In a landmark achievement for public health, Botswana has been awarded the Gold Tier certification by the World Health Organisation (WHO) for its success in eliminating mother-to-child transmission (eMTCT) of HIV. The recognition marks a significant milestone in Botswana’s ongoing fight against HIV/AIDS and highlights its unwavering commitment to ensuring that children are born free of HIV.
The Gold Tier Award, announced by the WHO on Monday morning, signifies that Botswana has met the rigorous criteria for eliminating mother-to-child transmission of HIV—a feat that showcases the country’s exceptional dedication and progress in this area. Botswana had previously received the Silver Tier Award in 2021 and has now become the first high HIV burden country to reach the gold level.
Following the Silver Tier recognition, Botswana adopted the Global Triple Elimination Initiative, broadening its scope to target not only HIV but also syphilis and hepatitis B transmission from mother to child.
Botswana’s success stems from its robust and comprehensive health strategies, including early identification of HIV in pregnant women, effective initiation of antiretroviral therapy (ART), and consistent ART adherence. Health professionals nationwide have been trained to employ safe delivery practices, monitor for HIV seroconversion during pregnancy and breastfeeding, and provide partner management services.
Additionally, Botswana has actively engaged in community outreach, promoting awareness about eMTCT, fighting stigma, and advancing human rights, particularly for women living with HIV. Since 2019, the country has also extended free ART access to non-citizens.
Botswana’s achievement serves as a beacon of hope for other nations grappling with mother-to-child HIV transmission and reinforces the nation’s role as a leader in global public health efforts.
