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TB Situation in Botswana

Dr Boima
HEALTH ESSUES


Red Flag Symptoms to take note of

Cough (with or without blood)
Fever
Night sweats
Weight loss

It is no secret that Botswana is one of the top countries in the world with high Tuberculosis (TB) incidence, despite TB being both preventable and curable. This is partly because of the high HIV prevalence and other factors that help in fuelling the infection.

Currently the TB notification rate is at about 414 per 100,000 people in Botswana. Fortunately, Botswana continues to enjoy the global support from both international Governments and NGO partners in fighting the TB (and HIV) co-pandemics.


Locally, Ministry of Health through the Botswana National TB Programme (BNTP) is dedicated in directing collaborative efforts of fighting TB (and HIV) hence reducing their morbidity and mortality. BNTP is in keep with both national policies and targets and WHO standards;

TB/HIV Policy Framework

guides the integration of TB/HIV treatment

Vision 2016

Emphasises the desire to have a healthy nation by the year 2016 and beyond

Practicing Direct Observation Therapy (DOT)

Most effective for TB treatment as per WHO guidelines

United Nations Millennium Development goals

Botswana was among 147 UN member states that committed to pursuing the MDGs by 2015, among them Goal 6: ‘Combating HIV/AIDS, Malaria and other Diseases including TB’. A tremendous progress has been made so far

Challenges in addressing the fight against TB

Botswana has high HIV prevalence rate which is the main driver of the TB pandemic (About 63% of people diagnosed with TB are co-infected with HIV) which is why efforts are being channelled towards integrating the two conditions in the fight.


Naturally, detection of TB in people living with HIV is difficult (low immune system may not allow HIV patients to be able to mount TB symptoms and signs).

Poor Infection Control – in our health facilities and other community places.


Stigma – the nature of the infection or the misconceptions surrounding the infection (especially in our African communities) play a big role in making people reluctant to get screened for TB, even in cases where people have clear symptoms and signs of TB.


Illiteracy – Inadequate information on TB, HIV and AIDS and preventative measures in Botswana especially at the rural/far-to reach areas (compared to the Western world) continues to make our communities vulnerable to getting infected by TB.


High defaulting Rates and Poor Contact tracing- Batswana are a very mobile population with people having at least three places where they reside seasonally (Home village, city, moraka, masimo), which makes it difficult for health care workers to make thorough follow up on the patients or their contacts.


Drug-drug interactions – Medications for HIV and TB taken at the same time may lower the efficacy of each other or increase the toxicity levels of the drugs in the body.


Drug Resistant TB – Adherence to treatment remains the highest challenge for the country when dealing with TB matters. A combination of reasons, others mentioned above encourages this. Poor adherence almost always leads to the development of drug resistant TB which is very difficult, expensive and long to treat. About 100 new cases of Drug resistant TB are recorded every year in Botswana.

What to do at individual level

There is no doubt that Botswana as a country, is enjoying all the international support it can get (both financial and otherwise) and is trying by all means to keep up with good international standards when dealing with issues of TB.

What is still lacking is commitment from the grassroots, where TB is mainly rampant. Individuals still do not understand the implication of one contracting TB or spreading it, as a major contribution towards the national pandemic. It does not end with that individual! What about their family? Work colleagues? People they travel with on public transport?

TB is a public health concern. So apart from worrying about oneself when it gets to screening for TB, individuals should not be selfish and think about the next person. Failure to honour TB treatment and preventative measures (like wearing masks) can land one in prison (involuntary incarceration) in order to save the public.

Employers should understand this, Bus drivers, teachers at school and all other people in power that may act towards hindering access to health care. We should ‘Doctor’ our family members and encourage them to seek medical help when we can clearly see they are not well. This is not to be used to mock but rather to help that individual and the people around them.

For help email agboima@yahoo.com

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WeekendLife

Dr Lame Pusetso comes to writer’s rescue

20th March 2023

Multi award winning author of fifteen (15) books, Dr Lame Pusetso has put together a platform to empower local writers. Dr Pusetso is a President and Chairperson of the Executive Board of Kasapa Society.

