2013/2014 Kweneng East District Evidence Based Plan

Submitted:

10‐Dec‐2012 District AIDS Coordinating Office Molepolole

Ms. Theresa N. Makati, DAC Mr. K. Ntshese, M&E Mr. P. Reetsang, BNAPS Grant Coordinator Ms. Patlo Entaile, BNAPS Grant Coordinator [email protected]

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TABLE OF CONTENTS

Executive Summary 3

Community Services Inventory 4 District HIV/AIDS Profile 5 DMSAC Plan for 2010‐2011 7 Final Summary 8

Appendix A ‐ CSI Alphabetic Full Listing Appendix B ‐ CSI Target Group Listing Appendix C ‐ CSI Type of Activity Offered Listing Appendix D ‐ CSI Type of Service Offered Listing Appendix E ‐ Plan Activities and Budget

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Executive Summary

Kweneng East District has more than 117 organizations in the district that help provide HIV/AIDS‐ related services as well as 19 ARV sites. These include 2 Hospitals and 42 Health Facilities which are made up of Clinics, Health Posts and Testing Sites.

The theme for 2011 through 2016 is “Getting to Zero”. This means zero new infections, zero discrimination and zero AIDS related deaths.

To facilitate the success of this theme, the Kweneng East DMSAC recently completed its Evidence Based Planning (EBP) process for financial year 2013‐2014. This process involved forming a Planning Group consisting of DMSAC/TAC members, AIDS service organizations representatives, PLWHAs, and traditional leaders in the district. The planning process began by researching and writing an HIV/AIDS profile for the district, the District Profile, and updating the HIV/AIDS Community Services Inventory (CSI). The Planning Group held a one week EBP Training Workshop where collectively they reviewed the District Profile and establish a prioritized list of key issues as follows:

1) Low HIV Testing 2) Low SMC Uptake 3) Low Screening of HIV+ Clients for TB 4) High STI Incidence 5) High Teenage Pregnancy

For each issue the Planning Group drafted SMART objectives to guide the creation of strategies to address these issues, which are listed in priority order under each objective. Considering the District Profile and the Community Services Inventory, they arrived at 5 Activities to be implemented for each of the 5 Issues. The resulting Plan addresses these priority issues through listing 27 activities at a cost total cost of P291,840.00. In addition, there is a request for P128,000.00 for Operating Costs.

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Community Services Inventory

Purpose of the Community Services Inventory

The CSI is a comprehensive and accurate listing of the many local community resources that join forces in the fight against HIV/AIDS. The list includes full contact information as well as the Type of Provider, the Types of Services they offer and the Target Groups they focus on. The CSI is used to coordinate the EBP efforts each year.

Besides the EPB process, this inventory is a useful tool for providers, community leaders and individuals to identify the broad range of services available in the district.

Finally, Stakeholders and Organizations within the Kweneng East District are encouraged to collaborate with each other and share this information. Counselors should feel free to refer community members to appropriate services listed in the directory.

The Kweneng East Community Services Inventory comes in 4 Grouped Reports and included at the end of this Report.

Appendix A Directory of all Organisations This section lists all of the organizations in alphabetical order. This section contains full contact information and a listing of the type of services they offer and their target groups.

Appendix B Target Group This section lists organizations according to the Target Group they focus on (i.e. In School Youth, Out of School Youth, Women, OVC).

Appendix C Type of Activity This section lists organizations by the Type of Activities they offer (i.e. ARVs, Abstinence, HIV Testing).

Appendix D Type of Services This section lists organizations according to the Type of Service (i.e. NGO, CBO, and Government).

Note: Corrections, additions and updates should be brought to the District AIDS Coordination Office in Molepolole. The office is outside of the RAC guard gate, in Building DA‐3.

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District HIV/AIDS Profile

Priority Issues

At the October 2012 EBP Workshop the Planning Group reviewed and discussed the District Profile. Based on the key findings from the profile, the Planning Group came up with the five highest priority key issues that need to be addressed. SMART objectives were drafted by the planning group to aid in the development of interventions designed to address these issues.

Priority Issue I: Low HIV Testing Objective: To increase HIV testing uptake among age group 15‐49 years old from 9.2% to 12.0% by 31st March 2014 in Kweneng East District Evidence Source: District Profile – DHMT Data

Priority Issue II: Low SMC Uptake Objective: To increase SMC uptake from 4,825 to 10,000 by 31st March 2014 in Kweneng East District Evidence Source: District Profile – DHMT Data

Priority Issue III: Low Screening of HIV+ Clients for TB Objective: To increase screening of HIV+ clients for TB from 1,607 to 10,000 by 31st March 2014 Evidence Source: District Profile – DHMT Data

Priority Issue IV: High STI Incidence Objective: To reduce STI Incidence from 8.4% to 6.0% by March 31st 2014 in Kweneng EAST District Evidence Source: District Profile – DHMT Data

Priority Issue V: High Teenage Pregnancy Objective: To reduce the prevalence of teenage pregnancy from 2.6% to 1.6% by 31st March 2014 in Kweneng East Evidence Source: District Profile – DHMT Data

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Key Findings of the District Profile

The District wide Key Issues identified are as follows (in no particular order):

 Low SMC Uptake  High TB Cases  High STI Cases  Low HIV Testing  Low MCP Coverage  Low Condom Distribution  Low Levels of Gender Equity  Increase in Teenage Pregnancy  Inactive Community Structures  Low HAART Enrollment for TB Patients  Low Partner Testing  Inadequate CCE‐CCO Facilitators in the District

The following activities have been identified to address each of the five Key Priority Issues:

 Training Workshops  SMC Campaigns  Community Conversations  HIV Testing  House to House Campaigns  TB Education  Condom Promotions

DMSAC Plan for 2013‐2014

The attached Appendix E ‐ Proposed Activities and Budget specifies the Activities and Organisations targeted, budgeted and scheduled to address the above five Key Priority Issues.

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Final Summary

Kweneng East District has not escaped the devastating impact of HIV/AIDS. The 2008 BAIS III estimated that the Kweneng East District’s prevalence rate is 16.7%. The District’s incidence rate is estimated to be 2.7%. By comparison to the national values, Kweneng East is doing only slightly better at curbing new infections and has a lower percent of population living with the disease. Despite targeted interventions and increased awareness of HIV/AIDS, the overall prevalence in Kweneng East District has not shown signs of decline over the past five years. Since the 2004 BAIS II study, the prevalence rate for Kweneng East has increased from 15.2% to its current state of 16.7%, a 10% increase over four years.

The EBP process is the single most important effort that the Government of Botswana implements to combat the effects of the HIV/AIDS pandemic.

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Kweneng District Profile

Financial Year 2013‐2014

District AIDS Coordinating Office Molepolole, Botswana (267) 591‐0579 (30‐Nov‐12)

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District Overview

Kweneng District is located in the south eastern part of Botswana. It has a large population of 304,549, representing approximately 15% of Botswana. Kweneng District comprises three Sub Districts; Letlhakeng, Molepolole/Lentsweletau and Mogoditshane/Thamaga. There are 57 villages in the full District. The Kweneng East Sub District is made up of the Molepolole/Lentsweletau and the Mogoditshane/Thamaga Sub Districts and contains a population of 256,833.

The 2008 Botswana AIDS Impact Survey III (BAIS III) data shows a national HIV prevalence rate of 17.6%. This is an increase of 3.0% from the Botswana AIDS Impact Survey II (BAIS II) conducted in 2004 in which the prevalence was found to be 17.1%. The National HIV infection rate is estimated to be at 2.9%.

The 2008 national prevalence rate shows 20.4% females and 14.2% malesi. The 2004 national prevalence rate shows 19.8% females and 13.9% males. ii There was an overall increase in prevalence for both males and female. The HIV incidence follows a similar trend showing females at 3.5% and males 2.3%iii.

The 2008 report for the Kweneng East District shows the prevalence rate is 16.7% and the incidence rate at 2.7%. By comparison to the national values, Kweneng East is doing only slightly better at curbing new infections and has a smaller population living with the disease.

In the past year, the Kweneng East District has had successes in many programs dedicated to combating the spread of HIV. In particular, the district has seen a significant decrease in the number of ARV clients lost to follow up and has continued to see high testing uptakes among ANC clients and low transmission rates between mothers and children.

However, even with these successes, there are still other contributing factors that have challenged the district. Gaps in knowledge regarding the role of Multiple Concurrent Partnerships (MCP) in the spread of HIV, high acceptance of MCP practices, and high levels of Gender Based Violence (GBV) show that increased effort must be made to educate the district and alter their current practices if the district is to reach the national goal of no new infections by 2016.

Demographics

Population According to the most recent census data collected in 2011, Kweneng East has a population of 256,833. This is a significant increase from when the population totalled 189,773 in 2001. Several of the villages with the highest growth rates in the country are within the Kweneng East District, including Mmopane (15.4%), Metsimotlhabe (7.1%), and Kumakwane (5.7%). These high growth rates have been linked to housing shortages in cities and towns and the villages’ proximity to those respective towns. Kweneng East also includes the two largest villages in the country; Molepolole and Mogoditshane, with populations of 63,128 and 56,139 respectively. Overall, the Kweneng District makes up approximately 15.0% of the population share for the entire country, making it the second largest district in the country.

Age and Gender The population of Kweneng East is very similar to the population distribution for the entire country. The district is young with approximately 62.7% of the population being between the ages of 1‐29.

Kweneng East Population Distribution by Age and Gender, 2008 Males Females Both Sexes Age Range % of total % of total % of all # # # males females persons Population <1 1,565 1.4% 2,993 2.4% 4,558 1.9% Population age 1‐14 35,986 32.6% 35,136 28.0% 71,122 30.1% Population age 15‐29 34,871 31.6% 42,164 33.6% 77,035 32.6% Population age 30‐49 27,105 24.5% 31,622 25.2% 58,727 24.9% Population age 50+ 10,968 9.9% 13,724 10.9% 24,691 10.5% Total population 110,495 100.0% 125,638 100.0% 236,133 100.0% (Source: Botswana AIDS Impact Survey III 2008 Statistical report, table 5; CSO – population projections)

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Employment Kweneng East has a high unemployment rate of 28.7%, slightly above that of the national average (26.2%). Among those employed, there is a fairly even split between men (51,316) and women (48,938). The three most common professions in Kweneng East are in elementary occupations, craft and related trade workers, and service workers. Elementary occupations make up 25.0% of the workforce, craft and trade workers make up 18.0%, and service workers make up 16.0%. While this follows the national trends, it is important to note that there are certain professions that are made up significantly of one gender over another. Technicians, clerks, elementary occupations, and service workers are positions in which more women find themselves employed. Trade workers and machine operators have more men employed than women.

