518. Ending Paediatric AIDS by 2030 by active collaboration with relevant global, regional and in-country stakeholders including communities.

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519. Using the Rome Action Plans as the bedrock used to develop other national plans that will help eliminate paediatric AIDS by 2030.

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520. Considering Prevention of Mother to Child Transmission of HIV (PMTCT) as a critical area where progress will contribute to ending paediatric AIDS by 2030.

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521. Enhancing efforts to fully roll out pDTG for 1st and 2nd line so that uptake is completed by Q2 2023.

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The Federal Ministry of Health (FMOH) through National AIDS/STIs Control Program (NASCP) in collaboration with the National Tuberculosis and Leprosy Control Program (NTBLCP) held a consultation meeting to develop a joint Paediatric Action Plan for both TB and HIV in 2021. The Joint Paediatric Action Plan is a five-year plan (2021-2025) with interventions based on identified gaps in paediatric HIV & TB Treatment. The plan, which is still ongoing focuses on the following interventions:

o Scale-up screening and case finding among children and adolescents
o Improve the quality of documentation and reporting
o Capacity building to scale up treatment and diagnostics
o Strengthen the referral system between the peripheral facilities and tertiary/secondary institutions to improve case management of complications and more severe forms of TB in children

To further strengthen this commitment, the FMOH established Paediatric coordination structures at the Sub-National levels geared towards ensuring the sustainability of the HIV response in Nigeria. This further led to the National AIDS/STIs Control Program (NASCP) inaugurating the Paediatric/Adolescents Focal Persons across the 36 States plus the Federal Capital Territory (FCT) with the mandate of closing the gaps in paediatric/adolescent HIV.

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Most of the States now have Technical Working Groups (TWGs) solely for:

1. Coordinating paediatric/adolescent activities

2. Care for infants, children, and adolescents living with HIV and children exposed to HIV

3. Closing the treatment gap for pregnant and breastfeeding women living with HIV and optimizing continuity of

   treatment towards eliminating vertical transmission

4. Preventing and detecting new HIV infections among pregnant & breastfeeding adolescents and women

5. Addressing rights, gender equality and social/structural barriers that may hinder access to services.