Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016

Details for Mechanism ID: 16736
Country/Region: Botswana
Year: 2013
Main Partner: International Federation of Red Cross and Red Crescent Societies
Main Partner Program: Botswana
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $424,903

The Botswana Red Cross Society is the only non-governmental entity allowed to provide health care in the Dukwi Refugee camp. The services provided by the Red Cross to the refugees are based on the national treatment guidelines for Botswana. The focus is on treatment, care and support, TB/HIV, and prevention of mother to child transmission (PMTCT).There is one refugee camp in Botswana. Currently there are approximately 3,600 refugees in the camp. Of these, about 350 are known to be HIV positive. In FY 2011, the Botswana Red Cross Society (BRCS) supported by the United Nations High Commissioner for Refugees (UHCHR) and URC provided ARV treatment and PMTCT to refugees at the Dukwi clinic. All consenting refugees who test HIV positive receive a complete panel of blood tests including CD4 tests, full blood counts, and kidney function and those that qualify clinically are eligible for antiretroviral therapy.

Funding for Care: Adult Care and Support (HBHC): $200,000

The goal of this program in Botswana is to decrease morbidity and mortality from HIV among refugees in the camp at Dukwi. The objectives of this program are to: Provide HIV care and support services to refugees in order to prevent opportunistic infections though the provision of cotrimoxazole preventive therapy, treat sexually transmitted infections, and deliver therapeutic nutrition.

Funding for Care: TB/HIV (HVTB): $50,000

TB is known to be the number one cause of mortality among HIV infected individuals and has potential to erode gains made by ART programs. The government does not provide HIV associated services to refugees though TB services alone are. The Government of Botswana (GOB) has stipulated it will permit HIV services to be provided through donor agencies. The US Government through PEPFAR program has committed to providing these services to the refugee population including TB/HIV services.In FY 2013 and the future, the goal of the program in Botswana is to decrease morbidity and mortality from HIV among refugees in the camp at Dukwi by providing comprehensive TB/HIV services to refugees.The BRCS through PEPFAR support will continue to partner with MOH to provide TB/HIV prevention and treatment services for refugees at Dukwi. Specifically the support will provide, HIV testing of TB patients, TB screening of persons with HIV, Diagnosis and treatment of TB patients, including multi-drug resistant/tuberculosis (MDRTB), Provision of isoniazid prophylactic therapy (IPT) to eligible persons, and implementation of TB infection control in clinic setting per WHO and national guidelines.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $50,000

This is a new program. The objective of this program is to prevent mother to child transmission of HIV among pregnant refugees and promote breastfeeding and family planning. To achieve this objective, the Botswana Red Cross Society (BRCS) will provide counseling and testing to all refugee pregnant mothers attending ANC services at the camp; provide triple antiretroviral prophylaxis (TAP) to HIV infected pregnant mothers as per national guidelines; provide early infant diagnosis to HIV exposed infants at 6 weeks of age and treatment to those who are infected; offer family planning services to all pregnant women attending ANC; and promote breastfeeding among HIV infected mothers receiving HAART.

Funding for Treatment: Adult Treatment (HTXS): $124,903

The goal of this program in Botswana is to decrease morbidity and mortality from HIV among refugees in the camp at Dukwi. The objectives of this program are to: Provide antiretroviral drugs to refugees who are HIV-positive and meet the eligibility criteria for HIV treatment. This will be achieved through: 1. Purchase of ARV drugs, 2. Provision of ARV drugs to refugees, and 3. Retention in care for persons receiving ARVs.

Cross Cutting Budget Categories and Known Amounts Total: $150,000
Human Resources for Health $150,000
Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's legal rights and protection
Child Survival Activities
Mobile Populations
Safe Motherhood
Tuberculosis
Family Planning