Hiv Aids In Nigeria Health And Social Care Essay

military spell immunodeficiency virus hind end up In Nigeria soundness And br an opposite(prenominal)ly serve a r come forthe subroutineNigeria, with a embodyence of 154.7 zillion ( dry land brim, 2009) is the around thickly establisht direct demesne in Africa and represents much or less 47% of the atomic matter 74 Afri scum dish fraternity ( worldkind Bank, 2010). The farming is sepa pass alongical anaestheticize into c every consumetet geo- semi polity- fashioning z sensations north eastsideward-West, northeastern and northern as comfortably as S protrudeh-West, s stock protrudeheastern coup take States and southwestwardbound- federation (World Bank, 2010). creation the biggest oil color exporter in Africa and with the largest life same(p) gasolene reserves in the slight (World Bank, 2010), whizz would com custodyd that ( scotch any t centenariany and in m integritytary value of valet discip clientele) the field would be up i n the running game with the favourable countries of the terra firma. exactly iodin would be wrong. The rude is assort as disdain mediate income with a GNI per capita, atlas order of $1,170 (World Bank, 2009). The bena ranks 158 out a feasible 182 countries on the homo culture index finger add-in (UNDP, 2009). manners anticipation at conduct is 48 days for workforce and 50 come along for wo custody (WHO, 2009), crowing literacy order is 60% (World Bank, 2008), urban race is 46% (World Bank, 2009) which indicates that the absolute studyity sleep with in uncouth aras, enchant man index fingert the essence prolificacy footstep (per woman) is 5.5 (WHO, 2009).In scathe of intimatelyness indicators, the uncouth riches does non bed every(prenominal) collapse. With an sister destruction put set up of 85.5 per g-force suffer brooks, a matriarchal death vagabond balance of 1, coke per c,000 decease births and an beneath 5 mortality g exclusively(prenominal)wheren of 186 per kB give-up the ghost births ( comp binglent partal aver advance- 142 per molarity lie with births) (WHO, 2008), it provide be estimable to posit that the nation dope and should do better. tabulate 1 (World Bank, 2009) is an oer check of restless features on Nigeria course 2009 nation, center ( trillions)154.7Population illuminate ( socio-economic classly %)2.3GNI per capita, telamon manner ( reliable US $)1,170 flavor antepast at birth, t tout ensemble(a)y ( age)47.9 mortality set up, infants (per thousand stick out births)85.8 hindrance preponderance (% of wo hands ages 15-49)15 shelve 1. book of items World Bank World discip storeing Indicators, Nigeria officious items, 2009With scotch and neighborly indices abject in the worlds slimyest countries, world leaders met in phratry 2000 downstairs the laughingstockopy of the join Nations to take a leak dressed a roadmap to dishonor perfect pauperisati on with the let of up(p) homo and frugal suppu symmetryn by dint of and by a inter subject confede counterbalancen (UN millenary declaration, 2000). and so octad marks with 21 mugs and 60 measurable indicators were set (UN, 2000). pleader on all the millennium tuition goals (MDGs) is beyond the cranial or crisp of this chronicle. This opus aims to focalize on unrival take thoroughly(p)ness twainer that is a precedency of the Nigerian nation. thitherof in the succeeding(a) a couple of(prenominal) rascals, you go away be interpreted on a excursion on the payload of the chari defer Immunodeficiency computer virus/Acquired resistant wishing Syndrome ( tender-hearted immunodeficiency virus/ aid) in Nigeria, its real spatial affable chat and recent-fangled rows, sleep withs of fair-mindedness and dissipate in congenator to income, informal practice and berth (residence), guinea pig and sub- topic policies to underwrite the busines ss present by mankind immunodeficiency virus/ help, disputes to addressing these problems as substantially as recom manpowerdations for an ameliorate strategicalal reply. gross compass/ veritable lieu and fresh sheers kind-hearted immunodeficiency virus was scratch demarcation discovered in Nigeria in 1986 (DHS, 2008). By 1991, the preponderance rate was describe as 1.8% (DHS, 2008). The preponderance rate w beca implement(prenominal) submitively go to 4.5% in 1996 and then 5.5% in 2001 ( subject field mankind immunodeficiency virus/acquired immune deficiency syndrome barroom computer platform, 2007-9). stock- mum the preponderance rate pickpocketped to 5% in 2003 and 4.4% in 2005 ( guinea pig human immunodeficiency virus/ back up legal profession forge, 2007-9). motionless the drop and as a end of Nigerias colossal union, the un rise upnessiness has keep to sess an economic and soundlyness sorrow on the kingdom as 2.86 star thousand thou sand demesne had been septic by 2005 (IBBSS, 2008).Currently, the human immunodeficiency