Highly affected by HIV/AIDS, Botswana is determined to achieve epidemic control by 2020, meeting both national and UNAIDS targets for scaled-up HIV prevention and care. Sustaining these gains in the long term, however, will also require system-level adaptations to how HIV care and related health services are delivered and provided to the people who need them.
While most people living with HIV are already on treatment, the country’s Ministry of Health and Wellness, PEPFAR, and other stakeholders recognize the high cost and burden associated with existing models of HIV care, mostly through facility-based vertical programs. With growing numbers of HIV patients under Botswana’s ‘Treat All’ strategy, many health facilities and health workers already suffer from congestion and high patient loads — affecting quality of care and responsiveness to individual patient needs.
HRH2030 in Botswana
The government of Botswana has declared policy priorities to revitalize primary health care and bring quality care closer to its people. HRH2030, in partnership with USAID through PEPFAR, builds upon USAID ASSIST project success by supporting the Ministry of Health and Wellness to adapt existing models of care to ‘deliver differently,’ closing critical health systems gaps and strengthening patient-centered care.
In Botswana, HRH2030 will partner with the government to: