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Nigeria’s HIV success story must be sustained — Ex-minister Adewole

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Former Minister of Health and Nigeria’s Ambassador-designate to Canada, Prof Isaac Adewole, on Tuesday described Nigeria’s HIV response as one of the greatest public health success stories of modern times.

He said investments in treatment, prevention and community-based care transformed millions of lives and significantly reduced the burden of the disease.

The former minister, however, cautioned that the country must do more to sustain its achievement in curtailing the HIV outbreak and other diseases.

Adewole spoke at the 25th anniversary celebration and public health symposium of APIN Public Health Initiatives in Abuja, where health experts, government officials and development partners gathered to reflect on the country’s progress against HIV/AIDS and chart a path for sustaining the gains.

“The HIV response remains one of the great public health success stories of our time. Free and subsidised antiretroviral therapy, decentralised HIV care and prevention services have helped improve outcomes for millions of people,” Adewole said.

According to him, the expansion of antiretroviral therapy, prevention of mother-to-child transmission programmes, behavioural interventions and community-based services has helped reduce new HIV infections and AIDS-related deaths while improving the quality of life of people living with the virus.

He said the HIV response offered an important lesson on what could be achieved through sustained investments, strong partnerships and evidence-based public health interventions.

Adewole noted that similar progress had been recorded in maternal and child health, tuberculosis control, malaria prevention and immunisation programmes over the last three decades.

He cited improved immunisation coverage, better nutrition, stronger maternal healthcare services and increased access to life-saving medicines as major contributors to reductions in child and maternal mortality.

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The former minister also highlighted gains in tuberculosis control through the scale-up of Directly Observed Treatment Short-course, deployment of GeneXpert diagnostic technology and integration of tuberculosis and HIV services.

He said malaria interventions, including the distribution of insecticide-treated nets, wider access to artemisinin-based combination therapies, rapid diagnostic testing and the introduction of malaria vaccines, also contributed significantly to better health outcomes.

Despite the progress, Adewole warned that emerging challenges such as antimicrobial resistance, climate change, pandemics, economic shocks and declining international donor support could threaten hard-won gains if countries fail to strengthen their health systems.

“We need to do more than ever before to ensure that these gains are sustained,” he said.

He stressed that domestic financing would become increasingly important as traditional donor countries reduce overseas development assistance.

“The issue of local funding has become critical, and countries must now use their own resources in order to address health challenges,” Adewole added.

The symposium also highlighted the contributions of APIN to Nigeria’s HIV response over the last 25 years.

Speaking on behalf of the Coordinating Minister of Health and Social Welfare, Prof Ali Pate, the Director-General of the National Agency for the Control of AIDS, Dr Temitope Ilori, said APIN had grown into one of Nigeria’s leading indigenous public health organisations.

Ilori recalled that the organisation was established at a time when the country’s HIV epidemic was characterised by widespread stigma, fear and weak healthcare infrastructure.

“Twenty-five years ago, the public health landscape was quite daunting. We were facing the rising tide of the HIV epidemic, a crisis marked by stigma, despair and fragile healthcare infrastructure,” she said.

She noted that APIN’s journey reflected Nigeria’s broader progress in combating HIV/AIDS and strengthening healthcare delivery.

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“Today, APIN stands tall as one of our premier indigenous non-governmental public health organisations, partnering with the Federal Government of Nigeria to improve healthcare and change lives,” Ilori said.

The NACA Director-General disclosed that APIN currently supports treatment services for nearly 20 per cent of Nigerians living with HIV and has contributed significantly to reducing HIV prevalence across the country.

“Today, we celebrate the fact that APIN manages treatment for almost 20 per cent of people living with HIV across Nigeria and is contributing immensely to the decline in HIV prevalence across the country,” she said.

According to Ilori, APIN has expanded its operations to 30 states and has played a critical role in strengthening laboratory networks, supporting strategic health information systems, conducting community surveys and building public health capacity nationwide.

“APIN has strengthened laboratory networks, supported strategic data systems, conducted major community surveys and helped build a robust public health infrastructure across Nigeria,” she added.

She said APIN’s interventions align with the Federal Government’s Health Sector Renewal Investment Initiative and have helped expand access to HIV services through primary healthcare centres.

