DOCSLIB.ORG

National Health Policy Towards a Healthier Botswana

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
National Health Policy Towards a Healthier Botswana National Health policy 2011 Annex A Republic of Botswana National Health Policy Towards a Healthier Botswana August 2011 National Health policy 2011 FINAL Draft Table of Contents Foreword iv Abbreviations ...................................................................................................... v Chapter 1: Introduction ................................................................................... 1 1.1 The need to revise the National Health Policy (NHP) ........................................ 1 1.2 National Context for Health Development ......................................................... 1 1.3 Global Context for Health Development ............................................................ 2 1.4 Brief Description of the Process of Policy Review ............................................ 2 Chapter 2: Situation analysis ........................................................................... 3 2.1 Geographic and Demographic Features .............................................................. 3 2.2 Social Determinants of Health ............................................................................ 3 2.3 Socio-Economic Determinants of Health ........................................................... 4 2.4 Current Health Status in Botswana ..................................................................... 5 2.5 Major Causes of Disease Burden in Botswana ................................................... 5 2.6 The Organisation and Management of the Health Sector ................................... 7 2.6.1 The Ministry of Health........................................................................................ 7 2.6.2 The Ministry of Local Government (MLG) ........................................................ 7 2.6.3 Other Service Providers and Facilities ................................................................ 7 2.6.4 Management and Coordination of the Health Sector .......................................... 7 2.6.5 Regulation of the Health Sector .......................................................................... 8 2.7 Access and utilisation of health services ............................................................ 8 2.8 Human Resources for Health .............................................................................. 8 2.9 Health financing .................................................................................................. 9 2.10 Medicines, Vaccines and Other health Technologies ....................................... 10 2.11 Health Information Management System ......................................................... 11 2.12 Progress towards attainment of the health MDGs ............................................ 11 3 Chapter 3: Vision, mission and guiding principles ............. 13 3.1 Vision ................................................................................................................ 13 3.2 Mission Statement ............................................................................................. 13 3.3 Guiding Principles/Values ................................................................................ 13 3.4 Duration of the Policy ....................................................................................... 14 Chapter 4: Policy Thrusts/Principle Areas of Action ................................. 15 4.1 Leadership & Governance ................................................................................ 15 4.1.1 Goal ................................................................................................................... 16 4.1.2 Objectives ......................................................................................................... 16 4.1.3 Policy Initiatives ............................................................................................... 16 4.2 Service Delivery ................................................................................................ 17 4.2.1 Goal ................................................................................................................... 17 4.2.2 Objectives ......................................................................................................... 17 4.2.3 Policy Initiatives ............................................................................................... 18 4.3 Human Resources for Health ............................................................................ 19 4.3.1 Goal ................................................................................................................... 19 4.3.2 Objectives ......................................................................................................... 19 4.3.3 Policy Initiatives ............................................................................................... 19 4.4 Health Financing ............................................................................................... 21 4.4.1 Goal ................................................................................................................... 21 ii National Health policy 2011 FINAL Draft 4.4.2 Objectives ......................................................................................................... 21 4.4.3 Policy Initiatives ............................................................................................... 