Effects of the AIDS epidemic and the Community Home-Based Care programme on the health of older Batswana

  • Henry A. Akinsola Department of Nursing Education, University of Botswana


Several recent studies have focussed on the needs and problems of different demographic groups pertaining to the HIV/AIDS epidemic in Botswana. However, none has paid particular attention to the impact of the epidemic on older persons, with specific reference to the Community Home-Based Care (CHBC) programme. This paper examines the experience of older Batswana of the AIDS epidemic, briefly describes the nature of the CHBC programme, and critically examines the social-psychological, economic and health implications of the programme for older persons, with specific reference to their role as primary caregivers to persons with AIDS and AIDS orphans. The dynamics of problems of the CHBC programme are analysed and solutions to the problems are suggested.


Adeyemi, M B . & Tabulawa, R. 1993, AIDS and related issues. The views of junior secondary teachers in Botswana. Educational Studies, 19:227-234.
Akinsola, H.A. 1999. Two decades after the Alma-Ata: the status of a peri-urban community in Botswana. Unpublished, Gaborone: Department of Nursing Education, University of Botswana.
Campbell, E. & Shastri, G, 1993, Health for all by the year 2000? The impacts of AIDS. In: Hermans, J. & Ntete, D. (Eds) Botswana in the 21st century. Proceedings of a Symposium organized by The Botswana Society, October, pp, 455-464.
Chabot, J. & Waddington, C. 1991. Primary health care is not cheap: a case study from Guinea Bissau. International Journal of Health Sciences, 17(3): 387-409.
Gubrium J. & Sankar A. 1990. Introduction. In: Gubrium, J. & Sankar, A. (Eds) The home care experience, ethnography and policy. Newberry Park, CA: Sage, pp. 7-15.
Ingstad, B., Braun, F. & Tlou, S. 1997. AIDS and the elderly Tswuna: the concept of pollution and consequences for AIDS prevention. Journal of Cross-Cultural Gerontology, 12: 357-372.
Ingstad, B. & Whyte, S.R. (Eds) 1995. Disability and culture. Berkley: University of California Press.
Kalache, A. 1986, Ageing everywhere: the new reality. Health (Supplement), 3: 6.
Kebitseope. 1998. Personal communication. Gaborone, Botswana, October 8.
Kupe, S.S. 1993. An uneasy walk to quality: the evolution of black nursing education. Battle Creek, Ml: W.K. Kellogg Foundation.
Kurtah, J. 1992. Demographic consequences of the HIV/AIDS epidemic. Paper presented at the National Conference on the Socio-Economic Consequences of the AIDS Epidemic at the Country Level, Gaborone, Botswana, July 9.
Matuga, W.B.P. & Ndosi, N.K. 1994. The elderly patient as seen at Muhimbili Medical Centre, Tanzania. East African Medical Journal, 71(3): 142-145.
McLigeyo, S.O. 1993. The pattern of geriatric admissions in the medical wards at the Kenyatta National Hospital. Editorial. East African Medical Journal, 70(March): 37.
McLigeyo, S.O. 1994. The elderly patient in Sub-Saharan Africa: the past, the present and the future. East African Medical Journal, 71 (3): 141.
Mertens, T.E. 1995. HIV/AIDS: trends of the epidemic. Plenary address at the 9th International Conference on AIDS and STD in Africa, Kampala, December 10-14.
Ministry of Health. 1991. HIV. AIDS update. Gaborone: Ministry of Health, A1DS/STD Unit.
Ministry of Health. 1992. HIV AIDS update. Gaborone: Ministry of Health, A1DS/STD Unit.
Ministry of Health. 1995. Report of HIV Sentinel. Gaborone: Ministry of Health.
Ministry of Health, National AIDS Control Program (NACP) 30. 1996. Community home-based care for people with AIDS in Botswana: operational guidelines. Gaborone: Government of Botswana, Al DS/STD Unit.
Ministry of Health. NACP 38. 1997. Botswana HIV AIDS. Second medium term plan (MTP 2). 1997-2000. Gaborone: Government of Botswana, A1DS/STD Unit.
Molatole, R.J. 1998. AIDS patients discharged on Community Home-Based Care program: the nature of support resources being offered to them. Unpublished thesis. Gaborone: University of Botswana, Department of Nursing Education.
Mupedzi swa, R. l997. AIDS and older Zimbabweans: who will care for the carers? Southern African Journal of Gerontology, 6(2): 9 -12,
Ngwako.S.K. 1994. Needs assessment of AIDS caregivers in Kgatleng District. Unpublished dissertation. Gaborone: University of Botswana, Department of Nursing Education.
Norr, K.F., Tlou, S.D. & McElmurry, 8 J . 1996. AIDS awareness and knowledge among Botswana women: implications for prevention programs. Health Care for Women International. 17: 133-148.
Olubiyide, I.O., Hart, P.D. & Gombe, A. 1991. Disease pattern in the elderly. Central Africa Journal of Medicine, 37:247.
Saugestad. S. 1990. Cases of disability in a social context. In: Bruun F.J. & Ingstad B. (Eds) Disability in a cross-cultural perspective. Working paper no. 4. Oslo: Department of Social Anthropology, University of Oslo.
Shaibu, S. 1999. Personal communication. Gaborone, Botswana, December 16.
Siwawa-Ndai, I. 1997. Some facts and figures about quality of life in Botswana. In: Nteta, D. & Hermans, J. (Eds) Poverty and plenty: the Botswana experience. Gaborone: The Botswana Society, pp. 25-32.
Spradiey, B. W. & Allender, J.A. 1997. Reading in community health nursing. Philadelphia, PA: Lippincott.
Tlou, S. 1996. Empowering older women in AIDS prevention: the case of Botswana Southern African Journal of Gerontology. 5(2): 27-32.
Walman, S. 1984, Eight London households. London: Tavistock.
Whyte, S.R. 1991. Family experiences with mental health problems in Tanzania. In: Schulsinger, F. & Jablensky, A. (Eds) The National Health Program in the United Republic of Tanzania. Acta Psychiairica Scandinavia (Supplement no, 364), 8 3:77-111.