According to her, the organisation has also made important contributions to preventing mother-to-child transmission of HIV, training health workers and promoting data-driven decision-making in the health sector.

While celebrating the achievements recorded over the years, Ilori cautioned that major challenges remain.

“We must not become complacent even as we celebrate our successes.

“The persistent HIV burden among key populations, the threat of drug-resistant tuberculosis, the rise of non-communicable diseases and the need for more sustainable domestic health financing remain important challenges,” she said.

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In his remarks, the Chief Executive Officer of APIN, Prosper Okonkwo, said the organisation remained committed to supporting Nigeria’s public health priorities despite changes in the global funding environment.

“As we look to the future, we do so with great enthusiasm and expectation, even as the global health funding landscape continues to shift in ways that few of us would have predicted a few years ago,” Okonkwo said.

He added that APIN would continue leveraging its human resources, technology, strong systems and strategic partnerships to improve health outcomes across the country.

“APIN has been preparing for this moment, and we remain committed to delivering impact despite changes in global health financing,” he said

Founded in 2000, APIN Public Health Initiatives began as an HIV/AIDS prevention, treatment and research initiative and has since evolved into one of Nigeria’s foremost indigenous public health organisations.

Over the last 25 years, APIN has expanded beyond HIV programming to include tuberculosis, malaria, maternal and child health, disease surveillance, laboratory strengthening and health systems development.

The organisation’s silver jubilee comes as Nigeria continues efforts to achieve global targets for ending AIDS as a public health threat. Experts at the symposium noted that while significant progress has been made in expanding access to HIV treatment and reducing new infections, sustaining those gains will require stronger domestic financing, resilient health systems and continued collaboration among government, communities, development partners and indigenous organisations.

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Catholic bishops’ inconvenient truth

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Politics and religion often conflate into a toxic brew. So, it is with the storm over John Onaiyekan’s comments after the recent meeting between President Bola Tinubu and the Catholic Bishops’ Conference of Nigeria. As the waves billow and swell, the encounter opens a window into the tremors in government rather than the cardinal’s intentions.

Instead of treating the bishops’ observations as sincere moral feedback from a respected institution, some of the administration’s vocal defenders responded with personal attacks, accusing the cardinal of partisanship and abuse of clerical privilege.

That reaction was unfortunate and avoidable.

No elected government claiming democratic credentials should treat independent criticism as hostility.

Yet the ferocious responses from the Minister of the FCT, Nyesom Wike; the President’s Special Adviser on Policy Communication, Daniel Bwala; and the SSA on Media, Temitope Ajayi, suggested Onaiyekan had committed a grave offence by saying the bishops told the President Nigeria was “bleeding,” that poverty was worsening, and many were struggling under economic reforms.

The cardinal’s fault was not fabricating facts but speaking publicly about an uncomfortable conversation.

He said the President disagreed, insisting the economy was improving and reforms were laying the foundation for recovery.

The bishops, he said, neither expected agreement nor sought to embarrass the President; they were discharging a moral duty to tell him what many Nigerians could not.

That should have ended the matter. Instead, critics turned a healthy exchange into a public quarrel. Bwala questioned the cardinal’s neutrality, alleging the church supported Peter Obi in 2023.

Ajayi dismissed the bishops as offering only one perspective. Wike argued that having taken sides in a past election disqualified the cardinal from impartiality and faulted the bishops for questioning INEC’s neutrality ahead of 2027 without stronger proof.

These points merit consideration. Religious leaders, like journalists and civil society actors, should aim for fairness as credibility rests on intellectual honesty. Achievements by government should be acknowledged. But fairness works both ways.

The administration’s defenders owe Nigerians an honest engagement with the bishops’ substance rather than attempts to discredit the messengers.

Who the cardinal voted for is irrelevant to whether millions of Nigerians are suffering. Hunger and inflation do not check party membership before striking families.

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One of the weakest responses to public criticism is to attack motives while avoiding the issues raised. That strategy failed to convince many Nigerians. Therefore, it is no surprise that support for Onaiyekan flowed from across civic space.

The Northern Youth Council said he reflected lived realities; the Middle Belt Forum called the attacks unfair; the Catholic Laity Council defended the church’s pastoral duty to speak for the vulnerable.