21 4.5 Medicines, Vaccines and Health Technologies ................................................ 22 4.5.1 Medicines, vaccines and other medical products .............................................. 22 4.5.1.1 Goal ............................................................................................................... 22 4.5.1.2 Objectives ..................................................................................................... 22 4.5.1.3 Policy Initiatives ........................................................................................... 23 4.5.2 Equipment ......................................................................................................... 24 4.5.2.1 Goal ............................................................................................................... 24 4.5.2.2 Objectives ..................................................................................................... 24 4.5.2.3 Policy Initiatives ........................................................................................... 24 4.5.3 Infrastructure ..................................................................................................... 25 4.5.3.1 Goal ............................................................................................................... 25 4.5.3.2 Objectives ..................................................................................................... 25 4.5.3.3 Policy Initiatives ........................................................................................... 26 4.6 Health Information & Research ........................................................................ 26 4.6.1 Goal ................................................................................................................... 26 4.6.2 Objectives ......................................................................................................... 27 4.6.3 Policy Initiatives ............................................................................................... 27 4.7 Lifestyle/behavioural Determinants of Health .................................................. 28 4.7.1 Reducing Smoking ............................................................................................ 28 4.7.1.1 Goal ............................................................................................................... 28 4.7.1.2 Objectives ..................................................................................................... 28 4.7.1.3 Policy Initiatives ........................................................................................... 28 4.7.2 Healthy food habits and increased physical activity ......................................... 29 4.7.2.1 Goal ............................................................................................................... 29 4.7.2.2 Objectives ..................................................................................................... 29 4.7.2.3 Policy Initiatives ........................................................................................... 29 4.7.3 Alcohol and substance abuse ............................................................................ 30 4.7.3.1 Goal ............................................................................................................... 30 4.7.3.2 Objectives ..................................................................................................... 30 4.7.3.3 Policy Initiatives ........................................................................................... 30 4.7.4 Environment, Health & Safety .......................................................................... 31 4.7.4.1 Goal ............................................................................................................... 32 4.7.4.2 Objectives ..................................................................................................... 32 4.7.4.3 Policy Initiatives ........................................................................................... 32 Chapter 5: Implementation Framework .......................................................
Load more

Recommended publications
  • National Guidelines for Implementation of Integrated
    NATIONAL GUIDELINE FOR IMPLEMENTATION OF INTEGRATED COMMUNITY-BASED HEALTH SERVICES November 2020 ICBHS_Guidelines-v7.indd 1 11/3/20 10:08 AM ICBHS_Guidelines-v7.indd 2 11/3/20 10:08 AM These guidelines were printed with the support of PEPFAR, USAID and FHI 360. Suggested citation: Ministry of Health and Wellness. National guideline for implementation of integrated community-based health services in Botswana. Gaborone: Government of Botswana; 2020. ICBHS_Guidelines-v7.indd 3 11/3/20 10:08 AM Contents ACRONYMS ����������������������������������������������������������������������������������������������������������������������������������������6 FOREWORD����������������������������������������������������������������������������������������������������������������������������������������8 ACKNOWLEDGMENTS �������������������������������������������������������������������������������������������������������������������9 EXECUTIVE SUMMARY 10 DEFINITIONS OF KEY TERMS ����������������������������������������������������������������������������������������������������� 11 PART 1: Introduction and purpose. .13 1.1 Introduction . 13 1.2 Goal, objectives, and target audience. 15 1.2.1 Goal ��������������������������������������������������������������������������������������������������������������������������������������� 15 1.2.2 Objectives . 15 1.2.3 Target audience ������������������������������������������������������������������������������������������������������������������ 15 1.2.4 Adoption and adaptation
