With international funding for HIV programmes in Nigeria declining, Plateau State is developing a five-year transition plan to sustain prevention, treatment and care services.
The strategy is expected to increase government ownership, strengthen domestic financing and protect access to essential HIV services.
APIN Public Health Initiatives, which has supported HIV programmes in Plateau for about 25 years, said the changing funding landscape requires stronger government commitment to prevent disruptions to services.
Health officials and other stakeholders are working on measures to ensure the state can take greater responsibility for financing and coordinating HIV programmes.
Among the proposals is the integration of HIV and AIDS services into the Plateau State Health Insurance Scheme.
Stakeholders are also exploring local sources of antiretroviral drugs to ensure continued access to treatment as external funding declines.
The move is part of a broader shift in Nigeria towards greater domestic financing and integration of HIV services into the wider healthcare system.
At the 2025 World AIDS Day commemoration in Plateau, officials said more than 51,000 people were living with HIV in the state, with about 49,000 receiving antiretroviral therapy.
Stakeholders say sustained funding, effective planning and uninterrupted access to treatment will be critical to the success of the transition.
