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the National Agency for the Control of AIDS (NACA), with financial support from the United States Government through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). Technical guidance from the US Centers for Disease Control and Prevention was provided throughout the survey. On Thursday, March 14, 2019, in a very colorful and educational ceremony, His Excellency, Muhammadu Buhari, President of the Federal Republic of Nigeria, formally announced the findings of the survey, marking the start of the dissemination of NAIIS results. The President enthusiastically welcomed the news that Nigeria had fewer people living with HIV than previously estimated. He also took this opportunity to launch the Revised National HIV and AIDS Strategic Framework 2019-2021, which forms the future response to the country’s epidemic. The new national HIV prevalence measure is 1.4% and is more accurate than previous estimates, as it is based on an expanded population- based household surveillance system and a revised methodology. Commenting on the survey results U.S. Embassy Charge’ d’Affaires, David J. Young, said, “The Nigeria HIV/AIDS Indicator and Impact Survey represents an extraordinary example of what can be achieved by working together.” He also said, “The US Government looks forward to increased Government of Nigeria ownership and investment in the HIV response to ensure sustainability.” The Charge’ commended the amazing commitment of field workers whether it was in the creeks of the South-South, the mountainous terrains in the North- Central, enduring the dusty weather of the semi-arid North-East, navigating treacherous rivers or dense mangroves in the South-West and the South-East, or traveling to the farthest distances of the North-West; he said, “individual sacrifices were made and long hours worked with the goal of improving the health of Nigerians. Survey staff traveled over difficult roads, slept in highly challenging locations, and encountered life-threatening situations, all in their quest to ensure the government of Nigeria has accurate data that can be used to achieve HIV/ AIDS epidemic control in Nigeria”. In his remarks, the CDC Nigeria Country Director, Dr. Mahesh Swaminathan, said, “NAIIS provides Nigeria and partners with accurate data, including HIV prevalence, viral load suppression, and the impact of preventing mother-to-child transmission services.” He added, “CDC is proud to partner with the government of Nigeria and others to complete the survey. The encouraging results presented, along with ongoing monitoring and evaluation data will help the Government of Nigeria to intensify efforts in the fight against HIV/AIDS to achieve epidemic control.” Since 2004, the US Government, through PEPFAR has invested approximately 5 billion US dollars in supporting Nigeria to achieve HIV epidemic control, including 70 million US dollars to support the conduct of the Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS). Dignitaries including Dr. Sani Aliyu, DG of NACA (2nd left), Muhammadu Buhari, president of the Federal Republic of Nigeria (4th from left), Dr. Isaac Adewole, Health minister (centre) and David Young, Chargé d’Affaires of the U.S. Mission, Nigeria (far right) gather for a photo during the presentation of the NAISS results CROSSROADS | April/May 2019 15