Battling HIV and HPV since 2003.
- More than 45,000 men and boys have received voluntary medical male circumcision services, thereby benefiting from this procedure’s protective effect against HIV infection.
- Over 22,000 people have received HIV testing and counseling services, and those who tested positive were linked to treatment and care.
- With Jhpiego support, in 2015 the Ministry of Health launched a “See and Treat” strategy to combat cervical cancer. Since then, access to cervical cancer screening and prevention services has increased, with 15 sites around the country providing visual inspection with acetic acid (VIA) to immediately identify women at high risk of developing cervical cancer.
- More than 27,000 women have been screened through VIA and 84.5% of those with pre-cancerous lesions were treated with cryotherapy or the loop electrosurgical excision procedure to prevent the development of cervical cancer.
Our Work in Botswana
With funding from the U.S. Department of Defense, Jhpiego is working with the Botswana Defence Force to strengthen the availability and quality of HIV prevention, care and treatment services for service members and communities around military sites. The services being supported include HIV testing and counseling, condom distribution, provision of voluntary medical male circumcision, HIV care and treatment, HIV clinical laboratory services and the HIV monitoring system. Jhpiego is: 1) helping to raise the profile of HIV prevention through high-level, coordinated multi-site campaigns; 2) increasing the availability of prevention commodities such as condoms for service members; 3) increasing the focus on circumcision as a prevention strategy by training military health care providers (thereby increasing the availability of circumcision services at military sites and raising awareness of the importance of circumcision among military personnel); 4) improving access to HIV care and treatment, focusing on access to viral load testing and strengthening viral load cascade; 5) strengthening laboratory quality management systems and accreditation; and 6) strengthening the HIV monitoring system. The project targets 13 Botswana Defence Force garrisons and camps throughout the country and the adjacent civilian communities.
The U.S. Centers for Disease Control and Prevention is supporting Jhpiego to work with the Ministry of Health’s National Cervical Cancer Prevention Program to increase the availability of cervical cancer screening. This objective is being achieved by developing a national plan to increase the number of health care facilities that provide cervical cancer screening using a technique known as visual inspection with acetic acid (VIA) and same-day treatment with cryotherapy for smaller lesions and with the loop electrosurgical excision procedure (LEEP) for larger lesions. Currently, there are 25 VIA sites, 15 of which are supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). Thirteen of these sites (including seven PEPFAR-supported sites) offer LEEP. In addition, Jhpiego is training clinicians to provide VIA and LEEP, improving the quality of these services, developing national systems for tracking service data and raising awareness among providers and communities about the importance of cervical cancer screening.
With funding from Panorama Global through the TogetHER for Health initiative, Jhpiego is implementing a study in Botswana to introduce thermal coagulation as an alternative to cryotherapy in cervical cancer services. The study findings will determine whether thermal coagulation is an acceptable and effective alternative to cryotherapy, which presents logistical challenges that limits offering of cervical cancer services in rural areas.
With funding from Roche Products Ltd., Jhpiego is adopting a systematic strategy based on evidence-based interventions to support the Government of Botswana to improve access to high-quality breast health care for women. The cornerstones of this strategy include a strong learning and advocacy agenda, awareness building about breast health among providers and communities in both urban and rural areas, and demonstration of a well-functioning early detection system at the primary health care level that is linked to timely diagnosis and treatment at referral hospitals. Jhpiego will support the establishment of a scalable service delivery model with early detection using clinical breast examination at the primary health care level and setting up efficient referral pathways for women diagnosed with cancer to diagnostics and treatment at the referral facilities.