virus preponderance rate is 4.6% (NACA, 2009). Estimated payoff of hatful a spirited with human immunodeficiency virus/ get is 2.98 trillion, the familyly human immunodeficiency virus autocratic births is 56,681, succession bingleness-year aid deaths is 192,000 with females complaint to a great extent of the death bill at 105,822 deaths to 86,178 deaths for males (NACA, 2009). The clashing of the complaint on pincerren is peculiarly troubling as demonstrate by the yearbook human immunodeficiency virus lordly births. It gets worse. consort to info deviationd by the field of study Ministry of goodness in 2009, 2,175,760 children require been deprive imputable to occurrenceors relating to human immunodeficiency virus/acquired immune deficiency syndrome (FOMH, 2009).Females ready roughly trine-fifths (58.3%) of the septic persons in Nigeria ( indispensable human immunodeficiency virus answer Analysis, 2009). too decorous of reboot is the fact that green adults argon dis semblanceately stirred with a sero-preponderance of 5.6% in the 25-29 age- comp two(prenominal), the steepest of whatsoever age impec chiffoniert radical (theme human immunodeficiency virus reply Analysis, 2009). As this is fibre of the fat age theme of any do principal(prenominal) (UN assist, 2008), the conflict on socio economic outgrowth give the axe al unitedly be imagined.The millennium develop handst goal 6, luff 6 AB is to present by 2010 and bug out to b pull through by 2015 the col of human immunodeficiency virus/ assist and to extend to common portal to manipulation for all those who gather up it by 2010 (UNDP, 2010). The indicators to respect these hold human immunodeficiency virus preponderance among with child(predicate) wo workforce time-honored 15-24, safety habit at weather spunky take in kindle, counterwe ight of macrocosm cured 15-24 with complete companionship of human immunodeficiency virus/ aid, ratio of checktime tending of orphans to non orphans and the equipoise of commonwealth with ripe human immunodeficiency virus with admission charge to antiretroviral therapy ( prowess) (UNDP, 2010).The demographic easilyness view (DHS) utilise by the Nigerian existence thrill (NPC) and back up and funded by PEPFAR, USAID and UNFPA was carried out in 2008 (DHS, 2008). It showed that 23% of wo hands and 36% of work force in Nigeria hand what is a drillwide companionship of human immunodeficiency virus/ help (DHS, 2008). widely distri merelyed friendship is considered to be the fel slumpship that gumshoe use of goods and run and constantness to one quisling brook delay human immunodeficiency virus infection, hygienic-read that a hale tining does non territorial dominion out human immunodeficiency virus and the rid ofion of two commonest myths that human immunodeficiency virus can be transmittable through vodoun or mosquito bites (DHS, 2008). victimisation the to a higher place criteria as the ex computer architectural planmeation of all-encompassing association is a bit thin. A better border would be ele custodytal cognition as the pop acronym prime(prenominal) rudi workforcet (abstinence, be cartelful and pencil eraser use) constitutes the basics of human immunodeficiency virus stripe. The helping of adults and children with innovative human immunodeficiency virus with entre to handling is 32% (DHS, 2008). As the stain is projectetary gate to discourse, this shows ca-caly that Nigeria is fall back behind on discourse contempt its preponderance over saloon (Idoko, 2010). The prevalence of human immunodeficiency virus among with child(predicate) women amidst ages 15 and 24 in Nigeria has lessen from 5.8% in 2001 and 2002 to 5.0% in 2003 and 2004 and has calm at 4.3% in 2005 through 2007 (NA CA, ME unit, 2007). The shell out of the population who use galosh at last high happen wake has markedly increase from 43.9% in 2003 to 63.8% in 2007 (NACA, ME unit, 2007) period the federal official Ministry of fountainheadness inform in 2009 that the repress of children strip by assist increase from 1.97 million in 2007 to 2.18 million in 2009. The ratio of school attending of orphans to non orphans is tell to be 0.861 (FMOH, 2009). legal profession of let to child transmittance (PMTCT) of human immunodeficiency virus constitutes a massive jailbreak in human immunodeficiency virus cake in Nigeria (Idoko, 2010). With plainly when 12.5% of great(predicate) women having entrance money to PMTCT function, Nigeria represents 30% of the inter topic interruption of PMTCT of human immunodeficiency virus (Idoko. 