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Nigeria commits to ending pediatric HIV infection

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By Francesca Hangeior

As Nigeria faces urgent challenge in ending Mother-to-Child HIV transmission, the Federal government has taken a decisive step in the fight against HIV & AIDS by inaugurating a Prevention of Mother-to-Child Transmission (PMTCT) and Paediatric HIV Scale-Up Acceleration Plan Committee at the national level.

The move comes amid disturbing statistics revealing that an estimated 170,000 children under 14 are living with HIV in Nigeria.

The Minister of State for Health and Social Welfare, Dr Tunji Alausa who inaugurated the committee at the National Agency for the Control of AIDS, NACA, headquarters in Abuja, said in line with global best practices, the multi- sectoral committee, comprising technocrats and bureaucrats, was inaugurated to ensure delivery on the mandate, tracking implementation along the federal four pillars of plan.

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Alausa stated that the federal government is committed to ensuring that no child is born HIV positive and that those who are positive receive quality care, saying government will unlock value chains by collaborating with those willing †o commence domestic production of HIV commodities, ensuring health security.

“Through the National Agency for the Control of AIDS (NAC A) and the National AIDS and STIs Control Programme (NASCP), we will provide effective governance for this programme. Working with all our partners and other departments within the ministry, we will faciIitate efficient, equitable, and quality healthcare for our children.

“This will ensure that no child is born HIV positive and that those who are positive receive quality care. We will also unlock value chains by collaborating with those willing to commence domestic production of HIV commodities, ensuring health security for our children.

“I have decided to provide personal leadership to this programme component. I will work closely with †he committee to review implementation and track data regularly, ensuring that we reverse the negative narrative of our contribution to the global burden of mother-to-child transmission of HIV.

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“Eliminating mother-to-child transmission of HIV and ensuring care for all persons living with HIV, especially our children, aligns with the renewed hope agenda of Mr. President. As a country, this is a moral duty we owe to this generation.”

The four pillars of plan include early testing and optimized comprehensive, high-level treatment and care for infan†s, children, and adolescents living with HIV and children exposed to HIV; closing the treatment gap for pregnant and breastfeeding women living with HIV and optimizing continuity of treatment towards eliminating vertical transmission, preventing and detecting new HIV infections among pregnant and breastfeeding adolescents and women, among others.

In her remarks, the Director General of NACA, Dr Temitope Ilori, said the inauguration of the acceleration plan committee to provide oversight to the PMTCT and Paediatric HIV programme implementation is in line with the three-one principle of one coordinating agency, one strategic framework and one M&E system.

“Nigeria is grappling with a significant public health crisis: the alarming rate of mother-to-child transmission (PMTCT) of HIV and inadequate care for children living with HIV. According to UNAIDS data from 2021, an estimated 170,000 children under 14 are living with HIV, with devastating consequences including 26,000 new infections and 17,000 AIDS-related deaths. The current PMTCT and pediatric HIV coverage stands at a concerningly low rate of less than 35 percent, falling far short of the 95 percent target.

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“In 2021, national and state-level data analysis with consultations with states led to the development of Nigeria’s Global Alliance to End AIDS in Children Action Plan. This was designed to scale up PMTCT efforts and paediatric HIV addressing the coverage gaps.”

According to Ilori, despite this comprehensive strategy and accompanying financial commitment, the PMTCT and pediatric HIV coverage remains critically low.

Consequently, the Minister of State for Health and Social Welfare constituted this acceleration plan committee to drive the implementation of this crucial initiative in line with the sector-wide approach to health care in Nigeria.

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Tinubu Approves Mouth Watering Retirement Packages For Service Chiefs

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President Bola Tinubu has approved a retirement package for Nigerian service chiefs and generals, which includes $20,000 for annual foreign medical treatment, bulletproof SUVs, cooks, and other benefits, sparking criticism from medical associations.

The retirement benefits, outlined in the Harmonised Terms and Conditions of Service for Officers and Enlisted Personnel in the Nigerian Armed Forces and signed by Tinubu on December 14, 2024, also entitle the Chief of Defence Staff and other service chiefs to a bulletproof SUV, replaced every four years and maintained by the military. Additionally, retirees will receive a Peugeot 508 or an equivalent backup vehicle.

Beyond vehicles, retired generals will have access to domestic aides, residential guards, and other luxurious privileges.

However, medical associations, including the Nigerian Medical Association (NMA), the Medical and Dental Consultants Association of Nigeria, and the Nigerian Association of Resident Doctors (NARD), have criticized the packages.

