270,000 Nigerian children ‘living with HIV’

The UN Children’s Fund (UNICEF) has said no fewer than 270,000 children aged 0 to 14 years were living with HIV in Nigeria in 2016.

The figure represented the lion share of half of the 540,000 total infected children in West and Central Africa over the same year.

Nigeria also recorded 37,000 new HIV infections among children out of the total of 60,000 new infections in West and Central Africa over the same period, representing 62 per cent of the new infections.

The UN children’s agency warned that the West and Central Africa were lagging too far behind the rest of the world in access to HIV treatment and care.

Marie-Pierre Poirier, UNICEF director, West and Central Africa, in a report released on Tuesday, called for improvement of early diagnosis and access to HIV treatment and care for children.

The report said four in five children living with HIV in West and Central Africa were still not receiving life-saving antiretroviral therapy.

It warned that AIDS-related deaths among adolescents aged 15 to 19 years were on the rise.

“It is tragic that so many children and adolescents today are not receiving the treatment they need just because they have not been tested,” Poirier said.

According to UNICEF, West and Central Africa have the lowest paediatric antiretroviral treatment coverage in the world.

The region has only 21 per cent of the 540,000 children (aged 0 to 14 years) living with HIV receiving antiretroviral treatment in 2016 – compared to 43 per cent globally.

“A major cause behind this is the limited capacity of the countries to perform the tests needed for early infant diagnosis of HIV.

“Without knowing a child’s HIV status, his or her family is less likely to seek the treatment that could prevent the tragedy of a child’s death from AIDS-related illnesses.

“The situation is worse among adolescents: the annual number of new HIV infections among those aged 15 to 19 years in the region now exceeds that of children aged 0 to 14 years.

“These new infections occur mostly through unprotected sexual contact and among adolescent girls,” the UN agency warned.

“Leaders of the region have endorsed a Catch-Up plan aiming to triple the number of people on treatment in the region – including children – by the end of 2018, the key issue now is to accelerate implementation.

“Countries should urgently put in place more effective strategies for early infant diagnosis of HIV, and start reducing inequity in children’s access to treatment,” said Luiz Loures, the deputy executive director of the Joint UN Programme on HIV/AIDS (UNAIDS).

Equally concerning, according to Step Up the Pace: Towards an AIDS-free, a recently released UNICEF report, is that the region has seen a 35 per cent rise in the annual number of AIDS-related deaths among adolescents aged 15 to 19 years.

This was the only age group in which the number of AIDS-related deaths increased between 2010 and 2016.

“With the region’s youth population expected to grow significantly within the coming decades, especially in countries like the Democratic Republic of the Congo (DRC) and Nigeria.

“The numbers of children and adolescents becoming infected with HIV and dying from AIDS is likely to remain high, unless the HIV response – both prevention and treatment – improves dramatically,” the report warned.

To overcome these hurdles, the report called for key strategies to enable countries accelerate efforts to curb the spread of the disease.

In particular, it proposed a differentiated HIV response focusing on unique epidemiological and local contexts in each country and community.

It also proposed the integration of HIV services into key social services including health, education and protection.

According to the report, community ownership and local governance of the HIV response including working with families to help reduce stigma, access prevention and treatment.

The others are investment in innovations to remove barriers to diagnostic and biomedical approaches such as point of care diagnostics, HIV self-testing and pre-exposure prophylaxis.