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To Protect Everyone’s Health, Protect Everyone’s Rights – Leopold Zekeng

To Protect Everyone’s Health, Protect Everyone’s Rights – Leopold Zekeng
By: Michael Mike
The enactment of Nigeria’s HIV/AIDS Anti-Discrimination Act – a national law hinged on the protection of the rights of people living with or affected by HIV/AIDS from discrimination based on their HIV status, is indeed progressive. However, to date, only about 18 states in Nigeria have domesticated the Act.
Evidence from the Nigeria PLHIV Stigma Index Survey revealed that 24.5% of adults aged 35-44 and 21.7% of young adults aged 18-24 have experienced stigma and discrimination. In some instances, key populations in Nigeria have experienced discrimination, violent law enforcement practices, arrests and other forms of human rights violations. Violence and discrimination against women and girls also remain pervasive. These violations often shove persons living with HIV and key populations to the margins of society, denying them access to life-saving health and social services, including HIV services.
Globally, 38 countries have pledged to end HIV-related stigma and discrimination through the Global Partnership for Action to Eliminate all Forms of HIV-Related Stigma and Discrimination (Global Partnership). These are hard-fought gains. Nonetheless, Nigeria is yet to formally join the Global Partnership.
However, the unwavering commitments and investments by stakeholders including the Nigerian government, National Agency for the Control of AIDS (NACA), UNAIDS, Global Fund, United States President’s Emergency Plan for AIDS Relief (PEPFAR) and other partners, have been instrumental in catalyzing progress towards ending stigma and discrimination in Nigeria. Communities of persons living with HIV have also been at the frontline of combatting stigma and discrimination. Recently, the Community of Practice to address HIV-related stigma and discrimination in Nigeria was launched by the Network of People Living with HIV and AIDS in Nigeria (NEPWHAN), Association of Women Living with HIV in Nigeria (ASWHAN) & Association of Young People living with HIV in Nigeria (APYIN). The platform seeks to facilitate capacity strengthening, exchange of best practices and promote synergy amongst stakeholders in addressing stigma and discrimination in health care, education, workplace, justice systems, communities, emergency and humanitarian settings.
When marginalized communities are criminalized or stigmatized, their vulnerability to HIV infection increases, and their access to HIV prevention, treatment, care, and support services is obstructed. Countries that are beating the AIDS epidemic are doing so by repealing laws and policies that discriminate, by expanding human rights for all and by allowing marginalized communities to lead the response.
Public health is undermined when laws, policies, practices or norms enshrine punishment, discrimination or stigma for people because they are women, key populations, or persons living with HIV. Discrimination obstructs HIV prevention, testing, treatment and care, and holds back progress towards the end of AIDS.
We have hope, however, from communities on the frontlines. As Dr. Martin Luther King noted, “Social progress never rolls in on wheels of inevitability; it comes through the tireless efforts of people.” It is the communities most affected by discrimination that are leading the pushback against the erosion of their right to health, against the right to life. They are uniting their efforts to protect and advance human rights. They need, and deserve, all our support. The rights path strengthens entire societies, making them better equipped to deal with the challenges we face today and those that are emerging.
The right to non-discrimination as guaranteed under Article 2 of the Universal Declaration of Human Rights and other relevant human rights treaties and standards, is the cornerstone of international human rights law. Having ratified the International Covenant on Civil and Political Rights, International Covenant on Economic, Social and Cultural Rights and other relevant treaties, the Nigerian government has an obligation to ensure that national laws and policies do not discriminate against people and that all persons including persons living with HIV are protected against such discrimination by third parties.
Furthermore, the Global Aids Strategy requires that all countries including Nigeria create an enabling legal environment by removing punitive laws, introducing and enforcing protective legislations and policies, and eradicating the abuse of criminal and general laws to target people living with HIV and key populations.
Discrimination against anyone is harmful to the health of everyone. For Nigeria to deliver on the promise to end AIDS by 2030, action is urgently needed to advance the protection of the human rights of everyone, everywhere. The Zero Discrimination Day, celebrated around the world every 1 March, presents an opportunity for Nigeria to strengthen its commitment through ensuring the domestication and effective implementation of the HIV/AIDS Anti-Discrimination Act in all states across Nigeria, formally joining the Global Partnership, committing to take actions on HIV-related stigma and discrimination across all six settings; and letting communities lead in addressing stigma and discrimination.
Dr Leopold Zekeng, UNAIDS Nigeria Country Director, writes from Abuja.
To Protect Everyone’s Health, Protect Everyone’s Rights – Leopold Zekeng
News
Alliance, a rescue mission, not for power-grabbing – Gombe coalition