Education Much of the population in Kweneng East is under educated with 11.6% of residents having received no formal education, almost half having received only up to secondary education, and only 14.6% having received higher education.

Kweneng East Population Distribution by Educational Attainment, 2008 Level of Education Number Percentage No Education 13,406 10.2% Non Formal 1,839 1.4% Primary 36,519 27.7% Secondary 60,973 46.2% Higher 19,254 14.6% (Source: Botswana AIDS Impact Survey III 2008 Statistical report)

Health and the HIV/AIDS Situation in the District

HIV: Age and Gender As of 2008, the recorded incidence of HIV, or rate of new infection, for Kweneng East is 2.7%. When disaggregated by sex, females have a higher incidence of HIV at 3.4% compared to males with an incidence of 1.8%. These incidence rates are very similar to national trends and averages. The national incidence is slightly higher than the Kweneng East District at 2.8%.

According to BAIS III, the Kweneng East HIV prevalence, or the total percentage of residents with an HIV+ status, is 16.7%, slightly lower than the national prevalence of 17.6%. Again, like the incidence rates, a higher percentage of females (17.8%) are HIV+ than males (15.3%).

When disaggregated by age, males between the ages of 65 ‐ 69 and 40 ‐ 44 are most affected. Approximately 52.1% of males in Kweneng East between the ages of 65‐69 are HIV+ and 45.7% of males between the ages of 40 – 44 are infected. Females are affected by HIV at a much earlier age than men, with 44.4% of women ages 30 – 34 HIV+ and 44.9% of females 35 – 39 infected.

Kweneng East HIV Status by Age and Gender, 2008 Males Females Both Sexes % of % HIV+ Age Range % of males Total Tested Tested females for both HIV+ Tested HIV+ sexes Age 15‐19 6344 18.2% 6789 16.2% 13133 16.5% Age 20 – 24 5248 15.1% 7752 18.5% 13001 16.3% Age 25‐ 29 5834 16.8% 5721 13.6% 14555 18.3% Age 30 – 34 4827 13.9% 5782 13.8% 10610 13.3% Age 35 – 39 3102 8.9% 4594 10.9% 7696 9.7% Age 40 – 44 3621 10.4% 4075 9.7% 7696 9.7% Age 45 – 49 2362 6.8% 4013 9.6% 6375 8.0% Age 50 – 54 1613 4.7% 1311 3.1% 2924 3.7% Age 55 – 60 1736 5.0% 1957 4.7% 3693 4.6% (Source: Botswana AIDS Impact Survey III 2008 Statistical report, Tables: 72 ‐ 97)

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Voluntary Counselling and Testing Between 2010/11 and 2011/2012 financial years there has been a small increase in the number of men and women tested. In general, fewer men are tested than women. Even so, the percentage of adults testing is very low, with only 9.2% testing this year. In addition, there were fewer individuals who tested positive (6.0%) than last year (9.5%).

Voluntary Counselling and Testing for Kweneng East, 2011‐2012 Males Females Both Sexes % of all Voluntary Testing % of males % of females # # Total # 15‐49 HIV+ HIV+ tested Persons aged 15–49 tested for HIV 5038 8.1% 7422 10.1% 12460 9.2% Persons aged 15‐49 found to be HIV+ 343 6.8% 401 5..4% 744 6.0% (Source: District Health Team report for April 2011 to March 2012) *Note: Percentages were determined using the 2008 estimated population statistics, as the 2011 census data disaggregated by age was unavailable. Thus, percentages are most likely higher than reality as preliminary 2011 census results showed that there has been an increase in the Kweneng East population since 2008.

Anti‐Retroviral Therapy Approximately 1,000 more individuals started ARV treatment since last year. On a successful note, loss to follow up has decreased dramatically with only 117 individuals lost compared to last year’s 861.

ARV Uptake in Kweneng East, 2011‐2012 ARV Uptake in Kweneng East 14000 12000 10000 8000 6000 4000 2000 0 Persons Persons 2010‐2011 Persons currently Persons who eligible for taking lost to 2011‐2012 started on ARV ARVs follow‐up ARVs this treatment (cumulativ this year year e) 2010‐2011 2063 987 11185 861 2011‐2012 874 2644 13020 117

(Source: District Health Team report for April 2011 to March 2012)

ARV Uptake for Kweneng East, 2011‐2012 Males Females Both Sexes ARV Therapy Uptake % of % of % of # eligible # eligible # eligible males females persons Persons eligible for ARV treatment 1398 100.0% 1780 100.0% 3178 100.0% Persons who started on ARVs this year 987 1657 2644 Persons currently taking ARVs (cumulative) 4717 8303 13020 Persons lost to follow‐up this year 11 4.6% 106 16.6% 117 13.4% (Source: District Health Team report for April 2011 to March 2012)

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Prevention of Mother to Child Transmission In 2011, 90.5% of pregnant women in the district enrolled in the PMTCT program compared to 92.8% in 2010. 83.0% of ANC clients were tested for HIV, of which 30.1% were HIV+ while 82.0% tested and only 29.0% tested HIV+ in 2010. In addition there was a decrease of mother to child transmission in 2011 with 3.0% of infants testing HIV+, compared to the previous year percentage of 3.4%. While the program has had many successes, one continued problem is the low number of partner testing. According to DHMT records, in 2010 7.8% of partners had tested while in 2011 only 6.7% partners were tested.

PMTCT for Kweneng East, year 2011 PMTCT (mothers & infants) Females % New ANC clients 5629 Women HIV tested 4670 83.0% Testing uptake percentage Women tested HIV+ 1404 30.1% ANC prevalence rate Infants tested HIV+ 10 3.0% MTCT rate (Source: District Health Team report for Jan 2011 to Dec 2011) Note: *Only 314 infant HIV test results were received out of the 648 that were tested. Thus, the MTCT rate could be significantly different than reality

Sexually Transmitted Infections Over the past 3 years there has been a steady increase in STI cases in the district. In addition, trends show that there is a higher prevalence of STIs among females than males.

Sexually Transmitted Infections amongst people between 15‐49 for Kweneng East, 2009,2010,2011,2012 Males Females Both Sexes % of all % of all % of all Cases by Year # males # females Total # people (15‐49) (15‐49) (15‐49) STI cases for the current year 4456 7.2% 6922 9.4% 11378 8.4% STI cases for last year 4325 7.0% 6541 8.8% 10866 8.0% STI cases for the year before last 3984 6.4% 5786 7.8% 9770 7.2% (Source: District Health Team report for April 2010to March 2011, April 2011 to March 2012) *Note: Percentages were determined using the 2008 estimated population statistics, as the 2011 census data disaggregated by age was unavailable. Thus, percentages are most likely higher than reality as preliminary 2011 census results showed that there has been an increase in the Kweneng East population since 2008.

Teenage Pregnancy Between April 2011 and March 2012, there were 672 reported cases of teenage pregnancy. This is a slight rise from 2011 of 597. Based on 2012 projected population statistics, the prevalence of teenage pregnancy in Kweneng East is approximately 2.6%.

Number of Teenage Pregnancies for Kweneng East, 2011‐2012 Category Number % New ANC clients 5629 New ANC clients under age 20 674 11.9% ANC clients under 20 HIV tested 660 97.9% ANC clients under 20 tested HIV+ 56 8.4% (Source: District Health Team report for April 2011 to March 2012)

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Tuberculosis (TB) Between April 2011 and March 2012, there were 1058 new cases of TB. More importantly only 15.6% of HIV positive TB patients were enrolled in ARV treatment. In addition, a total of 14 MDR cases were registered this past year, an issue which is made worse by continued default of TB treatment among patients.

Number of TB Cases for Kweneng East, 2011‐2012

Indicator Male Female Total Total number of TB patients registered 676 525 1201 Total number of new cases 588 470 1058 Number of new smear – positive PTB cases detected 251 181 432 Number of TB patients counselled and tested for HIV 236 162 398 Number of TB patients with known HIV status 330 275 605 Number of newly registered HIV positive TB patients enrolled on ARV treatment 93 72 165 Number of HIV positive TB patients 319 286 605 Total number of MDR TB patients (cumulative) 10 4 14 (Source: District Health Team report for April 2011 to March 2012)

Home Based Care The number of clients registered for Home Based Care (HBC) has more than doubled this year with a total of 367 clients compared to last year’s 164 clients. Similar to last year, females still make up a higher percentage of the clientele. On a very successful note, this year all clients received counselling. Last year only approximately 17.0% of clients received counselling.

Home Based Care for Kweneng East, 2011‐2012 Males Females Both Sexes % of % of Home Based Care % of HBC # Male HBC # Female # Clients Clients HBC Clients Persons currently registered for HBC 155 212 367 HBC clients who are HIV+ 25 16.1% 25 11.8% 50 13.6% HBC clients receiving counselling 155 100.0% 212 100.0% 367 100.0% (Source: District Health Team report for April 2011 to March 2012)

Orphans and Vulnerable Children Kweneng East has seen an increase of 695 registered Orphans over the past year. As of March 2012, there were 3,653 registered orphans in the district with a similar distribution between males (1,900) and females (1,753).

Registered Orphans for Kweneng East, 2010‐2012 Orphans F/Y 2010/2011 F/Y 2011/2012 Number of registered orphans ‐ male 1523 1900 Number of registered orphans ‐ female 1435 1753 Total number fo registered orphans 2958 3653 (Source: District Health Team report for April 2010 to March 2011, April 2011 to March 2012)

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Male and Female Condom Distribution and Use During the last two quarters of the last financial year 2011/12 the district experienced a shortage of male condoms in health facilities. The female condom is still underutilised.

Number and Type of Condoms Distributed in Kweneng East, FY 2011/2012 Facility Male Female Tebelopele 46,092 1,508 Health facilities 1,264,940 10,716 Total Number of Condoms Distributed: 1,311,032 12,224 (Source: District Health Team report April 2011 to March 2012)

Safe Male Circumcision Male circumcision has been shown to reduce men’s chances of transmission by 60.0%. According to BAIS III, only 9.4% of eligible men had been circumcised as of 2008. This is less than the national average of 11.8%.

According to SMC report in the district for 2011 and 2012, a total of 2,212 clients have undergone the operation. Scottish Livingstone Hospital and Thamaga Primary Hospital and Boswelakoko Clinic are the three sites in the district that provide SMC services. JHPIEGO, Population Service International and ACHAP provide doctors, nurses and other medical staff to these three sites.

