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Reps Begin Probe of $4.6bn Health Grants from Global Fund, USAID

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HIV AID Grants Probe
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By Saint Mugaga

The House of Representatives on Monday began an investigation into the over $1.8 billion and $2.8 billion grants received by Nigeria from the Global Fund and the United States Agency for International Development (USAID) between 2021 and 2025 for the fight against HIV/AIDS, Tuberculosis, and Malaria, as well as for strengthening health systems.

Declaring the session open in Abuja, Chairman of the House Committee on Infectious Diseases, Rt. Hon. Amobi Godwin Ogah, said the probe was essential to determine how the huge grants had been utilized and to ensure accountability in the management of funds aimed at tackling infectious diseases ravaging Nigerians.

Ogah recalled that the House had, during plenary on October 21, 2025, mandated the then Committee on HIV/AIDS, Tuberculosis, and Malaria Control (ATM) to investigate the matter.

He commended Speaker Tajudeen Abbas and the leadership of the House for renaming and expanding the committee’s mandate to the House Committee on Infectious Diseases, reflecting a broader focus on public health threats.

“Nigeria continues to be battered by the ill effects of a greater burden of HIV, Tuberculosis, Malaria and other numerous infectious diseasee.

“It appears that while budgetary allocations and donor funds are mobilized for the response against these health challenges, there is no reprieve in sight as Nigerians are ravaged daily,” Ogah said.

He said the hearing became necessary to ascertain what had been done with the huge grants received, stressing that 90 percent of the country’s intervention funds for these diseases came from international partners.

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Ogah warned that Nigeria would no longer accept being a “mere spectator” in the management of grants given to it, insisting that donor funds must henceforth be managed in line with Nigeria’s priorities.

“Any grant or assistance being given to us without us managing such grant is unacceptable. If they would not give us such grants and assistance on our terms, then let them keep their grants,” he declared. “We must assert our capacity to take charge of our affairs, particularly in the response against HIV/AIDS, Tuberculosis and Malaria.”

He directed the Ministry of Health and Social Welfare and the Country Coordinating Mechanism (CCM) to ensure that all principal recipients and implementing partners submit their implementation plans for approval by the National Assembly before funds are released.

“The era of spending Nigeria’s money without approval and accountability is over,” he warned.

Ogah also disclosed that the House was amending the NACA Establishment Bill to transform the agency into a multi-sectoral body with an expanded mandate. When passed, the agency will be renamed the National Agency for the Control of AIDS, Tuberculosis and Malaria (NACATAM).

The hearing, he said, would help determine the level of transparency and accountability in the use of donor funds since 2021. “Anyone, whether state or non-state actors, must indeed account for every Nigerian kobo spent for the response against public health threats,” he stressed.

With the 8th replenishment of the Global Fund expected this month, Ogah said Nigeria must move away from dependency and inefficiency in managing donor resources.

See also  16,000 cases of TB annually confirmed in FCT

“We must maximize and efficiently utilize the resources at our disposal by cutting out all forms of duplication and wastage, while allocating domestic resources to areas that will present greater value for Nigerians,” he said.

He revealed that the committee would work closely with the EFCC and ICPC to ensure that principal recipients and implementing partners of all grants account to Nigerians.

“This is even more critical when you consider that some funding for terrorist activities has been traced to grants and donor funds,” Ogah added.

He urged implementing partners to prepare for robust parliamentary oversight, noting that some lacked proper or verifiable office addresses. The committee, he said, would hold the Ministry of Health and the Country Coordinating Mechanism responsible for ensuring accountability from all entities receiving donor grants.

Ogah emphasized that the exercise was not a witch-hunt but a democratic measure to ensure transparency and value for public health spending.

“This exercise is an essential ingredient of democracy and should not be seen as a vendetta or warfare,” he said. “We are very clear in our vision to ensure that no Nigerian child dies before age five from HIV, Tuberculosis, or Malaria. We want to ensure that the advocacy and commitment that will lead to the elimination of infectious diseases in our country by 2030 are championed and owned by all relevant stakeholders.”

Minister of Health and Social Welfare, Dr. Muhammad Ali Pate, called for a gradual end to Nigeria’s dependence on foreign aid in funding its response to HIV/AIDS, tuberculosis and malaria.

See also  Experts call for increase in Tuberculosis services in Nigeria

Pate said the country must take greater responsibility for financing its health priorities as donor funding declines after two decades of support.

He described the probe as a welcome step toward transparency, accountability and domestic ownership of health programmes.

He noted that while donor assistance has saved millions of lives through HIV, TB and malaria interventions, Nigeria’s health spending remains below 15% of the Abuja Declaration target, warning that underfunding threatens sustainability.

