The Plateau State Government and health stakeholders are developing a five-year transition plan to sustain HIV prevention, treatment and care as international donor funding for HIV programmes in Nigeria declines.

Ibinibo Chukwuemeka, Director of Health Systems Strengthening at APIN Public Health Initiatives, said the changing funding landscape would require greater government ownership and stronger measures to sustain HIV services as donor support winds down, according to a report by the Africa Independent Television (AIT) on Wednesday.

The AIDS Prevention Initiative in Nigeria, now known as APIN Public Health Initiatives, has supported HIV prevention, treatment and care in Plateau State for about 25 years.

APIN says its programmes have expanded HIV treatment access to rural and peri-urban communities, including through primary healthcare facilities.

The proposed five-year framework is expected to guide the state in assuming greater responsibility for financing and coordinating HIV services while protecting gains recorded in prevention, testing, treatment and care.

Health officials, representatives of relevant government ministries and other stakeholders are working on strategies to mitigate the impact of the anticipated reduction in donor support and prevent disruption of services for people living with HIV.

Among the measures under consideration is the integration of HIV and AIDS services into the Plateau State Health Insurance Scheme.

Stakeholders are also exploring local sources of antiretroviral drugs to help ensure uninterrupted access to treatment as external funding declines.

The proposed transition framework would provide a roadmap for sustaining HIV interventions and clarifying the responsibilities of the state government and other stakeholders in financing and delivering essential services.

The development comes amid a broader shift in Nigeria’s HIV response towards greater domestic financing and government ownership.

In June, the Federal Government launched the National HIV and AIDS Strategic Plan 2026–2030, which prioritises domestic financing, expansion of health insurance and integration of HIV services into the broader healthcare system as the country seeks to reduce dependence on donor-supported interventions.

The need for alternative financing has become more pressing as international support for HIV programmes declines.

Nigeria’s existing national HIV financing framework has also identified locally produced antiretroviral drugs and increased government investment as potential ways of reducing the country’s funding vulnerability.

Plateau has previously taken steps towards greater domestic ownership of its HIV response.

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At the state’s 2025 World AIDS Day commemoration, officials disclosed that 51,370 people were living with HIV in the state as of September 2025, while 47,056 adults and 1,835 children were receiving antiretroviral therapy.

The state’s HIV response recorded 2,786 new infections and 460 HIV-related deaths in 2024, according to figures presented by the Plateau State Commissioner for Health, Nicholas Ba’amlong, in December 2025.

The success of the proposed transition will depend largely on sustained government funding, effective planning and the ability of the state health system to absorb services previously supported by external partners.

For people living with HIV, stakeholders say ensuring uninterrupted access to antiretroviral treatment and other essential services must remain central to the transition.

Nigeria is reviewing its Ebola preparedness after Kenya confirmed an imported case of the Bundibugyo virus, the Nigeria Centre for Disease Control and Prevention (NCDC) said.

The NCDC said the case highlights the risk of “international importation” of the virus through travel and population movement, “including the possibility of the virus being imported into Nigeria.”

The agency announced this Tuesday night in a statement signed by its Director-General, Jide Idris. It noted that “as of 6 October, there is no confirmed case of Ebola disease in Nigeria.”

The case makes Kenya the fourth country to report a case linked to the current Bundibugyo virus outbreak, following the Democratic Republic of the Congo (DRC), Uganda and France.

Kenya confirms first case

PREMIUM TIMES reported on Tuesday that Kenya confirmed its first imported case of Ebola caused by the Bundibugyo virus.

According to the World Health Organisation (WHO) Regional Office for Africa, the patient was a Kenyan citizen who had been living in the DRC, where the virus outbreak is ongoing.

The patient travelled by road from the DRC to Kampala, Uganda, before flying to Nairobi, where they were isolated after developing symptoms. Samples tested positive for Bundibugyo virus at Kenya’s National Virology Reference Laboratory and the Kenya Medical Research Institute.

Despite receiving supportive care, the patient died on the night of 5 October and was buried on Tuesday under Kenya’s safe and dignified burial protocol, according to WHO.

Nigeria reviews preparedness

The NCDC said the development in Kenya has added a new regional dimension to the outbreak and underscores the possibility of international importation through travel and population movement.

It noted that since the outbreak was first reported in the DRC, NCDC, working with the Federal Ministry of Health and Social Welfare, Port Health Services, State governments, and other stakeholders, including partners, has taken steps to strengthen Nigeria’s preparedness for Ebola.

“These efforts have focused on early detection, isolation and referral, laboratory diagnosis, infection prevention and control, contact tracing, risk communication and protection of healthcare workers,” it said.

The NCDC said Nigeria has conducted a national Ebola preparedness tabletop simulation exercise to assess the country’s readiness to respond to a possible case.

It added that it would continue to monitor developments in Kenya, the DRC and other affected countries and adjust preparedness measures as necessary.

DRC remains worst affected

The current outbreak was first reported in the DRC and has been linked to the Bundibugyo virus, a species of Ebola virus.

As of 23 September, WHO said the DRC had reported 7,890 confirmed cases, including 3,799 deaths, giving a crude case fatality ratio of 48.1 per cent.

The outbreak has affected 63 health zones across seven provinces, with WHO warning of increased cross-border risks.

Uganda’s latest Ebola outbreak ended in August, while France reported a travel-related case in June.

READ ALSO: Kenya confirms first imported Ebola case linked to DRC outbreak

NCDC advises travellers, health workers

The NCDC advised people travelling from affected areas to monitor their health for 21 days after leaving the affected area.

“If symptoms develop, avoid unnecessary contact with others and immediately contact the appropriate public health authorities or seek care at a recognised health facility, clearly disclosing travel and possible exposure history,” it noted.

The agency also advised Nigerians to practise hand hygiene and avoid contact with the body fluids of sick or deceased people.

It urged health workers to maintain a high index of suspicion when treating patients with compatible symptoms and a history of travel to or exposure in an affected area within the previous 21 days.