Botswana

The Government of Botswana has made a strong national commitment to fighting HIV, and was one of the first countries in Africa to launch a nationwide response to the HIV epidemic and to offer free antiretroviral treatment to its citizens living with HIV. The estimated HIV prevalence in Botswana is 18.5% among population aged 18 months and older, which is down from over 25% a decade ago. There are currently about 390,000 people living with HIV, and of those, more than 291,000 are on treatment.

In 2003, I-TECH began to partner with the Government of Botswana to combat HIV and has continued to work closely with the Ministry of Health and Wellness (MOHW), the U.S. Centers for Disease Control and Prevention (CDC) Global AIDS Program, and local and international partners to respond to the health needs of the people of Botswana.

With I-TECH support, the MOHW has made great strides in HIV Testing Services; laboratory systems continuous quality improvement; monitoring and evaluation of HIV and tuberculosis; health informatics; and operations research. I-TECH Botswana has been providing direct service delivery and technical assistance in support of the Government of Botswana’s health priorities, specifically targeting the first 90 of the UNAIDS 90-90-90 goals—that 90% of the population knows their status. Sustainable transition to local ownership is a key component of all work conducted by I-TECH Botswana.

Program Highlights

Health Information Systems in Botswana
I-TECH has worked with the MOHW to develop and implement a robust national health information system (HIS) that enables greater efficiency and accountability and strategic use of information. These health informatics systems include: ...
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HIV Testing Services in Botswana
I-TECH Botswana conducts facility-based HIV testing at selected PEPFAR supported scale-up sites in seven PEPFAR districts. Testing is carried out by Health Care Assistants and includes expanded provider initiated testing and counseling. In addition, I-TECH Botswana conducts regular CQI visits at I-TECH-supported facilities and provides support for linkage to care ...
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Laboratory CQI in Botswana
I-TECH Botswana works to strengthen external quality assurances (EQA) for HIV-related testing by conducting regular on-site proficiency testing support visits, conducting competency assessments and carrying out CQI activities at 22 I-TECH supported labs (45% of the labs in the country). I-TECH Botswana also provides technical assistance and support to the ...
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National-Level Quality Improvement in Botswana
I-TECH Botswana provides technical assistance at the national-level to improve HIV care and treatment, TB/HIV, Option B+, and HIV testing and counselling programs through continuous quality improvement activities ...
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