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Many donors have reduced or withdrawn their funding in recent years.
PEPFAR alone has more than halved its funding, from million in 2011 to million in 2015.5 The HIV epidemic in Botswana is widespread although several key populations are hit hardest by HIV.
Explore this page to find out more about people most affected by HIV in Botswana, HIV testing and counselling programmes, HIV prevention programmes, antiretroviral treatment availability, barriers to prevention and the way forward for Botswana.
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There is an increasing effort at a national level to support these key affected populations, but legal and punitive barriers prevail, making HIV prevention and support efforts challenging.
In 2012, for the first time, key populations including female sex workers and men who have sex with men were included in HIV epidemic surveys, allowing for a better understanding of HIV among these populations.6 As of 2016, Botswana does not have a specific strategy that addresses the needs of key affected populations, although its current National Strategic Framework (NSF) for HIV and AIDS makes reference to ‘all inclusive programming’.7 Currently, HIV prevention programmes are reaching only 44.9 % of these key affected populations.
The impact of its treatment programme has been widespread.
New infections have decreased significantly, from 15,000 in 2005 to 9,100 in 2013, although in recent years they have begun to rise again, with 9,700 reported in 2015.
Around 66% reported consistent condom use during anal sex in the last six months, although 60% were not aware that anal sex is associated with higher risks of HIV acquisition.