Nigerian AIDS patients marrying each other

Plan aims to cut back on spread of disease

Newly married couple Hauwa Idriss, right, and Umar Ahmed, both living with the AIDS virus, smile as they pose for a photograph shortly after their wedding in Bauchi, Nigeria, Nov. 29, 2008. Bauchi State, in Nigeria’s heavily Muslim north, has recently begun playing Cupid with its HIV sufferers, encouraging them to marry by offering counseling and cash toward their big day. The goal: to halt the spread of HIV in the non-infected population.

? With her golden dress shimmering in the sun and ornate henna tattoos covering her hands, Hauwa Idris is the picture of a radiant Nigerian bride. But her betrothal has hardly been typical: Both bride and groom are infected with the deadly AIDS virus and have been encouraged to wed by an unusual government program.

Bauchi State, in Nigeria’s heavily Muslim north, has recently begun playing Cupid with its HIV sufferers, encouraging them to marry by offering counseling and cash toward their big day. The goal: to halt the spread of HIV in the non-infected population.

“We live in a polygamous society where divorce is common and condom use is low,” says Yakubu Usman Abubakar, an official working with the Bauchi Action Committee on AIDS, which runs the program. “If we can stop those who have the disease spreading it to those who don’t have the disease, then obviously it will come under control.”

The plan had seen 93 “positive” couples married since its inception about two years ago. Idris, aged 32, and her beaming husband, 39-year-old Umar Ahmed, are couple No. 94.

“I’m very happy to see my wedding day,” laughs Idris shyly. “I never expected I was going to marry because of my (HIV) status. But now I am happy and thank God that now we have a solution … we can marry within ourselves.”

Idris and Ahmed’s eyes met across a crowded clinic waiting room as they queued to collect their anti-retroviral HIV therapy pills. They exchanged phone numbers and the courtship began.

Two months later, Ahmed asked Idris’ parents for her hand in marriage. It was granted and a dowry of $68 agreed upon. As an incentive to carry it off, the Bauchi group contributed $225 toward the cost of the couple setting up home together, no small amount in a country where more than half the population live on $1 a day.

The outreach program won’t be formalized until later in 2009, and no budget figures exist yet. The state doesn’t seek to introduce HIV-infected people, since that would entail revealing private medical data, but when officials hear of HIV lovers, they step in quickly to encourage a legal union.

Around 4 million of Nigeria’s 140 million people are living with HIV — the second largest HIV population in the world, according to Britain’s foreign development agency. And although prevalence rates have dropped slightly in the past three years to around 4 percent, health experts warn the country still has a lot of work to do to bring the epidemic under control.

Bauchi is the only one of Nigeria’s 36 states known to have such a program. In a society where HIV sufferers are stigmatized, these “positive marriages” provide more than just companionship.

“We have such a close bond,” says Usman Ziko, 42, of his relationship with wife Hannah, 32. Money from the Bauchi plan allowed them to marry in October, after an 18-month courtship that began in the corridors of the clinic.

“It was a flamboyant affair,” Hannah recalls of the wedding with a smile. “Lots of people and dancing and we snapped pictures to remember the day.”

“When I first found out I was positive I thought it was the end of the world,” explains Ziko. “I was depressed and became isolated from my friends. Now I have a partner who understands everything. We share our problems, remind each other to take medicine and are free with each other.”

Not everyone is so encouraged, however. Some health experts have criticized the plan, saying that if HIV positive couples are encouraged to have babies, more children will end up orphaned.

According to the United Nations, Nigeria had 1.2 million AIDS orphans in 2007. While some may be adopted by relatives or find care with charitable or church organizations, many will end up on the streets begging and taking care of their siblings.