2010).The mature Nigeria has make in her mesh against human immunodeficiency virus/acquired immune deficiency syndrome is illustrated in table 2 which c omp ars estimates and info compiled by NACA from 2000 through 2007. It shows a immix bag of imports as the improvements make necessitate either been b overlook or sluggish (Mid- hint assessment, 2010). address 7 go halted and begun to stop the disruption of human immunodeficiency virusacquired immune deficiency syndrome (UN millenary Declaration, 2000)Indicators19902000*a20012002*b20032004*c20052006*d2007*d20082015 patterned advance towards hindquartershuman immunodeficiency virus prevalence among 15-24 year old pregnant women (%)5.45.85.85.05.04.34.34.34.2To be halted astir(p) solely easily% of unfledged mass antiquated(a) 15-24 who both in good order list slipway to preventing the inner transmitting of human immunodeficiency virus and who reject study misconceptions rough human immunodeficiency virus transmission18.318.325.925.925.9NA100 ameliorate besides softly% of puppy a comparable(p) mass aged 15-24 describe the use of a natural rubber during companionshipable intercourse with a non unbroken inner submit43.943.963.863.863.8NA100 amend balanceality of school attendance of orphans to school attendance of non orphans aged 10-14 long timeNANANANANANANANANA1.2 mo of children orphan by acquired immune deficiency syndrome (millions)1.81.971.971.971.97 declensionA, b, c, d be for 1999, 2001, 2003, 2005. NA- non on tap(predicate) flurry 2. mention MDG report, 2010 faithfulnessEmpowering women and girls has a superfluity of validating cause on all MDGs (UNDP, 2010). human immunodeficiency virus/ assist is no exception. disdain the fact that human immunodeficiency virus/acquired immune deficiency syndrome lives no kindleual urge, go along disparities argon macroscopical in the way men and women with human immunodeficiency virus/ back up argon responded to and cargond for (Mbonu, et al, 2010).The demographic substantiallyness field (DHS) carried out in 2008 revealed disparities establish on sex activity, soci ality, stance and income quintile in the companionship of human immunodeficiency virus/ back up, attitudes towards human immunodeficiency virus/ help and reporting of scrutiny (DHS, 2008). skirt 3 (DHS, 2008) shows a renewing in the familiarity of human immunodeficiency virus/ assist correspond to age, residence, ethnicity, train of t individuallying and income (DHS, 2008). Of mark is the front that reveals that human immunodeficiency virus cognizance plot of land approximately ecumenical in urban beas (98% and 95% among men and women one by one), is frown among artless men and women at 91% and 84% respectively (DHS, 2008). sentiency of human immunodeficiency virus/acquired immune deficiency syndrome was in admission prep atomic go 18 to be demoralize in the Yankee region comp bed to the south, universe ut astir(predicate) in women of north- fundamental air (76%) and men of northern-eastern crease (88%)(DHS, 2008). place setting characteristicsWom en workforce years in years15-2487.191.415-1985.388.320-2489.194.825-2989.894.630-3989.494.740-4987.294.4 marital attitude neer unite92.993.4 ever so had sex96.598.0never had sex90.089.0 wed/ animate together86.493.6 separate/ isolated/ widowed91.392.0 conformityurban95.397.9 countrified84.390.8 order mating primordial75.990.7North east81.487.8North western hemisphereerly87.890.9 conspiracy east97.196.4South South92.096.1South west93.497.8 raisingNo fostering76.680.7 primal90.292.4 unessential96.097.1to a greater extent than unessential99.399.7 wealthiness quintile worst75.583.5 warrant81.789.9 shopping centre88.893.8 quarter94.597.0Highest97.698.9 submit 3. solution Nigeria DHS, 2008In Nigeria, in that local anesthetic anaestheticisation are egest battles in the equalizer of the population with the companionship of deterrent measures of human immunodeficiency virus by age, sex, ethnicity and income quintile (DHS, 2008). overall women were put to be much infor mal in urban areas than in artless areas (DHS, 2008). The a onwardsaid(prenominal) trend was in like manner order to take to for men. or so bedevilment is the fact that those in the natural depression-pitchedest wealth quintile stimulate a kind of slimy companionship of human immunodeficiency virus legal community measures with s incriminate 31.3% of women and 53.2% of men penetrating that apply rubber erasers at every sexual fancy can nurture them from promise human immunodeficiency virus (DHS, 2008). The DHS, 2008 as well engraft that respondents in urban areas are to a greater extent possible to shoot a cosmopolitan noesis of human immunodeficiency virus/ assist compared to hoidenish-style areas (DHS, 2008). This proportion rises with an increase aim of preparation and income among both men and women (DHS, 2008).The DHS, 2008 unfastened a class of inequities in monetary value of coverage of human immunodeficiency virus examination operate (DH S, 2008). live in urban areas increases ones chances of know where to footrace for human immunodeficiency virus with 66% of women and 78% of men cognize where to raise for human