Through efforts such as School Campaigns, the district managed to reach 1131 clients.

Alcohol and Drug Use Alcohol and drug use is understood to relate largely to an increased chance of HIV infection and gender based violence due to impaired judgement. According to BAIS III, 2.1% of Kweneng East District residents reporting alcohol use 5‐7 days per week. It also showed that approximately 37.3% of Kweneng East District residents had taken alcohol at some point in their lives. This prevalence is almost identical to the national prevalence of 37.4%. In addition, it was determined that more men than females take alcohol with 48.9% of men reporting alcohol use compared to 27.7% of women.

Approximately 2.3% of individuals in Kweneng East use drugs recreationally with marijuana being the most common drug used. Similar to alcohol use, more males than females use drugs recreationally.

Knowledge and Sexual Practices While much of the population can identify one method of transmission, common misconception, or method of avoiding HIV infection, there still appears to be major gaps in community member’s knowledge of HIV. Shown in the table L, less than a quarter of the population in Kweneng East recognizes that having fewer partners or not practising MCP is some potential methods to avoid HIV infection. The two most identified ways to avoid HIV infection were using condoms and abstaining completely. Every other method was rarely identified. In addition, only 8.8% of the Kweneng East population identified the 3 main methods of HIV prevention. This shows that there is a need for more comprehensive education on how certain sexual behaviours, especially MCP, play a role in HIV infection.

Community members’ knowledge of misconceptions is also problematic in that while 97% of Kweneng East residents were able to identify at least 1 misconception about HIV, less than half of the population could identify many of the misconceptions. For example, 44% of respondents still believe that HIV can be transmitted through mosquito bites.

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Identification of Methods to Avoid HIV Infection ‐ 2008 % identifying the method Ways of preventing HIV Infection to avoid HIV infection Use condom 82.4% Have fewer partners 14.0% Both partners have no other partners 16.0% No casual sex 2.5% No sex at all 56.4% No commercial sex 0.9% Avoid injections with contaminated needles 9.4% Avoid blood transfusion 5.6% Source: Botswana AIDS Impact Survey III 2008 Statistical report – Tables 126(a) to 128(b)

Identification of Misconceptions about HIV Transmission ‐ 2008 % rejecting misconception Identification of misconceptions about HIV transmission about HIV transmission A healthy looking person can have HIV ‐ YES 85.0% HIV can be transmitted through mosquito bites – NO 56.0% HIV can be transmitted through witchcraft ‐NO 80.9% Correct identification of all the three misconceptions 43.0% Correct identification of at least one of the three misconceptions 97.0% Source: Botswana AIDS Impact Survey III 2008 Statistical report – tables 1309a) to 130(b)

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Relevant Assessments

Multiple Concurrent Partnerships According to Halperin and Epstein, “there is strong evidence that Multiple Concurrent Partnerships (MCP), comprising of complex and inclusive sexual networks are fuelling the HIV & AIDS epidemic in East and Southern Africa”.iv A study was conducted between September 2009 and April 2010 in four wards in Molepolole to determine the knowledge, attitudes, and practices of its residents in regards to MCP. The study found 76% of respondents disagreed that MCP increases the risk of contracting HIV. Of these respondents more females (56.8%) than males (43.2%) disagreed. In addition, among those respondents who disagreed, almost half were between the ages of 15‐29. The study also found that 66.4% of females and 48.8% of males strongly agreed that it is normal to have different sexual partners at the same time. This study shows that the gaps in knowledge that existed in 2008 when the BAIS III was conducted are still very much present today.v

In response to the clear issues of MCP in Botswana, NACA has prioritized MCP education and awareness. In the past year a total of 50,800 people in Kweneng East have been reached with messages about the problems of MCP in 10 villages within the district. Of those individuals 37.0% were between the ages of 15 – 19.

People Reached with MCP Message Kweneng East, 2011‐2012 People Reached with MCP Message 60000

50000

40000 People

of

30000

20000 Number

10000

0 male female total reached 22796 28004 50800

Source: BNAPS M&E Reports 2011/2012

People Reached with MCP Message in Kweneng East by Age, 2011‐2012 People Reached with MCP by Age 20000 18000 16000 14000

People 12000

of

10000 8000 6000 Number 4000 2000 0 <14 15‐19 20‐24 25‐29 30‐34 35‐39 40‐44 45‐49 50+ total reached 690 18734 8724 7575 4973 3591 2896 2123 1494

(Source: BNAPS Reports for April 2011 to March 2012)

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Gender Based Violence

“Gender Based Violence (GBV) occurs as a result of unequal power relations between men and women”.vi While survivors of GBV can be male or female, statistics show that the majority of those affected are women. There is a clear connection between gender based violence and HIV & AIDS as GBV can be both a cause and consequence of HIV infection.

The gender indicators study, conducted in 2011 in Botswana identified two major drivers of Violence Against Women (VAW): gender attitudes and alcohol abuse. The study goes on to explain that VAW is rooted in cultural attitudes which encourage gender stereotyped roles that allow for the use of violence against women. In addition this study found, as have other studies, that alcohol is very often linked to violence against women. In specific, the study conducted in Botswana found that significantly more men who drank alcohol in the 12 months prior to the study were more likely to perpetrate intimate partner violence than men who did not drink alcohol.

GBV is a severe problem in Botswana with serious social and health effects. This most recent study found that two thirds of surveyed Batswana women experienced GBV and that 44% of surveyed Batswana men admitted to perpetrating violence. While many women in this country experience GBV, under reporting is still very much a problem. In the prior 12 months before the study was initiated, 29.0% of women experienced intimate partner violence; however only 1.2% reported to the police. Thus, the prevalence of GBV reported in the study is 24 times higher than that reported to the police, showing that police records and numbers are an unreliable source of information regarding the extent of the problem in Botswana. In addition, the study concluded that awareness of the laws protecting men and women from violence is low among Batswana. Less than half of men (42.5%) and women (46.2%) had ever heard of the Domestic Violence Act.vii

The Kweneng East District is not immune to the problems Botswana faces with GBV. According to the results of BAIS III, many attitudes held by residents of the district, both men and women, encourage or support violence against women. Approximately 29.8% of men and 20.3% of women in the district believed that women do not have the right to practice safe sex. Even more, 7.4% of men and 6.7% of women still believed that women did not have the right to protect themselves from a partner known to be infected with an STI.viii

While data is currently limited as to the extent of GBV in the district, records from Kagisano Society Women’s Shelter Project show that in 2011, 147 survivors accessed counselling services at the NGO’s Molepolole Drop‐In Centre.ix

Botswana Harvard AIDS Institute Botswana BWG through MoH partnered with HAI (Botswana‐Harvard Partnership) on a mandate to do HIV research, Training and Education (including other HIV related illnesses) Botswana‐Harvard AIDS Institute envisions being a world renowned institute of excellence in research and education. The institute has built a strong reputation for research and has done numerous clinical trials with the intent to improve health service delivery, to generate high quality knowledge to be used to promote, restore and maintain the health status of the population, as well as to inform policy management, professional practice and empower decision makers. The following 4 studies were conducted:

MASHI STUDY: A Randomized Clinical Trial with a 2+2 factorial design was conducted alongside the Botswana PMTCT National Programme in two parts (representing the two factors):

 PART I: assessed the Necessity, Safety and Tolerance of Single Dose Nevirapine given to the mother while in labour, when added to a PMTCT regiment containing AZT to the mother and AZT plus Nevirapine to the baby.  PART II: assessed the Efficacy, Safety and Tolerance of Prophylactic AZT given to breastfeeding Infants compared with Exclusive Formula‐Feeding to prevent the postpartum transmission of HIV through Breast milk.

Findings: EFF good for PMTCT, EBF good for low diarrheal deaths, AZT lowers transmission rates. Equal mortality rates at age 5.

MMABANA STUDY: Mothers to EBF taking HAART for PMTCT from ANC and BF period.

Findings: Reduced MTCT; reduce infant mortality

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OCTANE STUDY: (Optimal Combined Therapy after Nevirapine Exposure) is a phase III study comprising two randomized clinical trials to be conducted concurrently. Both trials will compare the Virologic response to Non‐Nucleoside Reverse Transcriptase Inhibitor (NNRTI) based versus Protease Inhibitors (PI) based anti‐retroviral treatment (ART) in HIV infected treatment naïve women.

Findings: For mothers that got sdNVP in less than 2yrs, it is advisable not to be given NVP based HAART regimen

STRIDE STUDY: is a randomized open‐label study to determine whether the strategy of immediate versus deferred initiation of ART reduces mortality and AIDS defining events in participants being treated for tuberculosis.

Findings: Start Highly Active Antiretroviral Therapy (HAART) within 2 weeks of ATT.

District Structure

In the Kweneng East District there are two District Multisectoral AIDS Committees (DMSAC) for the Mogoditshane/Thamaga and Lentsweletau/Molepolole Sub Districts. These committees are chaired by the Deputy District Commissioner and the Senior Assistant Council Secretaries for each Sub District. The Secretary for both DMSACs is the District AIDS Coordinating office in Molepolole which is made up of a District AIDS Coordinator (DAC), an Assistant District AIDS Coordinator, an M&E Officer and two District Grant Officers and a US Peace Corps Volunteer. This office works with both governmental and non‐governmental organisations who are stakeholders in the district fight against HIV/AIDS. The DMSACs meet quarterly to review progress made by the stakeholders on intervention programs, reported by the DAC office.

There is a Technical Advisory Committee (TAC) that also meets quarterly prior to the DMSAC meetings to review the integrity of the reports before they are presented to the DMSAC.

The DAC office works with Faith Based Organisations, Traditional Healers, Support Groups, Village Multisectoral AIDS Committees, and other community organisations to implement many intervention activities each year.

Community Mobilisation Training of Community Conversation Enhancement Program (CCEP) facilitators was held from 7th to 11th May 2012 and 16 Health Education Assistants and 15 Village Development Committee (VDC) members were trained. The expectation is that the 31 CCEP facilitators who were trained will conduct the community conversations in their villages with the aim to share information about prevention of HIV. Facilitators conducted community conversations in 15 villages within the district out of 40 villages. The challenge is that not all facilitators trained have started to implement the CCEP project in their villages.