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They argue that such lavish benefits are inappropriate in a country grappling with inadequate healthcare infrastructure, unpaid medical personnel, and a brain drain in the health sector.

While those who retire as lieutenant generals and their equivalents will enjoy international and local medical treatment worth up to $20,000 annually, the benefits for the CDS and the service chiefs were not specified, but it is believed that theirs would be significantly higher.

In addition, they will be assigned a special assistant or personal assistant, three service drivers, and a service orderly, with escorts provided as necessary by relevant military units.

Also, each retiring service chief will also be provided with five domestic aides, comprising two service cooks, two stewards, and one civilian gardener, along with an aide-de-camp or security officer.

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The HTCOS read, “Retirement benefits for CDS and Service Chiefs: The following benefits shall be applicable: One bullet-proof SUV or equivalent vehicle to be maintained by the Service and to be replaced every four years. One Peugeot 508 or equivalent backup vehicle.

‘’Retention of all military uniforms and accoutrement to be worn for appropriate ceremonies; five domestic aides (two service cooks, two stewards and one civilian gardener); one Aide-de-Camp/security officer; one Special Assistant (Lt/Capt or equivalents) or one Personal Assistant (Warrant Officer or equivalents); standard guard (nine soldiers).

“Three service drivers; one service orderly; escorts (to be provided by appropriate military units/ formation as the need arises); retention of personal firearms (on his demise, the personal firearm(s) shall be retrieved by the relevant service) and free medical cover in Nigeria and abroad.”

For other senior officers such as lieutenant generals and equivalents, they are entitled to two Toyota Hilux vehicles or one Toyota Land Cruiser, along with $20,000 annual medical treatment, two cooks, two stewards, four residential guards and two drivers.

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The document stated, “Lieutenant generals and equivalents will receive two Toyota Hilux vehicles or one Toyota Land Cruiser, along with $20,000 annual medical treatment, two cooks, two stewards, four residential guards, and two drivers.

“Retirement benefits for lieutenant general/equivalents.

The following benefits shall be applicable: Officers of three-star rank. Two Toyota Hilux Vehicles or one Toyota Land cruiser or equivalent jeep of the same value; two Cooks; two Stewards; four residential guards; one service orderly; two service drivers and free medicals in Nigeria and abroad to the tune of $20,000 per year.”

The Federal Government also approved for major generals and brigadier generals a Toyota Land Cruiser or equivalent, $15,000 annual medical treatment, domestic staff, and residential guards.

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One-star officers are expected to receive $10,000 annually for medical care, a Toyota Camry or equivalent and similar domestic and security arrangements.

The HTCOS further read, “For major-generals/brigadier-generals and equivalents, the following benefits shall be applicable: One Toyota Land Cruiser or equivalent car of the same value.

“One cook; One steward, two residential guards; One service orderly; One driver; Free medicals in Nigeria, and abroad to the tune of $15,000 per annum.

“Officers of One-Star rank (Brig. Gen.): One Toyota Camry or equivalent car of the same value; One service driver; two residential guards; One orderly and free medicals in Nigeria and abroad to the tune of $10,000 per annum.’’

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Colonels and their equivalents are to get a Toyota Corolla or its equivalent and free medical care within Nigeria.

The President of the NMA, Prof Bala Audu, emphasised that any retirement benefits received by government officials should be invested within Nigeria.

Speaking on the upgraded perks for the military brass, the NMA president noted, “If they want to give them government-benefited medical treatment, cooks, or whatever, I think they should give them all their benefits in Nigeria, that is what I believe.’’

“Whoever wants to receive benefits, whether service chiefs or Mr. President, it should be in Nigeria, and not abroad,’’ he insisted.

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President of MDCAN, Prof Muhammad Muhammad, demanded that the Nigerian healthcare system should be transformed to cater to Nigerians’ healthcare needs.

“My main concern is not what they are giving, but the fact that it is made official that the medical treatment has to be abroad. When, in fact, in most situations, when they go out, it’s Nigerian doctors that they are going to meet. So, in that situation, we need to make sure they are taking good care of the Nigerian healthcare providers,’’ he said.

He added that the decision to make provision for foreign treatment for the retired officers signalled a lack of confidence in the local health sector.

“This also means that the government does not have confidence in the Nigerian healthcare system.

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So, they have to make sure that whatever level of care they receive abroad, we also have it in Nigeria because that is what is going to make Nigerians continue to have confidence in the healthcare system and the healthcare providers in Nigeria. So, my main concern is not what was allocated, but the fact that it is made official that the treatment will be abroad.