She is also the Managing Director of Poeticblood Publishers and an owner of an online bookstore dubbed Mind and Soul Bookstores. Dr Pusetso has reiterated her commitment to helping upcoming authors, writers and poets in establishing their crafts and capitalizing on them.

In an exclusive interview this week, she said that she has put together a platform dubbed Botswana Literature Awards, which have fourteen categories.

When quizzed on what the awards stand for, Dr Pusetso said “writing as a form of art in Botswana is a skill that many have and have always been exploring. As a publisher, I have met different writers from all walks of life and some indicating that there isn’t enough motivation to keep going.”

In Botswana and according to the writer, there has been a limited representation of appreciation of authors. This is despite their efforts year in year out.

The whole intention of these awards really is to honor and recognize the hard work that local authors put in, when doing what they know best (writing).

“This is a way of appreciating their creativity and we will be doing this across all genres. The awards also act as a motivational tool to young writers who still have dreams of becoming best selling authors. Quite frankly, their works are of great importance and we cannot afford to let that slide like that.”

Dr Pusetso emphasized that all the winners will walk away with an award, a certificate and complimentary gifts to take home. “The two winners of Best Overall Author and Best Young Author will in addition receive book publication deals which includes book distribution and marketing for a year.

She gave a clearer picture of how authors can be a part of the literature awards.

“The awards are open to every author from the age of 7, must be a Motswana, and their book should have been published before or by 2022. For authors with more than one book, they are allowed to compete with only one book for one category, and different books for different categories.”

The young writer pinned hope on institutional collaborations, in order to stage the second edition of the awards next year, saying “We believe with these awards, the different institutions and stakeholders will show interest in helping nurture the literature scenario in Botswana.”

“It will also give authors hope and light to keep writing and penning down their stories for the benefit of all. We anticipate to host the next edition in 2024 with assistance from all interested parties.”

THE LITERATURE AWARDS CATEGORIES

Dr Pusetso stressed that there are fourteen (14) categories, and they are: Religious or Faith Based Book, Poetry Book, Children’s Book, Multi-lingual Writer, Best Collaboration, Setswana Novel, English Novel, Motivational Book, Best Young Author (7-13), Overall Best Author, Best Theory, Best Online Writer, Best Media Writer (Honor Award) and Honor Award (Long Serving Best Author).

EXPLAINING SPECIAL AWARDS

Best Media and Honor Award, Dr Pusetso said are not based on submissions but nomination by the committee. “For Honor Award, we want to appreciate the individual who has inspired the Botswana writing scenario over the years and even assisted numerous authors as both a writer and a community leader.”

The Best Media Writer award is meant to appreciate a journalist who is actively taking part in appreciating and helping authors in marketing, advertising and affording them a platform to showcase their works through their writing skills.

Meanwhile, the Botswana Literature Awards will be held on the 29th April and they are partially sponsored through the literacy grant. This is a grant under the Botswana National Library Services which falls under the Ministry of Youth, Gender, Sports and Culture.

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WeekendLife

Women’s Awards hit the ground running

20th March 2023

The second edition of the much-anticipated Women’s Awards Botswana will be going down on the 27th May 2023 in Gaborone at Travel Lodge. The organizers of the prestigious awards have announced finalists, with three nominees per category.

Women’s Awards Botswana is established to empower women and celebrate them from all walks of life and across sectors. The awards raise awareness for women to be granted equal participation, particularly in decision-making positions, as one way of breaking the gender bias.

They also seek to celebrate the outstanding achievements of women from diverse industries in Botswana. Taking a closer look at the categories, He for She award celebrates and shines a light on men who stand and support women.

These are men who advocate for inclusion of women, men who stand against GBV and men who promote any service that can better women life. Her Abilities award looks into women who have shown determination to keep moving and achieve any goal they have set for themselves, regardless of their disability.