Page 11 of 12

Key Findings and Recommendations

o MCP knowledge gaps and high MCP acceptance  There is a clear knowledge gap on MCP  MCP has been taken as a national priority  The MCP message is not reaching enough villages. It is estimated that only about 25% of all villages were reached.  50,800 people reached with MCP were not enough considering the population of the Kweneng East District which is greater than 250,000.

o Low levels of HIV testing  Using 2008 estimated populations’ statistics, only approximately 9.2% of adults between 15‐49 residing in the Kweneng East District were tested for HIV this year. This percentage is most likely lower than reality as the population has increased in the district since 2008.

o Low levels of gender equality and high levels of gender based violence.  In Kweneng East, both men (29.8%) and women (20.3%) do not believe that women have the right to practice safe sex.  There is a need for greater education and awareness of women’s rights. A recent GBV study called for action in targeting youth, placing “changing gender attitudes” at the centre of all prevention campaigns, training more police on how to handle cases of GBV and to encourage more campaigns to end substance abuse.

o Rise in teenage pregnancy.  The data showed a slight increase in new ANC clients less than 20 years but does not tell us the full extent of the problem as this data does not tell us how many teenagers are pregnant out of all teenagers in the district.

o STIs increase.  This could indicate a continued low rate of correct and consistent condom use.  There is need to re‐evaluate and revise current methods of educating community members about condom use in the district.  The high numbers of STI combined with the current MCP practices encourage continued spread throughout the district.  Shortage of condoms

o Increase in registered orphans.  It is apparent that NGOs are not participating enough in the care of this issue. More participation is required.

o Low partner testing

o The district does not have a condom distribution plan

i Stats Brief Preliminary Results Botswana AIDS Impact Survey III (BAISIII), 2008 Central Statistics Office Botswana. ii Botswana AIDS Impact Survey II Statistical Report (BAIS II), 2004 NACA in Collaboration with CSO and Other Development Partners Botswana. iii Stats Brief Preliminary Results Botswana AIDS Impact Survey III (BAISIII), 2008 Central Statistics Office Botswana. iv Halperin DT, Epstein H. Why is HIV prevalence so severe in Southern Africa? The role of multiple concurrent partnerships and lack of male circumcision: Implications for AIDS prevention. The Southern African Journal of HIV Medicine, 2007, 89(1): 19 – 25. v Tsima et al. Kweneng East District: Knowledge, Attitudes, and Practices of Molepolole Residents Aged 15-49 Years toward Multiple Concurrent Partnerships, 2012. vi The Gender Based Indicators Study. 2012 Gender Links and Women’s Affairs Department, Botswana. vii The Gender Based Indicators Study. 2012 Gender Links and Women’s Affairs Department, Botswana. viii Botswana AIDS Impact Survey III (BAISIII), 2008 Central Statistics Office Botswana. ix The Gender Based Indicators Study. 2012 Gender Links and Women’s Affairs Department. Botswana.

Page 12 of 12

MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

1 AfricanDingakaAssociation CBO TraditionalHealing TraditionalHealers POBox298,Molepolole Mr.Siele,SecretaryGeneral 71698556

2 BatlangJehovaSupportGroup CBO HIVSupport GeneralCommunity POBox501085,Gaborone OVC PLWHA PopieMatsumi,Coordinator 3121692,71840636,73305260 [email protected]

3 BenoSociety CBO HIVEducation OVC KgosingWard DisabledandElderly MasegoLeepile 741Ͳ81895 Email Notes

4 BoatlanameHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5931410,5920207ͲFax

5 BOCAIPͲBanabaKeletsoChildCareCente FBO OVC OVC POBox3071,Molepolole Coordinator 5920933,5916546ͲFax [email protected] ProvidechildcareservicesforOVC.

Monday,December10,2012 Page1of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

6 BOCAIPͲKeletsoCounselingCenter FBO HIVSupport GeneralCommunity POBox3071,Molepolole HIVTesting InSchoolYouth Coordinator BehaviorChange OutofSchoolYouth 5916546,5916546ͲFax [email protected]

7 BOCAIPͲSolofelangCounselingCenter FBO HIVTesting GeneralCommunity POBox3071,Molepolole HIVSupport MphoMokone 5916546,71703522,5916546ͲFax

8 BOCAIPͲTumelongCounselingCenter FBO HIVSupport GeneralCommunity POBox3071,Molepolole HIVTesting OVC Coordinator PLWHA 5916546,71850984,5916546ͲFax

9 BoikgaphoIntervention FBO BehaviorChange GeneralCommunity POBox3046,Molepolole HIVSupport OutofSchoolYouth DavidOageng,Chairperson PLWHA 74110511,72363570,5920532ͲFax

Behaviorchangeintervention,IEC,andsupportgroup.

10 BokaaClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 5920317,5920207ͲFax

Monday,December10,2012 Page2of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

11 BorakalaloClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 5920424,5920207ͲFax

12 BoribamoClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5920681,5920207ͲFax

14 BotswanaBaylorClinicofExcellenceTeen NGO CouncellingandMentoring InSchoolYouth PrivateBag00289Molepolole StigmaReduction OVC Ms.NellyRamsire OutofSchoolYouth 5920303,3190083,5920701,3190079ͲF [email protected] CounsellingandMentoringorHIV+youth.

15 BotswanaHarvardAIDSInstitutePartners Health/Private HIVEducation GeneralCommunity PrivateBag320,Gaborone Dr.KelechiNnajide 592Ͳ1013,5921078,5921013,5921078ͲF www.bhb.org.bw CollaborativeresearchandcapacitybuildingagainstHIV.

59 BotswanaNationalYouthCouncil NGO HIVEducation OutofSchoolYouth POBox2045,Molepolole TekoChimbombi 73759613

MobilizationofoutofschoolyouthonHIVactivities

Monday,December10,2012 Page3of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

16 BrothersinArms NGO BehaviorChange GeneralCommunity POBox3302,Molepolole HealthCareServices Ms.BoitumeloGobotetswe HIVSupport 7257711773523351

PeerHealthEducationandCommunityinvolvement.Behaviorchangeinterventions,counselingandresearch.

17 CatholicWomen'sAssociation(CWA) FBO Alcohol/Drugs InSchoolYouth POBox211327,Gaborone HealthCareServices OutofSchoolYouth NicolahIthutengMathame,Chairperson OVC 3170704,3170704ͲFax

Sexhealtheducationandlifeskills.Preventionofsubstanceabuse.Careerguidance.

20 DiraLeRonaYouthCentre NGO HealthCareServices OutofSchoolYouth POBox25,Sojwe MisohButshwane,Secretary 72129325,71218872 [email protected] TargetoutofschoolyouthandprovidecounselingonHIVrelatedissuesandMCP.

21 DithakgatsaBommeBaKweneng CBO GenderBasedViolence OVC POBox335,Molepolole Income/SkillsGeneration Women KidiKannoba,Chairperson 71832809,74644984

HIV/AIDSeducationandGenderBasedViolenceActivism.incomegenerationandskillsbuilding.

22 DithejwaneCJSS Government HealthCareServices InSchoolYouth PrivateBag0021,Molepolole Mr.JJSethono,SchoolHeadmaster 5920788,5915635ͲFax

Monday,December10,2012 Page4of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

23 DitshukuduHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseInCharge 5920200,5920207ͲFax

24 DivineMercyParishOutreach FBO HIVSupport OVC POBox44,Metsimothlabe HomeBasedCare PLWHA SisterBonolo OVC 3105042,3105089,3105042ͲFax

HomebasedcareandsupportgroupservicesforPLWHAandOVC.

25 EFB FBO Abstinence GeneralCommunity POBox1022,Gaborone HealthCareServices InSchoolYouth GafaoneMotlhobogwa,Coordinator HIVEducation Churches 74007399Ͳ3935989 PeerEducation [email protected] BehaviorChange DoortoDoorHIVawarenessandabstinenceandLifeSkillprogramsandMCP.

26 FaceTheNation FBO Abstinence InSchoolYouth

Manager 3164286,3184082Ͳfax [email protected] Abstinencetrainingforprimaryandsecondaryschoolsandparentsandteachers.

27 FamilyConnectionsBowsandArrows FBO Abstinence GeneralCommunity POBox1,Gabane PastorJonathan 72676923

Abstinencetrainingforprimaryandsecondaryschoolsandparentsandteachers.

Monday,December10,2012 Page5of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

28 FlyingMissionLifeSkillsProgram FBO BehaviorChange InSchoolYouth POBox1022,Gaborone HIVEducation OutofSchoolYouth EmanuelNwako,LifeSkillsCoordinator PeerEducation 71221672712216723912981 [email protected] BCIinLentsweletau,andMolepololeandMCP.

29 ForumforEvenedͲOutControlofHIV(FEC NGO OVC OVC POBox3615,Molepolole MCPForYoungWomen Ms.SarahRamaeba 592Ͳ1476,719Ͳ77154 [email protected]@ ya ChildcareandpreschoolprogramsforchildrenlivingwithHIV/AIDSandOVC.InternetCafé.

30 FriendsforLife CBO HealthCareServices GeneralCommunity POBox2924,Molepolole HIVSupport EdwinMotse,President StigmaReduction 71408991

WellfareofHIV+people

31 GabaneClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 3947075,5920207ͲFax

32 GabaneCommunityHomeBasedCare CBO BehaviorChange OVC POBox853,Gabane HomeBasedCare PLWHA Mr.BenMotlhalamme,Coordinator OVC 394Ͳ7532,724Ͳ19242 [email protected] Behaviorchangeintervention.Homebasedcareprogramme,kidsclubforOVCsandPreͲschoolforOVCs

Monday,December10,2012 Page6of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

33 GabaneHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 3947676,5920207ͲFax

34 GabaneMinistersFraternal Cbo BehaviorChange PLWHA Molepolole ReverendLesetseKofa 71310898,743951605920317,72952898

35 GabaneSupportGroup CBO HIVSupport PLWHA POBox601,Gabane StigmaReduction GirleyMotibedi,Chairperson BehaviorChange 3947075,72193303

36 GabaneVMSAC CBO HealthCareServices GeneralCommunity PrivateBag005,Molepolole HIVEducation NurseinCharge 716970263947676,74363261

37 GakgatlaHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5905627,5920207ͲFax

Monday,December10,2012 Page7of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

38 GakutoHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5910200,5920207ͲFax

39 GamodubuHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5910200,71355742,5920207ͲFax

40 GamodubuVMSAC Government HIVEducation GeneralCommunity GamodubuClinic Mr.Koko

Notes

40.1 GenderCommittee Government GenderBasedViolence Women ODCOffice Men BoitumeloHaggie 5920111

Notes

41 HatsalatladiHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5931205,5920207ͲFax

Monday,December10,2012 Page8of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

42 HopeWorldwide FBO BehaviorChange InSchoolYouth PrivateBag00289,Gaborone CondomDistribution OutofSchoolYouth KedibonyeMaleejane,CountryDirector OVC OVC 71862415,5920303,3191600,5920701Ͳ MCP [email protected] UmbrellaorganizationfortheABYProject,OVCProject,andGOLD.CondemdistributionandbehaviorchangeinterventionsandMCP.

