Sub-Saharan Africa is a region particularly affected by the HIV epidemic, with nearly three-quarters of the global HIV population residing there.1
One country that’s making headway in the fight against HIV is Botswana, where 360,000 people living with HIV (PLHIV) live. This is despite outstanding achievements in addressing gaps in HIV treatment and care in the country.2
Following extensive economic analysis, in 2016 the Botswanan Ministry of Health (MoH), with PEPFAR support, opted for a ‘Treat All’ strategy, which included the use of dolutegravir (DTG) as first-line treatment, in addition to improved HIV-prevention efforts, to be adopted in order for the country to gain control of the epidemic.3,4
What’s been the impact so far?
The collaboration between ViiV Healthcare and the Botswana MoH helped to significantly improve outcomes for PLHIV in the country through enabling greater access to effective HIV medicines, while supporting Botswana’s broader commitment towards the UNAIDS 90-90-90 goals.
By the end of the first year, 38,576 patients were initiated to ARVs, resulting in 1,875 fewer HIV infections with approximately 40,000 patients receiving DTG.5
- WHO HIV/AIDS Fact Sheet. Available at: https://www.who.int/news-room/fact-sheets/detail/hiv-aids. Last accessed September 2021
- UNAIDS data. Available at: http://www.unaids.org/en/regionscountries/countries/botswana. Last accessed: December 2017.
- Haruna Jibril, Deputy Permanent Secretary, Botswana Ministry of Health and Wellness, ‘Moving forward. Enhanced ART Monitoring in Countries: Botswana’. Presented at IAS July 2017.
- PEPFAR. Botswana Country Operational Plan 2017, Strategic Direction Summary. March 2017. Available at: Botswana Country Operational Plan 2017 Strategic Direction Summary. Last accessed July 2018
- FDA. Highlights of Tivicay Prescribing Information. Available at: https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/204790lbl.pdf. Last accessed: January 2018.
- Tendani Gaolathe, MD & Ava Avalos, MD. IAS Presentation: ‘MOVING FORWARD Botswana’s Progress Toward Epidemiologic Control of HIV’, Ministry of Health of the Republic of Botswana, 2017.