The impact of HIV/AIDS on Botswana

The impact ofHIV/AIDS onBotswanaThe impact ofHIV/AIDS onBotswana

(The effects of thepandemic in ourcountry.)(The effects of thepandemic in ourcountry.)

National Response to HIV/AIDSNational Response to HIV/AIDS

National VisionNational Vision

–Towards an AIDS Free Generation by2016–Towards an AIDS Free Generation by2016

National Strategic GoalNational Strategic Goal

–To lower the incidence of HIV andreduce the impact of AIDS in Botswana–To lower the incidence of HIV andreduce the impact of AIDS in Botswana

Goals, Objectives, and Strategies(born out of situation and response analyses)Goals, Objectives, and Strategies(born out of situation and response analyses)

1. Prevention of HIV Infection1. Prevention of HIV Infection

2. Provision of Care and Support2. Provision of Care and Support

3. Strengthened Management of theNational Response of HIV and Aids3. Strengthened Management of theNational Response of HIV and Aids

4. Psycho-Social and economic ImpactMitigation4. Psycho-Social and economic ImpactMitigation

5. Provision of Strengthened Legal andEthical Environment5. Provision of Strengthened Legal andEthical Environment

National Strategic FrameworkNational Strategic Framework

PriorityPriority

1: Increase the number of persons within the sexually activepopulation (especially 15-24 years) who adopt key HIVprevention behaviours in Botswana by 2009. 1: Increase the number of persons within the sexually activepopulation (especially 15-24 years) who adopt key HIVprevention behaviours in Botswana by 2009.

2: Decrease HIV transmission from HIV+ mothers to theirnewborns by 2009 2: Decrease HIV transmission from HIV+ mothers to theirnewborns by 2009

3: Increase the level of productivity of People Living withHIVAIDS (PLWHA)3: Increase the level of productivity of People Living withHIVAIDS (PLWHA)

4: Minimize the impact of epidemic on those infected and / oraffected, public services and the economy. 4: Minimize the impact of epidemic on those infected and / oraffected, public services and the economy.

The national objectives resulted in the formulation

of objectives, supported by a number of outcome indicators

to enable the measurement of success

ContinuedContinued

6. Decrease the incidence of TB among HIV positive patients inthe country6. Decrease the incidence of TB among HIV positive patients inthe country

7. Increase the number of skilled health workers providingaccurate diagnosis and treatment7. Increase the number of skilled health workers providingaccurate diagnosis and treatment

8. Ensure the implementation of NSF Minimum HIV/AIDSResponse Packages by all sectors, Ministries, district, andparastatals.8. Ensure the implementation of NSF Minimum HIV/AIDSResponse Packages by all sectors, Ministries, district, andparastatals.

9. Ensure the full implementation of all planned HIV/AIDSactivities at all levels9. Ensure the full implementation of all planned HIV/AIDSactivities at all levels

10. Create a supportive, ethical legal and human rights basedenvironment conforming to international10. Create a supportive, ethical legal and human rights basedenvironment conforming to international

AchievementsAchievements

1.53,000 orphans are enrolled in OVC programme and arebeing retained in education system1.53,000 orphans are enrolled in OVC programme and arebeing retained in education system

2.Home Based Care (HBC) has registered 7,119 peoplewith 7,009 receiving food basket monthly.2.Home Based Care (HBC) has registered 7,119 peoplewith 7,009 receiving food basket monthly.

3.98% of pregnant women have agreed to prophylaxis ortreatment.3.98% of pregnant women have agreed to prophylaxis ortreatment.

4.Mother to child transmission has decreased from 20-40%to 7% nationally.4.Mother to child transmission has decreased from 20-40%to 7% nationally.

5.Country has secured safe blood supply5.Country has secured safe blood supply

6.Over 25% of 10-64 year olds have tested for HIV.6.Over 25% of 10-64 year olds have tested for HIV.

7.In line with International 3 ones principles, Botswanahas coordinating body, one strategic framework and onenational M&E system.7.In line with International 3 ones principles, Botswanahas coordinating body, one strategic framework and onenational M&E system.

8.Botswana has extraordinary political commitment fromthe government due to his Excellency the President,Festus G. Mogae chairing the national AIDS council8.Botswana has extraordinary political commitment fromthe government due to his Excellency the President,Festus G. Mogae chairing the national AIDS council

ChallengesChallenges

The national Health system is beingstretched to the limit.The national Health system is beingstretched to the limit.

Large proportion of the sectors resourcesbeing directed & devoted to HIV/AIDSpatients in the form of preventative andpalliative care.Large proportion of the sectors resourcesbeing directed & devoted to HIV/AIDSpatients in the form of preventative andpalliative care.

Recruitment of specialists and medicalstaff.Recruitment of specialists and medicalstaff.

The Way ForwardThe Way Forward

Development of primary preventioninterventionsDevelopment of primary preventioninterventions

Out reach and communitymobilization, (especially remoteareas)Out reach and communitymobilization, (especially remoteareas)

Improve structures and systems forthe national responseImprove structures and systems forthe national response

To use new and cost efficienttechnologies to increase capacity ofhealth systemTo use new and cost efficienttechnologies to increase capacity ofhealth system