Former governor and minister Rotimi Amaechi, himself a Catholic, reminded the Presidency that bishops have every right to criticise governments and urged responses based on evidence, not indignation.

Even Orji Kalu, APC senator and former Abia State governor, threatened to resign from the party if the bishops were insulted, noting their similar interventions across Africa.

The public backlash appears to have prompted moderation. Secretary to the Government of the Federation, George Akume, reaffirmed the administration’s respect for the Catholic Church and promised deeper consultations.

That is the mature response expected of a confident government, and it should have been the first instinct.

The episode exposes a deeper problem.

With the 2027 elections on the horizon, there is a growing tendency in official circles to interpret every criticism through a partisan lens.

Independent institutions that refuse to sing from the government’s hymn book risk being branded hostile. Such defensiveness serves neither democracy nor good governance.

Onaiyekan’s sharper point was that too many people around the President paint an overly rosy picture of the country. Whether entirely fair, the observation highlights a real danger that administrations insulated by courtiers and loyalists risk mistaking praise for patriotism.

Presidents need more than briefings, official statistics and flattering presentations. They need uncomfortable truths from independent voices including economists, labour unions, journalists, business leaders, traditional rulers and religious organisations.

Governments that refuse to listen lose touch with the people they govern. That is why criticism is not the enemy of reform; silence is.

The Tinubu administration can rightly argue it inherited an economy in deep distress and that difficult choices were necessary. Removing the petrol subsidy and liberalising the foreign exchange market were politically costly but, many economists agree, economically inevitable.

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The government has expanded fiscal space for states, created NELFUND, launched youth initiatives, and helped end the destructive cycle of prolonged ASUU strikes. These are notable achievements and deserve acknowledgement.

But governments are judged by citizens’ lived realities, not only by economic theory or improving macro indicators.

Foreign reserves have strengthened to $52 billion from about $3 billion, fiscal revenues rose to all-time highs, and the naira exchange rate has stabilised compared with the immediate post-reform shock.

Yet these gains have not delivered meaningful relief for the average Nigerian. Inflation remains punishing at over 15 per cent and above 37 per cent in at least 10 states; food and transport costs are soaring; healthcare and medication are costly; electricity tariffs and rent have escalated; small businesses struggle with high energy costs and expensive credit.

For too many families, over 70 per cent of income is spent on feeding alone. Multidimensional poverty affects 63 per cent of Nigerians, per the World Bank.

The bishops sought to communicate that reality. It cannot be dismissed by citing encouraging macro trends.

The reforms are also incomplete. A parallel foreign-exchange market persists, reflecting distortions and weak confidence.

Oil production remains below projections. Domestic refiners complain of inadequate crude supply even as the government extends Project Gazelle with a new $4.5 billion refinancing, raising concerns about future crude commitments while local refining capacity is planned to double.

External debt keeps rising, increasing exchange-rate exposure and debt-service obligations, which already consume half of revenues.

Terrorism, banditry and kidnapping continue to terrorise large swathes of the country, driving farmers from fertile lands and worsening food inflation.

Official and independent reports indicate that more than 628,000 people have been killed and over 2.2 million abducted since 2023, according to a BusinessDay report in June.

These are measurable national realities, not opposition talking points. Governments need independent voices to speak honestly about them.  No pushback can erase the fact that Nigeria is bleeding.

The Catholic Church has a long history of such moral witness. During military rule, bishops such as Olubunmi Okogie, an Emeritus Cardinal, condemned authoritarianism, corruption and human-rights abuses.

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Under democratic governments, the church continued to criticise administrations across the political spectrum over insecurity, governance failures and human suffering. Its loyalty has been to moral principles, not to any party.

Tinubu should not regard himself as uniquely persecuted, nor should his supporters mistake clerical witness for partisan politics.

Religious leaders are, firstly, citizens. They bury terrorism victims, counsel unemployed graduates, comfort widows and feed hungry families. If such leaders cannot speak about poverty, insecurity and governance, democracy becomes a farce.

Political parties are also inconsistent. Many who now defend petrol subsidy removal opposed it when it was proposed under President Goodluck Jonathan. Those who benefited from the freedom to criticise must not deny others the same liberty when roles reverse.

