A teen refills his medication at the Botswana Baylor Clinic pharmacy

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Resources

If you would like additional information regarding HIV, Botswana, and Adolescent HIV, please check out the following articles and webpages.

HIV:

UNAIDS 2013 Global report on AIDS can be found here

Botswana:

Botswana is a landlocked country in Southern Africa with a population of 2.1 million. After gaining independence in 1966, Botswana has had strong economic growth and a peaceful transition into democracy. 

The United Nations estimates (2013) that:

  • 320,000 people are living with HIV in Botswana.
  • 96,000 orphans due to HIV age 0-17
  • Prevalence rate of 21.9% adults age 15-49

 Globally, Botswana has had one of the most success Prevention of Mother to Child Transmission programs, where the infection rate dropped from 40%, to a current rate of 3-4% of infants born HIV positive.

Adolescent HIV:

With 90% of HIV positive Batswana on ARVs, infants born HIV positive are living into adolescence and beyond. http://www.who.int/hiv/pub/epidemiology/epidemic/en/

ALHIV face a myriad of challenges unanticipated by the health sector. Teenagers and young adults are disproportionately affected by poverty, have lower levels of education, higher levels of unemployment and homelessness. http://www.unicef.org/botswana/BCO__Annual_Report_2011.pdf

Globally, mortality rates from HIV are declining, however increasing among adolescents due to poor adherence to medication. http://whqlibdoc.who.int/hq/2009/WHO_FCH_CAH_ADH_09.05_eng.pdf

A comprehensive multi-country assessment of service provisions for adolescents living with HIV in SSA found that treatment should be holistic, provide adolescent-specific training and capacity building, meaningfully involved ALHIV and improve linkages to care, support and transition to adult care.