43 HouseofMenTheaterGroup CBO CondomDistribution GeneralCommunity POBox3164,Molepolole HIVEducation InSchoolYouth Mr.DewittyR.Lekwale,72826034 MCP OutofSchoolYouth 72281343,5943318,5943318ͲFax Theatre [email protected] CondomdistribuƟonatbarsandsocialdepots.Theater forexposureofHIVrelatedissuesandMCP.

44 HumanaPeopletoPeople NGO HousetoHouseCampaigns GeneralCommunity PrivateBag00149,#245,Gaborone BehaviorChange PLWHA TebogoJoseph,ProjectLeader CondomDistribution TraditionalHealers 718313125920072 MCP [email protected] yjoe@ya BCI,Counseling,condomdistribution,referralsfortesting.DoortoDoorprogams,PMTCT,ARV,IPT/TB.Trainingoftraditionalhealers,youthgroups,supportgroups.

45 IkagoRehabilitationCenter Government RehabilitationforJuveniles InSchoolYouth PrivateBag0025,Molepolole WorkplaceWellness OutofSchoolYouth Mrs.MosidiBolebantswe,Pricipal CondomDistribution Men 5920206,5915206,5915210

CenterforjuvenileoffendersandCenterStaffforhealthandHIVeducation.

46 JubilantRehabilitationCenter CBO Abstinence InSchoolYouth POBox1,Thamaga Alcohol/Drugs AlphaP.Janie 7241364572413645

Mobilizeyouthandpromoteabstinenceandaddressalcoholanddrugabuseissues.

Monday,December10,2012 Page9of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

47 KagisanoSocietyWomen'sShelterProjec NGO BehaviorChange GeneralCommunity PrivateBagX046,Gaborone GenderBasedViolence OVC ChanguSiwawa Women 5920303,3907659,3900516,3907659ͲFa [email protected] Counselingfortheabused,theabusersandtheirchildren.Provisionofmedicalandlegalaidreferrals.Emergencyshelteringforwomenandchildren.

48 KgopeHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5920200,5920207ͲFax

49 KgosiKgariSecheleIISeniorSecondarySc Government GuidanceandCounselling InSchoolYouth PrivateBag002,Molepolole SchoolHead 5920328,5920328,5920001ͲFax

50 KgosingClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 5920078,5920207ͲFax,

51 KgothatsoOrphanCareProgramme FBO HealthCareServices OVC POBox51,Gabane OVC Ms.BontleMasego,Coordinator 3947075,3947556

DaycarecenterforyouthandOVC.

Monday,December10,2012 Page10of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

52 KgothatsoSupportGoup CBO BehaviorChange PLWHA POBox2963,Molepolole HIVSupport RebeccaBatlhophi StigmaReduction 74283176

SupportgroupforgeneralconcernsaboutHIVandadherencetreatment.

53 KopongClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 3102765,5920207ͲFax

54 KopongJr.SecondarySchool Government GuidanceandCounselling InSchoolYouth POBox234,Kopong JanetMogoge,Teacher 3938658

55 KubungHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5930973,5920207ͲFax

56 KumakwaneHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5998622,71582242,5920207ͲFax

Monday,December10,2012 Page11of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

57 KwenengDeputyDistrictCommissioner Government WorkplaceWellness Employees PrivateBag0048,Molepolole CondomDistribution Mr.MoagiKenosi 712226935920111,5910246,5910614Ͳ Email MarriagesandMarriageCounselling

60 KwenengEastDAC Government AIDSCoordination CBO,NGO,FBOandSupportGroups PrivateBag003,Molepolole Ms.TheresaMakati,DistrictAIDSCoordin 5910579,5910614ͲFax [email protected] AllDistrictAIDSissuescoordination.EBPreportingtoDMSACandMLG.

61 KwenengEastDHMT Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole DHMTHead 5920200,5920207ͲFax

62 KwenengHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole HealthNurseincharge 5920200,5920207ͲFax

63 KwenengRuralDevelopmentAssociation NGO GuidanceandCounselling OutofSchoolYouth PrivateBag007,Molepolole InSchoolYouth Mr.Chitanda,KRDACoordinator 5906140,73515310,5906140ͲFax

Skillstraiingforoutofschoolyouth,suchasmotorcars,bricklaying,carpentry.GuidanceandcounselingtopreventHIV.

Monday,December10,2012 Page12of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

64 KwenengTribalAdministrationOffice Government WorkplaceWellness Employees POBox47,Molepolole Mrs.ChamaMontshiwa 5920246,5920246,5920257

65 LekgwapengHealthPost Government WorkplaceWellness Employees PrivateBag005,Molepolole CondomDistribution NurseinCharge 5915372,5920207ͲFax

66 LentsweletauClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 5779205,5920207ͲFax

67 LephepeClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5931413,5920207ͲFax

68 LesilakgokongHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole HealthNurseincharge 5920200,5920207ͲFax

Monday,December10,2012 Page13of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

69 LesiraneClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 3975432,5920207ͲFax

70 LifeAid CBO Theatre GeneralCommunity POBox470,Metsimotlhabe GodfreyRamokhaneng,GeneralManager 71675954

TheatreperformancesonHIVissuesandSMC.

71 MagokotswaneHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5920093,5920207ͲFax

72 MahetlweHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5920200,5920207ͲFax

73 MedieHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5920200,5920207ͲFax

Monday,December10,2012 Page14of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

74 MedieVMSAC CBO HIVEducation GeneralCommunity POBox77,Lentsweletau MoatlhodiKgabo,Chairperson 7356944872506250

74.1 MenSectorMolepolole CBO HIVEducation GeneralCommunity PrivateBag0048,Molepolole Men AndrewSelwe 71461812,71383919,74334091 [email protected] MCP,GenderBasedViolence,SMS,PMTCT,Men

74.2 MenSectorThamaga NGO HIVEducation GeneralCommunity ThamagaPolice Men PiusParkie 72473447 Email Notes

75 MetsimotlhabeClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 3105003,5920207ͲFax

76 MinistersFraternal FBO BehaviorChange Churches POBox2403,Molepolole Abstinence GeneralCommunity ReverendSetshogo PeerEducation 71643880,5910636,72931090

Monday,December10,2012 Page15of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

77 MmaSechabaWomensAssociation CBO HIVEducation Women P.O.Box166,Lentsweletau GeneralCommunity ThandiRamputswa 73804430Ͳ7528017771696693

WomensupportgroupandHIVinformation.

78 MmankgodiClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 5930448,5999231,5920207ͲFax

79 MmankgodiSupportGroup CBO HIVEducation PLWHA POBox220,Mmankgodi ARV Ms.BNtwayamodimo,Chairperson StigmaReduction 71243424

EmphasizemessagesonhowtolivepositivelywithHIV.SupportforARVandmedicationadherence.

80 MmankgodiVMSAC CBO HIVEducation GeneralCommunity POBox220,Mmankgodi D.Dintwe,Chairperson 71598954,71598954,73471921

81 MmanokoHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole HealthNurseincharge 5920200,5920207ͲFax

Monday,December10,2012 Page16of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

82 MmanokoPrimarySchool Government GuidanceandCounselling InSchoolYouth POBox1029,Molepolole PCVLifeSkillsͲNateMaruso 76741442,72346650 [email protected]

83 MmatsetaHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5920200,5920207ͲFax

84 MmopaneHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 5920200,5920207ͲFax

85 MogoditshaneClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 3952548,5920207ͲFax

86 MogononoHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5920681,5920207ͲFax

Monday,December10,2012 Page17of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

87 MolepololeAdministrationofJustice Government WorkplaceWellness Employees PrivateBag22,Molepolole CondomDistribution Magistrate 5920402,5906157ͲFax

88 MolepololeCollegeClinic Health/Government HealthCareServices InSchoolYouth PrivateBag008,Molepolole WorkplaceWellness NurseinCharge CondomDistribution 5920275,5920275ͲFax

89 MolepololeCouncilClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 5920289,5920207ͲFax

90 MolepololeEducationCentre Government WorkplaceWellness Employees POBox1293,Molepolole CondomDistribution Mr.Madisakwane 71206610,5920378,5921746,5920460Ͳ jsentongoͲ[email protected] EducationCenterforthesupportoflocalteachersandschoolsregardingHIVissues.

91 MolepololeInstituteofHealthSciences(I Health/Government WorkplaceWellness Employees POBox684,Molelpolole CondomDistribution Ms.OnalennaTsima,HeadLecturer 746495355920361,5920369ͲFax

TrainstaffonissuesaboutHIV.

Monday,December10,2012 Page18of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

93 MolepololePrisonClinic Government HealthCareServices PrisonInmates PrivateBag005,Molepolole NurseinCharge 5920796,5920168ͲFax

95 MoruakgomoJSSPACTClub Government GuidanceandCounselling InSchoolYouth PrivateBag10,Molepolole Mrs.Makgatlhe,Sr.G&CTeacher 71714730,5921252,5921255ͲFax

97 MotswaseleJuniorSecondarySchool Government GuidanceandCounselling InSchoolYouth PrivateBag062,Molepolole Dr.Gaeonale,SchoolHeadmaster 5920145,5920145ͲFax

98 NkoyaphiriClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 3936890,3936891,5920207ͲFax

99 OutofSchoolEducationDepartment Government HIVEducation GeneralCommunity POBox180,Molepolole AdultLearners Ms.MasegoMosielele,focalperson 5920375,5915828ͲFax

ProvidefreeeducationalclassestoadultsinHIVissues.

Monday,December10,2012 Page19of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

100 PababalelongHospice NGO PallativeCare(HomeBasedCare) TerminallyIll POBox44 SisterBonoloandFatherTony 3105042,3105042ͲFax

Notes

103 PhuthadikoboClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 5915530,5915531,5920207ͲFax

104 PhutingHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5999424,5920207ͲFax

105 PoliceNo.11DistrictStationOfficer Government WorkplaceWellness Employees POBox3,Molepolole CondomDistribution Mr.AndrewBosilong,StationCommande 73340056,5920222

EducationandwellnessforstaffregardingHIVissues.

