Overview

The document is the 2021-2025 National TB/HIV Strategic Framework for Collaborative Activities in Nigeria. It is a policy guide aimed at reducing the burden of TB and HIV among dually infected populations. The foreword by the Honourable Minister of Health highlights that TB is a major public health issue, with Nigeria ranked 6th globally among high TB burden countries and first in Africa. The country is also among 14 countries on all three WHO global high-burden lists for TB, HIV-associated TB, and MDR-TB. HIV is a key risk factor for TB, and the co-infection leads to significant public health impacts, including stigma, discrimination, increased mortality, orphans, and reduced life expectancy. The framework revises previous efforts to incorporate new WHO recommendations and lessons from implementation. The acknowledgement thanks WHO, Clinton Access Health Initiative (CHAI), UNITAID, and other stakeholders for technical and financial support. The executive summary outlines that the framework has five chapters, covering background on the National TB and Leprosy Control Programme (NTBLCP), National AIDS and STIs Control Programme (NASCP), and National Agency for the Control of AIDS (NACA), as well as epidemiology of TB, HIV, and TB/HIV co-infection. The document emphasizes collaboration between TB and HIV programs to provide patient-centered care and achieve national targets and Sustainable Development Goal 3.

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