Botswana – FY 2010 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 with high level of engagement and leadership from the Government of Botswana (GOB) as is demonstrated in the development and release of a Partnership Framework and joint USG-GOB strategic planning and program implementation structures. Programmatically Botswana continues to demonstrate important successes in meeting PEPFAR targets in treatment, care, PMTCT, and blood safety. Prevention will be the top priority in Botswana over the next several years. Activities will target both the general population as well as specific groups that are particularly vulnerable to HIV infection, such as MARPs, military personnel, and women. Recognizing that changing social and cultural norms must begin at an early age, the sexual prevention portfolio will continue to provide services focused on reducing risk among youth. Sexual prevention interventions include mass-media campaigns, in-school lessons, workplace discussions, and one-on-one conversations on risk reduction strategies. Additionally, in FY 2010 additional funding will be used for voluntary medical male circumcision (VMMC) to respond to the huge demand for these services. In an effort to build an evidence base for prevention activities, several projects will focus exclusively on determining the effectiveness of certain interventions.
PEPFAR also supports treatment and care efforts in Botswana. The national antiretroviral therapy (ART) program, MASA, continues to expand enrollment by rolling out services to all mother/ART clinics and satellite clinics, with the goal of bringing ART services nearer to the community. PEPFAR has been focusing on procuring antiretroviral (ARV) drugs, Supply Chain Management System strengthening of the central medical store, technical assistance (TA) in the development of care and treatment guidelines, curriculum development for pre-service training at various institutions, including the University of Botswana School of Medicine, regular training of healthcare workers on the national care and treatment guidelines. The PEPFAR country care and treatment team will continue to provide TA in areas of policy formulation, especially in the areas of palliative care and opiod usage for pain management.
Finally, health system strengthening is an important approach to ensure the sustainability of HIV/AIDS programs and other health services and interventions developed and rolled out under PEPFAR. Construction projects benefitting blood safety, pediatric treatment, TB/HIV, and laboratory infrastructure will be implemented in FY2010. With PEPFAR support, the Botswana MOH is undertaking the development of an integrated health service plan to correct inequities in the distribution of health services and increase access to basic services, including HIV/AIDS prevention, care, and treatment programs. The overall purpose of the plan is to strengthen strategic health planning to ensure optimal utilization of health resources, including human resources, and to improve implementation of the Botswana National Health Policy. An Essential Health Services Package (EHSP) has been developed, along with supporting human resource, procurement, financial, monitoring and evaluation (M&E) components.
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