ISABB Journal of
Health and Environmental Sciences

  • Abbreviation: ISABB J. Health Environ. sci.
  • Language: English
  • ISSN: 1937-3236
  • DOI: 10.5897/ISABB-JHE
  • Start Year: 2011
  • Published Articles: 15

Full Length Research Paper

High ambient temperature and water rationing impacts on antiretroviral adherence in Greater Gaborone, Botswana in 2016

Matlhogonolo Kelepile
  • Matlhogonolo Kelepile
  • Department of Environmental Science, University of Botswana, Botswana.
  • Google Scholar
Sue C. Grady
  • Sue C. Grady
  • Department of Geography, Environment, and Spatial Sciences, Michigan State University, USA.
  • Google Scholar

  •  Received: 23 July 2020
  •  Accepted: 30 October 2020
  •  Published: 30 November 2020


Aibibula W, Cox J, Hamelin AM, McLinden T, Klein MB, Brassard P (2017). Association between food insecurity and HIV viral suppression: a systematic review and meta-analysis. AIDS and Behavior 21(3):754-765.


Aketch CO, Ngure K, Kiplangat JM (2016). The effects of water quality and sanitation on immunocompromised: A case study of people living with HIV/AIDS in Kibera slum, Kenya. East African Medical Journal 93(2):72-81.


Atanga PN, Ndetan HT, Fon PN, Meriki HD, Muffih TP, Achidi EA, Kroidl A (2018). Using a composite adherence tool to assess ART response and risk factors of poor adherence in pregnant and breastfeeding HIV-positive Cameroonian women at 6 and 12 months after initiating option B+. BMC Pregnancy and Childbirth 18(1):418.


Bermudez LG, Jennings L, Ssewamala FM, Nabunya P, Mellins C, McKay M (2016). Equity in adherence to antiretroviral therapy among economically vulnerable adolescents living with HIV in Uganda. AIDS Care 28(sup2):83-91.


Botswana environment statistics (BES) (2017). Botswana environment statistics. Climate Digest. Statistics Botswana, Gaborone, Botswana.


Botswana environment statistics (BES) (2020). Botswana environment statistics. Climate Digest. Statistics Botswana, Gaborone, Botswana.


Botswana Census (2011). Botswana population and housing census. Botswana Statistics. Department of Printing Public Service: Gaborone, Botswana 211:4.


Botswana stigma index survey report (2014). National AIDS Coordinating Agency, Gaborone, Botswana.


Botswana Technology Centre (BTC) (2006). Botswana Technology Centre. Feasibility study on rainwater harvesting. Proceedings of the Workshop on Project. Botswana Technology Centre, Gaborone, Botswana, March 2006, 8-9.


Braun V, Clarke V (2006). Using thematic analysis in psychology. Qualitative Research in Psychology 3(2):77-101.


Cronk R, Bartram J (2018). Environmental conditions in health care facilities in low-and middle-income countries: coverage and inequalities. International Journal of Hygiene and Environmental Health 221(3):409-422.


Department of Water Affairs (DWA) (2005). Department of Water Affairs. National water master plan review (vol 2), Government of Botswana, Gaborone.


Drimie S, Mullins D (2002). HIV/AIDS and land: case studies from Kenya, Lesotho, and South Africa. Report for Southern Africa Regional Office of the Food and Agricultural Organization (FAO), Human Sciences Research Council, Pretoria, South Africa.


Electrical Generation and Distribution (EGD) (2018). Electrical Generation and Distribution. Statistics Botswana. Stats Brief, Quarter, Gaborone, Botswana.


Environmental Systems Research Institute (ESRI) (2020). ArcMap v. 10.6. Redlands California.


Faturiyele I, Karletsos D, Ntene-Sealiete K, Musekiwa A, Khabo M, Mariti M, Mahasha P, Zulu T, Pisa PT (2018) Access to HIV care and treatment for migrants between Lesotho and South Africa: a mixed methods study. BMC Public Health 18(1):668. 


Fewtrell L, Kaufmann RB, Kay D, Enanoria W, Haller L, Colford Jr JM (2005). Water, sanitation, and hygiene interventions to reduce diarrhoea in less developed countries: A systematic review and meta-analysis. The Lancet Infectious Diseases 5(1):42-52.