“That means the government itself is not comfortable and is not happy with what is available in the Nigerian hospitals for the care of Nigerians,” he added.

While acknowledging that the retirement package for service chiefs, judges, and politicians is not new, the medical expert insisted that the well-being of Nigerians and healthcare professionals should also be prioritised.

“And then likewise, they need to increase budgetary provisions to upgrade our hospitals and other healthcare institutions and training centres so that Nigerians who may not necessarily have to go out of the country will be able to get the requisite healthcare service that they require,” he recommended.

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On his part, NARD president, Dr Tope Osundara, noted that medical tourism is the bane of the health sector, stressing the need to address it urgently.

“The treatment they go abroad to get can be gotten here in Nigeria. Besides, what is stopping the government from providing state-of-the-art equipment in our hospitals or upgrading the hospitals?

“It’s not like we don’t have Nigerian doctors who can do some of the things they travel abroad to do, but unfortunately, rather than prioritise our health system, equip the hospitals and make it efficient, we would rather spend the money elsewhere, thereby improving their economy.

“We should rather pump money into our health system, and this money will find a way to circulate. By the time you are pumping money into it, and people are taking advantage, it will give a return on investment. But it seems that the focus of the government is elsewhere rather than majoring on what is essential in Nigeria.

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“I appreciate the Coordinating Minister, Prof Muhammad Pate, who is also trying to do everything they can to improve the health system, but there is a limit to what a minister can do.

“We need a paradigm shift concerning reforms in the health sector. It still lies with the executive arm of government to ensure that the priorities are not focused on medical treatment abroad, but we should internalise treatment and make it local,” he said.

The Country Director, Accountability Lab Nigeria, Friday Odeh, described the development as “alarming”, noting the hardship faced by Nigerians, adding that the extravagant retirement benefits raised concerns about the priorities of the government.

He also questioned whether the service chiefs had done enough to deserve the packages while calling on the citizens to challenge such policies.

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Odeh stated, “It is alarming that service chiefs are set to receive $20,000 for foreign medical treatment, bullet-proof SUVs, and personal staff as part of their retirement package. At a time when Nigeria faces economic hardship, such extravagance raises serious concerns about the government’s priorities.

‘’Millions of Nigerians struggle with poverty and failing public services, yet resources are being funnelled into luxuries for a select few. Does Nigeria truly have this kind of money to play around with?”

Odeh queried the wisdom behind the retirement perks citing the inability of the armed forces to address the insecurity plaguing the country.

He added, “The justification for these perks is questionable. For over 12 years, insecurity has ravaged the country, with insurgency, kidnapping, banditry, and violence leaving a trail of destruction. While there have been some gains, they are uneven and insufficient.

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‘’Have the service chiefs done enough to deserve such packages, especially when insecurity persists in many regions in a country where military procurement details are never public and allegedly, corruption sits deep in these budgets?

“This policy reflects deeper issues in governance. It sends a troubling signal that public resources can be lavishly spent on elites, regardless of performance.

“Citizens and the media must challenge such policies that always hide behind national security, and demand a focus on the greater good. While insecurity has marginally reduced in some areas, it is far from enough to justify rewarding leaders with excessive perks,” he stated.

The Executive Director of the Rule of Law Advocacy and Accountability Centre, Okechukwu Nwaguma, pointed out that the retirement benefits reflected “a troubling disconnect between government actions and the realities faced by citizens”, adding that the justification for such perks was questionable.

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He noted, “The Nigerian government’s decision to grant excessive retirement perks to military leaders amid the current economic hardship reflects a troubling disconnect between government actions and the realities faced by citizens.

“It raises significant concerns regarding government prioritization and fairness. The lavish retirement benefits of military leaders contrast sharply with the struggles faced by the majority of citizens dealing with insecurity, unemployment, and inflation.

“This disparity can deepen public disenchantment with the government, as it appears more focused on rewarding elites than addressing the needs of ordinary people.”

Nwaguma said the decision may reinforce the perception that the Tinubu government favoured elite interests, fostering public alienation.

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“It raises questions about the fairness of resource allocation during times of crisis. This situation highlights the need for improved governance that reflects the will and welfare of the people. Citizens expect their leaders to demonstrate empathy and responsibility.

“For lasting stability and public trust, the government should align its policies with the socioeconomic realities of the populace and prioritise security and social welfare initiatives,” he added.

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SAD! 53 killed by earthquake in China’s Tibet region

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A devastating earthquake in China’s remote Tibet region killed at least 53 people and collapsed “many buildings” on Tuesday, state media reported, with tremors also felt in neighbouring Nepal’s capital Kathmandu and parts of India.