Alliance, a rescue mission, not for power-grabbing – Gombe coalition
A coalition of opposition parties in Gombe State has formally adopted the African Democratic Congress (ADC) as its platform to challenge the ruling All Progressives Congress (APC) in the state.
Unveiling the platform in Gombe on Tuesday, Mr Idris Umar, a former Minister of Transportation and leader of the coalition in the state, said that the coalition’s aim was to rescue Nigerians and residents of Gombe State from “APC-induced hardship and pain.”
Umar said the coalition was not created to grab power, but to promote good governance and improve residents’ standard of living in Gombe State.
He explained that members of various opposition parties aligned with a national coalition to adopt ADC as a platform for the 2027 elections.
“We are unveiling this partnership in Gombe, built on mutual respect and a shared commitment to put Nigeria first,” Umar said.
He noted that the journey took 18 months of dialogue with political stakeholders, leading to ADC being chosen as the preferred platform.
“We are determined to recruit new members and work closely with ADC leadership in Gombe to ensure the party’s success,” he added.
Umar said the coalition had been tasked with expanding membership to help unseat APC in Gombe and across Nigeria.
A committee chaired by former Gombe deputy governor, Mr John Yoriyo, assisted by Shehu Adamu-Fura, was formed to drive registration.
“We will strengthen the party and open our doors to more members ready to rescue Gombe and Nigeria from present challenges,” Umar stated.
He emphasised the role of opposition in democracy, saying without it, national progress would be impossible.
Umar, a former Senator for Gombe Central, said coalition efforts are key to lifting Nigerians from poverty and securing a brighter future.
“Our focus is to move Nigeria forward, ease citizens’ lives, raise living standards and restore national security,” he said.
He urged youths to shun violence and thuggery, stressing the coalition promotes peace and democratic advancement.
In his address, state party chairman Auwal Barde praised members and urged unity to ensure ADC’s success in Gombe come 2027.
News
MSF Launches Emergency Measles Vaccination Campaign in Zurmi, Zamfara State

MSF Launches Emergency Measles Vaccination Campaign in Zurmi, Zamfara State
By: Michael Mike
Médecins Sans Frontières (MSF) in collaboration with Zamfara state Ministry of Health and Zurmi Local Government Area (LGA) has launched an emergency measles vaccination campaign in Zurmi LGA, following an increase in the number of children suffering from the disease that has already claimed the lives of 24 children this year.
Most of the children who died were under five years old and had not been vaccinated.
The six-day campaign, which began today, 8 July, is targeting children between the ages of 6 months and 5 years. The goal is to stop the spread of measles quickly and prevent more deaths. During the campaign, MSF teams will also check children for signs of malnutrition using a simple arm measurement (MUAC) and refer those who are undernourished to nearby health centres for treatment.
As of early May, more than 1,600 suspected measles cases have been reported across all 11 wards in Zurmi. The number of cases is much higher than usual and has passed the level considered an epidemic. Many of the children who became seriously ill had other health problems like eye infections, malaria, and poor nutrition, which made their condition worse. The death rate is currently 1.2%.
To reach as many children as possible, MSF is using both fixed vaccination sites and mobile teams that can travel to remote and hard-to-reach areas. The aim is to vaccinate at least 95% of children in the target age group to protect the wider community and stop the outbreak.
A previous vaccination campaign in June 2024 only reached 59% of children due to a shortage of vaccines and security issues in some areas. The current outbreak is worst in communities like Zurmi town, Dauran Birnin Tsaba, Mayasa Kuturu, and Rukudawa, where regular vaccination services are limited and access to healthcare is difficult.
“Children in Zurmi are facing a double crisis of disease and hunger,” said Abdullahi Mohamed Ali, MSF’s Head of Mission. “We are seeing a sharp rise in measles cases, along with high levels of malnutrition, which makes children even more vulnerable.”
A nutrition screening carried out in June 2024 showed that more than one in four children in Zurmi were undernourished, and over 4% were severely malnourished, well above emergency levels set by the World Health Organisation. The MSF-run treatment centre at Zurmi General Hospital continues to receive more and more children with serious nutrition-related complications.
MSF is calling on all partners and health authorities to support this urgent response and help ensure that every child in Zurmi gets the care and protection they need.
MSF Launches Emergency Measles Vaccination Campaign in Zurmi, Zamfara State
News
Lesotho moves towards mass treatment of worm infections

Lesotho moves towards mass treatment of worm infections
By: Michael Mike
To address the severe impact of parasitic worm infections on children’s health, nutrition, and education, the Ministry of Health in Lesotho, in collaboration with the World Health Organization (WHO), has initiated steps to re-establish its Mass Drug Administration (MDA) programme for Soil-Transmitted Helminths (STH).
This is done through the annual administration of albendazole tablets to target both preschool-aged children (1–5 years) and school-aged children (6–15 years). To prepare for the implementation of this critical intervention, a three-and-a-half-day multi-sectoral workshop was held in Leribe District, focusing on the development and validation of a comprehensive operational manual to guide future MDA implementation.
WHO has reported that over 1.5 billion people globally are infected with soil-transmitted helminths (STH), making it one of the most widespread infections. This parasitic disease is particularly prevalent in low-income and tropical regions.