106 RungwanaHealthPost Government HealthCareServices GeneralCommunity POBox349,Molepolole NurseinCharge 5920408,5920207ͲFax

Monday,December10,2012 Page20of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

107 ScottishLivingstoneHospital Health/Government HealthCareServices GeneralCommunity PrivateBag001,Molepolole WorkplaceWellness Employees Superintendant ARV 5921787,5920335ͲFax CondomDistribution [email protected]

110 ShadishadiHealthPost Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole NurseinCharge 5920200,5920207ͲFax

111 SojweClinic Health/Government HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 5920200,5920207ͲFax

112 SojweVMSAC Government HIVEducation GeneralCommunity P.O.Box35,Sojwe M.O.Butshwana 72148664,7360,6696 [email protected] Notes

113 TebelopeleVoluntaryCounsellingandTes NGO HIVTesting GeneralCommunity PrivateBag112,Gaborone HIVEducation MmabathoMaphango 591Ͳ0585,599Ͳ9250,714Ͳ93256,716Ͳ3130 [email protected]

Monday,December10,2012 Page21of22 MolelepoloDACͲCommunityServiceInventory(Alphabetic)

Association TypeofService TypeofActivity TargetGroup

114 ThamagaClinic HealthCareServices GeneralCommunity PrivateBag005,Molepolole ARV NurseinCharge 5999210,5920207ͲFax

115 ThamagaPrimaryHospital Government HealthCareServices GeneralCommunity PrivateBag4,Thamaga ARV ChiefMedicalOfficer 5999449,5999250,5999259ͲFax

116 TseDikgloHouseofTheatre NGO Theatre GeneralCommunity POBox322,Mmankgodi MCP IshmaeilLeshetla 72510019

TheatreperformancesonHIVissuesandMCP.

603 TsosologaHealthServices NGO HIVTesting GeneralCommunity CalvaryMinistryCampus HIVEducation AnnieMathew 267Ͳ716Ͳ80373,267Ͳ722Ͳ68969 [email protected] Notes

117 VisionBearers CBO HIVEducation InSchoolYouth Gabane,Kgotla OutofSchoolYouth Tshepo 7270823,72669872,73403317,72646658 [email protected] Mobilizeyouthandpromoteabstinenceandaddressalcoholanddrugabuseissues.

Monday,December10,2012 Page22of22 Molelepolo DAC ‐ Community Service Inventory (By Target Group)

Target Group Association 1 Adult Learners Out of School Education Department 2 CBO, NGO, FBO and Support Groups Kweneng East DAC 3 Churches EFB Ministers Fraternal 4 Disabled and Elderly Beno Society 5 Employees Kweneng Deputy District Commissioner Kweneng Tribal Administration Office Lekgwapeng Health Post Molepolole Administration of Justice Molepolole Education Centre Molepolole Institute of Health Sciences (IHS) Police No. 11 District Station Officer Scottish Livingstone Hospital 6 General Community Batlang Jehova Support Group Boatlaname Health Post BOCAIP‐Keletso Counseling Center BOCAIP‐Solofelang Counseling Center BOCAIP‐Tumelong Counseling Center Boikgapho Intervention Bokaa Clinic Borakalalo Clinic Boribamo Clinic Botswana Harvard AIDS Institute Partnership Brothers in Arms Ditshukudu Health Post EFB Family Connections Bows and Arrows Friends for Life Gabane Clinic Gabane Health Post Gabane VMSAC Gakgatla Health Post Gakuto Health Post Gamodubu Health Post Gamodubu VMSAC Hatsalatladi Health Post House of Men Theater Group Humana People to People Kagisano Society Women's Shelter Project Kgope Health Post Kgosing Clinic Kopong Clinic Kubung Health Post Kumakwane Health Post

Monday, December 10, 2012 Page 1 of 4 Molelepolo DAC ‐ Community Service Inventory (By Target Group)

Target Group Association Kweneng East DHMT Kweneng Health Post Lentsweletau Clinic Lephepe Clinic Lesilakgokong Health Post Lesirane Clinic Life Aid Magokotswane Health Post Mahetlwe Health Post Medie Health Post Medie VMSAC Men Sector Molepolole Men Sector Thamaga Metsimotlhabe Clinic Ministers Fraternal Mma Sechaba Womens Association Mmankgodi Clinic Mmankgodi VMSAC Mmanoko Health Post Mmatseta Health Post Mmopane Health Post Mogoditshane Clinic Mogonono Health Post Molepolole Council Clinic Nkoyaphiri Clinic Out of School Education Department Phuthadikobo Clinic Phuting Health Post Rungwana Health Post Scottish Livingstone Hospital Shadishadi Health Post Sojwe Clinic Sojwe VMSAC Tebelopele Voluntary Counselling and Testing Thamaga Clinic Thamaga Primary Hospital Tse Dikglo House of Theatre Tsosologa Health Services 7 In School Youth BOCAIP‐Keletso Counseling Center Botswana Baylor Clinic of Excellence Teen Club Catholic Women's Association (CWA) Dithejwane CJSS EFB Face The Nation Flying Mission Life Skills Program Hope Worldwide House of Men Theater Group Ikago Rehabilitation Center

Monday, December 10, 2012 Page 2 of 4 Molelepolo DAC ‐ Community Service Inventory (By Target Group)

Target Group Association Jubilant Rehabilitation Center Kgosi Kgari Sechele II Senior Secondary School Kopong Jr. Secondary School Kweneng Rural Development Association Mmanoko Primary School Molepolole College Clinic Moruakgomo JSS PACT Club Motswasele Junior Secondary School Vision Bearers 8 Men Gender Committee Ikago Rehabilitation Center Men Sector Molepolole Men Sector Thamaga 9 Out of School Youth BOCAIP‐Keletso Counseling Center Boikgapho Intervention Botswana Baylor Clinic of Excellence Teen Club Botswana National Youth Council Catholic Women's Association (CWA) Dira Le Rona Youth Centre Flying Mission Life Skills Program Hope Worldwide House of Men Theater Group Ikago Rehabilitation Center Kweneng Rural Development Association Vision Bearers 10 OVC Beno Society BOCAIP‐Bana ba Keletso Child Care Center BOCAIP‐Tumelong Counseling Center Botswana Baylor Clinic of Excellence Teen Club Catholic Women's Association (CWA) Dithakga tsa Bomme Ba Kweneng Divine Mercy Parish Outreach Forum for Evened‐Out Control of HIV (FECH) Gabane Community Home Based Care Hope Worldwide Kagisano Society Women's Shelter Project Kgothatso Orphan Care Programme 11 PLWHA Batlang Jehova Support Group BOCAIP‐Tumelong Counseling Center Boikgapho Intervention Divine Mercy Parish Outreach Gabane Community Home Based Care Gabane Ministers Fraternal Gabane Support Group Humana People to People

Monday, December 10, 2012 Page 3 of 4 Molelepolo DAC ‐ Community Service Inventory (By Target Group)

Target Group Association Kgothatso Support Goup Mmankgodi Support Group 12 Prison Inmates Molepolole Prison Clinic 13 Terminally Ill Pababalelong Hospice 14 Traditional Healers African Dingaka Association Humana People to People 15 Women Dithakga tsa Bomme Ba Kweneng Gender Committee Kagisano Society Women's Shelter Project Mma Sechaba Womens Association

Monday, December 10, 2012 Page 4 of 4 Molelepolo DAC ‐ Community Service Inventory (By Type of Activity)

Type of Activity Association 1 Abstinence EFB Face The Nation Family Connections Bows and Arrows Jubilant Rehabilitation Center Ministers Fraternal 2 AIDS Coordination Kweneng East DAC 3 Alcohol/Drugs Catholic Women's Association (CWA) Jubilant Rehabilitation Center 4 ARV Bokaa Clinic Borakalalo Clinic Gabane Clinic Kgosing Clinic Kopong Clinic Lentsweletau Clinic Lesirane Clinic Metsimotlhabe Clinic Mmankgodi Clinic Mmankgodi Support Group Mmopane Health Post Mogoditshane Clinic Molepolole Council Clinic Nkoyaphiri Clinic Phuthadikobo Clinic Scottish Livingstone Hospital Sojwe Clinic Thamaga Clinic Thamaga Primary Hospital 5 Behavior Change BOCAIP‐Keletso Counseling Center Boikgapho Intervention Brothers in Arms EFB Flying Mission Life Skills Program Gabane Community Home Based Care Gabane Ministers Fraternal Gabane Support Group Hope Worldwide Humana People to People Kagisano Society Women's Shelter Project Kgothatso Support Goup Ministers Fraternal 6 Condom Distribution Hope Worldwide House of Men Theater Group Humana People to People Ikago Rehabilitation Center

Monday, December 10, 2012 Page 1 of 5 Molelepolo DAC ‐ Community Service Inventory (By Type of Activity)

Type of Activity Association Kweneng Deputy District Commissioner Lekgwapeng Health Post Molepolole Administration of Justice Molepolole College Clinic Molepolole Education Centre Molepolole Institute of Health Sciences (IHS) Police No. 11 District Station Officer Scottish Livingstone Hospital 7 Councelling and Mentoring Botswana Baylor Clinic of Excellence Teen Club 8 Gender Based Violence Dithakga tsa Bomme Ba Kweneng Gender Committee Kagisano Society Women's Shelter Project 9 Guidance and Counselling Kgosi Kgari Sechele II Senior Secondary School Kopong Jr. Secondary School Kweneng Rural Development Association Mmanoko Primary School Moruakgomo JSS PACT Club Motswasele Junior Secondary School 10 Health Care Services Boatlaname Health Post Bokaa Clinic Borakalalo Clinic Boribamo Clinic Brothers in Arms Catholic Women's Association (CWA) Dira Le Rona Youth Centre Dithejwane CJSS Ditshukudu Health Post EFB Friends for Life Gabane Clinic Gabane Health Post Gabane VMSAC Gakgatla Health Post Gakuto Health Post Gamodubu Health Post Hatsalatladi Health Post Kgope Health Post Kgosing Clinic Kgothatso Orphan Care Programme Kopong Clinic Kubung Health Post Kumakwane Health Post Kweneng East DHMT Kweneng Health Post Lentsweletau Clinic

Monday, December 10, 2012 Page 2 of 5 Molelepolo DAC ‐ Community Service Inventory (By Type of Activity)