One of the most perilous governance tendencies is believing that criticism weakens government. On the contrary, governments make worse mistakes when they become prisoners of official optimism.

They need independent feedback to test whether policies yield intended outcomes. Economic models and official reports are necessary but insufficient; they must be complemented by honest input from labour, business, academia, the media, civil society and faith leaders. Without it, governments risk governing statistical abstractions rather than human realities.

It is encouraging that the administration now appears to be recalibrating. Akume’s pledge of deeper engagement deserves commendation.

Consultation, not confrontation, marks mature democratic leadership. The Presidency gains nothing by quarrelling with institutions focused on the country’s welfare.

Tinubu has often said he welcomes constructive criticism. He insisted that he sought the job and should not be pitied. This episode is a chance to prove it.

Labelling respected clerics as partisan for voicing uncomfortable truths suggests the administration may lack confidence in the transformative power of its own reforms. That is diminishing.

Nigeria’s problems are too serious for official defensiveness. Reform is a journey requiring constant feedback. The bishops fulfilled their civic and moral duty. The Presidency must perform its constitutional role by listening, not by silencing dissent.

Source: punchng.com

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LACK OF TRUST IN MARRIAGE

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A marriage can survive difficult times, financial struggles, and disagreements—but when trust disappears, the relationship begins to lose its foundation.

When a husband no longer trusts his wife, or a wife no longer trusts her husband, even innocent actions can become suspicious. A simple phone call becomes a question. Coming home late becomes an accusation. A private conversation becomes a source of fear and jealousy.

Lack of trust creates emotional distance.

It produces constant suspicion, arguments, insecurity, resentment, and sometimes secretive behaviour. Instead of feeling safe with each other, couples begin to feel like enemies living under the same roof.

Trust is not built by controlling your spouse, checking their phone every minute, or constantly demanding explanations. Trust is built through honesty, faithfulness, transparency, consistency, and keeping your word.

If trust has been broken, don’t pretend everything is fine. Talk about it. Admit mistakes. Forgive where possible. Set healthy boundaries. And be willing to rebuild what has been damaged.

Remember: love may bring two people together, but trust helps keep them together.

💔 Don’t allow suspicion to destroy what communication and honesty can repair.

BUILD TRUST. BE FAITHFUL. BE HONEST. PROTECT YOUR MARRIAGE.

“Wherefore putting away lying, speak every man truth with his neighbour.”
— Ephesians 4:25 (KJV)

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See also  2026: Pastor Adeboye predicts reduction in hunger, growth of small businesses
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LACK OF OPENNESS IN MARRIAGE

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A marriage can look beautiful on the outside and still be struggling on the inside when there is no openness between husband and wife.

When couples stop communicating honestly, keep secrets, hide their feelings, or are afraid to discuss important issues, emotional distance begins to grow. What starts as “I don’t want to cause a problem” can eventually become mistrust, resentment, loneliness, and constant misunderstanding.

Openness does not mean telling your spouse everything in a hurtful or careless way. It means creating a safe relationship where both partners can honestly talk about their feelings, concerns, mistakes, finances, expectations, struggles, and dreams without fear of unnecessary humiliation or condemnation.

A strong marriage requires:

• Honest communication — Talk about problems instead of allowing them to grow in silence.
• Trust and transparency — Avoid unnecessary secrecy that can damage confidence in the relationship.
• Active listening — Listen to understand, not simply to respond or attack.
• Emotional vulnerability — Let your spouse know when you are hurting, worried, disappointed, or afraid.
• Respect — Honesty should never become an excuse for insults, threats, or emotional abuse.
• Forgiveness — When mistakes are acknowledged, work together toward healing and restoration.

The Bible says:

“Where no counsel is, the people fall: but in the multitude of counsellors there is safety.” — Proverbs 11:14 (KJV)

And:

“Let every man be swift to hear, slow to speak, slow to wrath.” — James 1:19 (KJV)

Marriage should be a place where two people can feel safe enough to communicate, honest enough to admit their weaknesses, and humble enough to work through their differences.

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Don’t allow silence, secrets, and suspicion to build walls between you and your spouse. Talk. Listen. Understand. Forgive. Grow together.

❤️ Openness builds trust. Trust strengthens intimacy. And healthy communication helps build a stronger marriage.

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