Reading this article, it will sound as a dark dream in the western world. But it is already taking part in Africa’s Nigeria where HIV/AIDS ravages the life of the youth. What are the ethical and social issues associated with the belief, practice and support of a program by a government to wed infested population of HIV/AIDS carriers? Would the desire to have partners and families of infested people help in solving the dilemma of unprotected sex and therefore babies that will be faced with the traumatic backgrounds of having descended from HIV/AIDS parentage? Why is Nigeria taking the lead to marry infested population of deadly HIV/AIDS episodes? What is out there to be learned and promoted in response to the challenges of illness and social medicine in a challenged world of HIV/AIDS? Join me in reading a news report from Nigeria by the Associated Press on this enigmatic issue of understanding and combating HIV/AIDS in African Societies and elsewhere (Patrick Iroegbu, March 8, 2009).

According to the reporter from BAUCHI of Nigeria – there is a lady with her golden dress shimmering in the sun and ornate henna tattoos covering her hands. It is Hauwa Idris. She 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 counselling 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," Idris says, laughing 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 the equivalent of C$87 agreed upon. As an incentive to carry it off, the Bauchi group contributed $287 toward the cost of the couple setting up home together, no small amount in a country where over half the population live on about $1.25 a day. The outreach program won't be formalized until 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 four 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 four per cent, 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." Bala Garba, a 40-year-old soldier, married Rabi Ibrahim, a 24-year-old teacher, with assistance from the plan after they met at their clinic. "Making this marriage will make our lives easier and help us to keep the secret (of our HIV positive status)," Garba explains. "It is normal to be married in our society. This keeps people from thinking there is anything abnormal about us." The pair has just had their first baby - a little boy named Musa.

With assistance from the Bauchi Action Committee on AIDS, the couple received treatment and advice to help prevent Rabi from passing the virus to her baby, although the child is still too young to be tested. According to health workers, they have every chance of having a healthy child. "He is a strong boy and he's growing fast," says a visibly delighted Garba, laughing. Ziko and Hannah, following strict advice and recommendations from the organization, have also conceived. "I'm so excited to be a mother," says Hannah, now three months pregnant. "I have been eating a special diet and having medical checkups. I never imagined I could live such a normal life."

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. Bauchi's health officials remain convinced of the plan's benefits, however. They point out that in Nigeria; life expectancy is just 48 years in any case.

"Here you can't assume that someone with HIV will die sooner than someone else," says Abubakar, of the Bauchi program. This is "Especially if they are taking care of themselves, receiving good advice and proper medication." Ziko certainly has no intention of leaving his unborn child to fend for itself. "It's the start of a fresh, new and happy life," he beams. "I plan to live another 50 years."

Please send critical comments to: patrickiroegbu@yahoo.com for the attention of Madeleine Sanam Foundation – A HIV/AIDS awareness organization for African Immigrants and Women’s empowerment based in Canada as well as for Foundation Education Health Care Centre of the Father Pantaleon Foundation, based in Mbano, Imo State Nigeria for a thematic HIV/AIDS prevention and counseling services.