An Initiative of AVAC

Botswana

A snapshot of PrEP scale-up, registration and resources for Botswana.

  • 0-200
    Estimated Number of Current PrEP Users

    Aggregates numbers reported from demonstration projects, PEPFAR dashboard and program/country reports where available. This is presented as a range due to difficulty in tracking precise numbers and possible double reporting.

  • 800-1,000
    Aggregate Target Number of PrEP Users from All Projects (Planned & Ongoing)

    Sum of the targets available at the quarterly data review. National targets put forward by governments may be aspirational and/or indicative of estimated need; or they may be low or non-existent if PrEP is solely available via demonstration projects. For this reason, a calculation of current PrEP users as a percentage of aggregate target will not accurately reflect progress. Additionally, some programs set targets on an annual basis while targets from other programs may extend over multiple years.

  • 1,000
    PEPFAR PrEP Target in COP 2018

    Targets are set by PEPFAR country teams on an annual basis. Targets do not indicate funding is available for PrEP.

Data Updated: April 16, 2018

Drug Registration Status

  • Gilead's Truvada (TDF/FTC) registration
    Approved
  • Generic versions of TDF/FTC for prevention
    Under review

Types of Projects

  • Large-scale implementation initiative — funded/implementer involvement and investment in some or all steps related to comprehensive introduction that may or may not use government clinics as the primary service delivery point – e.g., Kenya’s Jilinde program.
  • National level — PrEP availability in government clinics

Research, Demonstration and Implementation Projects

Policy Framework

Eligibility Criteria

Who can be placed on PrEP:

  • Individuals who engage in high risk sexual behavior (FSW, MSM, transactional sex)
  • HIV negative partner in discordant couples
  • Discordant couples attempting to conceive
  • Women or men who cannot negotiate safe sex with their partners
  • People who engage in multiple current sexual partnerships
  • IV drug users
  • Studies have shown that PrEP to be more effective in men in African settings
  • Concentrations of TRU in vagina and cervix are lower than those found in the rectum
  • Women may need near perfect adherence to have adequate protection against HIV during vaginal sex
  • Protective levels of TRU are usually reached in the rectum within 1 week and for adequate vaginal concentrations within 3 weeks

Funding

  • PEPFAR

Resources for Botswana

  • Click for the latest information from the Botswana Ministry of Health & Wellness.
  • A Framework for Scaling Up PrEP can help implementers, government and advocates begin planning for and implementing PrEP programs.
  • BOFWA is a local organization dedicated to providing sexual health and reproductive services (including PrEP) to adolescents, adults and families in Botswana.
  • BONELA is collaborating with other stakeholders to shape PrEP rollout in Botswana and protect the rights of at-risk individuals.
  • The International Treatment Preparedness Coalition (ITPC) is a global network of people living with HIV, treatment activists and their supporters dedicated to treatment access for all in need. The organization has been an active advocate and participant in shaping PrEP rollout in Botswana.