ROBUST AND EFFECTIVE REFORMS ON NIGERIA'S RESPONSE TO HIV/AIDS.
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Problem: Nigeria has the second highest number of HIV cases in the world. HIV prevalence
rate was 5.4% as at 1999.
Reform Actions:
- Establishment of National Action Committee on Aids (NACA) and its equivalents at
state and local government levels
- Hosting the first African Union Summit on HIV/AIDS
- Antiretroviral Treatment programme
- Pledging the United Nations Political Declaration on HIV/AIDs in 2011
- Presidential Comprehensive Response Plan for HIV/AIDS in Nigeria 2013-2015
- Hosting the African Union Summit on HIV/AIDS, Tuberculosis and Malaria (‘Abuja+12’)
- Sustained public awareness campaign about HIV/AIDS
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Main Achievements: Nigeria’s response to the HIV/AIDS pandemic has been robust and
effective. The HIV prevalence rate dropped significantly from 5.4% in 1999 to 3.4% in 2013,
representing a drop of 37%. The Presidential Comprehensive Response Plan for HIV/AIDS in
Nigeria (PCRP) 2013-2015 represents a clear statement of high-level commitment by Mr
President.
Key Challenges: insufficient funding by state governments, an over-reliance on donor
funding and too heavy a focus on treatment, rather than prevention. Overall, these
reforms have been successful.
Reference: Public Service Reforms in Nigeria (1999-2014) - A Comprehensive Review
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