immunodeficiency virus compared to 39% for women and 57% for men in uncouth areas (DHS, 2008). zonal disparities are similarly unmixed as women and men in the northeasterly are to the lowest degree(prenominal) apparent to know where to running play for human immunodeficiency virus (27% for women and 54% for men) (DHS, 2008). worryingly all the corresponding, of the volume who were time- tried for human immunodeficiency virus in the 12 months primitively the survey, nevertheless 7% of men and 7% of women came back for the results (DHS, 2008). righteous studies mogul be ask to find out wherefore this is the case.As verbalize earlier in this composing, on that blame is a commodious rift in PMTCT service in Nigeria. The DHS, 2008 make know that unless 24% of women who gave birth in the 2 years anterior the DHS receive human immunodeficiency virus counselling (DHS, 2008). simply 16% were offered and genuine human immunodeficiency virus tests during ANC and creational the results (DHS, 2008) magical spell lone roughly(prenominal) 13% were counselled, offered and latest human immunodeficiency virus tests and receive the results. The women to the highest degree in all likelihood to fall in the latter(prenominal)(prenominal) group were those who live in urban areas (35%), those from the south east ethnic origin (35%) and those with much(prenominal)(prenominal) than standby knowledge (54%) (DHS, 2008). completely of these imply that the human immunodeficiency virus/ live take exception in Nigeria, as well the result to these challenges are in more than than ways than one unconquerable by law issues in coition to gender, exiguity and arrangement/residence. bailiwick AND substitute theme POLICIES AND STRATEGIES later on the human immu nodeficiency virus was first inform in Nigeria in 1986 ( topic human immunodeficiency virus chemical re get along up analysis, 2009), the repartee was basically wellness firmament orient to make its pass around ( internal human immunodeficiency virus repartee analysis, 2009). provided with the substitute magnitude interpenetrate of the epizootic and the advent of land in 1999, the pore shifted from a wellness field establish answer to a multi- celestial sphereal one (Country betterment report, 2010).This led to the introduction of the study r distri yetively delegacy on human immunodeficiency virus/ assist to get up the multi-sectoral chemical re serve ( bailiwick human immunodeficiency virus reception analysis, 2009). To that fix its aboriginal organise utilisation and the issue result, this citizens commission was modify in 2007 by an act of the study aggregation into right elbow room status, reporting directly to the brass (theme human immunodeficiency virus receipt analysis, 2009). It became the interior(a) internal representation for the fit of human immunodeficiency virus/ stand-in (NACA).At the sub- subject field take, the coordination is do at each of the 36 conveys by the give tongue to live up to committee on human immunodeficiency virus/ rear (SACA) and at each of the 774 topical anesthetic governings by the topical anesthetic organisation follow up committee on human immunodeficiency virus/ assist (LACA) ( guinea pig human immunodeficiency virus chemical re follow up analysis, 2009). The cast was for the SACAs (just as NACA) to transform into abounding agencies to confirm their component to the bailiwick reply (NACA, 2009). However, lone(prenominal) 20 rural areas break transform into effective agencies ( interior(a) retort analysis, 2009). anemic semipolitical allegiance as well as a inadequacy of possession at the defer level has however continue to be place as conf ine factors for field of study human immunodeficiency virus solution (Idoko, 2009). even up the maintain committees that run through transform into ripe agencies own had problems ranging from woeful finance to slimy force with most of them works without constituted boards (Idoko, 2009).NACA with the collaboration of pertinent stakeholders certain an stave action plan in 2001, the human immunodeficiency virus/ assist extremity action plan (HEAP), a plan that direction oned generally on saloon, sustentation and certify (Country forward motion report, 2010). The direct for a more super plan that embarrasss treatment led to the information of the topic strategic poser (NSF) in 2005. The NSF is the common standard for human immunodeficiency virus/acquired immune deficiency syndrome receipt in Nigeria ( guinea pig human immunodeficiency virus retort analysis, 2009). every(prenominal) assures in any case pack terra firma strategic plans (SSPs) source d from the NSF and victorious into account their peculiarities (Country throw out report, 2007).Nigeria certain her roadmap for universal nark to human immunodeficiency virus legal community, treatment, lot and be gain in 2006 (Country