Frega R, Duffy F, Rawat R, Grede N (2010). Food insecurity in the context of HIV/AIDS: A framework for a new era of programming. Food and Nutrition Bulletin 31(4_suppl4): S292-S312.


Galvin M, Masombuka LN (2020). Failed intentions? Meeting the water needs of people living with HIV in South Africa. Water SA 46(2):242-251.


Gondo R, Kolawole OD (2019). Sustainable water resources management: Issues and principles of water governance in the Okavango Delta, Botswana. International Journal of Rural Management 15(2):198-217.


Haftu D, Gebremichael G, Ajema D, Gedamu G, Agedew E (2017). Water, sanitation and hygiene practice associated factors among HIV infected people in Arba Minch town, Southern Ethiopia. Journal of Water and Health 15(4):615-625.


Hong SY, Fanelli TJ, Jonas A, Gweshe J, Tjituka F, Sheehan H MB, Wanke C, Terrin N, Jordan MR, Tang AM (2014). Household food insecurity associated with antiretroviral therapy adherence among HIV-infected patients in Windhoek, Namibia. Journal of Acquired Immune Deficiency Syndromes 67(4):e115. 


Hsu JW, Pencharz PB, Macallan D, Tomkins A (2005). Macronutrients and HIV/AIDS: A review of current evidence. Durban, South Africa: World Health Organization.


IBM Corp (2017). IBM SPSS Statistics for Windows, Version 25.0. Armonk, New York.


International Panel of Climate Change (IPCC) (2007). Climate Change 2007: Synthesis Report. Contribution of Working Groups I, II and III to the Fourth Assessment Report of the Intergovernmental Panel on Climage Change (IPCC). Geneva Switzerland:104.


Liu H, Golin CE, Miller LG, Hays RD, Beck CK, Sanandaji S, Wenger NS (2001). A comparison study of multiple measures of adherence to HIV protease inhibitors. Annals of Internal Medicine 134(10):968-977.


Makaudze EM (2016). Measuring willingness-to-pay for water and sanitation by people living with HIV and AIDs in South Africa. Journal of Water, Sanitation and Hygiene for Development 6(1):161-169.


Mannheimer SB, Mukherjee R, Hirschhorn LR, Dougherty J, Celano SA, Ciccarone D, Botsko M (2006). The CASE adherence index: A novel method for measuring adherence to antiretroviral therapy. AIDS Care 18(7):853-861.


Marriott NG, Schilling MW, Gravani RB (2018). Food contamination sources. In Principles of Food Sanitation. Springer Nature:83-91.


Mbereko A, Scott D, Chimbari JM (2016). The relationship between HIV and AIDS and water scarcity in Nyamakate resettlements land, north-central Zimbabwe. African Journal of AIDS Research 15(4):349-357.


Mills JE, Cumming O (2016). The impact of water, sanitation and hygiene on key health and social outcomes. Available at: 



Ministry of Minerals, Energy & Water Resources (MMWER) (2013). Ministry of Minerals, Energy & Water Resources. Botswana Integrated Water Resources Management & Water Efficiency Plan. Gaborone, Botswana.


Ministry of Minerals, Energy & Water Resources (MMWER) (2015). Botswana Water Policy. Gaborone, Botswana.


Ministry of Health and Wellness Botswana (MoHW) (2016). Handbook of the Botswana 2016 integrated HIV clinical care guidelines. Republic of Botswana, Gaborone, Botswana.


Munyaneza F, Ntaganira J, Nyirazinyoye L, Birru E, Nisingizwe MP, Gupta N, Hedt-Gauthier BL (2018). Community-based accompaniment and the impact of distance for HIV patients newly initiated on antiretroviral therapy: early outcomes and clinic visit adherence in rural Rwanda. AIDS and Behavior 22(1):77-85.


Ngwenya BN, Mosepele K (2007). HIV/AIDS, artisanal fishing and food security in the Okavango Delta, Botswana. Physics and Chemistry of the Earth Parts A/B/C 32(15-18): 1339-1349.


