TB/HIV

We work relentlessly to ensure that all members of the community have equal access to TB and HIV services.

Botswana has been on a mission to prevent and reduce the spread of HIV/AIDS as well as TB in all communities, feeding into the creation of an HIV free generation. While we stand in solidarity with this mission, the reality of this mandate is that no one should be left behind: all members of society must have access to these services
regardless of their status. With the work that we conduct at community level, we note that Women, Children, People with Disabilities (PWDs), LGBTI+ persons, Miners, Migrant Workers and Prisoners are some of the groups that are left out of the general HIV and TB response.

We therefore strengthen access to these services by providing them within our Drop in Centres country wide and work towards ensuring that our vulnerable groups are seen, heard and included in the broader TB/HIV response.

‘In Botswana, as a consequence of the high HIV burden, TB was declared as public health emergency in 2005. Although the incidence of TB is still among the highest in the world (300 per 100,000 in 2017), there has been a sustained decline in the number of TB cases since universal access to ART was introduced in 2001. However, mortality in patients with HIV-associated TB is almost double of HIV-negative TB patients. Therefore, there remains an urgent need to investigate the TB-HIV co-infection dynamics and determinants of these poor out- comes in a local and context-specific setting to inform care and policy. ‘ – Human immunodeficiency virus-associated tuberculosis care in Botswana: evidence from a real-world setting, Ley Muyaya Muyaya and Others (2019)

Getting It Done


We work hand in hand with communities to increase access to services around
TB/HIV from an all-encompassing human rights lens.

Our activities include:

  • Training of Service Providers on the effective provision of TB/HIV services, in line with international Human Right principles;
  • Educating Women, Girls, LGBTI+, Miners, Migrants, Prisoners and other Marginalized Groups on TB/HIV as well as general adherence to treatment;
  • Providing access to TB/HIV services at Drop in Centres countrywide;
  • Advocacy through Community Engagement and Campaigns around TB/HIV; and
  • Providing access to Legal Services in the event of Human Rights violations.

Projects

Project NamePrimary TargetKey Interventions
1.1. Awareness raising
2. Advocacy for policy and law reform
3. Strategic impact litigation
4. Provision of Legal Services
5. Movement building
6. Community-led monitoring and documentation of rights violations
2.
3.

Our Results

We have made major strides in this area, having accomplished the following:

  • Reached _ people in _____districts with education around TB/HIV, for the purpose of dismantling stigma and discrimination;
  • Educated people in districts on ascertaining and vindicating their rights in the face of human rights violations;
  • Provided _______people in _____districts with legal services;
  • Provided ______people in ______districts with services around TB/HIV; and
  • Reached __ policy makers and legislators on the issue policy and law reform.

Resources

Videos

  • Provision of ARVs to Prisoners, Court of Appeal Victory (2015) (Facebook)