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Nigeria unveils new HIV plan, seeks shift from donor dependence to domestic financing

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Nigeria has unveiled a new National HIV and AIDS Strategic Plan (NSP) 2026–2030, outlining a transition from donor-supported interventions to a domestically financed and government-led response to HIV/AIDS.

The plan, presented on Thursday in Abuja, comes amid declining external funding and growing calls for Nigeria to assume greater ownership of its health system, particularly in sustaining long-term HIV interventions.

Speaking at the unveiling ceremony, the Director-General of the National Agency for the Control of AIDS (NACA), Temitope Ilori, said Nigeria’s HIV response had reached a critical point that requires a strategic reset in line with emerging realities.

Ms Ilori said the country had recorded significant progress over the past two decades, including reductions in new infections and improved treatment access, but noted that changing global and financial conditions demanded a new approach.

She explained that the new strategic plan represents a recalibration rather than a replacement of the existing framework and aligns Nigeria’s response with emerging evidence and global priorities.

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“This new Strategic Plan reflects lessons learned from implementation, new evidence from the National HIV Estimates and the need to reposition the response in a rapidly changing global environment,” she said.

Shift to domestic ownership

Ms Ilori said declining external funding and fragmented programme structures had made it necessary for Nigeria to adopt a government-led and government-owned response model.

According to her, the NSP prioritises the integration of HIV services into national systems across sectors, including health, education, youth development, gender and justice.

She added that the plan was developed through extensive consultations involving government institutions, civil society organisations, development partners, private sector actors and community networks.

“This Strategic Plan calls on all stakeholders to renew their commitment and work collectively to achieve a resilient, equitable, and sustainable HIV response for Nigeria,” she said.

Framework

Presenting the framework, NACA’s Deputy Director of Policy, Planning and Coordination, Mariam Ezekwe, said Nigeria’s HIV response had reached a decisive point, with notable achievements but persistent gaps that require structural reforms.

Ms Ezekwe said the country had made substantial gains in reducing infections and expanding access to treatment, but stressed that the next phase must focus on sustainability and stronger system integration.

She outlined the country’s current realities, describing a system that had made progress but still faced structural weaknesses in financing and service delivery.

“Fifty-two per cent reduction in new infections since 2010, and just about 80 per cent of People Living with HIV/AIDS know their status in 2025,” she said.

“These are the latest data from the Spectrum estimate. And currently we have an estimated 1,985,284 people living with HIV/AIDS.”

She added that the NSP prioritises legislative financing, health insurance expansion, and integration of HIV services into primary healthcare systems.

Private sector, faith groups seek deeper integration

During a panel discussion on domestic financing and sustainability, stakeholders called for stronger private sector participation, expanded insurance coverage and formal integration of faith-based organisations into the national response.

Representing the Nigeria Business Coalition Against AIDS (NIBUCCA), Opeyemi Yekini said private sector actors should be treated as co-owners of the HIV response rather than mere contributors.

Mr Yekini noted that businesses increasingly recognise that workforce health directly affects productivity and economic stability.

Also speaking, Executive Secretary of the Country Coordinating Mechanism (CCM), Tajudeen Ibrahim, said Nigeria’s transition strategy extends beyond enrolling people living with HIV into health insurance schemes and includes strengthening systems capable of sustaining HIV financing after donor support declines.

Mr Ibrahim said governments at different levels were already committing resources to HIV programmes, but weak tracking and reporting mechanisms made it difficult to determine the full extent and impact of domestic investments.

He said strengthening financial accountability and visibility would be essential to demonstrating country ownership and ensuring resources are used efficiently.

“There are several mechanisms that we are currently using to fund health, and these mechanisms need to be properly tracked. As part of Global Fund support to the country, we are investing in strengthening our public financial management system,” he said.

Emmanuel Okechukwu, co-chair of the Nigeria Interfaith Coalition on AIDS (NIFCOB-AIDS), also called for the formal integration of faith-based organisations into the national HIV response framework.

He said faith institutions had long played a central role in providing care and social support, particularly at the community level.

“The faith-based community is asking for integration, both in policy and programming. If you want to attain universal health coverage, you must go to the people who are in the grassroots to provide the healthcare communities require,” he said.

READ ALSO: Gombe, UNICEF launch N1bn intervention for malnourished children

System integration by 2030

The NSP 2026–2030 outlines a long-term goal of eliminating parallel HIV programmes and embedding interventions within routine government systems.

NACA said implementation of the plan would increasingly rely on domestic financing, strengthened health insurance systems, digital health expansion and coordinated multisectoral accountability mechanisms.

By 2030, Nigeria aims to sustain HIV control through integrated systems fully owned and financed at national and subnational levels.


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Health

British national tests positive for Ebola in DRC

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A British national has tested positive for Ebola in the Democratic Republic of the Congo (DRC), the UK government has confirmed.

According to the BBC, the British man tested positive for the virus while in the DRC. Reuters subsequently reported that he would be medically evacuated to the UK for specialist treatment. However, the exact time of the evacuation was not immediately known.