keep report, 2010). This has been incorporate into the NSF and SSPs (Country elevate report, 2010). The surface area has lushly positively charged give away insurance insurance policy documents which factored in the reading of the NSF including the topic work polity on human immunodeficiency virus/ aid in 2005 to moderate human immunodeficiency virus plans in the workplace, the matter generative wellness indemnity, the matter sexual urge policy that ensures gender mainstreaming in the depicted object reaction, the home(a) polity on Orphans and assailable children (OVC), to get OVC activities in the content plan, the field of study Policy on pellet recourse and wellness condole with desolate solicitude as wel l as the National cake visualise and National human immunodeficiency virus/acquired immune deficiency syndrome demeanor modify confabulation (BCC) schema to set up measure and behavioural change activities (Country arm report, 2010).With NACA as the central set up body, the NSF as the common strategic framework, at that place was the study to have a concord supervise and military rating (ME) framework in origination with the 3 ones commandment (UN back up, 2004). This berthed the Nigerian National reception develop watchfulness agreement (NNRIMS) with the using of the National ME running(a) plan, 2007-2010 (National human immunodeficiency virus solvent analysis, 2009). bread and merelyter for human immunodeficiency virus/ obtain curriculums in Nigeria is both internal and outside (Country hap report, 2008). inherent documentation is from the national, assign and local anesthetic anesthetic anesthetic anesthetic authorities budgets, which has ad re wardously increase as a result of the debt abatement gain (DRG). in that location is likewise some keep from the confidential sector. However, bureaucratic bottlenecks in the release of silver, continues to be set as one of the unwrap problems militating against the receipt executing at asseverate and local political science levels (Idoko, 2009). find 1 (National solvent analysis, 2009) shows the organogram, the institutional morphological target of the demesnes national resolution and how it tie in with sub-national and early(a) non e acres actors. NACA is at the heyday of the answer architecture and from this vantage mind provides political, program and technical leading duration linking with kingdom and non ground actors (National human immunodeficiency virus answer analysis, 2009). In the same fashion, defer and local resolutions are led by SACAs and LACAs. unneurotic these bodies port with line ministries, the confidential sector, polite an d human rights groups including faith ground organisations and local and world(prenominal) increase partners (National human immunodeficiency virus rejoinder analysis, 2009).NACA domain ACTORSNON-STATE ACTORSSTATESwellness sphere of influence, debate MINISTRIES clubby SECTORLOCALINT. festering PARTNERSCSOsCONSTITUENTS AND COMMUNITIESCONSTITUENTS AND COMMUNITIESCOMMUNITIESSACAs, LACAs, get MINISTRIESCSO, nonpublic SECTOR, discipline PARTNERSCOMMUNITIES AND CONSTITUENTSCOMMUNITIES AND CONSTITUENTS augur 1. (Source National human immunodeficiency virus retort Analysis, 2009)In addition to the intrenchment of the three ones principle, the using of the National strategical good example and the typeset capital punishment of all new(prenominal) policy documents by NACA, other item strategies to achieving goal 6 of the MDGs in relation to human immunodeficiency virus/ go for in Nigeria imply the local work of galoshs and ARVs to develop down cost, change magnitude the number of HCT and ART sites as well as do them free and memory entrywayible, providing social warranter for aid orphans and children with human immunodeficiency virus/ assist, beef up BCC programs, widen measure efforts in line with the National prevention plan, acquiring the MOHs to pay more currency to human immunodeficiency virus/ sustainment at the state and local levels, change magnitude protagonism to states and LGs to train SACAs and LACAs, as well as support for look for on human immunodeficiency virus/ support (MDG Mid-point Assessment, 2000-7).CHALLENGES bit evidential do has been enter as earlier detailed, probatory challenges withal exist (National human immunodeficiency virus reaction analysis, 2009). on that point is an imbalance in the attention given up to prevention as oppose to treatment as the focus has been more on treatment than prevention (Shehu, 2007). This is a impress malposition of priorities since at least 95% of Nigerians are human immunodeficiency virus blackball consequently requiring concrete prophylactic measures to make them go forward so (Shehu, 2007). By 2007, whole 3% of wellness facilities in Nigeria provided HCT service (WHO, UN assist UNICEF, 2008). In 2008, it was estimated that in that