Other awards are self-explanatory. They celebrate women in arts, culture and entertainment, agriculture, creativity, innovation and technology, tourism and hospitality, community impact as well as organization supporting women.

ORGANIZER SPEAKS ON CRITERIA USED

When speaking in an interview, Founder and Director of Women’s Awards Botswana, Bofelo Zebe, said in their first edition, they had fifteen categories, which was enough for a piloting project.

“But we left out many industries or lines of work. After the event, we received reviews and suggestions, and there was an intensive evaluation that led to us increasing the categories to eighteen for this second edition.”

He said the nominees were voted in by the public, adding that the finalists were judged by a panel with the support of votes from their supporters.

When shedding light on what winners take home, Zebe indicated that there is an award trophy, certificate and goodie bags for all categories but “we are working to have financial sponsors jump on board so that winners and nominees can receive monetary incentives. We are also busy at work trying to retain our previous sponsors.”

THE 2023 WOMEN’S AWARDS BOTSWANA NOMINEES

HE FOR SHE AWARD

Desmond Lunga, Tlhabo Kgosiemang and Christopher Seagateng

BEST WOMAN IN ARTS, CULTURE AND ENTERTAINMENT

Ditshupo Mosoboloko, Thanolo Keutlwile and Seneo Mabengano

HER ABILITIES AWARD

Koketso Seleke, Goabo Kgasa and Mumsie Odirile

SPORTS WOMAN OF THE YEAR

Naledi Marape, Ouname Mhotsha and Keamogetse Kenosi

WOMAN FASHION DESIGNER OF THE YEAR

Montle Rantatana, Lesedi Matlapeng and Trudy Bakwena

BEST WOMAN IN AGRICULTURE

Nomathemba Masuku, Basadi Molelekeng and Keolebogile Keabetswe

BEST WOMAN IN CREATIVITY, INNOVATION AND TECHNOLOGY

Marang Mbaakanyi, Didintle Moreki and Thandeka Palai

BEST WOMAN IN TOURISM AND HOSPITALITY

Masego Keleadile, Wapula Matshambane and Tshepo Phokoje

YOUNG WOMAN OF THE YEAR

Bridget Gothaang, Waone Makobo and Kimberly Matheakgomo

WOMAN OWNED SME BUSINESS OF THE YEAR

Suits Africa, Nomlu Nail Bar and Sunflower Desserts

BEST WOMAN OWNED BUSINESS

Prezlin Clothing and Dawn Bell Academy

FEMALE MUSIC ARTIST OF THE YEAR

Mpho Sebina, Dato Seiko and Priscilla K

BEST ORGANIZATION SUPPORTING WOMEN

Sekao Foundation, The Fighters Support Group and Single Mothers Living with HIV

BEST WOMAN WITH COMMUNITY IMPACT

Lebopo Bulayani, Nanzelela Chaitezvi and Kebadile Wasenda

MEDIA WOMAN OF THE YEAR

Poppy Sello, Keikantse Shumba and Kedi Lezozo

FAVOURITE PERSONALITY OF THE YEAR

Marang Selolwane, Palesa Molefe and Masi Sithole

BEST WOMAN IN LEADERSHIP

Naseem Lahri, Neo Bogatsu and Lily Rakorong

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WeekendLife

AMANDA BLACK RETURNS TO SELF WITH NEW SINGLE “NGUWE”

17th March 2023
Amanda Black New Single

“NGUWE” SETS THE TONE TO HER FORTH STUDIO ALBUM

Johannesburg, Friday, 17th March 2022- Amanda Black returns with her signature mix of Afro Pop, hip hop, R&B, and deeply-rooted Xhosa influences to deliver an inspirational message of returning to self and self-love  with her new single “Nguwe” .

Available all digital platforms.

The single comes as Amanda  Black gears up to release her forth studio album, featuring new songs with her signature sound infusing R&B Soul and tribal African melodies. As she grows and discovers herself as an individual, a spiritual being and a musician, Amanda is on a journey of self-discovery. The music reflects on the better and more hopeful space she has come to in this journey, the single “Nguwe”  sets the tone and follows the theme of the upcoming album. The music is about falling in love with self , honoring yourself by self-acceptance. The overall theme and message is spiritual reconnection and trusting herself with her music.

