Global Health


RHAP Botswana
USAID’s Regional HIV/AIDS Program (RHAP) works with PEPFAR teams in ten Sub-Saharan African countries to help workers, mothers, children and community locals to deal with the impact of the HIV/AIDS pandemic

Southern Africa is more severely affected by HIV and AIDS than any other region in the world. The burden of the epidemic is staggering. In at least six southern African countries, more than one in every five people is infected with HIV and AIDS; in Botswana and Swaziland nearly two out of three adults may be infected. Southern Africa also has some of the highest rates of tuberculosis (TB) incidence in the world, with nine countries recording more than 300 cases per 100,000 and TB/HIV co-infection rates exceeding 70 percent in countries such as Swaziland, Lesotho, and South Africa.

Working through the President’s Emergency Plan for AIDS Relief, USAID focuses on HIV and AIDS treatment, prevention, health system strengthening, and improved capacity of regional organizations. To address the dual TB/HIV epidemics, USAID focuses on scaling up effective approaches to TB treatment as well as improving diagnostics.  Other activities to meet the specific needs and opportunities in Southern Africa include: 

  • In light of critical health worker shortages, USAID is working with the East, Central and Southern African Health Community (ECSA) to help southern African countries to produce, recruit and retain health workers.
  • We work with the African Palliative Care Association (APCA) to integrate adult palliative care standards into existing health systems in Malawi, Namibia, Lesotho and Tanzania.
  • Our regional orphans and vulnerable children program strengthens the capacities of local authorities and community caretakers to respond to their health, education, and safety needs. 
  • USAID supports the development and sharing of effective and evidence-based approaches to HIV prevention in Southern Africa. An online platform, SHARE, developed with K4Health, allows program managers, health care providers, policymakers and civil society organizations to share lessons learned and accelerate progress toward shared goals.


Last updated: October 05, 2015

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