Declaring the session open, Speaker Hon Abbas Tajudeen represented by Hon. Ibrahim Isiaka, said the investigation reflects the parliament’s resolve to ensure transparency in health funding.

He said it would produce an evidence-based report on how the grants were received, utilized and their impact on public health, while strengthening accountability and governance in the sector.

Health

16,000 cases of TB annually confirmed in FCT

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….as treatment success rates 94%
By Wumi Tewogbade,Abuja

The Federal Capital Territory (FCT) revealed at the weekend that Abuja has over 16,000 annual burden of Tuberculosis (TB) cases.

FCT Director Public Health, ‎Dr Dan Gasama , stated this at the community outreach in commemoration of 2026 World Tuberculosis Day, organized by the Federal Capital Territory Health Services and Environment Secretariat (FCT-HSES), Stop TB Partnership Nigeria, National Tuberculosis and Leprosy Control Programme (NTBLCP),and other partners, in Abuja.

Gasama added that, the treatment success rate for Tuberculosis (TB) in Nigeria is now 94 percent when detected early.

The theme for 2026 celebrations ‘Yes, we can. We can end TB’.

People trooped out in their hundreds from Mabushi community and they were screened and tested for TB, Malaria, etc, and people were given free medications for malaria and some other minor ailments, some were refered to bigger hospitals.

Gasama said, TB remain one of the world’s oldest infectious diseases, and a public health concern globally and nationally, despite being preventable and curable, it continues to claim lives and disrupt families and communities.

‎He noted, “An estimated 10.7 million people fell ill with TB in 2014, with1.23 million deaths including 150,000 deaths among people with HIV.

“With prevalence of 219/100,000, Nigeria remain one of the countries with high TB burden , and FCT also has estimated annual burden of 16,000 cases.

“The country notified over 467,000in 2025 , the highest ever in our history. Treatment success rate have reached an impressive 94%, demonstrating that when TB is detected early and treated properly, it can be cured .

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Additionally TB mortality has been reduced by 63% between 2015 -2024″, Dr. Dan said.
He said in FCT in 2025, FCT-TBLCP recorded it highest achievement to date, over 40,171 presumptive TB clients were identified and screened while 3,679 TB cases were notified the highest in history.

He noted that one of the unique commemorations of this year is the dedication to high-burden communities, where they take the message to their doorsteps.

The in her goodwill message, Dr. Jenny Momoh, who represented Dr. Jibrin Alkasim, the FCT state coordinator for World Health Organisation (WHO), said reiterated the commitment of the world body to eradicating TB completely. Which according to her is visible when countries, communities, and partners unite with purpose and determination.

WHO commended all the health workers and partners for their determination, supports and commitment, that has helped to save lives.

“Despite the challenges, we have seen remarkable advances in diagnostics, treatment options, digital tools, and community‑centered care. Yet millions still face barriers to timely diagnosis and quality treatment. This is why our collective action remains essential. Ending TB requires sustained investment, innovation, and a strong multisectoral response that leaves no one behind”, she noted .

Teresa Jatau, who spoke on behalf of National Coordinator TB network, in her goodwill message said, she is very happy with the turnout of people for the programme.

She reiterated the need for all hands to be on desk in order to completely eradicate TB on Nigeria.

She also remind Nigerians that TB affect children as well, “By collectively working together and collectively amplifying the voices of the community, amplifying the voices of even children. Oftentimes we have conversations about TB, but we neglect the children. But here, we should be reminded that children too are often affected by TB. And so they should be at the center of our conversation”.

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She said TB network is committed to continue to do the work at the community level to ensure that everyone gets the information, the correct information, knows where to go to and seek care in case they are tested positive.

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Health

FG launches Lenacapavir, HIV infection preventable drug

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By Wumi Tewogbade, Abuja

In order to prevent the spread of Human Immunodeficiency Virus (HIV), in Nigeria, the
Federal Government (FG), on Monday, launched Lenacapavir, a long-acting injectable drug for the prevention of HIV infection.

Minister of State for Health and Social Welfare, Dr Iziaq Salako,while presenting the drugs in Abuja reiterated the commitment of the ministry in relying on scientific based evidence and global best practices to strengthen the national HIV response.

The Minister of State added that the initiative reflects the commitment of the administration of Bola Ahmed Tinubu to strengthen HIV prevention, treatment, and care across the country.

“The Government of Nigeria remains committed to ending HIV/AIDS as a public health threat by 2030 through a comprehensive and multi-sectoral approach that prioritises the expansion of prevention, treatment and care services,” Salako said.

