with HIV to pay before obtaining the drugs.

Whatever may be the reason for introducing the user fee, the fact is that persons living with HIV are finding it difficult to access HIV treatment. Even the little amount of N500 and/or N1,000 they are been asked to pay before accessing treatment, are amounts which persons living with HIV/AIDS find it difficult to pay.

If persons living with HIV/AIDS cannot access treatment because of the user fee, how then will we be able to achieve our goal of controlling HIV infection come 2020? Obviously the user fee charge is a hindrance to our national HIVresponse. If we are really serious about controlling the spread of HIV infection, we should not hesitate to remove the user fee charge.

WAY FORWARD

Lawyers Alert is therefore appealing to the Federal Government, the 36 States Government, the Federal Capital Territory, Abuja, the NACA (National Agency for the Control of AIDS), the SACA (States Governments for the Control of AIDS),Ministries of Health and other relevant agencies and institutions to expedite action to remove the user fee charge so that persons living with HIV can access treatment and enjoy sound health. It is when this is done that we can hope to achieve our goal of controlling HIV infection come 2020.

 

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