Videos published by China’s state broadcaster CCTV showed houses destroyed with walls torn apart.

Rescue workers waded through rubble strewn across the ruins in the aftermath of the earthquake, footage showed, while some gave locals thick blankets to keep warm.

Surveillance images published by CCTV showed people running through a store’s aisles as shelves shook violently, sending objects like toys tumbling to the ground.

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In the town of Lhatse, videos geolocated by AFP showed debris scattered in front of streetside eateries.

The powerful quake struck Dingri county with a magnitude of 6.8 near the border with Nepal at 9:05 am (0105 GMT), according to the China Earthquake Networks Center (CENC). The US Geological Survey reported the tremor as magnitude 7.1.

“Fifty-three people have been confirmed dead and 62 injured as of Tuesday noon, after a 6.8-magnitude earthquake jolted Dingri County in the city of Xigaze in Xizang Autonomous Region at 9:05 am Tuesday,” Xinhua news agency said.

Over 1,000 houses have sustained varying degrees of damage, it added.

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“Dingri county and its surrounding areas experienced very strong tremors, and many buildings near the epicentre have collapsed,” state broadcaster CCTV said.

Chinese President Xi Jinping on Tuesday emphasised “the full-scale search and rescue efforts, minimizing casualties to the greatest extent possible, properly resettling affected residents, and ensuring their safety and warmth through the winter”, CCTV added.

Xinhua said that “local authorities are reaching out to various townships in the county to assess the impact of the quake”.

Temperatures in Dingri are around minus 8 degrees Celsius (17.6 degrees Fahrenheit) and will drop to minus 18 this evening, according to the China Meteorological Administration.

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Disaster relief aid, including cotton tents, quilts and items for high-altitude and frigid areas, had been dispatched by central authorities to areas impacted by the quake, Xinhua said.

The high-altitude county in the Tibet region is home to around 62,000 people and situated on the Chinese side of Mount Everest.

While earthquakes are common in the region, Tuesday’s quake was the most powerful recorded within a 200-kilometre radius in the last five years, the CENC added.

– ‘Shook quite strongly’.

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As well as Kathmandu, areas around Lobuche in Nepal in the high mountains near Everest were also rattled by the tremor and aftershocks.

“It shook quite strongly here, everyone is awake,” said government official Jagat Prasad Bhusal in Nepal’s Namche region, which lies nearer to Everest.

But no damage or deaths had been reported so far and security forces had been deployed, Nepali Home Minister spokesman Rishi Ram Tiwari said.

Nepal lies on a major geological faultline where the Indian tectonic plate pushes up into the Eurasian plate, forming the Himalayas, and earthquakes are a regular occurrence.

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In 2015, nearly 9,000 people died and more than 22,000 were injured when a 7.8-magnitude quake struck Nepal, destroying more than half a million homes.

Some tremors were felt in Bihar state in India but no injuries were reported.

Three people were killed and dozens injured after a 7.0-magnitude earthquake struck along the mountainous China-Kyrgyzstan border in January last year.

A quake in December 2023 in northwest China killed 148 people and displaced thousands in Gansu province.

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That quake was China’s deadliest since 2014, when more than 600 people were killed in southwestern Yunnan province.

In the December 2023 earthquake, subzero temperatures made the aid operation launched in response even more challenging, with survivors huddled around outdoor fires to keep warm.

AFP

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Retired military personnel block Finance Ministry

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Retired military personnel on Tuesday barricaded the entrance to the Ministry of Finance in Abuja with canopies and chairs, demanding the full payment of their long-overdue entitlements.

This protest follows a similar action in December, during which the retirees shut down the ministry over the government’s failure to settle their claims.

For months, the retirees were told there were no funds to clear their entitlements, despite an official approval for payment.

They are owed a 20% to 28% salary increment covering January to November 2024.

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The retirees are also demanding payments for other outstanding benefits, including Palliatives for the period between October 2023 and November 2024, an additional N32,000 added to their pensions, a bulk payment of the Security Debarment Allowance, and a refund of pension deductions from the salaries of medically boarded soldiers.

In response to their December protests, the Federal Government paid 50% of the owed entitlements and promised to settle the balance.

However, the retirees claim the government has failed to fulfill its promise, prompting the resumption of their protests.

At the ministry in Abuja, the retirees erected canopies and placed chairs to block the gate, effectively preventing staff from driving into the premises, and forcing many to park their vehicles outside.

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