The minister explained that the introduction of Lenacapavir, a long-acting injectable pre-exposure prophylaxis (PrEP), would expand Nigeria’s HIV prevention options, particularly for individuals at high risk of infection.

According to him, the drug is administered once every six months, making it easier for people who struggle with adherence to daily oral PrEP.

He said Nigeria was selected as one of the early adopter countries for the introduction of Lenacapavir starting in 2026, and about 52,000 doses have been provided to support the rollout, noting that the initiative is being implemented in collaboration with the Global Fund.

Salako, however, clarified that the new drug is not meant for everyone and should not be seen as a substitute for existing HIV prevention methods.

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“It is not a treatment. It is a prevention method meant for people who are HIV-negative but are at higher risk of infection. It is also not a licence for unprotected sex or risky behaviour,” he said.

He further explained that the rollout would begin on a controlled scale to ensure proper monitoring of the drug’s effectiveness and possible side effects before expanding nationwide.

“This is a catalytic effort. We are starting on a controlled scale so that surveillance and monitoring will be top-notch before wider introduction,” he added.

Salako expressed optimism that the introduction of the long-acting injectable drug would accelerate the reduction of new HIV infections in Nigeria and strengthen the country’s effort to eliminate HIV/AIDS as a public health threat by 2030.

Also speaking at the briefing, the National Coordinator of the National AIDS and STIs Control Programme, Dr Adebobola Basorun, said Lenacapavir would only complement existing prevention methods and should not replace them.

“This drug is not a substitute for the ABC of prevention. People should continue to practise safe behaviour and other preventive measures. If you have an additional risk, then this drug provides another layer of protection,” he said.

He added that the programme would closely monitor any reported side effects as the rollout begins. “For every drug, the manufacturers will list possible side effects. As we roll it out in Nigeria, any additional reactions reported will be captured and communicated appropriately,” he said.

The Director-General of the National Agency for the Control of AIDS, Dr Temitope Ilori, described the introduction of Lenacapavir as an important milestone in the country’s HIV response.

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“This is an additional prevention option; it is not replacing any of the existing methods. We must continue to emphasise behavioural prevention and public awareness even as new drugs become available,” Ilori said, while urging the media to support public education on HIV prevention.

The Federal Ministry of Health and Social Welfare said the drug would initially be rolled out in eight states and the Federal Capital Territory, with monitoring and evaluation mechanisms already in place to track progress and ensure safety.

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WTBD walk: Why we are creating awareness – Experts

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By Wumi Tewogbade, Abuja

In order to create awareness and sensitisation, experts in the health sector on Monday, participated in ‘walk’, to commemorate the World Tuberculosis Day (WTBD), .

The theme for this year’s WTBD is ‘Yes We Can End TB’.

People came out in their numbers to participate in the sensitisation; the walk that started early morning, didn’t finish until around noon.

People in Wuse II, Abuja, were being sensitised on Tuberculosis and how they can be tested and treated, free of charge.

Among those who spoke after the walk on commemoration of WTBD, was , Dr Eze Chukwu, the Impact Project Coordinator of Knowledge Network for Disease Control and Vigilance (KNCV), Nigeria, Kelechi Nzeadibe, Senior Program Officer, Institute of Human Virology Nigeria(IHVN) and Stella Makpu of National Tuberculosis and Leprosy Control Programme (NTBLCP).

The experts lamented that lots of people do not know that TB still exists, infectious and is ravaging lots of communities, killing Nigerians, especially people who do not know that screening, testing and treatment is free of charge.

According to Dr. Eze, “2026, yes we can end TB, lots of people believe that TB is an old disease but what we don’t realise is that TB is still available in our communities, we that are in the TB programme we see TB everyday.”

He lamented, “One person that has Tuberculosis within one year transmit it to 15 persons, that is the chain effect of undiagnosed Tuberculosis .

“And that is why we are creating awareness about TB to this community. To let people know that TB is still prevalent around us.

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“Anyone you see coughing for over two weeks, having fever, night sweats, that person might be having TB.

“And the beauty is that every stage of treatment of TB is free of charge, from the testing. Etc”.

Dr. Kelechi, while fielding questions from the media said,today (Tuesday) is world TB Day, and participating in this walk will create awareness and sensitisation .

She also urged all stakeholders to put all hands on desk, in order to end TB epidemic in Nigeria.

“Some people don’t know that TB still exist, they think it is an old disease”, She noted.

Her organization, IHVN, ensure that TB treatment on all the states are free and support this kind of outreach in all the states in Nigeria.

Dr Stella said, the awareness is being created simultaneously all over the country.

On meeting their target audience, she said, “We have targets and we are meeting those targets”.

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