This marks the first confirmed case of a British national contracting the virus during the ongoing outbreak in the DRC, which has claimed more than 5,000 lives.

Ebola is a viral disease that can cause severe illness and spreads mainly through direct contact with the blood or other bodily fluids of an infected person.

Symptoms include fever, headache, vomiting, muscle pain, weakness, and diarrhoea.

“The UK has well-established procedures for dealing with cases like this, and those processes have been activated,” a UK government spokesperson was quoted as saying.

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“Further information will be shared in due course as appropriate. The risk to the UK public from Ebola remains low.”

Ebola outbreak

The current outbreak is caused by the Bundibugyo virus, a species of Ebola virus, and was first declared in DRC in May 2026.

According to the latest figures from the United States Centres for Disease Control and Prevention (CDC), the outbreak had recorded 10,563 confirmed cases and 5,130 deaths across five countries as of 1 November 2026.

The DRC accounts for the majority of the cases, with 10,532 confirmed cases and 5,126 deaths. The outbreak has affected eight provinces in the country.

Kenya has recorded nine confirmed cases and two deaths, while Uganda has recorded 20 confirmed cases and two deaths, alongside one probable case and one probable death.

Nigeria confirmed its first case on 20 October after a traveller with a history of travel to Uganda tested positive for the virus. The patient was subsequently medically evacuated to Switzerland for treatment.

READ ALSO: Resident doctors commend Uba Sani for prioritising healthcare workers’ welfare

According to the European Centre for Disease Prevention and Control (ECDC), 62 contacts linked to the Nigerian case had been identified and were under follow-up as of 29 October.

Symptoms and transmission

The World Health Organisation (WHO) has explained that Ebola survivors may transmit the virus through sexual intercourse if it persists in their semen after recovery.

However, survivors who have met the criteria for discharge from treatment are not expected to transmit the virus through sweat or saliva, as the virus is cleared from their blood.


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Health

Six climate measures could save 1.6 million lives yearly – WHO

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Six proven climate and health interventions could prevent 1.6 million deaths annually and generate trillions of dollars in economic benefits if implemented globally, the World Health Organisation (WHO) has revealed.

The measures, which include heat-health warning systems, access to safe water and sanitation, cleaner household energy and more efficient fossil fuel pricing policies, could generate $3.9 trillion in annual economic welfare benefits and a further $5.4 trillion in fiscal gains.

The WHO disclosed this in a new report titled ‘Global benefits and costs of prioritised actions on climate change and health’, released ahead of the 31st United Nations Climate Change Conference (COP31), where countries are expected to present their climate commitments.

According to the report, the six interventions could prevent one in every 40 deaths globally, based on modelled projections, while avoiding 16.7 billion tonnes of carbon dioxide emissions annually.

The estimated emissions reduction is equivalent to 31 per cent of global annual greenhouse gas emissions, excluding emissions from land use, land-use change and forestry.

The report, which the WHO described as its first comprehensive assessment of the economic and fiscal returns from scaling up the six recommended interventions, highlights the potential health and financial gains of integrating public health considerations into climate policies.

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It argues that many health consequences of climate change are preventable through existing solutions, but governments must implement them across health and other sectors that determine people’s health.

Six interventions

The report identifies six interventions: heat-health warning systems, climate-resilient drinking-water services, basic sanitation services, hygiene and handwashing facilities, cleaner household fuels and technologies for cooking and heating, and efficient fossil fuel pricing policies.

The WHO estimates that five of the interventions could generate $24 in benefits for every $1 invested, with returns expected to be greater in low- and middle-income countries.

Heat-health warning systems are projected to deliver particularly high returns, generating an estimated $835 in benefits for every $1 invested.

The report attributes the high returns to the relatively low cost of expanding existing warning systems and their potential to prevent heat-related illnesses.

Efficient fossil fuel pricing policies, however, are projected to deliver the largest overall gains.

Such policies, including removing inefficient fossil fuel subsidies and appropriately taxing fossil fuels, could prevent 1.2 million deaths annually while generating $3 trillion in economic welfare benefits and $5.4 trillion in fiscal gains.

Health at the centre of climate action

Commenting on the findings, WHO Director-General Tedros Ghebreyesus said the climate crisis was also a health crisis, but many of its consequences could be prevented using existing interventions.

READ ALSO: WHO raises alarm as 75% of diabetes cases in Africa remain undiagnosed

He said expanding proven and affordable interventions could save millions of lives, particularly in countries with the greatest need.

“The climate crisis is a health crisis, but much of the harm it causes can be prevented with tools we already have,” he said.

Mr Ghebreyesus urged governments to place health considerations at the centre of climate action as they prepare for the next round of international climate negotiations.

The WHO said countries were already experiencing record-breaking climate shocks in 2026, investing in measures that protect human health and the environment increasingly urgent.

The health body called on governments, development partners and financing institutions to use the economic evidence to scale up the interventions, noting that they could deliver simultaneous benefits for public health, climate mitigation and national economies.


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