TB/HIV ACHAP Project

Project summary

BOCAIP through The ACHAP Global Fund, implements a Community TB/HIV Project which started in 2016 and ends in 2018.  BOCAIP implements this project in 9 health districts namely; Kgalagadi South, Kgalagadi North, Kweneng West, Serowe, Bobirwa, North East, Tutume, Ngamiland, and Okavango.  The project has 3 modules which are; TB Care and Prevention (TCP), Treatment Care and Support (TCS), and Prevention Program for youth and Adolescents (10-24 years).

Rationale

In 2000s AIDS devastated many countries, leaving countless orphans and shattered communities. On the other hand Tuberculosis is the world’s leading killer among infectious diseases. HIV and TB are a deadly combination, as each fuels the progress of the other in infected patients. TB is the leading killer of people living with HIV; about 40 percent of deaths among people with HIV are due to TB. Every person who is HIV-positive should be screened and monitored for TB, and every person diagnosed with TB also needs to be tested for HIV. This project therefore is designed to pull the resources in order to channel them strategically in programs to end AIDS and TB epidemics. ( https://www.theglobalfund.org)

A. TB CARE & PREVENTION MODULE

Goal

To reduce morbidity, mortality, psychosocial and economic impact associated with TB.

Objectives

  • To contribute towards TB case notification rate through community referrals (finding missing cases) through conducting TB screenings in the community and conducting contact tracings on close contacts of TB patients.

  • It also aims to increase accessibility to community TB/HIV care and support through DOT expansion, and

  • To increase community awareness and involvement on TB/HIV

  • To reduce stigma and discrimination associated with TB by December 2018.

Activities

  1. Recruitment of patients to CTBC
  2. Registration and screening
  3. Administration of DOT (adherence support)
  4. Contact training
  5. Referral of all presumptive clients and follow up
  6. HIV testing for TB patients and follow up

Target group

General population

Location

Bobirwa, Kgalagadi North, Kgalagadi South, Tutume, Serowe, Ngamiland, Okavango, Kweneng West and North East.

Planned impact

Free of TB epidemic by 2030 (https://www.theglobalfund.org/media/2531/core_globalfundstrategy2017-2022_strategy_en.pdf)

B. TREATMENT CARE AND SUPPORT (TCS)

Goal

To contribute to the reduction of new HIV infections in Botswana by December 2018

Objectives

  • To increase access to HIV and AIDS comprehensive quality treatment, care and support services

  • To reduce the rate of patients loss to follow and improve ART outcomes

  • To reduce the rate of TB transmission among PLHIV

  • To promote HIV testing and contribute towards upscaling test & treat all initiative & VMMC.

Activities

  1. Recruitment of patients to Comm Care
  2. Registration and screening
  3. Education on Treatment and adherence
  4. Linkage to Care
  5. Screening for TB of PLWHIV
  6. Treatment adherence counselling
  7. Identification of missing cases from the facility register
  8. Follow up the Loss to Follow Up
  9. Intensified case Finding
  10. Debrief Sessions with HIV positives
  11. Provide Pre ART package

Target group

People Living with HIV

Location

Okavango, Ngamiland, Tutume, Serowe, Kweneng West & Kgalagadi North

Planned impact

Free of AIDS epidemic by 2030 (https://www.theglobalfund.org/media/2531/core_globalfundstrategy2017-2022_strategy_en.pdf)

C. HIV PREVENTION PROGRAMS FOR YOUTHS & ADOLESCENTS

Goal

To contribute to the reduction of new HIV infections in Botswana by December 2018.

Objectives

  • To contribute to the increase of HIV Testing Services uptake among the adolescents and youths aged between 10 – 24 years in the six districts by December 2018.

  • To provide HIV Prevention and Gender Based Violence messages to adolescents and youths aged between 10 – 24 years by December 2018.

  • To link all clients who are HIV Positive with health care services in particular ART.

Activities

  1. Education on HIV to Out Of school
  2. Education on HIV to in school
  3. Form and facilitate clubs
  4. Group discussion on behaviour change
  5. Provision of HIV testing and counselling (Couple, House to house, campaigns and Mobile)
  6. Linkage to care

Target group

Youth & Adolescents aged 10 – 24 years (In & Out of School)

Location

Okavango, Ngamiland, Tutume, Serowe, Kweneng West and Kgalagadi North

Planned impact

Free of AIDS epidemic by 2030 (https://www.theglobalfund.org/media/2531/core_globalfundstrategy2017-2022_strategy_en.pdf)

Partners

ACHAP