OPEN LETTER TO HIS EXCELLENCY, THE EXECUTIVE GOVERNOR OF TARABA STATE
Urgent Need for State-Led Action on HIV/AIDS Response in Taraba State
Your Excellency Gov. Agbu Kefas,
I write to you as a concerned citizen deeply invested in the health and well-being of the people of Taraba State. Given the potential withdrawal or reduction of HIV/AIDS funding from international partners such as the United States, it is imperative that your administration takes proactive measures to sustain and strengthen our state’s response to this critical health challenge.
Taraba State has made significant progress in combating HIV/AIDS, but with an estimated 2.9% HIV prevalence rate, the fight is far from over. Thousands of people rely on free or subsidized antiretroviral therapy (ART), testing, and prevention services, many of which have been largely funded by international partners. If this funding is withdrawn, the consequences could be devastating—leading to treatment interruptions, increased mother-to-child transmissions, and a potential rise in new infections.
Impact on Our Primary, Secondary, and Tertiary Healthcare Systems
It is important to highlight that most of our primary healthcare centers (PHCs) rely heavily on HIV/AIDS funding for their functionality. The human resources, equipment, and operational support provided through these programs have sustained many of our PHCs. If these funds are no longer available, many of these facilities could struggle to operate effectively, further weakening our state’s already fragile healthcare system.
Additionally, many of our laboratories across primary, secondary, and tertiary health institutions depend on these funds to provide essential diagnostic services. These laboratories receive testing kits, reagents, and other consumables through U.S.-funded programs. The absence of these resources will cripple diagnostic capabilities, delay disease detection, and ultimately worsen health outcomes for people beyond just those affected by HIV/AIDS.
Alarming Developments: U.S. Agencies Retrieving Equipment
It has come to my attention that U.S. government agencies such as USAID (United States Agency for International Development) have already begun retrieving their equipment from various health centers across the state. This is a clear sign that funding withdrawal is no longer a mere possibility but an unfolding reality. If urgent action is not taken, we risk a total breakdown of essential health services.
Key Actions for Your Consideration
1. Increase State Budget for HIV/AIDS and General Healthcare
Taraba State must allocate more funds to sustain ART distribution, testing services, and public awareness campaigns.
Ensure the timely release of allocated funds to avoid disruptions in healthcare services.
2. Strengthen Primary Healthcare Centers (PHCs)
Upgrade PHCs to ensure continuous operation despite funding cuts.
Hire and train more healthcare workers to manage HIV-related cases effectively.
3. Create a Taraba State HIV Trust Fund
Partner with private sector organizations, NGOs, and philanthropists to establish a dedicated fund for HIV/AIDS response.
Use this fund to procure essential HIV medications, testing kits, and support services for affected PHCs and hospitals.
4. Expand Public Awareness and Prevention Efforts
Launch state-wide media campaigns (radio, TV, and social media) to educate people about HIV prevention and stigma reduction.
Work with religious and traditional leaders to promote HIV awareness in communities.
5. Engage in Alternative Funding Partnerships
Seek grants and partnerships with organizations like the Global Fund, WHO, and African Union health initiatives.
Encourage corporate bodies in Taraba to support HIV programs through Corporate Social Responsibility (CSR).
6. Support Local Drug Manufacturing and Bulk Procurement
Explore partnerships with pharmaceutical companies to ensure affordable and sustainable supply of HIV medications.
Your Excellency, leadership at the state level is now more crucial than ever. While federal efforts continue, Taraba State must not wait for external funding uncertainties to dictate the future of our health sector. By taking these bold steps, you will not only protect the lives of thousands of our citizens but also set a precedent for self-reliant and sustainable healthcare development in Nigeria.
I trust in your leadership and commitment to the people of Taraba State, and I urge you to take decisive action in ensuring that no life is lost due to preventable lapses in HIV treatment and prevention.
Thank you for your time and consideration. I look forward to seeing Taraba State emerge as a model for proactive and responsible healthcare governance.
Yours sincerely,
Adams Garba
A Concerned Citizen of Taraba State