    [Show full text]
  • Household Size, Birth Order and Child Health in Botswana
    A Service of Leibniz-Informationszentrum econstor Wirtschaft Leibniz Information Centre Make Your Publications Visible. zbw for Economics Mmopelwa, David Working Paper Household size, birth order and child health in Botswana CREDIT Research Paper, No. 19/10 Provided in Cooperation with: The University of Nottingham, Centre for Research in Economic Development and International Trade (CREDIT) Suggested Citation: Mmopelwa, David (2019) : Household size, birth order and child health in Botswana, CREDIT Research Paper, No. 19/10, The University of Nottingham, Centre for Research in Economic Development and International Trade (CREDIT), Nottingham This Version is available at: http://hdl.handle.net/10419/210861 Standard-Nutzungsbedingungen: Terms of use: Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Documents in EconStor may be saved and copied for your Zwecken und zum Privatgebrauch gespeichert und kopiert werden. personal and scholarly purposes. Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle You are not to copy documents for public or commercial Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich purposes, to exhibit the documents publicly, to make them machen, vertreiben oder anderweitig nutzen. publicly available on the internet, or to distribute or otherwise use the documents in public. Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, If the documents have been made available under an Open gelten abweichend
    [Show full text]
  • Immigrants' and Refugees' Unmet Reproductive Health Demands in Botswana: Perceptions of Public Healthcare Providers
    Original Research: Immigrants’ and refugees’ unmet reproductive health demands in Botswana Immigrants’ and refugees’ unmet reproductive health demands in Botswana: Perceptions of public healthcare providers a Oucho JO, PhD b Ama NO, PhD a Centre for Research in Ethnic Relations, University of Warwick, United Kingdom b Department of Statistics, University of Botswana, Gaborone, Botswana Correspondence to: Dr John Oucho, e-mail: [email protected] Keywords: contraceptive; immigrants; refugees; doctors; nurses; healthcare providers Abstract Background: The healthcare of Batswana (citizens of Botswana) as indicated in the country’s Vision 2016 is one of the top priorities of the government of Botswana, yet Botswana’s National Health Policy, the Immigration Policy and the National Sexual and Reproductive Health Programme Framework all are silent on the obligations of the government to provide health services to the immigrant and refugee population. In view of the high prevalence of HIV/AIDS in Botswana, South Africa and other sub-Saharan countries, it is critical that reproductive health services be as affordable and accessible for the immigrants and refugees as they are for other residents in Botswana. This study measured the views of the primary healthcare providers in Botswana on the perceived reproductive health needs of immigrants and refugees and the availability and accessibility of reproductive healthcare services to the immigrant and refugee populations in the country. This information will be important for policy makers, the government of Botswana and the private sector to shape intervention measures to assist immigrants and refugees in seeking and accessing the desired reproductive health services. Methods: The study targeted all 4 667 medical doctors and nurses who were serving in various hospitals and clinics in 23 health districts of Botswana as at June 2005 when this study was conducted.
    [Show full text]
  • Stigma, Health Care Access, and HIV Knowledge Among Men Who Have Sex with Men in Malawi, Namibia, and Botswana
    AIDS Behav DOI 10.1007/s10461-010-9861-2 ORIGINAL PAPER Stigma, Health Care Access, and HIV Knowledge Among Men Who Have Sex With Men in Malawi, Namibia, and Botswana Heather Fay • Stefan D. Baral • Gift Trapence • Felistus Motimedi • Eric Umar • Scholastika Iipinge • Friedel Dausab • Andrea Wirtz • Chris Beyrer Ó Springer Science+Business Media, LLC 2010 Abstract Same-sex practices are stigmatized in much of 21% had ever been blackmailed because of their sexuality. sub-Saharan Africa. Cross-sectional relationships between Strong associations were observed between experiences of discrimination, access to and use of health care services, discrimination and fear of seeking health care services. and HIV knowledge among men who have sex with men Characterizing the relationship between stigma and health (MSM) were assessed in Malawi, Namibia, and Botswana. care seeking practices and attitudes can inform the devel- A survey and HIV screening were used to explore these opment and implementation of HIV interventions for variables and the prevalence of HIV. Overall, 19% of men African MSM. screened positive for HIV infection. Ninety-three percent knew HIV is transmitted through anal sex with men, Keywords Stigma Á Discrimination Á HIV/AIDS Á however, only 67% had ever received information of how Men who have sex with men (MSM) Á Namibia Á to prevent this transmission. Few (17%) reported ever Botswana Á Malawi disclosing same sex practices to a health professional and 19% reported ever being afraid to seek health care. Men reported ever been denied health care services (5%) and Introduction HIV first emerged in the 1980s among men who have sex with men (MSM) in high income countries.
