WEEK 1: HIV INFECTION IN BOTSWANA AND POSSIBLE SOLUTIONS Flashcards
What is Botswana ranking on human immunodeficiency virus (HIV) in the world?
Botswana continues to have the second highest rate of human immunodeficiency virus (HIV) in the world.
When was the first HIV case reported in Botswana?
Reports suggest the first case of HIV in Botswana was reported in 1985 .
When was NACA established?
In 1999, Botswana established the National AIDS Coordinating Agency (NACA).
What were the activities done by NACA?
*To develop and support partnerships,
*Harmonize initiatives, and
*Coordinate and facilitate implementation of the national response to HIV and AIDS.
Name the first ART medication which was given to Pregnant women as part of PMTCT by Botswana in 1999.
Of equal importance, in 1999, Botswana was the first country in Africa to implement azidothymidine (AZT) nationally as part of the prevention of mother to child transmission (PMTCT).
The initial idea with PMTCT in Botswana was to save the next generation of people and hence there was a goal to test all pregnant women.
Yet, with limited resources, there was a policy dilemma: AZT was offered to mothers as a free preventative program during pregnancy and delivery to protect the child, but it was not feasible to offer it free to mothers following pregnancy.
What is the “Treat All” strategy?
When was it adopted in Botswana?
In June 2016, President Ian Khama launched the “Treat All” strategy (MOH, 2016).
It aims to provide immediate ART for those diagnosed with HIV, regardless of one’s immune status as measured by the CD4 count.
What are the first line ART regimen for HIV treatment Botswana adopted?
Botswana adopted the use of tenofovir, lamivudine, and dolutegravir (TLD) as the first line ART regimen for HIV treatment.
