Poverty, School Dropout Increase HIV Risks Among Girls, AHF Warns
By Sabiu Abdullahi
The AIDS Healthcare Foundation (AHF) has urged federal and state governments to adopt and fund the Girls Act model to reduce HIV infections among adolescent girls and young women, citing poverty, school dropout and limited access to information as factors that increase their vulnerability.
The advocacy group made the call on Tuesday during activities to mark the International Day of the Girl Child in Abuja.
AHF said although progress had been made in the global fight against HIV/AIDS, adolescent girls and young women continued to face a disproportionate risk of infection, particularly in sub-Saharan Africa.
Steve Aborisade, AHF’s Advocacy Lead, cited data from the Joint United Nations Programme on HIV/AIDS (UNAIDS), which indicate that women account for more than half of people living with HIV globally and about 60 per cent in sub-Saharan Africa.
The data also show that adolescent girls and young women aged 15 to 24 are up to two to three times more likely to acquire HIV than males in the same age group.
“Adolescent girls and young women aged 15 to 24 years are up to two to three times more likely to acquire HIV than young males of the same age.
“Biologically, women face a roughly two-fold higher acquisition risk per unprotected heterosexual act due to a larger mucosal surface area and longer exposure to seminal fluids.”
The report further highlighted challenges that prevent adolescents from accessing HIV testing, including physiological, psychological, legal and social barriers.
“Adolescents aged 10 to 19 years face distinct physiological, psychological, legal and social factors that make them disproportionately vulnerable to low uptake of HIV testing,” the data indicated.
AHF said gender inequality, poverty and inadequate information often restrict girls’ ability to make decisions about their health and personal lives.
“A girl who cannot afford menstrual products, who has dropped out of school, or who depends on others for money, has fewer options, including options about sex. HIV and other sexually transmitted infections (STIs) thrive in exactly those conditions,” AHF said.
Girls Act Targets Health, Education And Leadership
The organisation said its Girls Act programme seeks to prevent HIV and sexually transmitted infections, support girls living with HIV to remain on treatment, reduce unplanned pregnancies and help girls stay in school.
According to AHF, the initiative had more than 4,500 girls actively participating as of 2026.
The programme operates across four areas: health, education and livelihoods, leadership, and results.
Under its health component, girls living with HIV receive support to remain on treatment, while HIV-negative participants learn how to prevent infection and make informed decisions.
The programme also provides free menstrual health products to girls and surrounding communities. It teaches participants to make and maintain reusable sanitary pads to improve access beyond direct supplies.
On education and livelihoods, AHF said the programme supports girls who wish to return to school and provides life-skills training and business support to those who have dropped out.
Its leadership component creates opportunities for mentorship, advocacy and access to resources to enable girls to take active roles in their communities.
“Girls are turning up empowered, able to negotiate safe sex and exercise bodily autonomy.
“Negotiating safe sex is the difference between exposure and protection, and bodily autonomy is not a slogan but a public health asset.”
AHF Seeks Government Funding
AHF called on federal and state governments to incorporate the Girls Act model into HIV, education and youth development plans, with dedicated funding for its activities.
The group said the funding should cover menstrual health products, skills training and start-up support for out-of-school girls, assistance for girls returning to school, leadership opportunities and stronger links to HIV testing, treatment and care.
“This means dedicated budget lines for menstrual health, so no girl misses school for want of a sanitary pad; skills training and start-up support that reach out-of-school girls where they live; support for girls to return to, and stay in, school; leadership platforms for girls in schools and communities; and clear pathways linking young people to HIV testing, treatment and care,” the advocacy group said.
The organisation also urged stakeholders in the national HIV response to give greater attention to the needs of girls and young women.
“Some will say the country has more pressing priorities. They should weigh the cost of inaction: new infections among young people, lifelong treatment, interrupted schooling and lost productivity.
“Prevention that also builds livelihoods and leadership is among the smartest investments a government can make.
“Our girls have shown what is possible when someone invests in them. They have earned the right to be treated as a key population in the national response, not as an afterthought.”