    [Show full text]
  • Pdf 699.53 K
    http://ijhpm.com Int J Health Policy Manag 2014, 3(4), 179–189 doi 10.15171/ijhpm.2014.85 Original Article Assessing performance of Botswana’s public hospital system: the use of the World Health Organization Health System Performance Assessment Framework Onalenna Seitio-Kgokgwe1,*, Robin DC Gauld2, Philip C Hill2, Pauline Barnett3 Abstract Background: Very few studies have assessed performance of Botswana public hospitals. We draw from a large research Article History: study assessing performance of the Botswana Ministry of Health (MoH) to evaluate the performance of public hospital Received: 30 June 2014 system using the World Health Organization Health Systems Performance Assessment Framework (WHO HSPAF). Accepted: 9 September 2014 ePublished: 13 September 2014 We aimed to evaluate performance of Botswana public hospital system; relate findings of the assessment to the potential for improvements in hospital performance; and determine the usefulness of the WHO HSPAF in assessing performance of hospital systems in a developing country. Methods: This article is based on data collected from document analysis, 54 key informants comprising senior managers and staff of the MoH (N= 40) and senior officers from stakeholder organizations (N= 14), and surveys of 42 hospital managers and 389 health workers. Data from documents and transcripts were analyzed using content and thematic analysis while data analysis for surveys was descriptive determining proportions and percentages. Results: The organizational structure of the Botswana’s public hospital system, authority and decision-making are highly centralized. Overall physical access to health services is high. However, challenges in the distribution of facilities and inpatient beds create inequities and inefficiencies.
    [Show full text]
  • The African Regional Health Report Provides Vital Reading for Those Who Want to Understand Why and What Can Be Done About It
    Contents Message from the Regional Director ix Foreword from the Chairperson of the African Union Commission xi Executive Summary xiii Introduction: The health of the people xxiii The challenges confronting Africa xxiv African Region of the World Health Organization xxv Chapter 1 - Health and development in Africa 3 The cycle of poverty and ill-health 3 Putting health in the development context 6 Efforts to promote development in Africa 8 The Abuja Declaration 8 NEPAD 9 The United Kingdom’s Commission for Africa 9 UN Millennium Development Goals 10 G8 Summit 2005 10 Conclusion: Making it happen 11 Bibliography 13 Chapter 2 - Maternal, newborn and child health 17 Africa’s “silent epidemic” 17 Development goals for maternal and child health 18 Mothers: the causes and numbers of deaths 18 Newborns: the causes and numbers of deaths 19 Under-fives: the causes and numbers of deaths 20 Preventing millions of deaths 20 The obstacles 21 Conflict and emergencies 22 HIV/AIDS 23 Inadequate resource allocation 23 Weak health systems 23 Efforts to tackle the problem 24 Safe motherhood 24 Prevention of mother-to-child transmission of HIV 25 Repositioning family planning 26 Managing childhood illnesses 26 Increasing skilled attendance at birth 27 Immunizing more women and children 27 Conclusion: scaling up success 30 Bibliography 33 iii Chapter 3 - Infectious diseases in Africa 37 Major obstacle to development 37 HIV/AIDS, tuberculosis and malaria 38 Challenges for disease control 38 Diseases for which control has been successful 41 Leprosy 41 River blindness
    [Show full text]
  • Evaluation of Norwegian Health Sector Support to Botswana
    Evaluation of Norwegian Health Sector Support To Botswana Annexes to the Final Report Volume II Evaluation of Norwegian Health Sector Support to Botswana Table of Contents 1 Annex 1. Detailed Methodology and Study Instruments ................................................................ 1 1.1 Introduction ............................................................................................................................. 1 1.2 Evaluation Organisation .......................................................................................................... 6 1.3 Health Status Sub-study .......................................................................................................... 6 1.4 Health Systems Sub-study ...................................................................................................... 7 1.4.1 Health Policy ................................................................................................................... 7 1.4.2 Health Services Delivery / Systems Development .......................................................... 8 1.4.3 Human Resources for Health .......................................................................................... 9 1.4.4 Health infrastructure review .......................................................................................... 10 1.4.5 Finance Sub-study ......................................................................................................... 11 1.5 Beneficiaries and Stakeholders Sub-study ..........................................................................
