Key Activities and Accomplishments
• Scale up of successful high-yield HIV testing modalities, including facility and community index testing, and identification and HIV testing of presumptive TB patients.
• MOHW’s universal ART treatment strategy, initiated in June, 2016, aims to provide antiretroviral treatment to all. CDC provides technical assistance to improve clinical services and ensure evidence-based modalities are implemented to enhance treatment initiation, adherence and retention for people living with HIV (PLHIV).
• The PMTCT program is one of Botswana’s success stories. It was grounded in CDC’s research findings. Now, CDC’s technical assistance provides training, mentoring and strengthening of existing clinical systems to support pregnant HIV-positive mothers and their HIV-exposed babies.
• Cervical cancer technical assistance is aimed to support the MOHW to scale up capacity in preventing cervical cancer in PLHIV. Capacity building includes policy development, training, and mentorship.
• The national Safe Male Circumcision (SMC) program was launched 2009. CDC supports the SMC program through technical assistance, service delivery, and demand creation.
• CDC strengthens the MOHW’s data systems and use by providing expertise and technical assistance to enhance data completeness and quality, improve surveillance systems, and increase data use.
• In collaboration with the MOHW and PEPFAR, CDC provided technical assistance for the construction and equipping of the National Public Health Laboratory (NPHL). The NPHL was built to establish laboratory capacity for routine surveillance and response to public health emergencies; to improve the availability, quality, and use of laboratory data for evidence-based decision making and planning in support of routine surveillance and epidemiologic investigations; and to foster collaboration between human, animal and environmental health laboratories. The NPHL hopes to provide a forum to promote partnerships as Botswana strives for a One Health approach to healthcare.
• Results from CDC’s BCPP study led to innovative testing, linkage to treatment, and retention strategies. Lessons learned in heath information system challenges, poor documentation of viral load testing, and other key operational and research questions have been rapidly translated into programs for maximum impact.