Botswana reduces mother-baby HIV transmission rates from 40% to below 1% since 1999
Mother-to-child HIV transmission in Botswana has plummeted from 40% in 1999 to below 1% today, with seven health districts recording zero cases in 2021. The country built its success on three simple pillars — free testing, free antiretroviral treatment, and community health workers who visit pregnant women at home to walk them through the process. Nearly every pregnant woman with HIV now receives treatment, up from just 27% two decades ago. In December 2021, Botswana became the first high-burden country to earn the WHO’s silver tier recognition for this work. It’s a powerful blueprint for the rest of sub-Saharan Africa: when care is free, trusted, and close to home, an AIDS-free generation moves within reach.









