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Most of the adolescents living with HIV and AIDS were born prior to the introduction of the Antiretroviral Therapy in Botswana. This cohort had just reached adolescence and it was imperative to understand their sexuality and 26 ALWHA aged 15 to 19 years, their parents/guardians and health care providers participated in the study. An elicitation survey was conducted among this group followed by Focus Group Discussions. In-depth interviews were conducted among 8 and 25 parents/guardians and health care providers respectively. Thematic content analysis was adopted to analyze the data. The following themes were derived: difficulty to disclose one’s HIV-infected status, parents/guardians failure to discuss sexuality issues with adolescents, mode of HIV transmission, sexual activity and inactivity, sex education, sexual violations, conscripted intimacy, and the right to sexual relations. The same issues were expressed by parents/guardians and health care providers. Sexuality education needs to be incorporated and strengthened at both nursing curricula and at policy level. Programes that reinforce parent- child communication should be instituted and strengthened at community, institutional and national levels.

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Background: Hospital stays for women following birth have increasingly become shorter in the past 50 years worldwide ( Cargill and Martel, 2007 ). The length of hospital stay after childbirth has been reduced to less than 24 hours in many cases, but postpartum women may need the support of health-care providers at home. Aims: This study aimed to explore the experiences of postpartum women after early discharge, in order to improve postpartum services. Methods: A cross-sectional survey explored the experiences of postpartum women after early discharge. One hundred and ten (110) women with normal births were selected through purposive sampling during 6-week postnatal visits at clinics in Francistown, Botswana. Ethical considerations were observed. Data were analysed using SPSS and presented in frequency distributions. Findings: The majority of women (n = 70, 63.6%) preferred to be discharged home within 6–24 hours; 16 (44%) primiparous women were ready for hospital discharge despite having difficulty dealing with perineal sutures and childcare. Multiparous women (n = 54, 72.9%) preferred early hospital discharge. Conclusions: Women need information about self-care and baby care, and a visit within 3–7 days at home. A standard protocol for postpartum follow-up care is needed.