This document is about the Lagos State response to HIV/AIDS.

1. HIV and AIDS Response in
Lagos
BY
LSACA

2. LSACA
• Vision: A stigma free state with low incidence of
HIV and AIDS
• Mission: To coordinate HIV and AIDS control
activities in Lagos State, reduce its incidence, and
mitigate its impact on both the infected and
affected through community participation

3. HIV COORDINATION Structure
• Multisectoral
• Secretariat
• A&I committee
• 8 workgroups, 3 TWGs
• 11 LMs
• LACA in all LGAs
• NGOs, CBOs, FBOs, PSOs etc
• Coordination platforms

4. Prevalence Trends - 1991-
20114
1.9
6.8 6.7
3.5
4.7
3.3
5.1 5.1
4.9
1.4
0
1
2
3
4
5
6
7
8
91/92 93/94 1999 2001 2003 2005 2008 2010 2014 2018
Chart Title
HIV PREVALENCE % Column1 Column2

5. 0.5
1.9
0.2
1.1
1.1
1.2
2.1
3.3
1.5
1.4
3.1
1.5
0.8
1.6
0.4
0.9
2.5
1.7
0.6
0.8
0 0.5 1 1.5 2 2.5 3 3.5
AGEGE
AJEROMI
ALIMOSHO
AMUWO- ODOFIN
APAPA
BADAGRY
EPE
ETI-OSA
IBEJU-LEKKI
IFAKO-IJAIYE
IKEJA
IKORODU
KOSOFE
LAGOS ISLAND
LAGOS MAINLAND
MUSHIN
OJO
OSHODI - ISOLO
SHOMOLU
SURU-LERE
HIV PREVALENCE (%)
HIV PREVALENCE

6. HIV PREVALENCE BY AGE
AGE MALE
PREVALENCE
FEMALE
PREVALENCE
0 – 14 years 0.3% 0.2% 0.2%
15 – 49 years 0.7% 1.7% 1.2%
15 - 64 years 0.8% 1.9% 1.4%

7. Trend of clients currently on treatment
59956
67763
77011 78079
107,157
0
20000
40000
60000
80000
100000
120000
Currently on ART
2016
2017
2018
2019
2020

8. 2009 2010 2011 2012 2013 2014 2015 2016 2017
Total HIV/AIDS Expenditure, 2009-2017 (USD) $3,443,249 $6,065,290 $5,196,315 $4,886,681 $17,705,497 $19,900,583 $17,162,895 $22,788,683 $26,060,915
$3,443,249
$6,065,290
$5,196,315
$4,886,681
$17,705,497
$19,900,583
$17,162,895
$22,788,683
$26,060,915
$0
$5,000,000
$10,000,000
$15,000,000
$20,000,000
$25,000,000
$30,000,000
Amount
in
$
Total HIV/AIDS Expenditure By Year (2009-2017)

9. 3% 6%
13%
79%
4% 4%
23%
70%
Private Funds Out-of-pocket Public funds International funds
Fund Surces
HIV/AIDS Expenditure by Funding Sources (2016-2017)
2017 ($26.1 Million)
2016 ($22.8 Million)

10. 92%
86% 87%
75%
91% 90% 90%
79%
70%
6%
13%
4%
17%
8% 9% 9% 13%
23%
2% 1% 8%
8%
1% 1%
5%
3% 4%
2009 2010 2011 2012 2013 2014 2015 2016 2017
Sources of fund for Lagos State HIV and AIDS
Response Spanning 2009 - 2017
Private
Public
International

11. PROGRAMMATIC CHANGES
• Test and Treat policy
• Targeted testing
• Introduction of TLD

12. Policy Tools
• Anti-stigma law
• National HIV policy
• National work place policy
• Adapted State BCC Strategy

13. Current Priority interventions
• Achieving the UNAIDS revised 95-95-95 by 2025
• HIV treatment: Test and Start policy
implementation
• Increased uptake and scaling up PMTCT services.
• Sensitization of TBAs and testing of TBA clients, to
reduce Mother-To-Child transmission of HIV
• Scaling up Key Population interventions
• Increased HIV and AIDS awareness through
Mentoring and leadership development programs
(Religious leaders, Private sector and artisans)

14. Current Priority interventions 2
• Scale up of HIV self testing
• Improve access to PEP
• Institute annual reviews of SSP implementation
• Produce and disseminate Annual Reports
• Sensitization of health workers for stigma
reduction
• Develop a resource mobilization and
sustainability plan for the State HIV response.

15. Priority Areas 1
• Improved access to free, high quality HIV
counseling and testing for all residents of Lagos
State
• Improved access to high quality comprehensive
care for people living with HIV and AIDS.
• Behavioral Change Communication through
implementation of the National BCC Strategy
as adapted for Lagos State

16. Priority Areas 2
• HIV prevention among the Key Population.
• Scale up of Prevention of Mother to Child
Transmission (PMTCT) of HIV service,
towards achieving eMTCT HIV
• Strengthen human resources capcity at all
levels SACA, SASCP, LACA and SDP
• Improved data management

17. Priority Areas 3
➢Strengthen the Supply Chain Management (SCM)
System for HIV commodities
➢Increasing Community and Private Sector Participation
in HIV response
➢Increased demand and uptake of HIV Testing
Services(HTS)
➢Increased HIV Prevention Interventions amongst
Adolescents and Young People (AYPs).
➢Operations research for evidenced based programming.
➢Inclusion of HIV services in the State Health Insurance
Scheme service package.

18. Key success factors
• Mr. Governor’s ( Strong political will at the State
level)
• Autonomy of SACA
• Effective collaboration with the Development
Partners
• Synergy and networking amongst stakeholders

19. Program Areas
• HTS
• HBC
• Condom education and distribution
• HIV Care and Treatment
• TBV/HIV
• PMTCT
• BCC
• VC
• Research

20. Coordination tools
• SSP - developed with full stakeholder
participation (2021 – 2025).
• M&E Plan
• Harmonized Annual Operational Plan
• CSO Directory
• Referral Directory
• NNRIMS tools

21. Challenges
• Inadequate private sector engagement and
involvement in the State HIV & AIDS response
• COVID-19 pandemic negative impact on HIV
response
• Global decline in HIV funding
• Stigma and discrimination
• Increased out of pocket spending by the clients

22. Thank you
for
listening!