Type of Activity Association Lephepe Clinic Lesilakgokong Health Post Lesirane Clinic Magokotswane Health Post Mahetlwe Health Post Medie Health Post Metsimotlhabe Clinic Mmankgodi Clinic Mmanoko Health Post Mmatseta Health Post Mmopane Health Post Mogoditshane Clinic Mogonono Health Post Molepolole College Clinic Molepolole Council Clinic Molepolole Prison Clinic Nkoyaphiri Clinic Phuthadikobo Clinic Phuting Health Post Rungwana Health Post Scottish Livingstone Hospital Shadishadi Health Post Sojwe Clinic Thamaga Clinic Thamaga Primary Hospital 11 HIV Education Beno Society Botswana Harvard AIDS Institute Partnership Botswana National Youth Council EFB Flying Mission Life Skills Program Gabane VMSAC Gamodubu VMSAC House of Men Theater Group Medie VMSAC Men Sector Molepolole Men Sector Thamaga Mma Sechaba Womens Association Mmankgodi Support Group Mmankgodi VMSAC Out of School Education Department Sojwe VMSAC Tebelopele Voluntary Counselling and Testing Tsosologa Health Services Vision Bearers 12 HIV Support Batlang Jehova Support Group BOCAIP‐Keletso Counseling Center BOCAIP‐Solofelang Counseling Center

Monday, December 10, 2012 Page 3 of 5 Molelepolo DAC ‐ Community Service Inventory (By Type of Activity)

Type of Activity Association BOCAIP‐Tumelong Counseling Center Boikgapho Intervention Brothers in Arms Divine Mercy Parish Outreach Friends for Life Gabane Support Group Kgothatso Support Goup 13 HIV Testing BOCAIP‐Keletso Counseling Center BOCAIP‐Solofelang Counseling Center BOCAIP‐Tumelong Counseling Center Tebelopele Voluntary Counselling and Testing Tsosologa Health Services 14 Home Based Care Divine Mercy Parish Outreach Gabane Community Home Based Care 15 House to House Campaigns Humana People to People 16 Income/Skills Generation Dithakga tsa Bomme Ba Kweneng 17 MCP Hope Worldwide House of Men Theater Group Humana People to People Tse Dikglo House of Theatre 18 MCP For Young Women Forum for Evened‐Out Control of HIV (FECH) 19 OVC Batlang Jehova Support Group BOCAIP‐Bana ba Keletso Child Care Center Divine Mercy Parish Outreach Forum for Evened‐Out Control of HIV (FECH) Gabane Community Home Based Care Hope Worldwide Kgothatso Orphan Care Programme 20 Pallative Care (Home Based Care) Pababalelong Hospice 21 Peer Education EFB Flying Mission Life Skills Program Ministers Fraternal 22 Rehabilitation for Juveniles Ikago Rehabilitation Center 23 Stigma Reduction Botswana Baylor Clinic of Excellence Teen Club Friends for Life Gabane Support Group Kgothatso Support Goup Mmankgodi Support Group 24 Theatre House of Men Theater Group

Monday, December 10, 2012 Page 4 of 5 Molelepolo DAC ‐ Community Service Inventory (By Type of Activity)

Type of Activity Association Life Aid Tse Dikglo House of Theatre 25 Traditional Healing African Dingaka Association 26 Workplace Wellness Ikago Rehabilitation Center Kweneng Deputy District Commissioner Kweneng Tribal Administration Office Lekgwapeng Health Post Molepolole Administration of Justice Molepolole College Clinic Molepolole Education Centre Molepolole Institute of Health Sciences (IHS) Police No. 11 District Station Officer Scottish Livingstone Hospital

Monday, December 10, 2012 Page 5 of 5 Molelepolo DAC ‐ Community Service Inventory (By Type of Service Offered)

Type of Service Association 1 CBO African Dingaka Association Batlang Jehova Support Group Beno Society Dithakga tsa Bomme Ba Kweneng Friends for Life Gabane Community Home Based Care Gabane Ministers Fraternal Gabane Support Group Gabane VMSAC House of Men Theater Group Jubilant Rehabilitation Center Kgothatso Support Goup Life Aid Medie VMSAC Men Sector Molepolole Mma Sechaba Womens Association Mmankgodi Support Group Mmankgodi VMSAC Vision Bearers 2 FBO BOCAIP‐Bana ba Keletso Child Care Center BOCAIP‐Keletso Counseling Center BOCAIP‐Solofelang Counseling Center BOCAIP‐Tumelong Counseling Center Boikgapho Intervention Catholic Women's Association (CWA) Divine Mercy Parish Outreach EFB Face The Nation Family Connections Bows and Arrows Flying Mission Life Skills Program Hope Worldwide Kgothatso Orphan Care Programme Ministers Fraternal 3 Government Dithejwane CJSS Gamodubu VMSAC Gender Committee Ikago Rehabilitation Center Kgosi Kgari Sechele II Senior Secondary School Kopong Jr. Secondary School Kweneng Deputy District Commissioner Kweneng East DAC Kweneng East DHMT Kweneng Tribal Administration Office Lekgwapeng Health Post Mmanoko Primary School Molepolole Administration of Justice

Monday, December 10, 2012 Page 1 of 3 Molelepolo DAC ‐ Community Service Inventory (By Type of Service Offered)

Type of Service Association Molepolole Education Centre Molepolole Prison Clinic Moruakgomo JSS PACT Club Motswasele Junior Secondary School Out of School Education Department Police No. 11 District Station Officer Rungwana Health Post Sojwe VMSAC Thamaga Primary Hospital 4 Health/Government Boatlaname Health Post Bokaa Clinic Borakalalo Clinic Boribamo Clinic Ditshukudu Health Post Gabane Clinic Gabane Health Post Gakgatla Health Post Gakuto Health Post Gamodubu Health Post Hatsalatladi Health Post Kgope Health Post Kgosing Clinic Kopong Clinic Kubung Health Post Kumakwane Health Post Kweneng Health Post Lentsweletau Clinic Lephepe Clinic Lesilakgokong Health Post Lesirane Clinic Magokotswane Health Post Mahetlwe Health Post Medie Health Post Metsimotlhabe Clinic Mmankgodi Clinic Mmanoko Health Post Mmatseta Health Post Mmopane Health Post Mogoditshane Clinic Mogonono Health Post Molepolole College Clinic Molepolole Council Clinic Molepolole Institute of Health Sciences (IHS) Nkoyaphiri Clinic Phuthadikobo Clinic Phuting Health Post Scottish Livingstone Hospital Shadishadi Health Post

Monday, December 10, 2012 Page 2 of 3 Molelepolo DAC ‐ Community Service Inventory (By Type of Service Offered)

Type of Service Association Sojwe Clinic 5 Health/Private Botswana Harvard AIDS Institute Partnership 6 NGO Botswana Baylor Clinic of Excellence Teen Club Botswana National Youth Council Brothers in Arms Dira Le Rona Youth Centre Forum for Evened‐Out Control of HIV (FECH) Humana People to People Kagisano Society Women's Shelter Project Kweneng Rural Development Association Men Sector Thamaga Pababalelong Hospice Tebelopele Voluntary Counselling and Testing Tse Dikglo House of Theatre Tsosologa Health Services

Monday, December 10, 2012 Page 3 of 3 ProposedActivitiesandBudgetforYear2013/2014 KwenengEastDistrictPlan (NovͲ2012) PriorityIssue1 LowHIVTesting Objective ToincreaseHIVtestinguptakeamongagegroup15Ͳ49yearsoldfrom9.2%to12.0%by31stMarch2014inKwenengEastDistrict NOPPriority1 PreventionofNewInfections

OrganizationandContactPerson Quarterforrollout ExpectedAnnual Sourceof Rank ActivityandTargetGroup BudgetBreakdown BudgetRequested andphonenumber 12 34 Outputs Funds NightOut=P129.50x5Counselorsx6 Days=P3,885.00 Fuel=P1,000.00 Food=P50x5Councellorsx6Days= P2,860.00 Tebelopele Totalreached=280. Mobilizingcouplesforpartnertestingby Incentives= BOCAIP Condomsdistributed= implementing“CouplesFunday” MicrowaveP1,000.00 1 591Ͳ0585 x 500. BWP11,095.00 MLG HomeTheatreP1,000.00 Totalnumberofcouples Mogoditsane KettleP300.00 Mmabatho testing=50. ToasterP200.00 MonopolyGameP350.00 ScrabbleGameP300.00 ChessP300.00 =P3,350.00 HealthFair Mealsforserviceproviders=P69.50x20 Thamaga/Mogoditsane DHMT Officersx2Days=P2,780.00 2 SubDistrict Ms.Simane x x Peopletested=400 BWP7,780.00 MLG Entertainment=P2,500.00x2Days= Lentsweletau/Kopong 591Ͳ0416 P5,000.00 SubDistrict

400Peoplemobilizedon Humana WardtoWardHIVTestingCampaign importanceoftesting Fuel=P500.00x4=P2,000.00 3 Borakalalo,Lekgwapheng,Newtown, xx xx Lunch=P50.00x5Counselorsx3Days BWP5,000.00 MLG TebogoG.Joseph Legonono 250reachedx4quarters x4Quarters=P3,000.00 71831312 =totalof1000people

Page1of8 Allowance=P50.00x2Mobilizersx5 Mobilize4teamsfrom4 days=P500.00 FootballTournament villages Prizes:1stP,2000.00 MenSector 2ndP1,500.00 ParkiePius Thamaga Peoplereachedwith 3rdP1,000.00 4 724Ͳ72447 x BWP5,680.00 MLG Mmankgodi preventionmessages 4thP500.00 AndrewSelwe Kumakwane andtesting=120per =P5,000.00 714Ͳ61812 Gabane teamx4teams=480 people Water=P3.00x24Bottlesx5Cases= P180.00 MorningTea=P30.00x32Peoplex3 TrainingPastorsoncouple/marriage Days=P2880.00 counseling BOCAIP Lunch=P50.00x32peoplex3Days= 5 MphoMokone x30Pastorstrained P4,800.00 BWP10,080.00 MLG Gabane,Mmankgodi,Thamaga, 717Ͳ03522 FacilitatorFee=P300.00x2Facilitators Kumakwane,Mogoditsane x3Days=P1,800.00 Fuel=P600.00

DistrictMonthofTesting/Workplace BOCAIP 200testedin10 Lunch=P50.00x5Counselorsx20Days 6 Testing MphoMokone x workplacesand5public =P5,000.00 BWP6,500.00 MLG Molepolole 717Ͳ03522 places=1000reached Fuelfor20days=P1,500.00 TotalBudget: BWP46,135.00

