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Trends in age-specific HIV prevalence rate among antenatal women 1992-2009, Botswana sentinel surveillance. Incidence and key populations. Incidence is becoming important measure for tracking epidemic

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Trends in age-specific HIV prevalence rate among antenatal women 1992-2009, Botswana sentinel surveillance


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Incidence and key populations women 1992-2009, Botswana sentinel surveillance

  • Incidence is becoming important measure for tracking epidemic

  • 2008, BAIS III made an effort to measure incidence and data is still being analysed with expert support

  • Lack of HIV data on key populations

  • Know Your Epidemic Study being finalized will assist to learn more about epi and where new infections are coming from


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Key drivers/risk factors women 1992-2009, Botswana sentinel surveillance

multiple and concurrent partnerships by men and women with low consistent condom use and in the context of low levels of male circumcision”, and:

  • male attitudes and behaviours

  • inter-generational sex /age-disparate sex

  • sexual and gender based violence

  • stigma, denial, lack of openness

  • untreated viral STIs

  • Lack of/inadequate male involvement

    Underlying context - gender and socio-economic inequalities, mobility, and other structural factors


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HIV Testing In Botswana women 1992-2009, Botswana sentinel surveillance

Source: RHT, TEBELOPELE, BOCAIP AND BOFWA QUARTERLY M&E REPORTS


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Botswana NSF II (2010-2016) women 1992-2009, Botswana sentinel surveillance

  • Accelerate Prevention to reduce HIV incidence by at least 50% by 2016: Country wide campaign against MCP launched mid 2009, scale up MC to cover > 400,000 by 2016, move towards virtual elimination of MTCT, strengthen social and community mobilization and empowerment for prevention ownership and effective engagement to drive the agenda. Combination prevention interventions

  • Strengthen institutional and community capacity including improvement of enabling environment to access services.

  • Improve management of strategic information

  • Scale up treatment , care and support including TB/HIV

    Focusing on quality improvements, efficiencies, effectiveness & sustainability of programmes/interventions

    ESA reduction in incidence will avert 2.25 mil new infections, 08-15 and cumulative Rx costs averted, 11.5 billion dollars


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Resources women 1992-2009, Botswana sentinel surveillance

Reduced/flat funding will

  • Affect prioritization of prevention (MC, MCP interventions etc)

  • Hamper efforts to increase Rx coverage and negate the gains made towards universal access and quality

  • Lead to an increase in MTCT and pediatric AIDS.

  • Compromise ability to strengthen institutional and community capacity

  • Affect operations research


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