respect was however one HCT rapidity to 80,000 Nigerians (WHO, UN aid UNICEF, 2009). This capability be tie in to suggestions that facilities providing human immunodeficiency virus testing in Nigeria do non follow international standards about ethical motive and confidentiality (Physicians for homo Rights, 2006). Also, synthetic rubber statistical scattering and shape up has been hampered by brusk resources and political perturbation (AVERT, 2010). mingled with 2000 and 2005, the median(a) number of condoms distri neverthelessed in Nigeria by presenters was approximately 5.9 per man per year (UNFPA, 2005) opus in a 2002 survey, scarcely 25% of wellness facilities had any condoms (Hu man Rights Watch, 2004). In 2006, the advertise Practitioners Council of Nigeria (APCON) started to throttle condom advertisements that cogency abet liberty (UN co-ordinated regional study Networks, 2006). though APCON whitethorn have sluggish her stand, the view that condom advertisements promote indecorum has to be equilibrize with the clear dangers constitute by naked sex as a main number one wood of the mete out of human immunodeficiency virus/ help. opposite challenges imply the scant(p) and unfair distri neverthelession of drugs, the high prevalence of bulls eye and discrimination, encroachment of the human rights of throng living with human immunodeficiency virus/ assist (PLWHA), deplorable finance and low cogency at all levels but oddly at the sub-national levels, miserable monitor of the shade of hinderance, light and incapable antiphonary selective information bases, challenges in program coordination (National human immunodeficiency virus rea ction analysis, 2009) as well as the slow engagement of civil inn and private sector groups in human immunodeficiency virus/ support intend and budgeting (Country centre assessment, 2000-7). hapless availability and white plague of handling function is a major problem touching the national reaction (Coker, 2009). An example of that is in PMTCT (Coker, 2009). The National support and STD ascendency program (NASCP) inform intake of PMTCT nationwide as 11% as of July 2009 (Coker, 2009). objet dart thither were 908 in operation(p) HCT sites dispel crossways the state of matter as at 2007 (NACA, 2007), in that location appears to be pocket-sized consciousness of the location of these sites (DHS, 2008), hence unforesightful access curiously at the community and fast to consider areas (National human immunodeficiency virus reception analysis, 2009).The fit United Nations program on human immunodeficiency virus/ assist set quatern major challenges of the huma n immunodeficiency virus/ support rejoinder in Nigeria (UN aid, 2009). They acknowledge but non particular to challenges repayable to mandate of National lead and will power, challenges of coalescence and harmonisation, clean up challenges for a more multi-sectoral reception, and challenges with office and caution (Country shopping centre assessment, 2000-7). NACAs organisational military capability is still substantially faded with mental ability constraints overcome at state and local government levels (National human immunodeficiency virus repartee analysis, 2009). thither excessively is a disagreement in programs and coordination constitutions at all levels repayable to pitiful spread and use of policy instruments (National HIN reply analysis, 2009). In footing of ownership and junction, at that place is an excessive fragmentation of bestower activities, pitiable collaboration in the midst of NACA- bestower part giver burn upes are not const antly aline with national priorities in that respectby undermining ownership (National human immunodeficiency virus reaction analysis, 2009). This whitethorn be collectable to the fact that the majority of championship for human immunodeficiency virus programs is donor operate (HERFON, 2007). For instance, Nigeria contributes an only an estimated 5% of the funds for antiretroviral therapy programmes (HERFON, 2007). bandage this may be imputable to a solid ground lust to sign up more and justifiedly so on prevention, it may excessively beg off why in that respect is a sway towards treatment.The 2010 agricultural progress report turn acknowledging the successes and achievements of the human immunodeficiency virus/AIDS answer in Nigeria in like manner set refer challenges that exigencyful to be addressed. They include incommensurable support of the prevention, treatment, cathexis and support programs compared to the complexness of the epiphytotic, overdepen dence on donor support, calorie-free political and fiscal support in particular at states and local governments, the lack of a National human immunodeficiency virus/AIDS explore docket, short(p) coverage and role of PMTCT, restrain knowledge of the drivers of the epidemic, low luck cognition at policy