Towards 90-90-90 Target: COVID-19 and HIV Response in Africa

As cases of the novel coronavirus disease (COVID-19) continue to rise, so are the concerns of the effects this pandemic could have on people living with HIV. In response to the pandemic, measures have been put in place by African governments to limit the spread of the virus. We examine the impact of these measures on ensuring progress towards the HIV advocacy of "90-90-90" by 2020, i.e., 90% of all people living with HIV will know their status, 90% of people diagnosed will receive sustained antiretroviral therapy (ART), and 90% of people receiving ART will have viral suppression all by the end of 2020. COVID-19 arrival on the continent and measures implemented have a significant effect on the control of HIV epidemic and the achievement of the 90-90-90 goals. It is therefore essential that African health stakeholders continue to advance efforts to ensure access to HIV care services is sustained during this COVID-19 pandemic

Understanding female condom use, acceptance, accessibility, awareness and knowledge among female public health students in a Nigerian university: A cross-sectional study

Background: The female condom is both a means of mechanical contraception and protection against sexually transmitted infections (STIs) and unwed pregnancies. The use and uptake of female condoms have been advocated as one of the safest ways to halt the risk of unplanned/unwanted pregnancies and STIs including HIV. Our study aimed to explore the knowledge, awareness, utilization, acceptance and accessibility of FC among female public health students in a Nigerian University. Methods: One hundred and ninety (190) female public health students took part in the study. A self-administered questionnaire was used to collect the data between August and December 2019. Data analysis was carried out using SPSS version 23. Results: Overall percentage awareness of female condoms usage in this study was 52.0%. Less than a quarter (22.4%) reported having seen a pack of female condoms, while the remaining 77.6% of the participants reported having never seen a pack of female condoms. In addition, the majority (87.4%) of the respondents did not know whether a female condom interferes with sexual pleasure/sensation. The majority of the respondents (77.4%) concurred that utilizing a female condom implies that "I don't trust my partner". Concerning accessibility of the female condom, only 1.8% agreed that FC is easily accessible while more than half (54.2%) are uncertain of the accessibility. Conclusion: Our study revealed a low level of knowledge and utilization of female condoms, and also limited access to the female condom as well as unsatisfactory acceptance and suboptimal awareness level which were suggested by the overall percentages in the study

COVID‐19 and progress towards achieving universal health coverage in Africa: a case of Nigeria

Universal Health Coverage (UHC) 2030 is a global health target, and countries are making efforts to convert plans into tangible results. Nigeria, the most populated country in Africa, has made commitments towards UHC2030 target but is underperforming across many building blocks of health and progress has been slow. The arrival of COVID-19 poses additional pressure on the already feeble health system causing the government to direct focus towards containing the pandemic. However, existing gaps in health workforce density, weak primary health care infrastructure and inadequate budgetary allocation have resulted in inequitable access to basic healthcare services. This situation weighs most heavily on the poor who are mostly part of the informal economy thereby pushing people further into poverty. On the other hand, COVID-19 has provided valuable insights into Nigeria's current health system status which hopefully can be helpful in strengthening efforts towards building resilient health system and preparing the country towards future pandemic. The pandemic has highlighted the importance of essential health services and the need to strengthen primary healthcare system. It is, therefore, important that stakeholders in Nigeria and other African countries carry out situation analysis of the current health systems towards achieving UHC2030