Photo by Pathfinder Botswana

For the past 12 years, Pathfinder has worked to improve the overall sexual and reproductive health of adults and adolescents in Botswana, while addressing the country’s devastatingly high prevalence of HIV and AIDS.

Photo by Pathfinder Botswana

Despite decades of economic gain and political stability, Botswana is home to one of the worst HIV and AIDS outbreaks in the world. An estimated 25 percent of the adult population, ages 15-49, is living with HIV.

Photo by Pathfinder Botswana

Pathfinder is committed to addressing this urgent need. Through a five-year program, funded by the Centers for Disease Control and Prevention, we are reaching HIV-positive women, their partners, and families with prevention, care, and support services.

Photo by Pathfinder Botswana

A key part of our work in Botswana is peer counseling. Here, a ‘peer mother’ named Ruri supports her neighbor, encouraging her to seek health services for her and her child, including HIV testing.

Photo by Pathfinder Botswana

When you share your experience with a mother, rather than just the facts," Ruri said, "she is much more flexible and open. She believes I am telling her the real thing, the truth.

In Botswana, Pathfinder International focuses on addressing HIV and AIDS.

Why Pathfinder Works in Botswana

Botswana, a landlocked nation of over two million people in the heart of southern Africa, is perhaps the continent's most notable economic success, yet it is home to one of the worst outbreaks of HIV and AIDS in the world. Thanks to a stable political and economic environment, created by a successful diamond mining industry and nearly 40 years of uninterrupted civilian leadership, Botswana has transformed itself from one of the world's poorest countries to a middle-income nation. Current per capita income is approximately $13,000, over six times that of the sub-Saharan African average.

Decades of economic gain, however, are threatened by the country's devastatingly high prevalence of HIV, currently estimated at 25 percent of the adult (ages 15-49) population. This has reduced average life expectancy to just 53 years and created tens of thousands of AIDS orphans. For the past 12 years, Pathfinder has worked in Botswana to address the high prevalence of HIV and AIDS and improve the overall sexual and reproductive health of both adults and adolescents. Currently, Pathfinder is implementing a five-year HIV-prevention-counseling program funded by the Centers for Disease Control and Prevention. The program provides prevention, care, and support services to HIV-positive women, their partners, and families. Pathfinder's innovative approach emphasizes the HIV-associated risks from male partners, while also incorporating prevention for HIV-negative women into its activities. Pathfinder also supports the development and implementation of peer-counselling programs in which HIV-positive women, HIV-negative women, and their partners are provided with education, counseling, and support services in community and government clinics in conjunction with existing counseling structures.

At 24.8%, Botswana has the second-highest HIV prevalence rate in sub-Saharan Africa.

Evidence for Decision-Making

A key aspect of Pathfinder's approach to systems' strengthening is collecting evidence that enables public, private, and community partners to make informed health-related decisions. In Botswana, examples of the kinds of evidence we collect to range from "the number of local organizations provided with HIV-related technical assistance" and "the number of registered HIV-positive women who disclosed their HIV status to their partner" to "the number of service providers trained to provide psychosocial and peer counseling services." Some illustrative data from Pathfinder's work in Botswana suggests that over the course of the CDC-supported "Expansion of HIV Prevention, Counseling, Psychosocial Support and Outreach Service" project:

  • 3,011 male partners of PMTCT mothers were registered into the program
  • 1,308 infants born to registered HIV-positive mothers were referred to other services, including HIV testing and antiretroviral therapy
  • 8,669 women have been registered into the PMTCT program, including more than 4,000 HIV positive women, to hear messages about exclusive breastfeeding, safer sex, counseling, and testing

Building Capacity, Strengthening Systems

In Botswana, Pathfinder integrates capacity building interventions at a community level in order to enhance sustainability, awareness, and engagement with community health issues and service delivery. Pathfinder builds strong collaborative networks with existing local community structures, including community leaders, NGOs, and community and faith-based organizations. By strengthening existing community structures, Pathfinder decentralizes project implementation, builds local capacity, and allows for more community level participation in project activities.

In our work addressing HIV in Botswana, Pathfinder works with local organizations to build the necessary health infrastructure to fight the disease, while educating and providing local community and government organizations with the knowledge and equipment to bring reproductive and sexual health services to the country.


Your support is critical to ensuring our work can continue in Botswana, where 25 percent of the population (ages 15-49) is HIV-positive. Your gift of $25 or $50 helps us reach HIV-positive women and their partners with education, counseling, and support services.

Related Publications

January 2005

Youth-Friendly Services: Botswana End of Program Evaluation Report

AYA - Final Adolescent Reproductive Health Reports - Botswana

January 2003

Clinic Assessment of Youth-Friendly Services: A Tool for Improving Reproductive Health Services for Youth

This tool helps program managers and clinicians determine the extent to which current reproductive health services are youth-friendly.

January 1999

Botswana: TSA BANANA-Social Marketing of Reproductive Health Services to Youth (Harris, 1999)

Botswana: TSA BANANA-Social Marketing of Reproductive Health Services to Youth (Harris, 1999)

Scroll to top