    [Show full text]
  • Download the 2020 Annual Report
    2020 Annual Report MPact 2020 Annual Report | 1 About MPact 1 High Level 14 Thank You! 23 Our Mission 1 Advocacy Donors 23 Advocacy & Program Outputs 2 PEPFAR 15 Board 23 Media Outputs 3 Global Fund 16 Steering Committee 23 A Letter from our Interim ED 4 UN Partners 17 Staff 23 Our Founder 24 Donate 25 Community 5 Country 18 Led Programs Spotlights Contents Our Response to COVID19 6 Vietnam 19 HIV2020 Online 7 Tajikstan 20 Latinx Programs in the US 8 Eswatini 21 PrEP Demand Mobilization 9 Training Health Professionals 10 Click these links Sexual Health Campaigns 11 to read more Community-Based Research 12 about our work 2020 22 Additional Publications 13 Financials Click this link on any page to return to the Contents page MPact 2020 Annual Report | ii Making an MPact in The Lives of Gay Men Around The World MPact’s mission is to advocate for equitable access to effective sexual health services for gay and bisexual men, including those living with HIV. We work with 120 community-based organizations across 62 countries who are fighting for the health and human rights of our communities. MPact 2020 Annual Report | 1 Advocacy & Program Outputs Technical assistance to more than 30 countries 15,575 794 7776 LGBTI people reached Healthcare Key Population with funding for sexual professionals Advocates health services trained trained 7 37 $1.9M USD community- regional disbursed based networks in grants organizations and and contracts supported MPact 2020 Annual Report | 2 Media Outputs 42 mentions of MPact & HIV2020 in the press 112% 137,554 increase from 2019 72 hello! page views on blog posts mpactglobal.org by 73,694 147% users increase 67 email announcements to 6 14,419 new publications subscribers 779% 211 increase new videos with 230% 64,793 increase total views MPact 2020 Annual Report | 3 A Letter from Our Interim Executive Director Every struggle is a reminder of how important our communities are to everything we do as advocates.
    [Show full text]
  • Social and Behavioral Correlates of Adolescent Sexual Experience and Intention to Use Condoms in Northwestern Botswana
    International Journal of Environmental Research and Public Health Article Social and Behavioral Correlates of Adolescent Sexual Experience and Intention to Use Condoms in Northwestern Botswana Francis Barchi 1,* , Helen Apps 2, Oleosi Ntshebe 3 and Peggie Ramaphane 2 1 Edward J. Bloustein School of Planning & Public Policy, Rutgers-The State University of New Jersey, New Brusnwick, NJ 08901, USA 2 WoMen Against Rape, Maun, Botswana; [email protected] (H.A.); [email protected] (P.R.) 3 Department of Population Studies, University of Botswana, Gaborone, Botswana; [email protected] * Correspondence: [email protected] Abstract: Adolescent sexual behavior is shaped by individual, social, and structural factors that can increase HIV-risk, unwanted pregnancy, and sexually transmitted disease. To inform the development of a comprehensive sexuality education program, 239 secondary school adolescents ages 14–19 in Maun, Botswana, completed a survey of sexual and reproductive health knowledge, attitudes, and behaviors in February–March 2020. Bivariate and multivariate analyses examined factors associated with sexual experience and perceived ability to insist on condoms. Approximately 21% of respondents Citation: Barchi, F.; Apps, H.; reported having had sexual intercourse. More than half felt able to insist on condoms. Sources of Ntshebe, O.; Ramaphane, P. Social information about human reproduction, alcohol use, attitudes about when sex is acceptable, and and Behavioral Correlates of Adolescent Sexual Experience and perceived sexual activity by one’s peers were predictive of sexual experience. Age, confidence in Intention to Use Condoms in correct condom use, perceived acceptability of adolescent sex with condoms, and endorsement of Northwestern Botswana. Int.
