Botswana - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Botswana - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

Botswana is considered a mature PEPFAR program and continues to demonstrate important successes in meeting PEPFAR targets in treatment, care, PMTCT and blood safety. In prevention, Botswana's PMTCT program is one of the most successful in Africa, and in 2007, data indicated that over 68% of delivering HIV positive women received at least zidovudine (AZT) prophylaxis and 21% received highly active antiretroviral treatment (HAART) during pregnancy. To treat people living with HIV/AIDS (PLWHA), Botswana's PMTCT program will start a pilot project delivering HAART for HIV-infected pregnant women alongside pediatric ART and will construct a pediatric clinic and training center in Francistown. In 2009, Botswana will continue to build on this program, expanding Early Infant Diagnosis (EID). PEPFAR continues to support Behavior Change Communication (BCC) through media and community interventions. In addition, PEPFAR continues support for provider initiated and voluntary counseling and testing through "moonlight" and door-to-door CT programs that target farm workers in Ghanzi and an at-risk group of commercial sex workers (CSW) in the Kasane border area. Building on significant progress in blood safety, PEPFAR will work towards increased sustainability through transitioning supports to the Ministry of Health (MoH).

Opportunities to increase Human Resources for Health (HRH) programming for health workers have been expanded with the opening of the new medical school in Botswana. The program will develop a comprehensive clinical curriculum for HIV/AIDS care and support, including palliative care. PEPFAR funding will also support work on the national TB/HIV curricula, which will expand in FY 2009 to strengthen the management of multi-drug resistant (MDR-TB) and extensively drug resistant (XDR-TB) tuberculosis. New care projects targeted at orphans and vulnerable children (OVC) remain a priority, including a program in Francistown that will focus on psycho-social and home visit support to households with OVC. In addition, the creation of a non-governmental organization (NGO) coordinator will assist in sharing information on HIV/AIDS and coordinating programmatic issues to facilitate a strong, collaborative approach to HIV and AIDS.

The Clinical and the Laboratory Master Trainer Program will expand its activities, in conjunction with Masa, the national ART program, to improve the service delivery of ART to PLWHA. The procurement system, which has often burdened the laboratory system due to the regular lack of reagents and supplies, will continue to be strengthened, which will result in improved turnaround time and quality of HIV clinical services.

Other programs planned for FY 2009 include regional data analysis/data quality workshops for districts to help roll out data quality assurance programs in FY 2010; programs designed to support Botswana's Infant and Young Child Feeding policy by teaching women about the risks and benefits of breastfeeding vs. formula feeding; programs planned to address the issues of multiple concurrent partnerships and alcohol abuse; critical staffing shortages, cross-border control challenges (including preventing the spread of multidrug resistant TB); and the creation of a sustainable system for the provision of the necessary services to PLWHA.

Funds will be used to support a collaboration and negotiation process with the Government of Botswana (GOB) to define the policy reform, financial sustainability and program coordination elements to which the GOB will be a signatory in its PEFPAR Partnership Framework.

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