The AFRO region faces the highest burden, with more than 800 million people at risk. Around 290 million school-age children in this region require preventive chemotherapy.
All Saharan African countries are endemic for STH, underscoring the critical need for comprehensive health interventions.
Lesotho conducted its initial national STH mapping survey in 2015, which revealed an overall prevalence of 47.6%, with significant district level variations, some reaching as high as 99%. This led to the launch of an MDA program in 2017, which, however, ceased operations after 2019 due to various challenges,including the COVID-19 pandemic, leaving at-risk populations vulnerable once more. Population at risk in Lesotho is around 550,000.
STH infections are classified by the WHO as Neglected Tropical Diseases (NTDs), characterized by their prevalence in populations with limited access to adequate sanitation and healthcare facilities. These parasitic infections contribute to adverse health outcomes, particularly among children, impacting their nutrition, growth, and educational performance.
A multi-sectoral approach is key to effectively and sustainably controlling and eventually eliminating STH infections in Lesotho and other high-burden areas. It involves not just the health sector (like mass drug administration), but also other sectors that address the main causes of transmission, such as poor sanitation, unsafe water, and poor hygiene.
Dr. Dhruv Pandey, the Technical Expert on Tropical and Vector-Borne Diseases, WHO Multicounty Assignment Team for the Southern Africa Hub countries, emphasized that the discontinuation of MDA since 2019 could have a detrimental impact on both public health and socioeconomic development in Lesotho.
He stressed the need for renewed political and intersectoral commitment, stating:
“It is essential for the Ministry of Health to prioritize the resumption of MDA by initially integrating it within existing health programmes, such as immunization and HPV campaigns.STH is not merely a health issue; it is a social issue, influenced by multiple social determinants and should be addressed through coordinated action.”
Ntsoaki Mamoeketsi Mokete, National Integrated Disease Surveillance and Response (IDSR) Focal Person at the Ministry of Health, highlighted the significance of the newly developed operational manual.
“Developing the operational manual is an important step towards controlling and eliminating neglected tropical diseases in Lesotho,” Mokete said. She outlined future plans, including five years of continuous MDA followed by an impact assessment survey to determine the status of STHs in the country.
“Our next steps will be to continue with the MDA for five years,which will be followed by the impact assessment survey to determine the distribution of schistosomiasis and soil-transmitted helminths (STHs) among the general population. This will enable us to implement effective deworming strategies for the elimination of STH as a public health problem in the Kingdom of Lesotho.
In addition, we will focus on advocacy for the revitalization of school health programmes, developing NTD clinical guidelines, integrating NTDs into the IDSR strategy, and developing a coherent and well-coordinated approach in collaboration with the Ministry of Education and other related organizations.”
The Ministry of Education and Training (MoET) also affirmed its commitment to the program. Mpheng Molapo, Coordinator of the Learner Care and Welfare Support Unit at MoET, underlined the direct benefits for students.
“The Ministry of Education strongly supports the implementation of the (MDA) for (STH) as a key public health intervention with direct impact on learner well-being, educational performance, and school attendance,” Molapo stated.
Dr. Pabolo Nonyane, District Veterinary Officer and National Focal Point for the Ministry of Agriculture, Food Security and Nutrition, underscored the importance of the MDA to the agricultural sector.
She stated that: “This initiative is vital for achieving sustainable food and nutrition security, particularly within our high-risk agricultural communities. Farmers and herd boys are uniquely vulnerable due to their exposure to contaminated soil. By using this operational manual to protect their health, we preserve the human capital essential for our agricultural future. This effort truly reflects the ‘One Health’ principle, ensuring that our work on STH contributes not only to public health but also directly to Sustainable Development Goal 2: Zero Hunger.”
“The development of Standard Operating Procedures (SOPs) for the MDA campaign against Soil-Transmitted Helminths is essential,” stated Matebele Setefane, UN-Water Global Analysis and Assessment of Sanitation and Drinking-Water (GLAAS) Focal Person, Ministry of Natural Resources.
“This manual provides a structured, standardized approach that ensures clarity of roles and alignment with broader health and Water, Sanitation and Hygiene (WASH) goals. Given that STH infections are strongly linked to inadequate sanitation and poor hygiene, integrating WASH elements into the MDA operational SOPs helps address not just treatment but also prevention.”
Setefane further emphasized the collaborative nature of the initiative: “The success of the MDA campaign depends not only on drug distribution but also on addressing the environmental drivers of STH transmission. Our ministry is committed to supporting the campaign through WASH integration, by collaborating with the Ministry of Health to ensure safe water access, functional sanitation facilities, and hygiene promotion are prioritized in targeted communities and schools.”
The workshop convened a multidisciplinary team, including representatives from the Ministries of Education, Nutrition, Water, Sanitation and Hygiene (WASH), and Environment. This collaborative approach aims to ensure the operational manual is pragmatic and implementable across all levels of engagement, marking a critical step towards establishing a sustainable, multisectoral intervention for STH control and eventual elimination as a public health problem in Lesotho.
WHO, working with other partners, has been instrumental in operationalizing the implementation of MDA in many countries, providing support at every stage of the process. This includes ensuring the sustainability of high-quality MDA, facilitating annual reporting, and conducting a comprehensive impact assessment after five years of optimal coverage.
Lesotho moves towards mass treatment of worm infections
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