    [Show full text]
  • Evaluation of Norwegian Health Sector Support to Botswana
    Evaluation of Norwegian Health Sector Support To Botswana Final Report Volume I Evaluation of Norwegian Health Sector Support to Botswana Evaluation of the Norwegian Health Sector Support to Botswana Acknowledgements Undertaken by: Health Research for Action (HERA), Laarstraat 43, 2840 Reet, Belgium Consultant Team: Karen Campbell – Human Resources Philda Kereng – Social Scientist John Malmborg – Capital Planning Marta Medina – Public Health Vincent Musowe – Botswana Health Policy Marc Réveillon - Finance Garth Singleton - Team Leader Evaluation Management by: Balbir Singh – Evaluation Department, NORAD. Ms. Naladi Mlaudzi – Botswana Ministry of Health “This report is the product of its authors, and responsibility for the accuracy of data included in this report rests with the authors. The findings, interpretations, and conclusions presented in this report do not necessarily reflect the views of EVAL”. Final Report - Volume 1 / January 2012 Page | i Evaluation of Norwegian Health Sector Support to Botswana Table of Contents 1 Introduction and Background ____________________________________________________ 1 2 Methodology and analytical framework ____________________________________________ 2 3 Findings_____________________________________________________________________ 7 3.1 International Health Developments ___________________________________________ 7 3.2 Health Status in Botswana 1975-2010 ________________________________________ 10 3.2.1 Population and demographic trends ______________________________________ 11 3.2.2 Social trends
    [Show full text]
  • Download GHD-007 Botswana's Program for Preventing Mother-To
    C ASES IN G LOBAL H EALTH D ELIVERY GHD-007 APRIL 2011 Botswana’s Program for Preventing Mother-to-Child HIV Transmission In spring 2008, siX years after starting to reinvigorate the underperforming prevention of mother-to- child HIV transmission (PMTCT) program in Francistown, Botswana’s second largest city, Dr. Tracy Creek reflected on the program from her office in Atlanta, Georgia. A pediatrician by training, Creek was also the medical epidemiologist for the PMTCT team at the Global AIDS Program of the United States Centers for Disease Control and Prevention (CDC). The CDC had worked in Botswana since 1996, and when Creek arrived in 2002, it was expanding its PMTCT efforts through a joint program known as BOTUSA. Botswana’s PMTCT program was three years old in 2002 but was reaching precious few pregnant women — in spite of what seemed to be sound policy, sufficient resources, and ample political will. Creek worked hard over the neXt siX years to help the Government of Botswana (GoB) implement changes that would reduce rates of mother-to-child transmission to less than 4%. As Creek drafted the conclusions of the Report on Botswana’s National Program for Early Infant Diagnosis of HIV, one of the key evaluations of PMTCT program performance between November 2006 and March 2008, she had to suggest further improvements to help the Ministry of Health move toward its goal of eradicating pediatric HIV. Overview of Botswana Botswana is a landlocked country bordered by South Africa to the south, by Namibia to the north and west, and Zimbabwe to the north and east (see Exhibit 1 for map of Africa).
    [Show full text]
  • Human Resources for Health in Botswana: the Results of In-Country Database and Reports Analysis
    Page 1 of 8 Original Research Human resources for health in Botswana: The results of in-country database and reports analysis Authors: Background: Botswana is a large middle-income country in Southern Africa with a population 1 Oathokwa Nkomazana of just over two million. Shortage of human resources for health is blamed for the inability Wim Peersman2 Merlin Willcox3 to provide high quality accessible health services. There is however a lack of integrated, Robert Mash4 comprehensive and readily-accessible data on the health workforce. Nthabiseng Phaladze5 Aim: The aim of this study was to analyse the existing databases on health workforce in Affiliations: Botswana in order to quantify the human resources for health. 1Faculty of Medicine, Method: The Department of Policy, Planning, Monitoring and Evaluation at the Ministry Department of Surgery, University of Botswana, of Health, Ministry of Education and Skills Development, the Botswana Health Professions Botswana Council, the Nursing and Midwifery Council of Botswana and the in-country World Health Organization office provided raw data on human resources for health in Botswana. 2Faculty of Medicine and Health Sciences, Department Results: The densities of doctors and nurses per 10 000 population were four and 42, of Family Medicine and respectively; three and 26 for rural districts; and nine and 77 for urban districts. The average Primary Health Care, Ghent vacancy rate in 2007 and 2008 was 5% and 13% in primary and hospital care, respectively, but University, Belgium this is projected to increase to 53% and 43%, respectively, in 2016. Only 21% of the doctors registered with the Botswana Health Professions Council were from Botswana, the rest being 3Division of Medical Sciences, mainly from other African countries.
    [Show full text]