The short answer
A reactive (positive) result on a first HIV test is not a diagnosis on its own. Nigeria's testing guidelines confirm it with further tests, and a person should be retested before treatment starts. If HIV is confirmed, treatment is free at public HIV clinics, and a person who takes it every day can expect a long, healthy life and will not pass HIV to a partner once the virus is undetectable.
Essential STI screen, ₦49,500Medically reviewed by Dr Debo Odulana, Founder and Chief Executive, Mezo. Last reviewed . This page is general information, not a diagnosis. Care is decided with you after an examination.
Why the first result is not final
Rapid HIV tests are screening tests. Nigeria's national algorithm runs a second, different test on a reactive result, and a third if the two disagree. A reactive self-test always needs this full confirmation at a clinic.
What happens next
If HIV is confirmed:
- You are linked to an HIV treatment clinic, where treatment is free
- Treatment is usually one tablet a day, started soon after diagnosis
- Your viral load is checked; once it is undetectable, HIV is not passed on through sex
- Partners are offered testing, in a way you agree to
How Discree gives an HIV result
A reactive HIV result is never sent to you by text. A Mezo doctor calls you, explains it, arranges confirmation and links you to treatment.
Common questions
Can an HIV test be wrong?
A single rapid test can be falsely reactive, which is why it is always confirmed. A negative test inside the window period can also miss a very recent infection.
Can I have children if I have HIV?
Yes. With treatment and an undetectable viral load, people with HIV have children without passing HIV to their partner or baby, with care in pregnancy.
Is HIV treatment free in Nigeria?
Yes, at public and donor-supported HIV treatment clinics.
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Sources and further reading
The guidelines and patient information this page is checked against. Care in Nigeria follows the same evidence; what differs is the price and where it is done.
- National Guidelines for HIV Prevention, Treatment and Care. Federal Ministry of Health, Nigeria (NASCP), 2020. Clinical guideline.
Links last checked 24 October 2026.
Medical disclaimer: This guide is general information and does not replace advice from your own doctor. Where your centre's instructions differ from this guide, follow theirs.