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Trends in age-specific HIV prevalence rate among antenatal women 1992-2009, Botswana sentinel surveillance PowerPoint Presentation
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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
incidence and key populations
Incidence and key populations
  • 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
key drivers risk factors
Key drivers/risk factors

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

hiv testing in botswana
HIV Testing In Botswana

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

botswana nsf ii 2010 2016
Botswana NSF II (2010-2016)
  • 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

resources
Resources

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