---------- Forwarded message ----------
From: PlusNews <[email protected]>
Date: Wed, Jan 18, 2012 at 5:54 PM
Subject: BOTSWANA: A timeline of HIV action
To: Elisabeth Janaina <[email protected]>


BOTSWANA: A timeline of HIV action

JOHANNESBURG, 18 January 2012 (PLUSNEWS) - Botswana has marked many
"firsts" in Africa's fight against the HI virus. IRIN/PlusNews details
the most important events in its battle:

1984 - Botswana diagnoses its first patient with HIV;

1987 - The country develops the first of many national plans to tackle
HIV and AIDS;

1995 - As HIV cases mount, it introduces a national community
home-based care programme to complement the over-stretched health
system and medical staff shortage compounded by the lack of a national
medical school;

1999 - The country establishes the National AIDS Coordinating Agency
(NACA). It also introduces prevention of mother-to-child HIV
transmission (PMTCT), a first in Africa, with initial pilot sites in
the capital, Gaborone, and Francistown. In a little less than a
decade, about 90 percent of Botswana's HIV-positive pregnant women and
their babies will benefit from PMTCT services;

2000 - The World Health Organization estimates that 85 percent of
15-year-olds in Botswana will eventually die of AIDS-related
illnesses.

2001 - The Debswana mining company, a joint venture between mining
conglomerate De Beers and the Botswana government, becomes the first
business in the world to provide free ARV treatment to its employees,
spouses and their children younger than 21. As of November, all health
facilities are reportedly providing PMTCT services;

2002 - After making bulk purchases of the three drug combinations
needed to treat HIV, the government launches the Masa, or "A New Dawn"
in the local Setswana, HIV treatment programme. Training of nurses and
what are largely foreign contract doctors in HIV diagnosis and
treatment begins. The country also becomes the first in southern
Africa, a region hard-hit by HIV, to provide free treatment to its
citizens;

2003 - First national strategic plan on HIV, as recommended by UNAIDS.
The plan runs until 2009. About 7 percent of adults and children
needing HIV treatment are estimated to be on ARVs;

2004 - Voluntary counselling and HIV rapid testing (VCT) is
introduced, a major boost to PMTCT efforts in which VCT for expecting
mothers is task-shifted away from nurses and midwives to lay
counsellors. By 2007, the country has also introduced the dried blood
spot HIV testing needed to diagnose babies born to HIV-positive
mothers;

2005 - With universal HIV education in schools, about 40 percent of
young men and women know how to prevent HIV infection. Meanwhile,
about a third of all pregnant women are found to be HIV-positive,
according to government surveys;

2006 - Ministry of Finance announces that condoms will be added to the
list of tax-exempt items, cutting their cost;

2009 - NACA launches a programme to address multiple concurrent
partnerships, thought to be a HIV risk factor, while the Ministry of
Health begins rolling out medical male circumcision. After years of
lobbying by the UN Refugee Agency (UNHCR) and local AIDS and human
rights groups, the government agrees in April to relax a policy that
explicitly bars non-citizens from accessing HIV treatment;[
http://www.plusnews.org/report.aspx?reportid=89765 ]

2010 - At a cost of almost US$350 million, Botswana achieves universal
access targets with more than 80 percent of HIV-positive adults and
children on ARVs. The second national strategic plan is launched, to
run until 2016. The government also passes an amendment to its
Employment Act ending workplace dismissal based on an individual's
sexual orientation or HIV status;[
http://www.plusnews.org/report.aspx?reportid=90437 ]

2011 - The country attracts criticism after government refuses to
provide HIV-positive foreign nationals in its prisons with HIV
treatment.

llg/mw
[END]

This report online: http://www.plusnews.org/report.aspx?reportID=94671



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