Botswana
Botswana, a landlocked country in southern Africa, has a landscape defined by the Kalahari Desert and the Okavango Delta, which becomes a lush animal habitat during the seasonal floods. It has a population of 2.021 million people, GPD per capita of USD 7,315 and GPD of USD 14.78 billion.
Botswana is an upper-middle-income country, and though the country has made remarkable progress against HIV, which was at its peak a decade ago, the disease remains a big concern. Botswana has an HIV prevalence of about 18.5 percent. The country’s sustained political will has ensured strong domestic investments in HIV programs. Tuberculosis is responsible for more than 10 percent of all hospital admissions and more than five percent of outpatient visits. The Global Fund’s investments in TB aim to increase treatment success rate and have a particular focus on health workers, current TB patients and people living with HIV. The support seeks to scale up community TB care across the country, strengthen TB/HIV collaborative activities and increase monitoring and evaluation at all levels. The investments also aim to support Botswana to cut down on new HIV infections through HIV prevention measures.
AHO PRIORITIES FOR HEALTH DELIVERY PLAN IN BOTSWANA
- Strengthening the areas of public health in which the Organization’s strategic inputs serve to advance or accelerate the proposed adjustments and changes in the health sector reform process, with emphasis on disease prevention and health promotion.
- Evaluation and implementation of the essential public health functions (EPHF).
- Support for activities in primary environmental care.
- Formation of a health situation analysis unit and a geographic information system.
- Strengthening public health surveillance systems.
- Support for projects to strengthen health promotion, conducive to the development of the Healthy Communities Program.
PROGRAMMES & PROJECTS
1. COOPERATION WITH BOTSWANA GOVERNMENT
PURPOSE
To support disseminating and enhancing the reform of the sector, with emphasis on health promotion and disease prevention and the international linkages
EXPECTED RESULTS
- Human resources mobilized and support provided for events to disseminate information and engage in networking.
RESOURCES (USD)
AHO BOTSWANA BUDGET 2020 (USD million)* based on 2017 pop 2.292 million World Bank
SO | BUDGET ITEM | AMOUNT* |
1 | Combating communicable diseases | 38 |
2 | Tackling non communicable diseases | 50 |
3 | Addressing determinants of health & risk factors | 30 |
4 | Modernising health system and health service | 35 |
5 | Improving preparedness, surveillance and response | 37 |
6 | Developing good governance & corporate services | 38 |
Total | 229 |
AHO estimates that it needs to spend at least USD100 per capita on health to meet the basic health needs of the people in Africa. This is too far below developed countries e.g. in England it is US$1,300 per capita (2017)