Hiv And Aids Problem In Nigeria Health And Social Care Essay

Nigeria s communities are at gamble. The call down s population of more than(prenominal) than 140 one thousand thousand raft, stand foring wicked cultural and cultural assortedness, faces an human immunodeficiency virus epidemic that could easy whirl pop of control. Although the national HIV prevalence rate was cited at 4.4 % in NARHS 2005, this translated into more than 2.9 million people populating with the virus and in demand of services, and support, the 3rd highest vitiate for HIV in the universe.Nationally, the sero prevalence rates of 4.4 % in 2005 translated to over 2.9 million people populating with the virus. This located Nigeria as h out of dateing the 3rd greatest committal of people infected with HIV in the universe. Over the last twain decennaries, the HIV epidemic in Nigeria has gone from impacting scarcely a a couple of(prenominal) populations with higher-risk behaviours within a concentrated epidemic in a a couple of(prenominal) provinces, to a general ized epidemic in many provinces.Size of job, how many people infected, cardinal population affected, chief path of transmittalLike many other introduces in Africa, HIV is most prevailing among the most productive members of society ( come on 25-29 ) , with boyish big(a) females, in peculiar, affected. This in any case includes the energizeually active come on of which unprotected sex is the chief path of transmittal. The epidemic in any case had a disproportional impact on big females and misss in their generative old sequences, with 4.9 % of pregnant adult females age 25-29 infected followed by adult females age 20-24 with 4.7 % . More alarming, 3.6 % of adult females age 15-19 were infected incessantlyy bit mature suggestion early knowledgeable introduction.High and early birthrate among immature adult females across Nigeria s vast and diverse state, suggests that many more kids will besides be infected as a importee due to rear to child transmittal. Already, more t han 1.2 million kids were account to be infected in 2005. It was estimated that 75,780 impudently contagions would happen among kids less than15 in 2006, with the jut out of child-headed families increasing due to the decease of their parents. This indicates a greater demand to harmonise HIV within generative wellness services to make both adult females and work forces within the general population with more reactive household planning, HIV proving and comprehensive PPTCT services. It besidesthe demand to beef up holistic intercessions to protect vulnerable immature populations.Cultural/Social norms in your state and how they impact on the developing state of affairsThey include low destiny perceptual experience, septuple concurrent sexual spouses, in globe transactional and intergeneration sex, gender inequalities, mug and favoritism.Low bet on perceptual experienceThe NARHS 2005 showed that 67 % of Nigerians felt no hazard for HIV and merely 29 % perceived themselves to b e at hazard for HIV. fifty-fifty the IBBS S 2007 showed that MARPs did non perceive themselves as being personally at hazard for HIV, despite high HIV prevalence rates among FSWs, MSM and IDUs. Low hazard for HIV among Nigerians means that they are improbable to take calls for action to prognosticate HIV earnestly irrespective of high cognition about the virus.Multiple synchronal spouses among work forces and adult femalesUnderliing multiple coincident partnerships are cultural norms that pull ahead polygamous relationships, funnily among work forces. Common patterns of holding indoors and outdoors unify charwomans and social norms that assume all work forces are polygamous, hike up work forces to hold multiple spouse to show their maleness. Even among semiformal polygamous relationships, where there is presumed greater protection, work forces and adult females were reportedly non ever remaining within the relationship. Women within polygamous relationship in boorish c ountries were more likely to hold extra-marital personal businesss than among monogamously married adult females as a agency to economic security.Informal transactional and intergeneration sexThere is a great trade of causal agent that many adult females, peculiarly immature adult females, are interchanging sex for gifts, favors, and money outside of a whorehouse scene. Womans who engage in cosy transactional relationships are less likely to utilize good-for-naughts than adult females in formal commercial sex counters.Gender inequalities that influence hazard behavior and bound introduction to identify HIV and SRH servicesCultural norm in Nigeria, relegate adult females to a low-level function within matrimony and do it hard for adult females to negociate their proper(ip) to safe sex or refusal of sex. This is compounded by a important age difference between hubby and married woman, peculiarly in polygamous relationships, which farther makes it hard for immature adult females t o entree power in the relationship. Other cultural patterns including married woman heritage, traditional married woman sharing, early and forced matrimony, female Circumcision and sexual cleaning non merely increase adult females s hazard for infection exclusively besides farther undermine adult females s right to autonomy and self finding.Stigma and favoritismStigma related to HIV keeps many people from reacting tp beat, watchfulness and intervention intercessions for HIV. It prevents Nigerians from accessing HIV proving for fright of positive consequences, unwraping their Hiv position to their spouses, and role of bar of parent to child transmittal services, including safe eating of new born kids.How the cognition above might be used to foreshorten this job and cut down the spread of HIV/AIDSSee urban vs. agricultural differences in footings of entree to information, key services and literacy.Reduce reported multiple coincident spouses among all groupIncrease consistent and right rubber usage among all work forces and adult females who are sexually active, peculiarly among paid and insouciant spouses.Increase early STI sensing, intervention and patner presentment.Critically crumble cultural and gender values and beliefs that put work forces and adult females at hazard in their communities, and beef up male duty in generative wellness.Reduce reported stigma and favoritism among PLWHAReduce reported high hazard cultural patterns.Reinforce rights of PLWH to hold positive but safe sexual relationships.DecisionBecause of the enormous diverseness within Nigeria s population, it is pop off that as contrivers, we need to look carefully at informations within our provinces in doing strategic programs every bit good as acknowledge the diverse needs for be aftering our response. In such a dynamic environment, it is besides of import to see the drivers of Nigeria s epidemic to guarantee that programme contrivers bank check in melody with future alterations in the epidemic s growing.What is fire that there needs to be a co-ordinated, consonant response for bar attempts at all degrees to protect Nigeria s communities? There is untold that roll in the hay be done.The fact that 95 % of Nigerians still remain HIV lay off is a enormous chance for bar attempts in our communities. Not merely is our combined strength and committedness key to contending the spread of the epidemic, most of us can make a great trade to forestall ourselves from red infected and fro distributing it to others. It is already apparent that Nigerians communities, at all degrees, have do of import paces to turn to the epidemic.The freshly launched National Prevention Plan besides strategically topographic points bar attempts, and within that, behaviour alteration communication theory as a precedence country for all spouses and has done much work to construct national consensus on the manner frontward.