Nkongo D, Chonya C (2009). Access to water and sanitation for people living with HIV and AIDS: an exploratory study. Water Aid and AMREF. 


National Oceanic and Atmospheric Administration (NOAA) (2020). Global Observing Systems Information Center (GOSIC) National Oceanic and Atmospheric Administration (NOAA) National Centers for Environmental Information. 


Obi CL, Onabolu B, Momba MNB, Igumbor JO, Ramalivahna J, Bessong PO, Mulaudzi TB (2006). The interesting cross-paths of HIV/AIDS and water in Southern Africa with special reference to South Africa. Water SA 32(3):323-343.


Pednekar PP, Agh T, Malmenäs M, Raval AD, Bennett BM, Borah BJ, Turcu-Stiolica A (2019). Methods for measuring multiple medication adherence: a systematic review-report of the ISPOR medication adherence and persistence special interest group. Value In Health 22(2):139-156.


President's Emergency Plan for AIDS Relief (PEPFAR) (2019). Botswana Country Operational Plan 2019: Strategic Direction Summary. Gaborone, Botswana.


Rawat R, Faust E, Maluccio JA, Kadiyala S (2014). The impact of a food assistance program on nutritional status, disease progression, and food security among people living with HIV in Uganda. Journal of Acquired Immune Deficiency Syndromes 66(1):e15-e22.


Rural Development Council (RDC) (2017). Rural Development Council. Drought and household food security outlook for 2016/17. Ministry of Local Government and Rural Development. Gaborone, Botswana.


SAS Institute, Inc (2020). Cary, North Carolina.


Sekantsi LP, Timuno S (2017). Electricity Consumption In Botswana: The Role Of Financial Development, Industrialisation And Urbanization. Review of Economic and Business Studies, Alexandru Ioan Cuza University, Faculty of Economics and Business Administration 19:75-102.


Selabe M, Minyoi MK (2018). Perceived barriers to rainwater harvesting as a source of water supply in Botswana: case of Gaborone city. Botswana Journal of Technology 23(1):86-96.


Singer AW, Weiser SD, McCoy SI (2015). Does food insecurity undermine adherence to antiretroviral therapy? A systematic review. AIDS and Behavior 19(8):1510-1526.


United Nations AIDS (UNAIDS) (2019). Joint United Nations Programme on HIV/AIDS (UNAIDS), Data and AIDS Epidemic update. Geneva, Switzerland.


United Nations AIDS (UNAIDS) (2020). Global Estimates. Available at: 



United Nations Development Programme (UNDP) (2012). Botswana Water Sector Policy Brief, Gaborone, Botswana.


United Nations International Children's Emergency Fund (UNICEF) (2008). Why improved sanitation is important for children. Available at: 



United States Agency International Development (USAID) (2011). Programming Water, Sanitation and Hygiene (WASH) Activities in U.S. Government Country Operational Plans (COPs).


United States Agency International Development (USAID) (2014). HIV, integrated approach to, sanitation water, and hygiene in southern africa. "a gap and needs assessment." 


Water Utilities Corporation (WUC). (2016). Water Rationing Schedule of March 2016, Sedibeng House, Gaborone, Botswana.


Weiser SD, Palar K, Frongillo EA, Tsai AC, Kumbakumba E, DePee S, Bangsberg DR (2014). Longitudinal assessment of associations


between food insecurity, antiretroviral adherence and HIV treatment outcomes in rural Uganda. AIDS 28(1):115.


Yallew WW, Terefe MW, Herchline TE, Sharma HR, Bitew BD, Kifle MW, Adane MM (2012). Assessment of water, sanitation, and hygiene practice and associated factors among people living with HIV/AIDS home based care services in Gondar city, Ethiopia. BMC Public Health 12(1):1057.


Yates T, Lantagne D, Mintz E, Quick R (2015). The impact of water, sanitation, and hygiene interventions on the health and well-being of people living with HIV: A systematic review. Journal of Acquired Immune Deficiency Syndromes 68:S318-S330.


Young S, Wheeler AC, McCoy SI, Weiser SD (2014). A review of the role of food insecurity in adherence to care and treatment among adult and pediatric populations living with HIV and AIDS. AIDS and Behavior 18(5):505-515.