The study investigated economic challenges faced by Botswana NGOs, particularly Bamalete Lutheran Hospital, following the implementation of the UNAIDS 90-90-90 HIV/Aids strategy. Launched in 2014, the strategy aimed to diagnose 90% of HIV-positive individuals, provide treatment to 90% of diagnosed people and achieve viral suppression for 90% of the people who were treated by 2020.

Despite government mandates, resource constraints hindered the hospital’s ability to meet the targets. A sample of 20 participants was interviewed, focusing on economic challenges and their impact on reaching the 90-90-90 goals. The study identified the high cost of antiretroviral (ARV) medication and diagnostic tools, a lack of training for health community educators and stigma as major barriers.

Recommendations include creating interactive platforms for stakeholder engagement, tailored education campaigns addressing stigma, and enhancing collaboration between staff and management. These measures aim to improve institutional performance and progress towards an HIV/Aids-free society.