The Millennium Development Goals (MDGs) Goal 6 is combating HIV/AIDS, Tuberculosis and Malaria. The targets are to halt and begin to reverse the spread of HIV/AIDS and the incidences of malaria and other diseases by 2015, as well as, achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it.
The Nigerian MDFG Report for the year 2010 reveals that progress is being recorded in this area. Recorded cases of malaria and tuberculosis are on the decline and cases of deaths recorded are also falling by as much as 67.7% between 2000 and 2007. The figures for 2009-10 are not available. Meanwhile, globally, Nigeria ranks 4th among the 22 countries with the highest burden of tuberculosis and the incidence of TB detected and treated still falls short of the set global target of 85% by 2015.
However one of the targets was to provide universal access to HIV/AIDS treatment to all who need it by 2010. Records show that in Nigeria, only 16.7% of those who needed it in 2007 had access and this rose to 34.4% in 2008. Although the figures for 2009-10 are not available, the possibility of attaining 100% by 2015, using the present policy framework is uncertain. The number of AIDS orphans which was estimated at 2.12million in 2008 rose to about 2.175million in 2009.
Despite national prevalence of 4.6%, there are several variations by state and local government area. At the zonal level, prevalence is lowest in the South West (2.0%) and highest in the South-South (7.0%). Records show that although the rates of TB cases are on the decline in Nigeria, at the current rate, we might not expect to eliminate the disease in our lifetime.
These and similar concerns have informed the need to undertake this policy review. The aim is to examine the existing policy frameworks, evaluate is achievements and suggest possible reviews, where necessary to expedite the realization of set goals within the remaining period.
Our gratitude goes to Dr Aminu Magashi Garba for undertaking this policy review.
CISLAC is grateful to the TY Danjuma Foundation that made the publication of this brief possible. CISLAC acknowledges the Federal Ministry of health and Office of the Special Assistant on MDGs for their support.
We hope that all relevant stakeholders will find the input worth buying into and that this publication will further strengthen the implementation of the Millennium Development Goal thereby making the 2015 target date attainable.
Auwal Musa (Rafsanjani)
Executive Director, CISLAC