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Botswana-Baylor Children’s Clinical Centre of Excellence

Supporting children with HIV and their families through comprehensive care.

The Botswana-Baylor Children’s Clinical Centre of Excellence (COE) was established in 2003 as a partnership between the Baylor College of Medicine International Pediatric AIDS Initiative (BIPAI) in Texas and the Government of Botswana. The COE supports children with HIV and their families through comprehensive care (including careful clinical care, home visits, and nutrition and counseling support). They also support several capacity-building initiatives, including health professional education (including physician mentorship) and layperson skill-building (including school teacher education, community-based HIV support, and adolescent-focused forums). After six years of operation, Botswana’s COE is serving as a model in comprehensive pediatric AIDS care for similar centers in Lesotho, Swaziland, Uganda, Malawi, Burkina Faso, and Tanzania.

 
MISSION: To pursue excellence in the provision of comprehensive care and treatment, in clinical research and health professional training and to become nothing less than the finest pediatric HIV/AIDS centre in the world.
FOCUS AREAS: Children, Adolescents, HIV/AIDS, Research
PROGRAMS:
  • Screening Clinic – Provides testing services to newborns and children as well as pre- and post-test counseling. The Screening Clinic sees approximately 10 patients per day.  
  • Pediatric Infectious Disease Clinic (PIDC) – Provides highly active antiretroviral treatment (HAART) and Adherence Counseling for HIV-positive children and their families. As part of the Government of Botswana’s National ARV Program (MASA), HAART treatment is free of charge for all HIV-positive children.  This clinic also runs an ‘In-Reach’ program, which provides extra support (such as weekly home visits) to children with adherence difficulty, as well as a Challenge Clinic, which targets children failing second line ARV therapy.  Since PIDC’s inception, the Clinic has enrolled approximately 1,500 children in HAART.
  • Adolescent Clinic – Serves approximately 275 adolescents with counseling on issues such as living positively with HIV, dealing with stigma, relationships, age-appropriate HIV education and adherence. The Adolescent Clinic runs the Youth Alive (“Basha ba a Tshela”) Programme as well as a Teen Club that brings over 200 HIV-positive adolescents together monthly for fun weekend activities.
  • Family Model Clinic – Attends to children and families within the same clinic in order to support a family-centered model of care and to minimize the burden of multiple doctor visits for each infected member of the family. In 2008, the FMC served 373 families. The number of patients lost to follow-up in FMC has declined substantially over the years, from 52 in 2004 to 7 in 2008.
  • Nutrition and Diet services are part of all COE’s outreach, as good nutrition is critical to the health of those with compromised immune systems.
  • Research – The BANA-II study, started in 2004, is a randomized comparative trial of two methods of HAART treatment for HIV-infected children.  The “Voice” of the HIV Infected and Affected School Age Children in Botswana is a cross-sectional psychosocial study that will include 900 HIV-infected children, 450 affected children, and 2000 teachers in qualitative and quantitative interviews.
  • Education Outreach in ARV sites around the country and abroad. Programs include the KITSO-Baylor Paediatric HIV/AIDS Training for health care providers, the ‘Aunties and Uncles’ Training Program for training of laypersons in pediatric HIV/AIDS care, Expert Patient Training to encourage HIV-positive mentors to offer peer education and support, School Teacher Training Programme to increase the comfort level of school staff to discuss HIV/AIDS, and a Visiting Scholars Programme allowing  international physicians to learn how to care for children living with HIV. The COE also trains Botswana Ministry of Health-affiliated nurses, interns, medical officers, and specialists through clinical attachments at the Centre.
  • Other programs include case-based decentralized mentorship in hospitals and clinics throughout the country, Tuberculosis care and diagnosis for complications of TB/HIV disease and multi-drug resistant TB in children.


YEAR FOUNDED: 2003
YEARLY BUDGET: 1.7 million USD
NUMBER OF STAFF:48 paid staff, 2 volunteers
DIRECTOR'S NAME:Professor Gabriel Anabwani
DOCUMENTS: BIPAI Annual Report 2008 download (pdf 28,295 KB)

WEBSITE: Botswana-Baylor Children’s Clinical Centre of Excellence

EMAIL: brphelps@baylorbotswana.org.bw
PHONE: (011) 267 319 0083
FAX: (011) 267 319 0079
ADDRESS:
Hospital Way, Plot 1886
Private Bag #129
Gaborone
Botswana
PHOTOS: view photos
OTHER OPPORTUNITIES TO GET INVOLVED: Interested volunteers are invited to inquire by sending an email to our rotating volunteer coordinator at volunteer.baylor@gmail.com. Volunteer opportunities are diverse, and include supporting our adolescent services, coordinating COE play therapy, and much more, Interested child advocates and other individuals with professional skills (computer, clinical, etc) that can support Baylor’s activities in Botswana are most welcome to contact us for more information.
 
     
   
 

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