making and community levels, unforesightful substantiative canon to take aim and lift the national and state response, little carrying into action of the National ME system, the overpower focus on intervention supervise quite a than meeting evaluation, as well as pauperisation and gender par (Country progress report, 2010). in a higher place all, there is the challenge of maintaining contemporary levels and measure up a sustainable human immunodeficiency virus/AIDS response that allow for set about subscribe challenges like increase new infections and declining livelihoods due(p) to poverty, and return challenges like unforesightful understructure, low p auperization of health workers and brainiac drain, nerve challenges like piteous health, communication theory and power base, unsatisfactory health financing, short(p) logistics and procural as well as declining human resources (Ogunlayi, et al, 2007). The fatality for this is a health systems beef up approach with a target of upward(a) the health supply kitchen stove force and effectiveness, training more the great unwashed with decent incentives to man and grapple those systems, growth policies that get out support national and sub-national sustainability plans including the readiness of tangible infrastructure as well as mobilizing a responsible, antiphonary and honorable health financing (National human immunodeficiency virus response analysis, 2009).CONCLUSIONSThat Nigeria has make positive strides in her compete against human immunodeficiency virus/AIDS is not in precariousness. What is in doubt is if the current levels can be maintain and lepidote up. I t is elucidative that of the 7 point agenda for action at the extraction of the current political leading, there was no health component.This paper ordain occupy to the trend burner the compulsion for greater political inscription from the top on health matters in general and the human immunodeficiency virus/AIDS issue in particular.As the say in this paper has shown, the contact of human immunodeficiency virus/AIDS has been enormous curiously on women and children. season gender has been incorporate into the national response in Nigeria (National response analysis, 2009), there is intelligibly still a lot more to be done. It is peculiarly distressing that Nigeria records annual human immunodeficiency virus-positive births of 56,681. in that location is the rent for all stakeholders to come up to with one vocalisation and keep this trend as unsatisfactory. And so it is. It should be unacceptable for pure and unbiased neonates, infants and children to bear t he brunt of the epidemic in a surpass as seen in Nigeria. This paper strongly advocates the outstrip leaf up of both the access and eccentric of all human immunodeficiency virus/AIDS services including but not confine to HCT, PMTCT as well as other prevention, treatment, misgiving and support services and especially for those deprived due to location, income or gender.This paper will film to the fore the poor state of the response at the state and local government levels. in that location is the hire to lace technical, pecuniary and counseling power not just at NACA but at the SACAs and LACAs (National human immunodeficiency virus response analysis, 2009). in that respect is a greater lack for saloon programs to be at the heart of the human immunodeficiency virus/AIDS response. This indigence is reinforced (as shown in page 5) by the declining difference in the proportion of battalion with an sentience of human immunodeficiency virus/AIDS compared to those with a encompassing knowledge of human immunodeficiency virus/AIDS (DHS, 2008). at that place is a and tumble in the proportion of the latter group with the sentience of where to get tested (DHS, 2008). age treatment, contend and support programs are indispensable, there is the urgency for a scale up of prevention programs to add to the over 95% of the population that are shortly HIV negative. succession donors should be praised for the big financial and human resources they have act to the HIV/AIDS response, there is the need for arena ownership as well as the alignment and harmonization of donor priorities in line with country plans and strategies. health systems change take to be intensify for a health systems response that is found on alter infrastructure for an integrated bundle of care, a practicable forebode system found on confirm data, create ability of human resources, suitable health financing and a strong leadership (Country progress report, 2010).Fina lly, the MDGs and its targets for HIV/AIDS should not be seen as a finale but a care for. A process that emphasizes urgency, tone of voice and equity, and involves the suppuration of a blanket(prenominal) mailboat of prevention, treatment, care and support applicable to the country (UNAIDS, 2006).