Surfacing in 2016, that album was certified platinum a scant three weeks after its release and went on to earn Black numerous nominations and awards – including three South Africa Music Awards, two Metro Awards and a BET International Artist Of The Year nomination.

Most importantly, Amazulu’s mix of Afro Pop, hip hop, R&B, and deeply-rooted Xhosa influences secured Black a devoted fanbase that stretched right across the country. These music lovers quickly embraced her gift for telling authentic coming-of-age African stories through songs that touched on the universal experiences of love and heartbreak, of finding and losing yourself, of having hopes and dealing with fears.

But, in the background, Black was discovering that the road to becoming a fulltime artist wasn’t easy – even one marked by commercial and critical success straight out of the gate.

Of course, when she began singing in church as a child growing up in the Eastern Cape, and even when she studied Music Education at Nelson Mandela Metropolitan University, Black never imagined it would all be plain sailing. She knew there was no guarantee that, when she boarded a Greyhound bus headed for Johannesburg, she would return home with a story of success to tell. Too many talented musicians from her home town had made that same journey but had never returned – an experience captured with poignant insight on “Bayile”, one of Power’s standout tracks.

Still, Black never expected she’d have to expend so much energy standing up for her artistic rights after she’d become one of South Africa’s most popular and awarded artists. There was even a moment when she thought, “what am I doing this for?”.  “The music industry is not what it looks like from the outside,” the 25-year-old says, with just a flash of emotion. “Becoming a singer is not what you imagine. It’s a lot harder and a lot deeper. At that time, I asked myself, ‘do you even still love music’. I truly didn’t know if I could continue to keep fighting to be treated with respect and fairness. There was a part of me that thought maybe music should just be a hobby – that I should just return to that happy place where I play my music and sing, for myself, my family and my community and it feels good.”

But, in spite of feeling helpless and hopeless at times, deep down Black knew that she still adored this thing called music; that the dream she’s always had, of doing something that can change the world and heal people, remained intact. And so she went to the one place where she knew she could move through the dark and into the light and start writing music again: home.

“My family is like my compass,” Black says, her words laced with gratitude and love. “They are always there to support me, especially my mom. Whenever I go home, it’s to recharge. I can honestly say that being there is like getting my superpower back.”

Alongside allowing her to feel the energetic power of her roots and the love of her family, being home enabled Black to make sense of the journey she’d travelled so far. She’d learnt to play and write on the guitar at 16 and, as part of reclaiming the purity of her love for making music, she returned to the instrument within the safety of home. “The sound of the guitar soothes me, and it reminds of when I would write and play music with no conditions, with no expectations,” she says. Black also began working with the beats and melodies that she has on her phone, freestyling lyrics with no judgement or editing, letting her spirit feel its way forward through singing and playing and imagining.

With a renewed sense of her creative being propelling her, Black returned to Johannesburg. There she embarked on process of making Power and establishing her new label Afro Rockstar, in partnership with Sony Music. Power is a mix of autobiographical songs – a highlight is the light-hearted “Egoli” – and others, like first single “Thandwa Ndim”, that see Black giving impactful voice to the experiences of women in the current socio-political moment.  The album features several love songs including “Lemme Go” and “Love Again”, and includes the stunning “Hamba”, a song about being thirsty for life, love, hope and happiness that features a chorus sampled from Margaret Singana’s “Hamba Bhekile” off “Shaka Zulu”.

Power sees Black once more working with producer Christer Kobedi and the album also has a special collaboration with keyboardist and producer, Kenneth Crouch. In the end, it’s an album of inspiration, of motivation and of integrity. As the next musical calling card of a South African global artist in-the-making, it’s breath-taking and is poised to bring Black back to where she belongs: performing  beautiful music for music lovers everywhere

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