A client receives HIV/AIDS counseling at a women and children’s hospital in Nigeria. These facilities are not always available in rural areas. Flickr/ Karen Kasmauski/MCSP November 28, 2016 Nigeria wants to decentralise HIV treatment. But it’s proving difficult Chinyere Mbachu, University of Nigeria and Obinna Onwujekwe, University of Nigeria Effectively decentralising HIV and AIDS treatment services helps to improve universal health care. But in Nigeria this approach comes with many challenges.