CDC Division of Global HIV & TB country profile : Botswana
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CDC Division of Global HIV & TB country profile : Botswana

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      The partnership between the U.S. Centers for Disease Control and Prevention (CDC) and the Government of Botswana (GOB) began in 1995 to strengthen tuberculosis (TB) prevention and control through public health research. In 2000, the partnership evolved to include HIV treatment and prevention services, laboratory services, and strategic information programs to maximize the quality, coverage, and impact of the GOB’s response to the HIV epidemic. Botswana demonstrates that epidemic control is achievable, as measured by the 2030 UNAIDS 95-95-95 targets: 95 percent of all people living with HIV know their HIV status; 95 percent of all people with diagnosed HIV receive sustained antiretroviral therapy (ART); and 95 percent of all people receiving ART have viral suppression. In 2021, preliminary results from the Fifth Botswana AIDS Impact Survey (BAIS V) show that Botswana is on its way to reaching epidemic control, with 93-98-98 achieved for each UNAIDS target. The country further demonstrated an HIV-free generation is possible when it became the first high-burden country to attain WHO “silver tier” certification, given to countries that lowered mother-to-child transmission to less than five percent and provided prenatal care and ART to more than 90 percent of pregnant women.

      In 2022, through U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), CDC began working with the GOB to build on results to achieve equitable and sustained HIV epidemic control. This is being done through evidence-based, person-centered HIV prevention and treatment. CDC’s partnership with GOB is shifting from direct service provision to increased government technical assistance and overall health system strengthening. The new focus will create additional capabilities such as resilient country health systems and strong communities through increasing local partnerships. CDC and GOB are building lasting collaborations through strong cooperation and coordination for greater impact, burden sharing, and sustainability. CDC’s technical assistance is focused on enabling the GOB to provide equitable, person-centered services with quality and efficiency to all Botswanans. A strengthened health system will improve governance and build capacity so that successful HIV control programs can be sustained.


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