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Tag Archives: HIV AIDS

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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Employers of labour must comply with HIV/AIDS non discrimination Act

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A Civil Society Organisation in Nigeria, Lawyers Alert has insisted that employers of labour in the public and private sector must comply with the HIV/AIDS non discrimination Act to protect workers who that are infected with Acquired immunodeficiency syndrome (AIDS), a chronic, potentially life-threatening condition caused by the human immunodeficiency virus (HIV).

The President of Lawyers Alert, Mr Rommy Mom told Daily Trust that the HIV/AIDS non discrimination Act that was passed into law in Nigeria five years ago was not implemented and that his organization has dragged the Minister of Justice and Attorney General of the Federation, Abubakar Malami to court to demand full implementation and total adherence to the law.

He said the HIV/AIDS non discrimination Act mandates the Attorney General of the Federation to ensure that work places have HIV/AIDS policies to protect workers that are HIV positive.

He said the law was passed in 2014 and that it mandates the AGF to ensure that employers of labour in public and private sector in Nigeria have the policy within three months.

Mr Rommy expressed concern that the law was not implemented five years after and that no policy in work places to protect people living with HIV.

He lamented that majority of workers that are HIV positive are facing all forms of discrimination and stigmatization in their places of work.

 

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COURTESY VISIT BY THE HOPE SISTERS AGAINST HIV/AIDS, STIGMA AND DISCRIMINATION INITIATIVE

On the 29th day of August, 2018, the Hope Sisters Against HIV/AIDS, Stigma and Discrimination Initiative, a Women-Led Grassroot Civic Group in Makurdi, Benue State paid a Courtesy Visit to Lawyers Alert Head Office in order to identify with the LA and strengthen the existing working relationship between both Organizations.

 

The group was led Miss. Maria Okwoli, the Executive Director, she was received by Mr. Lazarus M. Ahangba, the Programs Manager of the Head Office. In her address, Miss. Okwoli prays LA for their assistance and support to the members of their group since the partnership started a few months ago. She said the visit was necessary owing to changes within the Organization especially at the leadership level. As a key partner and stakeholder to the Organization it becomes pertinent to formally visit and intimate the Organization of the changes that had occurred within the period. She went ahead to create the indulgence of LA to continue with the support it has always given to the group even with this new leadership that they look forward to a harmonious relationship with LA going forward.

In response, Mr. Lazarus, thanked the group for their visit and expressed delight over the group commitment to course of Women Human Rights especially those of the most vulnerable which they represent. He promised LA will continue to work and partner with the group particularly in areas of mutual interests. Furthermore, he told the group that the offer to build the capacity of its members on Monitoring/Documentation of Human Rights Violations, Gender Based Violence and Sexual and Reproductive Health Rights is still open and they can liaise with the appropriate officers in charge of those areas.

In addition, R.A. Hwande Esq, mentioned the efforts of LA in providing pro bono services to vulnerable women and how they can also explore same. He went ahead to give examples of past and recent incidences LA had offered pro bono to some members of their group in conflict with the law.

After this, the meeting came to an end with a vote of thanks by Miss. Okwoli. She thanked LA for finding time to host them and look forward to a better working relationship. Shortly after this, a group photograph was taken.

 

 
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Posted by on August 31, 2018 in HIV/AIDS & HUMAN RIGHTS

 

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A multiple nation originality, “A challenge in managing a child with HIV/AIDS”

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There are a lot of Challenges in managing an HIV child with multi-nation originality. A child with multiple nationalities refers to an offspring of parents of different races.

In this article, I am going to share with you a case study of a 13years old child living with HIV AIDS with ‘three Nationalities’ (Chinese, Tanzanian and Kenyan). Both parents died with HIV/AIDS 10 years ago. He currently lives with a Kenyan grandmother. Late father and mother were Chinese and Tanzanian respectively.

By the time the child was born, both the grandmother of child (a Kenyan) was in Kenya. She was divorced to the grandfather of the child (a Tanzanian) who passed away one year later. Worse enough, as the child reached an age of 2 years, the father of the child returned to china where he also died. The child remained with her mother alone. At an age of 3 years, his mother became ill the situation which forced her mother (grandmother of the child) to travel from Kenya to Tanzania. Unfortunately the mother of the child died few days later. He remained with his grandmother alone. The grandmother new neither English nor Swahili language which could have facilitated communication with the neighbours. She could speak local language from Kenya only. By the help of a good Samaritan who saw the health status of the child, decided to bring the child at PASADA which is one of the best HIV/AIDS care and treatment centre in Tanzania.

Patient- and family-centered care is an innovative approach to the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships among health care providerspatients, and families1. So far in Tanzania, no documentation has been made showing challenges of managing HIV positive children with multi-national originality.

Core Concepts of Patient- and Family-Centered Care1: 

  1. Dignity and Respect. Health care practitioners listen to and honor patient and family perspectives and choices. Patient and family knowledge, values, beliefs, and cultural backgrounds are incorporated into the planning and delivery of care.
  2. Information Sharing. Health care practitioners communicate and share complete and unbiased information with patients and families in ways that are affirming and useful. Patients and families receive timely, complete, and accurate information in order to effectively participate in care and decision-making.
  3. Participation. Patients and families are encouraged and supported in participating in care and decision-making at the level they choose.
  4. Collaboration. Patients, families, health care practitioners, and leaders collaborate in policy and program development, implementation, and evaluation; in health care facility design; and in professional education, as well as in the delivery of care

Before being enrolment in family cantered care, he had history of recurrent infection, poor drug adherence (> 1month) and poor attachment. This was due to poor social relation of the grandmother to the Tanzanian relatives. The child has faced difficulties in tracing relative for support. Language barrier of the guardian has led into poor adherence to Medication and general health hygiene.

Through family centred palliative care mode of service delivery, the issue of disclosure, proper attachment, adherence to drugs, nutrition and hygiene were addressed.

Within six months of intervention, the child has shown; improved adherence to medication, clinical presentation, good link with the family, academic improvement, reduced racial segregations to the child who looked Chinese-African, improved link with the community where the child has secured more assistance from the Tanzanian/Germany community organization.

Family cantered care is a teamwork program. You need to take heart in working with children with multiple problems. Involvement of the family and patient help them to be more responsible in taking care of the patient.

 

 
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Posted by on November 20, 2013 in HIV/AIDS & HUMAN RIGHTS

 

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