Private health care is also accessible for those who can afford it or are covered by medical insurance schemes. Botswana has done well towards achieving Millennium Development Goals (MDGs) targets on health37: a. 95% of the population of cities and 89% of rural population live within 15 kilometres of a health facility. b. Malaria incidence has declined to less than 1% (from 10 per 1000) persons in 2007 to 0.56 per 1000 in 2011. c. Tuberculosis (TB) notification rate has been reduced from 511 per 100.000 persons in 2006 to 330 per 100.000 in 2011. d. More than 99% of women deliver in health care facilities, while 95% attend antenatal care. e. New HIV/AIDS infections have been reduced from 1.45 per cent 1.35 per cent in 2008 to in 2011. f. There has been a reduction of HIV/AIDS prevalence among 15-24 years old from 8% in 2008 to 7.9 per cent in 2013. g. More than 95% of those in need of Anti-Retroviral Therapy (ARVs) are on treatment. h. Transmission of HIV/AIDS from mother to Child is less than 3%. i. New prevention strategies, such as safe male circumcision and an increase of the cell viral load for treatment initiation, have been introduced, j. In 2015, life-long ART treatment for pregnant women who test HIV + was also introduced. Despite the afore mentioned successes, the Government is still working on reducing by two thirds the under-five mortality (MDG 4) and maternal mortality ratios (MDG 5). The Fight against HIV and AIDS Botswana continues to take measures to combat the scourge of HIV/AIDS. The Botswana AIDS Impact Survey IV (BAIS IV) showed that the 2013 national HIV prevalence stood at 18.5% for the population aged 18 months to 64 years compared to the 2008 HIV prevalence which stood at 17.6%. Females continue to record high rates of HIV prevalence at 20.8% compared to their male counterparts who are at 15.6%. 37 4: Reduce Child Mortality; 5: Improve Maternal Health; 6: Combat HIV and AIDS and other diseases. 53 | P a g e

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