Page2of8 ProposedActivitiesandBudgetforYear2013/2014 KwenengEastDistrictPlan (NovͲ2012) PriorityIssue2 LowSMCUptake Objective ToincreaseSMCuptakefrom4,825to10,000by31stMarch2014inKwenengEastDistrict NOPPriority1 PreventionofNewInfections OrganizationandContactPerson Quarterforrollout ExpectedAnnual Sourceof Rank ActivityandTargetGroup BudgetBreakdown BudgetRequested andphonenumber 12 34 Outputs Funds Tea=P30.00x25peoplex6days= Trainingtraditionalhealers,church HealthEducationTechnician 25pplpercatchment P4500.00 leaders,andestablishedcommunity 1 xx areax6days=150 BWP12,000.00 MLG groupsonSMC O.Malokwane trained Lunch=P50.00x25peoplex6days=P7 Sojwe,Lentsweletau,Mogoditshane 5910416 500.00

Tebelopele SMCCampaign Circumcised=50men NightOut=P129.50x5peoplex6days BOCAIP Tested=150 =P3885.00 2 591Ͳ0585 x BWP5,385.00 MLG Lesilakgokong TotalIECmaterials Kubung distributed=200 Fuel=P1,500.00 Mmabatho PASystem=P1,200.00x3quarters= P3,600.00 HouseofMen SMCSchoolCampaign 3 Kopong x x x Peoplereached=4000 DramaonSMC=P2,500.00x3quarters BWP12,100.00 MLG Mr.Lekwale Metsimotlhabe =P7,500.00 73826034 Fuel=P1000.00 CommunityConversationswith TraditionalHealers,SupportGroups, FBOs,VMSACS,Police,Ipelegeng.Ages 11community ShirleyMolthake 4 13Ͳ49GaModubu,Gakuto,Thamaga, xx xxconversationsconducted P0.00 BWP0.00 N/A 591Ͳ0579 Gakgatla,Mmankgodi,Gabane,Sojwe, totarget40people Lentsweletau,Mmatseta,Kweneng, Medie SMCCommunicationWorkshop 150femalesreachedto GenderCommittee Gamodubu talktotheirmale 5 B.Haggie x Lunch=P50.00x150pplx1day= BWP7,500.00 MLG Gakuto relationsand 592Ͳ0111 P7,500.00 Mmanoko acquaintances TotalBudget: BWP36,985.00

Page3of8 ProposedActivitiesandBudgetforYear2013/2014 KwenengEastDistrictPlan (NovͲ2012) PriorityIssue3 LowScreeningofHIV+ClientsforTB Objective ToncreasescreeningofHIV+clientsforTBfrom1,607to10,000by31stMarch2014 NOPPriority1 PreventionofNewInfections OrganizationandContactPerson Quarterforrollout ExpectedAnnual Sourceof Rank ActivityandTargetGroup BudgetBreakdown BudgetRequested andphonenumber 12 34 Outputs Funds DistrictTBCoordinator 8,393HIV+clients 1 ScreeningHIV+clientsforTB xx xx P0.00 BWP0.00 MOH 591Ͳ0416 screenedforTB

Consultationswithhealthprofessionals DistrictTBCoordinator 100Health 2 xx xx P0.00 BWP0.00 N/A –encouragingHIV+screeningforTB 591Ͳ0416 professionalsconsulted

25peoplereachedx6 Tea=P30.00x25peoplex6Areasx2 TrainingSupportGroupsforintegration catchmentareas=150 Days=P9,000.00 ofHIV/TB DistrictTBCoordinator 3 x BWP24,000.00 MOH Mmmankgodi,Thamaga,Kopong, 591Ͳ0416 Totalsupportgroups Lunch=P50.00x25peoplex6Areasx2 Molepolole,Mogoditshane trained=5 Days=P15,000.00 CommunityConversationswith CommunityLeaders,SupportGroups, ShirleyMolthake 40Peoplex5Villages= 4 xx xx P0.00 BWP0.00 N/A ChurchLeaders, 591Ͳ0579 200reached TraditionalHealers HousetoHouseCampaignsbySupport 5villagesx50 Groups DistrictTBCoordinator LunchforfacilitatorsP50.00x15People 5 xxxPeople/village=250 BWP3,750.00 MOH Mmmankgodi,Thamaga,Kopong, 591Ͳ0416 x5Villages=P3,750.00 Reached Molepolole,Mogoditshane SchoolVisitsonEducationandCareof HealthEducationTechnicianͲ TBPatients Mogoditshane 6 xx xx 32schoolsvisited P0.00 BWP0.00 N/A Mmmankgodi,Thamaga,Kopong, VeronicaMooketsi Molepolole,Mogoditshane 390Ͳ6124 TotalBudget: BWP27,750.00

Page4of8 ProposedActivitiesandBudgetforYear2013/2014 KwenengEastDistrictPlan (NovͲ2012) PriorityIssue4 HighSTIIncidence Objective ToreduceSTIincidencefrom8.4%to6.0%byMarch31st2014inKwenengEASTDistrict NOPPriority1 PreventionofNewinfection OrganizationandContactPerson Quarterforrollout ExpectedAnnual Sourceof Rank ActivityandTargetGroup BudgetBreakdown BudgetRequested andphonenumber 12 34 Outputs Funds CommunityConversations ShirleyMolthake 50pervillagex4 1 Communityatlarge(15Ͳ49years) xx xx P0.00 BWP0.00 N/A 591Ͳ0579 Quarters=600reached Mogoditshane,Molepolole,Thamaga M&E/DHMT Distributionplan 2 CondomDistributionPlan x P0.00 BWP0.00 N/A 591Ͳ0416 completed Malecondoms Drama=P2,500.00x4performances= distributed=201,600 CondomPromotion P10,000.00 HouseofMen Femalecondoms 3 Molepolole(14bars) xx xx BWP14,800.00 MLG 73826034 distributed=8,000 Thamaga(4bars) PASystem=P1,200.00x4performances 400peopletobe =P4,800.00 reached STIOrientationworkshops Totalleadersreached= CommunityLeaders,ReligiousLeaders Humana LunchP50.00x80people=P4,000.00 50 andTraditionalHealers TeaP30.00x80people= 180clientsreachedby 4 TebogoG.Joseph xx xx P2,400.00 BWP8,400.00 MLG healers Lephephe,Boatlaname,Sojwe, 60condomoutlets Shadishadi,Lentsweletau,Thamaga, 71831312 Fuel=P2,000.00 established Gabane PitsoYaBorre MenSectorThamaga 50peopleperquarter LunchP50.00x50peoplex2quarters= 5 ParkiePius xx BWP2,000.00 MLG reached=100 P2,000.00 Mogoditshane 724Ͳ72447 TotalBudget: BWP25,200.00

Page5of8 ProposedActivitiesandBudgetforYear2013/2014 KwenengEastDistrictPlan (NovͲ2012) PriorityIssue5 HighTeenagePregnancy Objective Toreducetheprevalenceofteenagepregnancyfrom2.6%to1.6%by31stMarch2014inKwenengEast NOPPriority1 PreventionofNewInfections OrganizationandContactPerson Quarterforrollout ExpectedAnnual Sourceof Rank ActivityandTargetGroup BudgetBreakdown BudgetRequested andphonenumber 12 34 Outputs Funds

FacilitationFee: P300.00x3Facilitatorsx2daysx4 2DayWorkshopson Quarters=P7,200.00 StrengtheningexistingStudentHealth Tea=P30x50studentsand3 FlyingMission Clubs 50x4quarters=200 Facilitatorsx2daysx4Quarters= 1 EmmanuelNwako xx xx BWP42,870.00 MLG trainedonpresentation P12,720.00 71221672 Kopong,Lentsweletau,Gabane, skillsandhealthclub Lunch=P50x50studentsand3 Kumakwane strategies Facilitatorsx2daysx4Quarters= P21,200.00 Transport=P1.75x1000km=P1,750.00

2DayTrainingof15outofschoolyouth Tea=P30.00x15PEsand5Facilitarors aspeereducatorsforHIV/ASRHfrom x2days=P1,200.00 threevillages.ThesePEswillreach300 BNYC 15youthtrained peopleeachof4quarters Lunch=P50.00x15PEsand5 2 xx xxtoreach1200people BWP56,200.00 MLG Mr.Chimbombi Facilitatorsx2days=P2,000.00 over4quarters Lentsweletau 73759613 Mogoditshane Facilitation=P300.00x15Facilitatorsx Thamaga 12months=P54,000.00

CommunityConversations

ShirleyMolthake 240peoplereachedin8 3 Botlaname xx xx P0.00 BWP0.00 N/A 591Ͳ0579 wards Kopong LentsweletauandGabane

Page6of8 CookedFoodfor3mealsperday= P75.00x78Peoplex5days= TrainOVCinLifeSkills S&CD P29,250.00 MsPitso ActivitySupplies 4OVCsx17wards=68 5DayOvernightGLOW(Girls/Guys (Paint,Brushes,SportsEquipment…): OVC 4 LeadingOurWorld)Youth x P3,600.00 BWP36,580.00 MOE EmpowermentCamp PeaceCorpsVolunteer OfficeSupplies 10Facilitators DanielleTuft (Toner,FlipChartPaper…):P3,400.00 Molepolole 767Ͳ44162 MiscelleneousSupplies (Trashbags,ToiletPaper,Soap...): P330.00

200drinksxP3.00x4Quarters= P2,400.00 200biscuitsxP4.00x4Quarters= ParentingWorkshopsͲTargetingParents P3,200.00 200CupsxP.40x4Quarters=P320.00 Molepolole HHES 200Parentsx4Quarters FacilitationFee=4sessionsxP300.00x 5 Mogoditshane MasterMakore xx xx BWP20,120.00 MLG =800 4Quarters=P4,800.00 Gabane 725Ͳ36034 Fuel=P200.00xP4.00x4Quarters= P3,200.00 In5Primaryschools Pensandpaper=P4.00x200Parentsx4 Quarters=P3,200.00 Handouts=P3,000.00

TotalBudget: BWP155,770.00

GrandTotalActivitiesBudget: BWP291,840.00

Page7of8 AdditionalBudgetItems

Rank ItemDescription BudgetRequested

1 MonthofPrayer BWP2,000.00 2 WADCommemorations BWP10,000.00 3 Candlelightmemorial BWP2,000.00 4 EBP Planning retreat BWP25,000.00 5 MeetingRefreshment BWP4,000.00 6 OfficeSupplies BWP15,000.00 7 Communicationstrategy BWP5,000.00 8 VMSAC/WSACS BWP5,000.00 9 CCEͲCC BWP10,000.00 10 Subsistence BWP50,000.00 TotalBudget: BWP128,000.00

GrandTotalBudget: BWP419,840.00

Page8of8